Category: Drugs

Cannabis and Work: Implications, Impairment, and the Need for Further Research

  American workplaces are facing unprecedented challenges related to the rapidly evolving landscape of cannabis legalization and its increasing use among workers. Cannabis[1] is the most frequently used illicit drug (by Federal law) among Americans, with an estimated 43.5 million past-year users age 12 or older in 2018 (1). Nearly 18% of adults employed full-time, Read More >

Posted on by John Howard, MD; L. Casey Chosewood, MD; Lore Jackson-Lee, MPH; and Jamie Osborne, MPH, CHES®5 Comments

Suicide Risk for Veterinarians and Veterinary Technicians

A new study, “Suicides and deaths of undetermined intent among veterinary professionals from 2003 through 2014” sheds new light on the issue of suicide among veterinary professions. It is known that veterinarians in the United States and abroad have a higher suicide risk compared with the general population.[1-8] This new study confirms the increased rated of suicide Read More >

Posted on by Randall J. Nett, MD, MPH; Tracy Witte, PhD; Elizabeth G. Spitzer, MA; Nicole Edwards, MS; and Katherine A. Fowler, PhD5 Comments

Injured Workers More Likely to Die from Suicide or Opioid Overdose

Drug overdoses and suicides have been rising since 2000 and are major contributors to a recent decline in US life expectancy. The opioid crisis is largely to blame, with a record 47,600 overdose deaths in 2017.[1] Suicide rates in 2016 have increased 30% from 1999.[2] Case and Deaton have called these “deaths of despair.”[3] In Read More >

Posted on by Katie M. Applebaum, ScD; Abay Asfaw, PhD; Paul K. O’Leary, PhD; Andrew Busey, BS; Yorghos Tripodis, PhD; and Leslie I. Boden, PhD7 Comments

Law Enforcement Officers’ Health Effects from Exposure to Opioids: Two Case Investigations

There is uncertainty surrounding law enforcement officers’ exposure to and health effects from opioids encountered while at work protecting the public. Over the past several years, the media have reported instances of opioid exposures and health effects among first responders and other public service workers across the U.S.[i],[ii],[iii],[iv] These reports provide incomplete or uncorroborated information Read More >

Posted on by Sophia K. Chiu, MD, MPH3 Comments

Medication-Assisted Treatment for Opioid Use Disorder

The opioid overdose epidemic continues to claim lives across the country with a record 47,600 overdose deaths in 2017[i]. The crisis is taking an especially devastating toll on certain parts of the U.S. workforce. High rates of opioid overdose deaths have occurred in industries with high injury rates and physically demanding working conditions such as Read More >

Posted on by John Howard, MD; Lauren Cimineri, PharmD, MPH; Tamekia Evans, MPH; Casey Chosewood, MD, MPH; and Susan Afanuh, MA13 Comments

Fentanyls and the Safety of First Responders: Science and Recommendations

The severity of the opioid epidemic is well-documented. In 2017, the Centers for Disease Control and Prevention (CDC) reported that drug overdose deaths in the United States more than tripled from 1999 to 2015.[1] From 2015 to 2016, opioid overdose deaths increased by more than 20 percent—rising from 52,898 in 2016 to 64,070 deaths in Read More >

Posted on by John Howard, MD, and Jennifer Hornsby-Myers, MS, CIH2 Comments