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Health--it's what we all have in common: whether we're trying to maintain our health through good habits or improve our failing health. "Bridges to Health" is 90.5 WESA's health care reporting initiative examining everything from unintended consequences of the Affordable Care Act to transparency in health care costs; from a lack of access to quality care for minority members of our society to confronting the opioid crisis in our region. It's about our individual health and the well-being of our community.Health care coverage on 90.5 WESA is made possible in part by a grant from the Jewish Healthcare Foundation.

Overdoses Can Happen Anywhere, So Naloxone Becomes A Part Of First Aid Kits

Patrick Semansky
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AP
The Allegheny YMCA on the North Side has been stocking naloxone nasal spray for more than a year.

In January, 39-year-old Damian Chadwick died at a Bethel Park barbershop a little before 2 p.m. According to the Allegheny County Medical Examiner, the overdose death was due to a combination of cocaine, alcohol and the synthetic opioid fentanyl.

As the opioid epidemic rages on, more and more places from libraries to Goodwill stores are keeping the anti-overdose drug naloxone on hand. 

Since September, all YMCAs of Greater Pittsburgh have had somoene on duty who’s trained to administer naloxone, which reverses the effects of an overdose by restarting a person’s breathing.

So far, staff at the Allegheny YMCA on the North Side have revived one person with the medication.

“To me it’s up there with CPR and first aid,” said Erica Gadelmeyer, the operations director at the Allegheny Y. "You don't have any background at all to administrate it ... they've made it very, very simple."

Credit Sarah Boden / 90.5 WESA
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90.5 WESA
Erica Gadelmeyer, operations director at the Allegheny Y, holds a box of naloxone nasal spray.

The kind of Naloxone the Y stocks is a nasal spray. To administer, lay the overdose victim on their back, tilt their head and spray the medication up their nose.

“Everybody should know [how to use it,]” said Muhammad Williams, who works at the Allegheny Y’s Welcome Center. “We’ve had a couple people who passed away in here and if we had time to do that, we would have been OK.”

Karen Hacker, director of the Allegheny County Health Department, said she’s now pushing for places like grocery stores to keep the medication with their first aid kids.

“Particularly if you have a public bathroom that could be a place where people are shooting up,” she said.

One organization contacted for this story didn’t want to participate, citing concerns that publicity might increase the number of overdoses at their locations.

Alice Bell coordinates the overdose prevention program for Prevention Point Pittsburgh, a nonprofit that works with injection drug users. She said whether naloxone is available doesn’t influence someone’s decision to use opioids.

“Unfortunately, for people who are dependent on opiates, they have to use them every day,” said Bell.

Bell said the people she works with are more inclined to ask for naloxone because the opioids that are sold today are incredibly lethal, when compared to what was available two decades ago.

“I’ve talked to people who say, 'I’ve been using heroin for 20 years and I’ve never overdosed. But now I’m scared and I want to have naloxone,’” she said.

Efforts to make naloxone more widely available might be paying off.

While 2017 had the highest number of overdose fatalities on record, the average number of deaths fell every quarter in 2017. That means fewer people died toward the end of the year than died in the beginning of the year.

“One could argue, maybe people have gotten better at being able to figure out that there is naloxone and therefore temper their use in some way,” said Hacker.

90.5 WESA's Bridges to Health covers the well-being of Pennsylvanians and is funded by the Jewish Healthcare Foundation.

Sarah Boden covers health and science for 90.5 WESA. Before coming to Pittsburgh in November 2017, she was a reporter for Iowa Public Radio. As a contributor to the NPR-Kaiser Health News Member Station Reporting Project on Health Care in the States, Sarah's print and audio reporting frequently appears on NPR and KFF Health News.