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City Announces New Measures to Reduce Overdoses, including Rates of 75.3 percent in Hunts Point-Mott Haven

(WHILE ON A recent visit to a syringe service program (SSP) and overdose prevention center (OPC) Health Commissioner Dr. Ashwin Vasan (left) and Mayor Eric Adams (second left) highlighted the use of drug-checking machines, operated by trained technicians, that they say will be used to test drugs and address the worsening overdose epidemic in the City.
Photo via Twitter courtesy of the Mayor’s Office

Mayor Eric Adams and the City’s health commissioner, Dr. Ashwin Vasan, announced new measures to reduce the number of overdoses in New York City on Friday, Aug. 5. They intend to reverse what they said was the staggering increase in overdose deaths since 2020 by expanding access to technology that tests pre-obtained drugs for fentanyl and other possibly lethal substances. The City plans to do this at sites running syringe service programs (SSP) co-located at overdose prevention centers (OPC).

 

During a recent visit to an SSP and OPC, Adams and Vasan highlighted the use of drug-checking machines, operated by trained technicians, that they say are being used to test drugs, and address the worsening overdose epidemic in the City. “The opioid epidemic has already taken the lives of thousands of New Yorkers and the pandemic only exacerbated this crisis,” Adams said. “Today, one of our city’s residents loses their life to an overdose every three hours, so it is essential we use every tool in our arsenal to tackle the overdose crisis.”

 

The mayor said countless families in the city have been torn apart by opioids, and added that he was proud that New York City was leading the way in overdose prevention and taking action to save lives. “A crisis does not wait, and neither can we,” he said. “Overdose prevention centers keep neighborhoods and people struggling with substance use safe. Now is the time to expand access to OPCs and do so in an equitable way across New York City.”

 

For his part, Vasan said the overdose crisis required bold and innovative responses. “That’s exactly what this initiative represents,” he said. “Our aim, by co-locating drug-checking services and the overdose prevention centers is that we can work to save even more lives. Thank you to our incredible partners in this effort, OnPoint NYC, for their determination and dedication to promoting the health of New Yorkers.”

 

DOHMH officials said the department will expand drug-checking services to OnPoint NYC, a harm reduction organization that runs two overdose prevention centers (OPCs) in the Washington Heights and East Harlem neighborhoods of Manhattan and the first to open in the nation. Trained technicians will use a Bruker Alpha FTIR (Fourier Transform Infrared) spectrometer machine to identify the presence and approximate amounts of a wide range of substances, including fentanyl, in drug samples brought in by program participants.

 

They said all people who use this DOHMH drug-checking initiative will receive tailored harm reduction counseling, including access to naloxone and overdose prevention education. They added that although drug-checking services are an important public health intervention and are widespread internationally, New York City is among only a handful of health departments to implement these services in the United States.

 

Sam Rivera, executive director of OnPoint NYC, said as the City copes with a record number of fatal drug overdoses, it must do everything it can to give people a fighting chance to survive and thrive. “The testing machines provided by the city will allow our participants to make informed decisions about their consumption and will serve as an invaluable tool in OnPoint NYC’s mission to save lives,” she said. “I want to thank Mayor Adams for his ‘Getting Stuff Done’ efforts towards stemming this crisis and acknowledging the value of the beautiful souls that struggle through it.”

 

DOHMH officials went on to say that such drug-testing is one of several complementary harm reduction strategies that have been implemented in New York City to combat the overdose epidemic. They said fentanyl test strips can also identify the presence of fentanyl, but this tool provides less information than spectrometer machines.

 

Since 2021, DOHMH officials said the department has significantly expanded fentanyl test strip availability by launching two pilot programs to establish community-based distribution. Combined, they said these two programs have distributed approximately 30,000 fentanyl test strips to more than 3,000 unique individuals to date. They said these strategies, particularly when utilized together, can mitigate the harms of drug use, empower people to make informed decisions, and ultimately prevent overdose.

 

“Drug-checking services will be integrated into the OnPoint NYC’s OPC, where trained professionals already monitor drug use and intervene in the event of a potential overdose,” DOHMH officials said. “OnPoint NYC participants can also access a range of wrap-around services, including basic needs like food and showers, and connections to health care, social services, and treatment.”

 

They said that since opening in November 2021, the two OPCs operated by OnPoint NYC have intervened in more than 390 potential overdoses to avert injury or death, and they added that earlier this summer, OnPoint NYC and the DOHMH released a Journal of the American Medical Association article, detailing preliminary data suggesting that OPCs were associated with decreased overdose risk and prevalence of public drug use.

 

According to DOHMH officials, OPCs are one component of a larger strategy to bolster harm reduction services, which includes extensive naloxone distribution and what was described as “DOHMH’s peer-led, non-fatal overdose response system (Relay).” They said these efforts to increase the scope and impact of harm reduction services citywide come at a critical moment.

