{"id":4600,"date":"2024-07-19T10:27:02","date_gmt":"2024-07-19T00:57:02","guid":{"rendered":"https:\/\/hepatitissa.asn.au\/communitynews\/?p=4600"},"modified":"2024-08-16T15:15:35","modified_gmt":"2024-08-16T05:45:35","slug":"naloxone-needed-in-prisons-to-fight-nitazene-effects","status":"publish","type":"post","link":"https:\/\/hepatitissa.asn.au\/communitynews\/2024\/07\/naloxone-needed-in-prisons-to-fight-nitazene-effects\/","title":{"rendered":"Naloxone Needed in Prisons to Fight Nitazene Effects"},"content":{"rendered":"\n<p class=\"has-drop-cap\">The recent concern about fatal opioid overdose from <a href=\"https:\/\/adf.org.au\/drug-facts\/nitazenes\/\" target=\"_blank\" rel=\"noreferrer noopener\">nitazenes<\/a> in the illicit drug supply has raised fears for many prison experts. People who are in prison are not afforded the same protections as people in the community while recent release from prison is also an extremely vulnerable time in which many people experience fatal overdose.<\/p>\n\n\n\n<p>A coalition of health practitioners, harm reduction advocates and experts have called for expanded access to naloxone in prisons to protect against fatal overdoses from nitazenes and other synthetic opioids. In a joint statement, they say in order to prevent avoidable deaths, each state and territory government should immediately:<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e4d6705e74a&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e4d6705e74a\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"800\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/nitazenes.width-1524.jpg\" alt=\"\" class=\"wp-image-4602\" style=\"width:456px;height:auto\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/nitazenes.width-1524.jpg 1200w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/nitazenes.width-1524-600x400.jpg 600w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/nitazenes.width-1524-300x200.jpg 300w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/nitazenes.width-1524-768x512.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Provide training to custodial officers to recognise overdose and administer naloxone<\/li>\n\n\n\n<li>Ensure naloxone is accessible to custodial officers to promptly and effectively respond to overdose<\/li>\n\n\n\n<li>Ensure that naloxone and naloxone training is routinely offered to all people exiting prison.<\/li>\n<\/ul>\n\n\n\n<p>Nitazenes are a synthetic opioid that can be hundreds of times stronger than heroin and <a href=\"https:\/\/doi.org\/10.1124\/jpet.123.002052\" target=\"_blank\" rel=\"noreferrer noopener\">can be fatal even in very small amounts<\/a>. They have been linked to an increasing <a href=\"https:\/\/www.health.nsw.gov.au\/news\/Pages\/20240529_00.aspx#:%7E:text=NSW%20Health%20Chief%20Addiction%20Medicine,their%20strength%2C%22%20Dr%20Conigrave\" target=\"_blank\" rel=\"noreferrer noopener\">number of overdoses and deaths<\/a> in Australia this year and have also been connected to <a href=\"https:\/\/www.theage.com.au\/national\/victoria\/synthetic-opioid-detected-in-four-found-dead-in-broadmeadows-20240704-p5jr1k.html\" target=\"_blank\" rel=\"noreferrer noopener\">at least 15 overdose deaths in prisons in the UK<\/a>. With new national data <a href=\"https:\/\/www.acic.gov.au\/sites\/default\/files\/2024-07\/National%20Wastewater%20Drug%20Monitoring%20Program%20%E2%80%93%20Report%2022_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">released last week on wastewater analysis<\/a>, and a NSW Drug Summit now scheduled for later this year, it is a reminder that we should be addressing harms of illicit drug use.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e4d6705ed93&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e4d6705ed93\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/GMM7fhLW4AAlafp.jpg\" alt=\"\" class=\"wp-image-4605\" style=\"width:415px;height:auto\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/GMM7fhLW4AAlafp.jpg 1080w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/GMM7fhLW4AAlafp-600x600.jpg 600w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/GMM7fhLW4AAlafp-300x300.jpg 300w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/GMM7fhLW4AAlafp-768x768.jpg 768w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">A nitazene warning put out by a UK drug user advocacy group<\/figcaption><\/figure>\n\n\n\n<p>\u201cNitazenes in prisons are a disaster waiting to happen,\u201d says the CEO of the <a href=\"https:\/\/aadc.