JEPPDX
@jeppdx.bsky.social
Youth advocate & educator. Data & Ops. Be kind, look for the helpers. ISO trout. PNW. 143
For the fentanyl-focused crowd...
July 26, 2025 at 9:22 PM
For the fentanyl-focused crowd...
Per CDC data, leading causes of U.S. death for 2024 for those under age 50. In total, drugs are far ahead of cancer and nearly twice as high as guns in total, suicide, homicide, car accidents, etc. But different leaders at single ages.
Reducing preventable deaths requires policy change.
Reducing preventable deaths requires policy change.
July 26, 2025 at 9:22 PM
Per CDC data, leading causes of U.S. death for 2024 for those under age 50. In total, drugs are far ahead of cancer and nearly twice as high as guns in total, suicide, homicide, car accidents, etc. But different leaders at single ages.
Reducing preventable deaths requires policy change.
Reducing preventable deaths requires policy change.
Today, the state of Oregon that spends only 2% of $1B substance spend on preventing use & addiction, with near highest adolescent substance use rates in the U.S., with 1/3 of young adults <25 needing treatment and only 15% receiving it…..finally woke up to the need for primary prevention. 👏👏👏
June 26, 2025 at 5:28 AM
Today, the state of Oregon that spends only 2% of $1B substance spend on preventing use & addiction, with near highest adolescent substance use rates in the U.S., with 1/3 of young adults <25 needing treatment and only 15% receiving it…..finally woke up to the need for primary prevention. 👏👏👏
Amazing job by @brianmannadk.bsky.social reporting on youth drug deaths.
Age 20-24 broke the mold, beat fentanyl, returned to 10 yrs prior. Teens coming down, room to go, upstream mitigations needed.
We need more answers on "how". Inside these data lie insights that will save lives. (1/3)
Age 20-24 broke the mold, beat fentanyl, returned to 10 yrs prior. Teens coming down, room to go, upstream mitigations needed.
We need more answers on "how". Inside these data lie insights that will save lives. (1/3)
June 11, 2025 at 11:06 PM
Amazing job by @brianmannadk.bsky.social reporting on youth drug deaths.
Age 20-24 broke the mold, beat fentanyl, returned to 10 yrs prior. Teens coming down, room to go, upstream mitigations needed.
We need more answers on "how". Inside these data lie insights that will save lives. (1/3)
Age 20-24 broke the mold, beat fentanyl, returned to 10 yrs prior. Teens coming down, room to go, upstream mitigations needed.
We need more answers on "how". Inside these data lie insights that will save lives. (1/3)
Great news, but ridiculous we don’t know…and we may cut things that work.
“…changes in illicit drug supply + greater access to treatment + naloxone to seemed to be playing a role, but whether the country could sustain that progress was an open question.”
www.nytimes.com/2025/05/14/h...
“…changes in illicit drug supply + greater access to treatment + naloxone to seemed to be playing a role, but whether the country could sustain that progress was an open question.”
www.nytimes.com/2025/05/14/h...
May 15, 2025 at 2:34 AM
Great news, but ridiculous we don’t know…and we may cut things that work.
“…changes in illicit drug supply + greater access to treatment + naloxone to seemed to be playing a role, but whether the country could sustain that progress was an open question.”
www.nytimes.com/2025/05/14/h...
“…changes in illicit drug supply + greater access to treatment + naloxone to seemed to be playing a role, but whether the country could sustain that progress was an open question.”
www.nytimes.com/2025/05/14/h...
It was indeed a remarkable year amidst a decades long tragedy, far from done.
May 15, 2025 at 12:39 AM
It was indeed a remarkable year amidst a decades long tragedy, far from done.
Right legal fentanyl isn’t the problem. The “fentanyl tariff” is just a general penalty on top for not doing enough on precursors that go to producing the illicit. I wonder if they have defined any specific goals that, if achieved, would make that tariff go away. 🤷♂️
May 12, 2025 at 10:56 PM
Right legal fentanyl isn’t the problem. The “fentanyl tariff” is just a general penalty on top for not doing enough on precursors that go to producing the illicit. I wonder if they have defined any specific goals that, if achieved, would make that tariff go away. 🤷♂️
Missing it (both):
-Those attributing our drug problem to immigration
-Those dismissing fentanyl as mythical problem
We've lost more Americans to drugs than guns or MVA; < age 50: more than any cause incl cancer.
