an#dote:) reducing)mortality)in)opioid)overdoses.) réduire ... · causes)of)accidental)death)...

An#dote: Reducing mortality in opioid overdoses. Réduire la mortalité liée aux OD

Dr. M.D. Anders Bang-‐Nielsen Fédéra#on Addic#on -‐ 7 octobre 2015 -‐

Séminaire Naloxone 1

Content •  Accidental deaths décès

accidentels •  It works ça marche •  An#dote.dk •  How to méthode •  Feedback retour •  Q&A ques#ons

Fédéra#on Addic#on -‐ 7 octobre 2015 -‐ Séminaire Naloxone 2

Causes of accidental death Causes des décès accidentels

Denmark 1) 2)

USA 1) 2) Traffic related

Drug related Drug related

Traffic related

Årsrapport 2013 – LVS -‐ Landsforeningen af Væresteder

M. Warner et al: Drug poisoning deaths in the United States, 1980-‐2008. NCHS Data Brief. 2011 Dec;(81):1-‐8.


Training is doable and wanted

J. Strang et al: Overdose training and take home naloxone for opiate users:Prospec#ve cohort study of impact on knowledge and aftude and subsequent management of overdoses. Addic#on 2008 oct;103 (10):1648-‐57

E. Wheeler et al.: Opioid overdose preven#ng programs providing naloxone to laypersons – united states 2014. Morp. Mortal wkly. Rep. 2015 jun 19;64(23):631-‐5

K.E. Tobin et al.: Evalua#on of the staying alive programme: Training injec#on drug users to properly administer naloxone and save lives. Int. jour. of drug policy 20 (2009)131-‐136

La forma#on est faisable et demandée


Teaching opiate users how to use naloxone saves lives

P.O. Coffin and S.D. Sullivan: Cost-‐effec#veness of distrubi#ng naloxone to heroin user for lay overdose revesals, Ann intern med. 1 januar 2013;158 (1):1-‐9

Former les usagers sauve des vies


Price of life saved Le prix d’une vie sauvée Naloxone kit and training: 400 USD Cutoff medical intervent.: 50.000 USD

P.O. Coffin and S.D. Sullivan: Cost-‐effec#veness of distrubi#ng naloxone to heroin user for lay overdose revesals, Ann intern med. 1 januar 2013;158 (1):1-‐9


K.E. Tobin et al.: Evalua#on of the staying alive programme: Training injec#on drug users to properly administer naloxone and save lives. Int. jour. of drug policy 20 (2009)131-‐136

EMS calls 65% 49% Appels aux urgences


Center for disease control and preven#on (CDC): Community-‐based opiod preven#on programs providing naloxone – United states 2010, MMWR Morp mortal wkly rep. 2012 feb. 17;61 (6):101-‐5

5 persons trained

= 1 poten#ally fatal overdose avoided

5 personnes formées =

1 OD poten#ellement fatale évitée


An%dote.dk Fixelance


250 professionals 100 drug users

Revenir de parmi les morts – une an2dote pour l’épidémie de drogues prescrites?


No appointment needed

Sans rendez-‐vous Fédéra#on Addic#on -‐ 7 octobre 2015 -‐

Séminaire Naloxone 11

30 min. Basic first aid & Naloxone

30 min. Premiers secours et Naloxone


•  The law/Doctors aid -‐ •  User experience OD •  Self care -‐ •  Symptoms OD •  Mechanism of drugs •  Mechanism of Naloxone, OBS half-‐life!

•  Basic HLR •  Naloxone reversal of overdoses •  Diploma

Our course: Notre cours : •  Loi et premier soin

médicaux •  expérience d’OD des

usagers •  Auto-‐soin •  Symptômes d’un OD •  Les mécanismes des

drogues •  Fonc#onnement de la

Naloxone •  Premiers secours •  Inversement des OD

par la Naloxone •  Diplôme


Users Doctors Society

Benefits

Bénéficie : Aux usagers Aux médecins À la société


Workshops: Community and professionals

Les ateliers : Communautés et professionnels


Harm reduc#on


Branching out

Årsrapport 2013 – LVS -‐ Landsforeningen af Væresteder


Les retours d’expériences des usagers


Ques#ons & Answers ?

Des ques#ons?


Thank you!


an#dote:) reducing)mortality)in)opioid)overdoses.) réduire ... · causes)of)accidental)death)...

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