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Australian Alcohol and Other Drugs Council<\/a>, Ms Melanie Walker. \u201cWe know nitazenes are in the illicit drug supply in Australia and it is only a matter of time before they enter prisons. <\/p>\n\n\n\n<p>&#8220;People in prison have a higher rate of injecting drug use than the general population and despite efforts to prevent drug supply in prison, the evidence shows that drug use is still common. Nitazenes and other synthetic novel drugs are significantly more difficult to detect than \u201ctraditional\u201d opioid drugs such as heroin. Prisons are currently ill equipped to handle a potential influx of these lethal substances,\u201d Ms Walker continued.<\/p>\n\n\n\n<p>A key tool in the fight against opioid overdose is naloxone, a life-saving medication which can temporarily reverse an opioid overdose, including from nitazenes. It is available in Australia as an easy-to-use nasal spray or injection. The Australian Government Department of Health and Aged Care <a href=\"https:\/\/www.health.gov.au\/our-work\/take-home-naloxone-program\/about-opioid-overdose-and-adverse-reactions\" target=\"_blank\" rel=\"noreferrer noopener\">recommends <\/a>that naloxone be administered to anyone overdosing from opioids.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>If we are going to save lives, we must find ways to get naloxone to people in prison when they need it.<\/p><\/blockquote><\/figure>\n\n\n\n<p>However, naloxone is not readily available in prisons in Australia. Naloxone is generally only administered by healthcare staff. As noted by Ms Walker, this severely limits access for people who need it, when they need it: \u201cHealth staff are not always available or accessible to people in prison. If we are going to save lives, we must find ways to get naloxone to people in prison when they need it.<\/p>\n\n\n\n<p>&#8220;One important step that all prisons could take right now is for custodial officers to have ready access to naloxone and be trained in how to recognise and respond to overdose. Many police officers across Australia now regularly carry and administer naloxone. Custodial officers should be trained in the same way.\u201d<\/p>\n\n\n\n<p>The period following release from prison is an especially high-risk time for overdose, with <a href=\"https:\/\/www.aihw.gov.au\/reports\/prisoners\/the-health-of-people-in-australias-prisons-2022\/contents\/deaths\/deaths-following-release-from-prison\" target=\"_blank\" rel=\"noreferrer noopener\">opioid overdose deaths up to twenty times higher for people leaving prison than the general population<\/a>. Ensuring that naloxone and training in how to use it is provided to people in prison before release is a <a href=\"https:\/\/unsw-my.sharepoint.com\/personal\/z3528627_ad_unsw_edu_au\/Documents\/NSP\/Naloxone\/10.1111\/add.13668\" target=\"_blank\" rel=\"noreferrer noopener\">key strategy in combatting overdose deaths<\/a>. However, provision is currently patchy as not every state and territory provides training or access to naloxone for people exiting prison.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e4d6705f349&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e4d6705f349\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"584\" height=\"389\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/16fc08f8fd2716b161839b70ec76857cf7234c3b.webp\" alt=\"\" class=\"wp-image-4604\" style=\"width:546px;height:auto\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/16fc08f8fd2716b161839b70ec76857cf7234c3b.webp 584w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/16fc08f8fd2716b161839b70ec76857cf7234c3b-300x200.webp 300w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">Nitazene-containing pills seized by the Australian Federal Police (supplied)<\/figcaption><\/figure>\n\n\n\n<p>\u201cThere are too few people getting naloxone at the time they leave prison,\u201d says Ele Morrison, Deputy CEO of the Australian Injecting and Illicit Drug Users League (AIVL).<\/p>\n\n\n\n<p>\u201cTo save lives, training and access to naloxone must be expanded and improved within all prisons. As a first step we call on governments to implement these measures immediately. But we also encourage them to look for ways to implement harm reduction in prison.