WASHINGTON (AP)--painkillers tshuaj tsis yuav xaiv thawj los kho tus mob hom ailments duav thiab mob, raws li tshiab tseem fwv txoj cai tsim los li cas cov kws kho mob muab cov tshuaj xws li OxyContin thiab Vicodin reshape.
Amid muaj ib phaum mob yees thiab tsim txom yus rau cov tshuaj no haib opioids tied, tus Residential Care Centers for Disease Control thiab Prevention yog urging kws kho mob primary care sim txoj kev kho lub cev, ce muaj zog thiab cov tshuaj yuav pem khw mob ua ntej yuav xa mus painkillers rau kev muaj mob. Opioid tshuaj xws li cov tshuaj xws li morphine thiab oxycodone poob mus ua txhaum kev cai sib tov xws li heroin.
Tshiab pom zoo - cov kws kho mob uas tsis tas yuav ua raws li - sawv cev rau kom rov qab muaj ze li ntawm ob xyoo lawm ntawm microscopic painkiller siv, uas lis hawj kiam rau ib four-fold tshaj ua kom neeg overdose tuag tied cov tshuaj no. Hauv 2014, teb chaws Asmeskas kws kho mob sau tau ze li ntawm 200 plhom leej twg muab rau opioid painkillers, thaum tuag uas yuav zoo li lub tshuaj climbed los roughly 19,000 - pes tsawg tshaj plaws ntawm daim ntawv.
"Peb nyob nraum sim rau daim duab qhia kev ruaj ntseg dua thiab zoo tshaj kom mus soj ntsuam txog kev mob mob," Dr. Tom Frieden, CDC cov thawj coj, hais nyob rau hauv kev sib tham nrog xovxwm uas muaj mob hauv. "Kev txaus ntshai ntawm yees thiab tuag mas zoo heev yav tas los rau cov tshuaj no."
Neeg mis kas ntau tshaj 40 tuag txhua txhua hnub los ntawm painkiller overdoses, tus staggering tus nqi uas Frieden hais tias "tus kws kho mob uas tus neeg tsav."
Nyob rau hauv cov txheej txheem tshiab, cov kws kho mob yuav muab painkillers xwb tom qab ntug npaj cov-hom mob, cov coj cwj pwm pauv thiab lwm txoj kev thiab. Cov CDC kuj xav cov kws kho mob los muab tsawg tshaj plaws zoo koob tshuaj. Thiab cov kws kho mob xwb yuav tsum prescribing cov tshuaj no yog rau cov neeg qhia txoj kev txhim kho teeb meem loj.
Rau tom mob, CDC xav limiting opioids rau kev kho, thaum tau peb hnub.
Cov lus qhia tsis hais txog cov kws kho mob uas khiav hauv kev kho mob heev vim yog mob cancer thiab lwm yam kev mob ceev nrooj.
Tab sis yog cov txheej txheem yog txaus siab mam, lawv yuav tau lug txais yuav los ntawm tsev kho mob, insurers thiab lub xeev thiab tsoom fwv teb chaws cov kev tshuab.
Tsoom fwv cov twb tau sim ntau le caag tackling painkiller kev tsim txom. Cov khoom noj thiab tshuaj txwv tej lug-kws kho mob muab painkillers txwv refills. Meskas li Florida thiab New York tau tawg rau "ntsiav tshuaj mills" siv databases los saib xyuas cov kws yog prescribing zoo li cas. Thiab lub lim tiam no, Massachusetts kos npe rau hauv txoj cai ib xya hnub tsis pub tshaj rau qhov twg ua ntej lub sij hawm muab rau opioids - lub npe thiaj nyob hauv lub teb chaws.
"Hloov xyaum kev tsis ceev thiab nws tsis yog ib qho yooj yim," Frieden hais. "Tab sis peb xav tias tus pendulum ntawm qhov mob swung kev deb txog kev npaj siv opioids."
CDC zus feem ntau yeej tsis ua tswv yim kev cov kws kho mob muab cov tshuaj - lub luag hauj lwm xws li delegated societies kev thiab regulators tshuaj yuav ua li cas.