 

In the third quarter of 2021 (July through September), data showed there were 709 unintentional drug overdose deaths in New York City, compared to 552 deaths during the same period in 2020. The third quarter of 2021 had the highest number of overdose deaths in a single quarter compared with any quarter on record. DOHMH officials said they expect the number of overdose deaths in 2021 to exceed those in 2020, which saw the highest number of overdoses in New York City since records began in 2000.

 

In June 2021, Norwood News reported how NYPD officers were able to intervene, using their training to successfully administer the drug, Narcan, to a man, preventing him from dying from an accidental overdose after they discovered him at Kingsbridge Road subway station.

 

Meanwhile, Robert Polner of New York University announced in June that a new, South Bronx-centered initiative led by NYU Silver School of Social Work professors, Jennifer Manuel and Lance Keene, had received a City grant to help educate residents who use drugs, as well as the broader South Bronx community, about the risks associated with fentanyl.

 

“Fentanyl, a synthetic opioid that is 50 to 100 times stronger than morphine, is driving the current wave of overdose deaths,” Polner said at the time. “Often consumed unknowingly, it is accelerating the rate and widening the reach of the opioid-related overdose epidemic in the U.S.”

 

Dr. ASHWIN VASAN, the City’s health commissioner, speaks at Tremont Neighborhood Health Action Center, located at 1826 Arthur Avenue in Tremont, on Wednesday, April 13, 2022, the day the center reopened for in-person services, having been closed amid the pandemic.
Photo by Síle Moloney

 

Named the New York City Communities for Health (NYCC4H) initiative, the outreach effort is using the $40,000 grant from the New York City Department of Health & Mental Hygiene (DOHMH) to distribute free Fentanyl test strips which detect the presence of the potent opioid in a drug, after the drug is diluted. The initiative also covers training on Naloxone, a medication designed to rapidly reverse an opioid overdose.

 

The city’s grant was approved in January. NYCC4H also receives support for HIV and substance use disorder prevention and treatment from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). NYCC4H has hired two peer outreach workers with lived experience of substance use or recovery.

 

In 2020, a total of 1,580 New Yorkers died from a fentanyl-involved overdose, according to the City’s health department. Meanwhile, the rate of overdose death per 100,000 people was 75.3 percent for the Hunts Point-Mott Haven neighborhoods, compared with the citywide rate of 30.5 percent.

 

R. Yamir Gomez Carrasco is a NYCC4H program manager and said the training they were providing was for people in the community, “whoever wants it.” He said with the current wave of overdoses, research shows that one person dies every four hours in New York City from an overdose. “So we want to get these tools in the hands of people who need it, particularly people who use non-opioid drugs like cocaine and meth as they may not be aware of Fentanyl-related overdose risk,” he said.

 

“Mott Haven is the geographical focus of the NYU Silver School of Social Work initiative,” Gomez Carrasco said, adding that this was because “it is disproportionately impacted by overdoses due to disinvestment in the neighborhood, as seen in its designation as a medically underserved area, as well as other drivers of disparities associated with structural inequities.”

 

The training takes three minutes during street outreach or when delivered in-depth, half an hour, according to Gomez Carrasco. The goal was to reach 600 people on how to use fentanyl test strips by the end of June. In addition, two animated online training videos were in the works as part of an online resource center where New York City residents would be able to view the training videos and request supplies on a 24/7 basis.

As reported, two men were arrested in the Bedford Park section of The Bronx in connection with a large-scale heroin/fentanyl packaging and distribution operation, according to an announcement by City prosecutors on Thursday, Aug. 4. A stash of approximately 6 kilograms of narcotics (over 13 pounds), with a street value of at least $1.8 million, was intercepted during a short-term investigation, prosecutors said.

 

On Monday, Aug. 8, State Sen. Gustavo Rivera (S.D. 33), currently running for reelection, will co-host a “Community Forum on Harm Reduction” with the 52nd Precinct Community Council at 6:30 p.m. at Monroe College’s Mintz auditorium to address neighbors’ concerns on issues related to needle use etc. near the Kingsbridge Road overpass, Poe Park, and the surrounding area.

 

Meanwhile, deputy mayor for Health and Human Services, Anne Williams-Isom, said of the renewed efforts to prevent overdoses, “New York City is leading the nation with harm reduction and outreach strategies to reach people struggling with opioid use issues.” She added, “Today’s visit highlights that work, shows how OPCs have helped avert overdose death and injury, and demonstrates novel safety interventions, including drug checking. Thank you to our partners in this work and to the dedicated teams working at and in support of the city’s OPCs. Your work positively impacts so many individuals and families across New York City.”

 

 

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