\u201d<\/p>\n\n\n\n<p>The following are signatories to the statement:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mary Harrod, CEO, <a href=\"https:\/\/nuaa.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">NSW Users and Aids Association<\/a> (NUAA)<\/li>\n\n\n\n<li>Geoff Davey, CEO, <a href=\"https:\/\/www.quihn.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">QuIHN<\/a><\/li>\n\n\n\n<li>Professor Alison Ritter AO, Director, <a href=\"https:\/\/www.unsw.edu.au\/research\/sprc\/research\/dpmp#:~:text=The%20Drug%20Policy%20Modelling%20Program,on%20the%20best%20research%20findings.\" target=\"_blank\" rel=\"noreferrer noopener\">Drug Policy Modelling Program (DPMP), UNSW<\/a><\/li>\n\n\n\n<li>Liz Barrett, Chair, <a href=\"https:\/\/www.unsw.edu.au\/content\/dam\/pdfs\/unsw-adobe-websites\/arts-design-architecture\/ada-faculty\/sprc\/2022-09-uploads\/2023-09-strengthening-injecting-related-harm-in-prisons-consensus-statement.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Harm Reduction in Prisons Working Group<\/a><\/li>\n\n\n\n<li>Melanie Walker, CEO, <a href=\"https:\/\/aadc.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Australian Alcohol and Other Drugs Council (AADC)<\/a><\/li>\n\n\n\n<li>Dr Lise Lafferty, Senior Research Fellow, <a href=\"https:\/\/www.unsw.edu.au\/research\/csrh\" target=\"_blank\" rel=\"noreferrer noopener\">Centre for Social Research in Health (CSRH), UNSW<\/a><\/li>\n\n\n\n<li>Sione Crawford, CEO, <a href=\"https:\/\/www.hrvic.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Harm Reduction Victoria<\/a><\/li>\n\n\n\n<li>Professor Kate Dolan, <a href=\"https:\/\/www.unsw.edu.au\/research\/ndarc\/research-impact\/research-areas\/treatment-and-harm-reduction\" target=\"_blank\" rel=\"noreferrer noopener\">Harm Reduction Australia, UNSW<\/a><\/li>\n\n\n\n<li>John Didlick, Policy Analyst, <a href=\"https:\/\/www.hepatitisaustralia.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Hepatitis Australia<\/a><\/li>\n\n\n\n<li>Paul Dessauer, CEO, <a href=\"https:\/\/harmreductionwa.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Peer Based Harm Reduction WA<\/a><\/li>\n\n\n\n<li>Brent Bell, CEO, <a href=\"https:\/\/www.hepatitiswa.com.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Hepatitis WA<\/a><\/li>\n\n\n\n<li>Steven Drew, CEO, <a href=\"https:\/\/www.hep.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Hepatitis NSW<\/a><\/li>\n\n\n\n<li>Ele Morrison, Deputy CEO, <a href=\"https:\/\/aivl.org.au\/\" target=\"_blank\" rel=\"noreferrer noopener\">Australian Injecting and Illicit Drug Users League (AIVL)<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The recent concern about fatal opioid overdose from nitazenes in the illicit drug supply has raised fears for many prison experts. People who are in prison are not afforded the &hellip;<\/p>\n","protected":false},"author":1,"featured_media":4601,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[10,11],"tags":[87,263,279],"issue":[],"ppma_author":[55],"class_list":["post-4600","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","category-policies-research","tag-prisons","tag-harm-minimisation","tag-idu"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Naloxone Needed in Prisons to Fight Nitazene Effects | HepSA Community News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hepatitissa.asn.au\/communitynews\/2024\/07\/naloxone-needed-in-prisons-to-fight-nitazene-effects\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Naloxone Needed in Prisons to Fight Nitazene Effects | HepSA Community News\" \/>\n<meta property=\"og:description\" content=\"The recent concern about fatal opioid overdose from nitazenes in the illicit drug supply has raised fears for many prison experts. People who are in prison are not afforded the &hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hepatitissa.asn.au\/communitynews\/2024\/07\/naloxone-needed-in-prisons-to-fight-nitazene-effects\/\" \/>\n<meta property=\"og:site_name\" content=\"HepSA Community News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HepatitisSA\" \/>\n<meta property=\"article:published_time\" content=\"2024-07-19T00:57:02+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-16T05:45:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/07\/file-20240207-20-k3tcfe.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Hepatitis SA\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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