New research showing 11% report illicit opioid use.
jamanetwork.com/journals/jam...
-Those attributing our drug problem to immigration
-Those dismissing fentanyl as mythical problem
We've lost more Americans to drugs than guns or MVA; < age 50: more than any cause incl cancer.
New research showing 11% report illicit opioid use.
jamanetwork.com/journals/jam...
May 12, 2025 at 9:40 PM
Missing it (both):
-Those attributing our drug problem to immigration
-Those dismissing fentanyl as mythical problem
We've lost more Americans to drugs than guns or MVA; < age 50: more than any cause incl cancer.
New research showing 11% report illicit opioid use.
jamanetwork.com/journals/jam...
-Those attributing our drug problem to immigration
-Those dismissing fentanyl as mythical problem
We've lost more Americans to drugs than guns or MVA; < age 50: more than any cause incl cancer.
New research showing 11% report illicit opioid use.
jamanetwork.com/journals/jam...
Some perspective.
If you reflexively find yourself staunchly lining up behind any and all efforts to protect the U.S. from only a subset of guns, drugs, or infectious disease, ask yourself if your views are consistent.
We could use a lot more critical thinking and less hive-mind.
If you reflexively find yourself staunchly lining up behind any and all efforts to protect the U.S. from only a subset of guns, drugs, or infectious disease, ask yourself if your views are consistent.
We could use a lot more critical thinking and less hive-mind.
April 30, 2025 at 2:10 PM
Some perspective.
If you reflexively find yourself staunchly lining up behind any and all efforts to protect the U.S. from only a subset of guns, drugs, or infectious disease, ask yourself if your views are consistent.
We could use a lot more critical thinking and less hive-mind.
If you reflexively find yourself staunchly lining up behind any and all efforts to protect the U.S. from only a subset of guns, drugs, or infectious disease, ask yourself if your views are consistent.
We could use a lot more critical thinking and less hive-mind.
Yes it's great news (and well past COVID) though the long arc of drug deaths remains an ongoing national tragedy needing far more attention. (1.3M since 2000).
April 29, 2025 at 1:25 PM
Yes it's great news (and well past COVID) though the long arc of drug deaths remains an ongoing national tragedy needing far more attention. (1.3M since 2000).
Guns are #1 for 1-19 (1-17 also) as whole groups. And #1 for 13-25 at single ages. What a stupid argument; far too many are dying and we could do better with effective regulation & mental health care. As we could do better with drugs with effective supply efforts and prevention & treatment
April 28, 2025 at 1:54 AM
Guns are #1 for 1-19 (1-17 also) as whole groups. And #1 for 13-25 at single ages. What a stupid argument; far too many are dying and we could do better with effective regulation & mental health care. As we could do better with drugs with effective supply efforts and prevention & treatment
20-24 y.o. beat back fentanyl, now recording less deaths vs. pre-pandemic.
Hypotheses:
-Long downward trend of adolescent substance use resulting in less addiction/harms as they age.
-More effective treatment at this age.
-Greater awareness, perception of harm, naloxone & drug testing at this age.
🤷♂️
Hypotheses:
-Long downward trend of adolescent substance use resulting in less addiction/harms as they age.
-More effective treatment at this age.
-Greater awareness, perception of harm, naloxone & drug testing at this age.
🤷♂️
April 26, 2025 at 2:22 PM
20-24 y.o. beat back fentanyl, now recording less deaths vs. pre-pandemic.
Hypotheses:
-Long downward trend of adolescent substance use resulting in less addiction/harms as they age.
-More effective treatment at this age.
-Greater awareness, perception of harm, naloxone & drug testing at this age.
🤷♂️
Hypotheses:
-Long downward trend of adolescent substance use resulting in less addiction/harms as they age.
-More effective treatment at this age.
-Greater awareness, perception of harm, naloxone & drug testing at this age.
🤷♂️
Underneath the positive news about reductions in drug od death and concerns that it can't be sustained with expected cuts to vital mitigations, there's this very hopeful long-term trend:
Young Adults 20-24 mirrored the whole population death rates for ~20 years, but have broken that trend.
Young Adults 20-24 mirrored the whole population death rates for ~20 years, but have broken that trend.