FDA labeling rau cov tshuaj uas tsis yog sab, qhia siv xws li "nyem ntawm me ntsis mus rau mob heev." Raws li kev cai los ntawm cov neeg ua hauj lwm mob muab nthuav dav ntxiv, tiam sis siab rau yam tsawg. Cov CDC cov lus qhia muab tej lus ceeb toom upfront: "Opioids yuav tsis kab ua ntej txoj kev kho," ntshe lub chaw ua hauj lwm tus thawj pom zoo.
Tub ceev xwm lub zos applauded CDC rau cov uas nyob rau ntawm qhov teeb meem uas lawv fim rau hauv lawv cov zej zog.
"CDC yog respected ncu cov ntaub ntawv. Cov txheej txheem muaj ceeb thawj,"hais Baltimore City Health Commissioner Dr. Leana Wen.
Tiam sis ib co kev kho mob rau pawg nres q embracing pom zoo. Cov American mob Association, cov coob kev pab rau cov kws kho mob, cautioned tias cov txheej txheem yuav tsim teeb meem yog hais tias lawv ho tus neeg mob mus rau tej kev kho mob uas tsis tau puas siv tau los ntawm daim ntawv kho mob kam them.
"Yog lawv ua zoo unintended, peb yuav tau los mitigate lawv" hais tias Dr. Patrice Harris, nyob rau hauv nqe lus. "Nws tsis yog lo lus kawg."
Nyob rau ntau txoj kev, cov txheej txheem yog ib tug xa cov kev xyaum. Cov kws kho mob kawm nyob rau hauv cov 1960s thiab 1970s - amid ib yoj ntawm nroog heroin siv - tau qhia tam opioids rau hom loj tshaj plaws uas mob, xws li kev kho mob cancer los yog kawg ntawm-lub neej. Qhov kev tshua lawm los xij.
Tab sis nyob hauv Kwvyees li xyoo 1990, ib co neeg ua hauj lwm argued uas cov kws kho mob tau undertreating hom mob uas yuav pab tau los ntawm opioids, backaches thiab mob tej pob txha. Hais tau amplified multimillion-duas promotional campaigns rau tshuaj tshiab, ntev kuj zoo ib yam li OxyContin, uas yog nce raws li muaj tsawg hom.
OxyContin lub txiag, Purdue Pharma, ib tsam pom zoo kom thov txhaum rau hais rau pej xeem txog cov yeeb yam.
"Ib cim ntawm cov kws kho mob tseem loj los xav lawv yuav siv opiates zoo nkauj liberally," hais Dr. Bruce Psaty, ib tug xibfwb ntawm lub tsev kawm ntawv Washington leej tswv yim ntawm FDA. "Peb muaj tam sim no in the process of rov qhia ntawv rau peb tus kheej thiab peb cov neeg."
Cov kws kho mob yuav tsum tam sim no pom ib tug "xis tshuav nyiaj li cas," Psaty hais, siv opioids kom zoo zoo thaum koj paub tseeb tias tus neeg mob tsis mus tsis nrhiav kev kho.
CDC ncua raws li nws cov kev qhia ua ntej lawm no xyoo tom qab kev thuam los ntawm tej qhov mob tshwj xeeb, drugmakers thiab lwm cov neeg.
Critics complained tias lub tswv yim mus deb heev li thiab muaj feem tau tsim qab qhov rooj kaw los ntawm cov kws kho mob uas yog tej txhaum rau txoj kev kho kev quav tshuaj yeeb. Tsis txhob tso cov txheej txheem rau lub ib hlis ntuj, kom muas thaum chiv thawj los, CDC pom zoo rov qhib tau rau pej xeem tawm tswv yim, tau 4,000 ntau tshaj lus nyob rau ib lub sij hawm 30 hnub.
Critics hais tias lub tswv yim txog yuav thaiv cov tshuaj tus neeg mob siv tau los ntawm cov chaw muab kev pab kho mob, insurers, thiab tsev kho mob. Tej lub koom haum feem ntau zoo rau tseem fwv kev kho ciam.
Xya hnub, ib theem thaum ntxov ntawm lub yeej muaj tej yam surfaced hauv lub Senate. Lawmakers muaj overwhelmingly kis ib daim tauj opioid tsim txom, nrog rau ib nqe lus muab ntxiv rau cov lus qhia thiab coj coob CDC pom zoo tsim nqi.
