As the coronavirus continues to claim the lives of Marylanders every day, state officials said Tuesday that fatal drug overdoses and alcohol-related deaths also are increasing throughout the region.
New state data released Tuesday revealed drug- and alcohol-related deaths increased 9.1% across the state from January to June this year compared with the same months of 2019, with opioids responsible for nearly 90% of the 1,326 deaths. The report reflects the anticipated impact of the pandemic for the first time.
The Maryland Department of Health and the state’s Opioid Operational Command Center said it’s “clear” that COVID-19 is responsible for the uptick, exacerbating people’s addictions as they’ve quarantined inside their homes to help curb the virus.
“Taken together, the associated social isolation, disruptions of support, impeded access to care, and economic distress have helped to create an extremely dangerous environment for those suffering from substance use disorder,” the report said.
The report also noted an increase of alcohol- and cocaine-related deaths and a decrease in emergency room visits for nonfatal opioid overdoses, also believed to be a result of the pandemic.
Signs that the pandemic would cause overdoses to spike first appeared in March as overdose numbers started to tick up.
Maryland Gov. Larry Hogan said the state, much like the rest of the country, has faced “daunting” challenges with substance abuse since the beginning of the year, but officials have acted “quickly” and “proactively.” He touted the creation of the Maryland COVID-19 Inter-Agency Overdose Action Plan to interdict the link between substance abuse and the pandemic.
“From the beginning of my administration, I have offered the full support of my office and the resources of every agency in the state to solve this problem, and this plan provides the framework for us to do that right now,” the Republican governor said in a news release. "In spite of the other challenges that we face, our dedication to reversing the devastation of the opioid crisis has not wavered.”
Fentanyl, a powerful synthetic opioid that has replaced much of the street heroin, accounts for most of the opioid deaths. There were 1,100 fentanyl-related deaths in 2020′s first six months, an increase of 11.9% compared with the first half of last year, the report said. Fentanyl contributed to 83% of the intoxication-related deaths.
Health officials have spent millions of federal and state dollars to reduce opioid-related overdoses, which have claimed more than 2,000 Marylanders in each of the past three years. They widely distributed the overdose antidote naloxone and trained people to use it. They set up hotlines and sought funding for more treatment. Baltimore City opened a sobering center to divert people from hospital emergency departments and jails.
Dr. Michael Fingerhood, who treats substance use disorders at Johns Hopkins Bayview Medical Center, said the increase doesn’t come as a surprise because so many people were unable to receive or seek treatment during the beginning months of Hogan’s stay-home-order enacted March 30. Nearly all in-person substance abuse meetings were canceled and it was difficult to reach new patients who may have been trying to seek help because of limited appointments, Fingerhood said .
“A lot of 12-step meetings were places for people to walk in and say they need help,” he said. “And most patients who need them don’t have the ability to get to a Zoom 12-step meeting.”
Although the increase was expected, the associate professor of medicine and public health at the Johns Hopkins University said he finds the increase of suburban-area opioid deaths “troubling.”
Opioid-related overdose deaths increased in 17 jurisdictions, with Prince George’s County adding 50 deaths compared with 2019 and Cecil County adding 19.
Anne Arundel reported an 8.6% increase to 101 deaths, Baltimore County rose by 2.9% to 176 and Howard County jumped 85% to 26. Meanwhile, Harford County dropped by 13.2% to 33 and Carroll County fell by 16.7% to 20.
Baltimore City, which long has had the most fatalities in the state, experienced 427 deaths, 35 fewer than last year — a 7.6% drop.
The state also said alcohol-related deaths jumped nearly 35% to 287 compared with the first half of 2019. Cocaine-related intoxication deaths also increased by 13.3%, with 486 deaths compared with the same period last year.
The increase of deaths with non-opioid substances is “indicative of increases in substance misuse more generally and its exacerbation by the despair caused by the coronavirus pandemic,” the report said.
Adrienne Breidenstine, vice president of policy and communications for Behavioral Health Systems Baltimore, said the organization’s help hotline has seen an increase in calls of more than 500%.
Breidenstine said now that providers can use telehealth to help patients, it can be easier to make sure people have the proper medication, including naloxone.
Despite the fact that COVID-19 restrictions are beginning to loosen, Breidenstine warned that opioid numbers might not decrease.
“I’d like to see it continue to decline, but given the pandemic and the crisis that it’s creating, I’m not sure we’re going to see that in the long term,” she said. “As we see more unemployment, we’re likely to see an increase in opioid addiction and mental health crises.”
Baltimore Sun reporter Meredith Cohn contributed to this article.