Postoperative Opioid Prescribing Guidelines

Press release

PHILADELPHIA — This morning, Mayor Jim Kenney and Health Commissioner Dr. Thomas Farley, flanked by surgeons from three of the major health systems in Philadelphia, announced the release of new, voluntary guidelines for surgeons to use when deciding if, and how many, opioids will be prescribed after a successful surgery. These guidelines are the first in the country that were built using evidence of actual use. 

https://mailchi.mp/phila.gov/city-releases-voluntary-guidelines-for-postoperative-opioid-prescribing-to-combat-opioid-crisis

Philadelphia Tribune

Philadelphia is trying to get doctors to prescribe fewer opioids to patients recovering from surgery through voluntary guidelines published for surgeons.


If the guidelines are followed, Health Commissioner Thomas Farley said, far fewer opioid pills will be prescribed in the city.

http://www.phillytrib.com/news/local_news/philadelphia-asks-doctors-to-prescribe-non-opioids-first/article_63843f8a-3023-523b-ac11-e13b36ad794d.html

By Tom MacDonald

KYW 1

The Philadelphia Health Department has taken the unusual step of developing opioid prescription guidelines for surgeons in the city, in another effort to reign in the addiction epidemic. The guidelines are based on research showing opioids may be completely unnecessary after minor surgery.


Philadelphia is the first city to take on the task. Health Commissioner Tom Farley says other efforts to reduce opioid prescriptions have paid off, but still a survey showed they’re at historically high levels.

https://kywnewsradio.radio.com/articles/news/philly-becomes-first-city-issue-opioid-prescription-guidelines

By Pat Loeb

KYW 2

The Philadelphia Health Department has taken the unusual step of developing opioid prescription guidelines for surgeons in the city, in another effort to reign in the addiction epidemic. KYW Newsradio’s City Hall bureau chief Pat Loeb reports the guidelines are based on research showing opioids may be completely unnecessary after minor surgery.

https://kywnewsradio.radio.com/media/audio-channel/philadelphia-health-department-develops-opioid-prescription-guidelines-city

By Pat Loeb

CBSPhilly

Doctors want to keep patients out of pain following surgery, but research is showing opioids aren’t always the best option, they’re overprescribed, and too many pills end up in the wrong hands.


“With these guidelines, patients will not be suffering unnecessarily with pain,” said Health Commissioner Dr. Tom Farley.

By Stephanie Stahl

WHYY

“If all the surgeons in Philadelphia use these guidelines, this will reduce the use of opioids after surgery by more than 80 percent,” he said.


The guidelines call for using non-opioid pain treatments instead, which Farley says studies show are better for pain management.

https://whyy.org/articles/philadelphia-asks-doctors-to-prescribe-non-opioids-first/

By Tom MacDonald

Pharma Rep Bill Lobbying

Still, sponsors Bill Greenlee and Cindy Bass pulled their bill from City Council consideration last week, after it ran into what Health Department spokesperson James Garrow called “intense lobbying” from unexpected opponents in the city’s tourism industry, in addition to aggrieved drugmakers.

http://www.philly.com/business/philadelphia-opioid-crisis-drug-sales-big-pharma-marketing-convention-hotels-doctors-20181220.html

By Joseph DiStephano

Increase in Teen Vaping

“While we haven’t seen the report yet, we are extremely concerned about the recent increase in teen use of electronic cigarettes,” said Cheryl Bettigole, director of chronic disease prevention for the Philadelphia Department of Public Health. “It has become increasingly clear in recent years that e-cigarettes are dangerous to teens, and that e-cig use appears to make it more likely that a teen will go on to smoke combustible cigarettes.”

http://www.philly.com/health/juul-vaping-teen-increase-20181217.html

By Mari Schaefer

Racial Differences Dictate Tobacco Problems

“The fact that kids aren’t smoking cigarettes is deceptive,” said Cheryl Bettigole, director of chronic disease prevention for the Philadelphia Department of Public Health. “Total tobacco use is up.”
City data shows youth cigar use (including cigarillos) 
doubled from 2011 to 2015.

Among black teens specifically, it nearly tripled. On the other hand, white teens were nearly twice as likely to have used a vaping product.

http://www.philly.com/health/tobacco-smoking-cigarettes-cigar-ecigarettes-20181217.html

By Aneri Pattani

Naloxone Giveaway Day

Allison Herens, with the Philadelphia Department of Public Health, said she started carrying Narcan when she was hired to be the city’s first harm-reduction coordinator. She attended a training on how to use it, then picked it up from a pharmacy. The next day, while riding SEPTA, she said she saw a man overdosing and administered the Narcan, saving his life.


“What most people don’t know about that story is I only actually had the medication because I went to a second pharmacy the day I went to get it,” said Herens. “The first pharmacy not only gave me pushback about using my insurance, but didn’t have it in stock.”

https://whyy.org/articles/we-want-to-have-the-naloxone-ready-philly-pennsylvania-hand-out-free-kits/

By Nina Feldman

In Philadelphia and in Delaware County and across the state public health workers are busy getting Naloxone into people’s hands for free.