April 26, 2025 at 2:22 PM
Underneath the positive news about reductions in drug od death and concerns that it can't be sustained with expected cuts to vital mitigations, there's this very hopeful long-term trend:
Young Adults 20-24 mirrored the whole population death rates for ~20 years, but have broken that trend.
Young Adults 20-24 mirrored the whole population death rates for ~20 years, but have broken that trend.
Read @brianmannadk.bsky.social on risk of Medicaid cuts slashing addiction treatment, in particular this key point:
"Speaker Johnson suggested young men, who are highly vulnerable to drug addiction and account for the vast majority of U.S. OD deaths, should not qualify for Medicaid insurance."
"Speaker Johnson suggested young men, who are highly vulnerable to drug addiction and account for the vast majority of U.S. OD deaths, should not qualify for Medicaid insurance."
April 16, 2025 at 1:37 PM
Read @brianmannadk.bsky.social on risk of Medicaid cuts slashing addiction treatment, in particular this key point:
"Speaker Johnson suggested young men, who are highly vulnerable to drug addiction and account for the vast majority of U.S. OD deaths, should not qualify for Medicaid insurance."
"Speaker Johnson suggested young men, who are highly vulnerable to drug addiction and account for the vast majority of U.S. OD deaths, should not qualify for Medicaid insurance."
The bill does not apply to what is used in hospitals.
February 17, 2025 at 3:51 PM
The bill does not apply to what is used in hospitals.
While everyone’s focused on fentanyl misinformation, tariffs, etc..don’t forget to also talk to you kids about the very real risk they and their friends face by using what they think is real pharma, easily bought on social media or passed by peers.
Broader…we need more prevention and treatment.
Broader…we need more prevention and treatment.
February 1, 2025 at 4:19 PM
While everyone’s focused on fentanyl misinformation, tariffs, etc..don’t forget to also talk to you kids about the very real risk they and their friends face by using what they think is real pharma, easily bought on social media or passed by peers.
Broader…we need more prevention and treatment.
Broader…we need more prevention and treatment.
Hurray Oregon, recording a 12mo drop in drug overdose deaths (-9%) for the first time since this crisis started!
The drops are national at -22% and widespread with all but 5 states no longer growing.
🤷♂️ what the future holds. The main drivers are guesses w/ little objective direct evidence.
The drops are national at -22% and widespread with all but 5 states no longer growing.
🤷♂️ what the future holds. The main drivers are guesses w/ little objective direct evidence.
January 19, 2025 at 3:11 PM
Hurray Oregon, recording a 12mo drop in drug overdose deaths (-9%) for the first time since this crisis started!
The drops are national at -22% and widespread with all but 5 states no longer growing.
🤷♂️ what the future holds. The main drivers are guesses w/ little objective direct evidence.
The drops are national at -22% and widespread with all but 5 states no longer growing.
🤷♂️ what the future holds. The main drivers are guesses w/ little objective direct evidence.
Hotspot Large U.S. Counties for drug deaths.
Note Portland, San Fransisco, Seattle, which a few years ago were nowhere near being on this list. Massive unpreparedness/mismanagement amidst a fentanyl flood.
Note Portland, San Fransisco, Seattle, which a few years ago were nowhere near being on this list. Massive unpreparedness/mismanagement amidst a fentanyl flood.
January 19, 2025 at 2:59 PM
Hotspot Large U.S. Counties for drug deaths.
Note Portland, San Fransisco, Seattle, which a few years ago were nowhere near being on this list. Massive unpreparedness/mismanagement amidst a fentanyl flood.
Note Portland, San Fransisco, Seattle, which a few years ago were nowhere near being on this list. Massive unpreparedness/mismanagement amidst a fentanyl flood.
U.S. drug overdose predicted deaths continue to drop: 12 mo. deaths ending 8.24 under 90K, down 22%!
Most states decreased during this period, some for the first time in a while; over a longer period, many states still at a rate significantly higher than just 3-5 years ago. Lots to do still.
Most states decreased during this period, some for the first time in a while; over a longer period, many states still at a rate significantly higher than just 3-5 years ago. Lots to do still.
January 16, 2025 at 4:27 PM
U.S. drug overdose predicted deaths continue to drop: 12 mo. deaths ending 8.24 under 90K, down 22%!
Most states decreased during this period, some for the first time in a while; over a longer period, many states still at a rate significantly higher than just 3-5 years ago. Lots to do still.
