Survey Reveals Alarming Shift inDrug Use PatternsAcross Washington State

A recent survey conducted across Washington state has uncovered a significant shift in drug use patterns, with more individuals opting to smoke drugs instead of injecting them. The survey, which involved over 1,600 participants, found that the increased availability of fentanyl has contributed to this shift, as it is easier to smoke than heroin.

Why this matters: This shift in drug use patterns has significant implications for public health, as it may lead to an increase in overdose deaths and the spread of bloodborne pathogens. Moreover, the lack of access to treatment and resources highlights the need for a comprehensive approach to addressing substance use disorders.

The survey revealed several key findings. More people are smoking drugs, particularly fentanyl, due to its ease of use and reduced risk of bloodborne pathogens like Hepatitis C and HIV. A significant number of respondents reported using both opioids (such as fentanyl) and methamphetamines, a dangerous combination that increases the risk of overdose and death.

Approximately one-third of participants attempted to seek help for reducing their drug use in the past year but faced barriers, including lack of photo ID, transportation, or available treatment beds. When asked about their top needs, about half of the respondents cited housing, while only about one in 10 listed drug treatment as their top priority.

Alison Newman, a health educator at the UW School of Medicine, emphasized the significance of these findings. "This does represent a really big shift in how people are using drugs," she said. "Smoking has benefits over injecting." "It's just easier to do. You don't have to poke yourself. It reduces your risk of bloodborne pathogens like Hepatitis C and HIV."

"People who use drugs often do want care and treatment," she said. "We simply don't have the capacity to help everyone who's asking for help."

The survey was conducted at syringe services programs in 25 Washington counties between October 2023 and January 2024. The findings highlight the need for more comprehensive programs that address individuals' basic needs, such as housing and income, before tackling substance use disorder treatment.

The increasing trend of overdose deaths from methamphetamines and fentanyl in Washington state underscores the urgency of addressing these issues. The survey's results provide valuable insights into the complex challenges faced by individuals struggling with substance use disorders and the barriers they encounter when seeking help.

Key Takeaways

• More people in WA state are smoking drugs, especially fentanyl, due to ease of use and reduced health risks.
• This shift may lead to increased overdose deaths and bloodborne pathogen transmission.
• Many users reported seeking help, but faced barriers like lack of ID, transportation, or treatment beds.
• Housing was cited as a top need by half of respondents, while only 1 in 10 listed drug treatment.
• Comprehensive programs addressing basic needs like housing and income are needed to tackle substance use disorders.