The medication can reverse the effects of an opioid overdose if given in time.

Meg Carter of the Philadelphia Health Department said, “The more people that carry Naloxone and understand what it does and why it is important and can help.”

https://6abc.com/free-narcan-available-starting-thursday-in-the-delaware-valley/4893106/

By John Rawlins

Meg Carter has this to say about why she believes it changes and saves lives.

“If a person’s overdosing, you don’t know what part of their journey they’re in. So they may not be ready for treatment yet but maybe tomorrow they will be. So if you are saving a person’s life and tomorrow they are ready to enter treatment, any life saved is a life saved,” Carter says.

https://philadelphia.cbslocal.com/2018/12/12/free-narcan-being-distributed-across-pennsylvania-on-dec-13/amp/

By staff

At the Walgreens in the shadow of the SEPTA El stop at Kensington and Allegheny Avenues, the city Health Department’s harm reduction coordinator, Allison Herens, recalled the day after she decided to start carrying Naloxone, she was put to the test.

While taking SEPTA, she saw a man across the platform was overdosing.


“Using training I had literally just gotten, and the Naloxone in my bag, I was able to save his life,” she explained.

https://kywnewsradio.radio.com/articles/news/pa-battles-opioid-overdose-giving-away-thousands-narcan-kits

By Steve Tawa

Air Pollution Hearing

The air in Philadelphia is better than it was 25 years ago, according to Health Commissioner Tom Farley. He testified that from having “Severe non-attainment” of EPA standards on polluting chemicals, it now complies with all except for Ozone, where it still falls short of the standard.


“This progress has happened even as the national standards for attainment have become more stringent,” he said.

https://kywnewsradio.radio.com/articles/news/city-pollution-hearing-finds-some-communities-aren-t-feeling-much-improvement

By Pat Loeb

Council Hearings on Tobacco Retailer Regulations

Health Commissioner Tom Farley will oppose the bill. He doesn’t buy the rationale.
“There was a Wawa that opened up that was above the cap, and so they didn’t get a permit. And I went and visited it and the store was absolutely thriving,” he said. “It was packed with customers and (had) a long line at the cash registers, so these stores can do quite well without selling the No. 1 cause of death in Philadelphia.”
Farley noted that cigarette sales total only a fraction of the business of stores with permits, and the bill would have a hugely negative health impact, especially in low-income neighborhoods where the density of cigarette sales is highest.

https://kywnewsradio.radio.com/articles/news/city-council-hearing-attempts-roll-back-anti-smoking-regulations

By Pat Loeb

On Wednesday, Council voted against a bill that aimed to reverse some of those regulations. The measure would have allowed a tobacco retail permit to be transferred to a new owner even if a store was near a school or exceeded the cap on the number of retailers in the area.

“We’re grateful that the City Council supported the Board of Health’s action to protect Philadelphia’s children from the marketing of the nation’s biggest killer, tobacco,” said Health Commissioner Thomas Farley.


The goal of the original regulations was to curb youth smoking, a particularly big problem for Philadelphia, where more than a quarter of youths use tobacco. Although rates of cigarette smoking have dropped here as in much of the country, rates of cigar and e-cigarette use are climbing.

http://www2.philly.com/health/tobacco-smoking-cigarette-retail-philadelphia-city-council-20181205.html

By Aneri Pattani

On the other side were numerous health organizations, parents and Health Commissioner Tom Farley, who said the rule is already working to reduce the number of cigarette retailers in low-income neighborhoods, where there are three times as many tobacco sellers as in other neighborhoods.
“Researchers have shown that children living in neighborhoods with more tobacco sellers are significantly more likely to start smoking, and adult smokers in those neighborhoods are less likely to quit,” Farley said. 

https://kywnewsradio.radio.com/articles/news/effort-gut-anti-smoking-regulations-rejected-philadelphia-city-council-committee

By Pat Loeb

Racial Differences in Smoking in Philadelphia

Research shows that people of lower income are more likely to live in neighborhoods with high rates of tobacco retailers. In Philadelphia, which has the highest rate of adult smokersamong the nation’s 10 largest cities, almost half of all tobacco retailers are located in low-income communities, according to the city Department of Public Health.

http://www2.philly.com/health/smoking-cigarettes-quitting-black-hispanic-20181203.html

By Aneri Pattani

Narcan/Pharmacy Bill a Good Idea?

The Philadelphia Department of Health says 75 percent of Philadelphia’s estimated 400 pharmacies already carry Narcan. Only 100 don’t.


CVS, Rite Aid, and Walgreens all carry it, I’m told by Health Department spokesperson Jim Garrow, and they are everywhere.


What’s more, since June 2017, the Health Department has handed out 57,000 doses, free of charge.


That’s free to the user. The city pays $75 for a two-dose kit and distributes it to first responders, says Garrow, “and community organizations that have regular contact with the population that needs this medication.” So Henon’s bill isn’t necessary, because anyone who wants Narcan can easily get it.

http://www2.philly.com/philly/columnists/stu_bykofsky/stu-bykofsky-philadelphia-bill-narcan-government-intrusion-pharmacists-20181121.html

By Stu Bykofski