Most states decreased during this period, some for the first time in a while; over a longer period, many states still at a rate significantly higher than just 3-5 years ago. Lots to do still.
U.S. adolescent death due to fentanyl in fake pills has skyrocketed. We're losing a classroom of kids every week, many preventable with the simplest of mitigations. Make sure the youth in your life are fully aware of the risk and know how to recognize & respond to an overdose. www.thenewdrugtalk.org
January 13, 2025 at 5:16 AM
U.S. adolescent death due to fentanyl in fake pills has skyrocketed. We're losing a classroom of kids every week, many preventable with the simplest of mitigations. Make sure the youth in your life are fully aware of the risk and know how to recognize & respond to an overdose. www.thenewdrugtalk.org
End of this season deserves the look. HBD.
January 12, 2025 at 3:32 AM
End of this season deserves the look. HBD.
The current decrease in drug overdose deaths has been sharp and widespread. Western states have grown the most in the last 5 years and are slowest to decrease.
Fentanyl has had it's way with us and continues to. Oregon, Washington, & Alaska hit the hardest.
Lots more work to do everywhere.
Fentanyl has had it's way with us and continues to. Oregon, Washington, & Alaska hit the hardest.
Lots more work to do everywhere.
January 11, 2025 at 3:42 PM
The current decrease in drug overdose deaths has been sharp and widespread. Western states have grown the most in the last 5 years and are slowest to decrease.
Fentanyl has had it's way with us and continues to. Oregon, Washington, & Alaska hit the hardest.
Lots more work to do everywhere.
Fentanyl has had it's way with us and continues to. Oregon, Washington, & Alaska hit the hardest.
Lots more work to do everywhere.
Bluesky is full of fentanyl jokes, mostly mocking disinfo & hyperbole. Deserved.
But it's no joke & entirely true that illicit fentanyl is taking an enormous number of lives, from those struggling with SUD to naive youth & elders who don't even know.
Get aware, help your friends, have narcan.
But it's no joke & entirely true that illicit fentanyl is taking an enormous number of lives, from those struggling with SUD to naive youth & elders who don't even know.
Get aware, help your friends, have narcan.
January 7, 2025 at 2:35 PM
Bluesky is full of fentanyl jokes, mostly mocking disinfo & hyperbole. Deserved.
But it's no joke & entirely true that illicit fentanyl is taking an enormous number of lives, from those struggling with SUD to naive youth & elders who don't even know.
Get aware, help your friends, have narcan.
But it's no joke & entirely true that illicit fentanyl is taking an enormous number of lives, from those struggling with SUD to naive youth & elders who don't even know.
Get aware, help your friends, have narcan.
U.S. kids have been hit by fentanyl, sold in fake pills to mimic real Rx. Taking Rx off-script was never a good choice, but the consequences are now much greater. Drugs now take more teen lives than cancer. (guns & car accidents lead)
Visit www.thenewdrugtalk.org for family discussion resources.
Visit www.thenewdrugtalk.org for family discussion resources.
January 4, 2025 at 3:12 PM
U.S. kids have been hit by fentanyl, sold in fake pills to mimic real Rx. Taking Rx off-script was never a good choice, but the consequences are now much greater. Drugs now take more teen lives than cancer. (guns & car accidents lead)
Visit www.thenewdrugtalk.org for family discussion resources.
Visit www.thenewdrugtalk.org for family discussion resources.
“The dangers of fentanyl have no age boundaries. We must support the critical role that schools play in substance use prevention and intervention for students."
Oregon releases synthetic opioid prevention lessons, updated fentanyl toolkit for Oregon schools.
content.govdelivery.com/accounts/ORE...
Oregon releases synthetic opioid prevention lessons, updated fentanyl toolkit for Oregon schools.
content.govdelivery.com/accounts/ORE...
January 4, 2025 at 1:40 PM
“The dangers of fentanyl have no age boundaries. We must support the critical role that schools play in substance use prevention and intervention for students."
Oregon releases synthetic opioid prevention lessons, updated fentanyl toolkit for Oregon schools.
content.govdelivery.com/accounts/ORE...
Oregon releases synthetic opioid prevention lessons, updated fentanyl toolkit for Oregon schools.
content.govdelivery.com/accounts/ORE...