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Opioid Prescribing Guidelines Public Comment Period

From: MN_DHS_Opioid
Sent: Tuesday, December 05, 2017 1:00 PM
Subject: Opioid Prescribing Guidelines Public Comment Period *** Comments accepted until December 30, 2017 at 4 pm

Good Afternoon,

As many of you are aware, the complete set of opioid prescribing recommendations developed under the DHS Opioid Prescribing Improvement Program was announced on Friday, December 1. The draft prescribing recommendations are available on the Opioid Prescribing Work Group web site here or at https://mn.gov/dhs/opwg. I have also attached the guidance for your review and distribution.

DHS is accepting public comments on the prescribing guidelines until 4 pm on December 30, 2017. Please distribute the guidance to members of your communities or networks who are interested in this topic.

DHS will collect comments and respond to questions about the guidance during the public comment period. After the public comment period, the Opioid Prescribing Work Group will review the comments submitted and determine whether to make changes to the recommendations. Revisions are subject to approval from the commissioners of Human Services and Health.

DHS may post public comments on its website, but will not post comments it finds to be inappropriate or comments that contain confidential information. Comments that contain confidential information may be posted, however, if the confidential information is redacted.

Comments may be submitted to this email address: dhs.opioid@state.mn.gov or by mail to the address below.

Minnesota Department of Human Services
Opioid Prescribing Improvement Program
PO Box 64983
St. Paul, MN 55164-0983

Thank you,

Sarah

Sarah Rinn, MPH

OPIP Coordinator | Health Care Administration

Minnesota Department of Human Services

Toll of the failed Colorado experiment

Five years later, Colorado sees toll of pot legalization

Published: Tuesday, November 14, 2017 | Colorado Springs Gazette Opinion

Last week marked the fifth anniversary of Colorado’s decision to sanction the world’s first anything-goes commercial pot trade.

Five years later, we remain an embarrassing cautionary tale.

Visitors to Colorado remark about a new agricultural smell, the wafting odor of pot as they drive near warehouse grow operations along Denver freeways. Residential neighborhoods throughout Colorado Springs reek of marijuana, as producers fill rental homes with plants.

Five years of retail pot coincide with five years of a homelessness growth rate that ranks among the highest rates in the country. Directors of homeless shelters, and people who live on the streets, tell us homeless substance abusers migrate here for easy access to pot.

Five years of Big Marijuana ushered in a doubling in the number of drivers involved in fatal crashes who tested positive for marijuana, based on research by the pro-legalization Denver Post.

Five years of commercial pot have been five years of more marijuana in schools than teachers and administrators ever feared.

“An investigation by Education News Colorado, Solutions and the I-News Network shows drug violations reported by Colorado’s K-12 schools have increased 45 percent in the past four years, even as the combined number of all other violations has fallen,” explains an expose on escalating pot use in schools by Rocky Mountain PBS in late 2016.

The investigation found an increase in high school drug violations of 71 percent since legalization. School suspensions for drugs increased 45 percent.

The National Survey on Drug Use and Health found Colorado ranks first in the country for marijuana use among teens, scoring well above the national average.

The only good news to celebrate on this anniversary is the dawn of another organization to push back against Big Marijuana’s threat to kids, teens and young adults.

The Marijuana Accountability Coalition formed Nov. 6 in Denver and will establish satellites throughout the state. It resulted from discussions among recovery professionals, parents, physicians and others concerned with the long-term effects of a commercial industry profiteering off of substance abuse.

“It’s one thing to decriminalize marijuana, it’s an entirely different thing to legalize an industry that has commercialized a drug that is devastating our kids and devastating whole communities,” said coalition founder Justin Luke Riley. “Coloradans need to know, other states need to know, that Colorado is suffering from massive normalization and commercialization of this drug which has resulted in Colorado being the number one state for youth drug use in the country. Kids are being expelled at higher rates, and more road deaths tied to pot have resulted since legalization.”

Commercial pot’s five-year anniversary is an odious occasion for those who want safer streets, healthier kids and less suffering associated with substance abuse. Experts say the worst effects of widespread pot use will culminate over decades. If so, we can only imagine the somber nature of Big Marijuana’s 25th birthday.

  • — Colorado Springs Gazette

Fentanyl Exposure

Please see the email below from our Medical Officer, Dr. John Halpin, for important scientific and practical resources on fentanyl exposure among emergency responders:

Over the weekend, the American College of Medical Toxicologists released an authoritative, well-researched position paper on “preventing occupational fentanyl and fentanyl analog exposure to emergency responders.” It can be accessed at the following link:

http://www.acmt.net/_Library/Fentanyl_Position/Fentanyl_PPE_Emergency_Responders_.pdf

One key feature of this document is that it clarifies the role of dermal exposure to illicitly-manufactured fentanyl and fentanyl analogs as a health hazard for first responders, noting that dermal toxicity is, in fact, very low for the powdered fentanyl products, and that standard universal precautions, and in some cases an N95 mask for respiratory protection, are sufficient protection for law enforcement and other first responders. It should be noted that NIOSH has recently updated their guidance on this topic, and this guidance can be found at the following link: https://www.cdc.gov/niosh/topics/fentanyl/risk.html

Fall Conference 2017 Details

Instructor Robert Almonte

Deputy Chief (Ret), El Paso, Texas Police Department and former U.S. Marshal. Robert has 32 years of law enforcement experience with expertise in narcotics investigations and undercover work. He served as the United States Marshal for the Western District of Texas from 2010 to 2016.

He previously served 25 years with the El Paso, TX Police Department where he spent the majority of his career in narcotics investigations and retired as a Deputy Chief. As the Narcotics Commander with the EPPD, he championed innovative programs like the Hotel/Motel Narcotics Interdiction Unit and the West Texas High Intensity Drug Trafficking Area (HIDTA) Stash House Task Force, both of which yielded successful apprehensions through community-policing initiatives.

Robert Almonte has received numerous awards, including the 1999 White House Office of National Drug Control Policy (ONDCP) award for National “Outstanding HIDTA Task Force Commander”, as well as Certificate of Special Congressional Recognition in 2003. He has provided training to thousands of law enforcement officers throughout the United States and Sweden. He has spent years conducting extensive research on the Mexican drug trade, and how they pray for protection from law enforcement. He is also the creator and producer of the DVD; “Patron Saints of the Mexican Drug Underworld”.

Tuesday afternoon : Patron Saints of the Mexican Underworld

Drug and human traffickers, gang members and other criminals involve the spiritual world in their trade for protection from law enforcement. This intensive course will include information on various legitimate and illegitimate saints and icons used by criminals. Several significant arrests, including that of a cold case murder, as well as drug and money seizures throughout the country have been attributed to this course and are discussed during the presentation.

Wednesday Morning : Hotel and Motel Investigations

Hotels and motels are used for a variety of criminal activity, including; drug trafficking and human trafficking, as well as other criminal activity, including their use by the 911 Terrorists. This course will present an overview of how to select investigators, meet and sell to hotel/motel managers, presentation to hotel/motel staff, surveillance techniques, conducting knock and talks, as well as how to conduct room searches.