VOA慢速英语 | 美国孩子患上阿片类药物流行病

小白老师2016/11/23英语学习

摘要: 阿片类药物流行病是指因处方或非处方阿片类止痛药滥用导致的广泛成瘾和过量死亡现象,已在美国造成数万人死亡,并开始显著影响儿童和青少年群体。

  • 阿片类药物成瘾在美国已构成公共卫生危机,每年导致约17,000人死亡。
  • 2000至2014年间,近50万美国人死于药物过量,其中阿片类药物是主要因素。
  • 1997至2012年间,美国因阿片类药物中毒住院的儿童和青少年数量翻倍。
  • 15至19岁青少年住院率最高,而1至4岁幼儿的住院增长率最快。
  • 专家呼吁加强药品营销监管、安全储存及废弃处理,以保护儿童免受波及。

小白老师说:Opioids are powerful pain killers that are highly addictive. Opioid dependence affects nearly 5 million people in the United States and leads to approximately 17,000 deaths annually.

请点击下方条形框播放音频

From VOA Learning English, this is the Health & Lifestyle report.

For nearly 20 years, opioid abuse has been spreading across the United States.

Health experts say increasing numbers of Americans are growing physically dependent on painkilling medicines containing opioids, or narcotic drugs.

The problem is so great that the U.S. Department of Health and Human Service is calling ‘opioid use disorder’ an epidemic.

The Centers for Disease Control and Prevention (CDC) says that “from 2000 to 2014, nearly half a million Americans died from drug overdoses.”

CDC officials reported that opioid overdose deaths “hit record levels in 2014, with an alarming 14 percent increase in one year.”

图片

The American Society of Addiction Medicine notes on their website that drug overdose is the leading cause of accidental death in the United States. The website says that in 2014, 47,055 people died nationwide because they took more than the medically recommended amount.

Prescription painkillers containing opioids have led to thousands of overdose deaths and stays in hospitals. But until now, researchers have yet to study how this epidemic affects the youngest members of society.

Julie Gaither is with the Yale School of Medicine in Connecticut. As an epidemiologist, she studies how diseases spread and how to control them. Gaither is concerned about the huge growth in opioid sales over the past 20 years.

图片

“The opioid epidemic has grown exponentially. It really began in the mid-1990s when physicians were encouraged to do a better job of treating chronic pain. In 2014, there were approximately 19,000 deaths that were attributed to opioid medications.”

The CDC says that 48 people nationwide in the U.S. die every day from opioid overdoses. And a new study found that over a 16-year period, more than 13,000 children and teenagers were hospitalized for opioid poisonings.

Deepa Camenga is another doctor at the Yale School of Medicine.

Both she and Gaither looked at hospital records showing children and young people sent home from hospitals. They wanted to find out how many children had been hospitalized in recent years for prescription opioid poisonings.

图片

“We found that the rates of hospitalizations for opioid poisonings doubled during 1997 to 2012. … We also found that the highest number of hospitalizations were among teenagers, ages 15 through 19. The highest rates of increase in hospitalizations were among our youngest population, which was one to four-year-old children.”

Camenga says the way that medicines with opioids are sold to patients needs to change. She also called for changes in the way in which the drugs are marketed and thrown away.

“Our national conversation has focused on how to improve the treatment and prevention of opioid misuse and abuse, but we also hope that this conversation focuses on how to safeguard children from this epidemic.”

The researchers published the study in JAMA Pediatrics.

I’m Anna Matteo.

常见问题

什么是阿片类药物流行病?

阿片类药物流行病是指因阿片类止痛药(如羟考酮、吗啡等)被广泛处方和滥用,导致成瘾、过量使用乃至死亡的大规模公共卫生危机,自1990年代中期在美国持续蔓延。

阿片类药物对儿童有什么影响?

研究显示,1997至2012年间,超过13,000名美国儿童和青少年因阿片类药物中毒住院,其中1至4岁幼儿的住院率增长最快,主要因误服家中存放的处方药。

为什么阿片类药物问题在1990年代后加剧?

1990年代中期起,美国医疗界鼓励医生更积极治疗慢性疼痛,导致阿片类处方药大量开具,加上制药公司营销推动,使药物滥用迅速扩散。

如何防止儿童接触阿片类药物?

专家建议改变阿片类药物的销售、储存和废弃方式,例如使用儿童安全包装、加强家庭药品管理,并推动公众关注儿童在阿片危机中的风险。

参考资料

CDC: Drug Overdose Deaths in the U.S.

提供2000–2014年美国药物过量死亡数据,包括阿片类药物相关统计。

JAMA Pediatrics: Hospitalizations for Opioid Poisoning in Children and Adolescents

耶鲁大学研究人员Julie Gaither与Deepa Camenga发表的研究,分析1997–2012年儿童阿片中毒住院趋势。

American Society of Addiction Medicine – Opioid Addiction Facts

指出药物过量是美国意外死亡的首要原因,2014年有47,055人死于过量用药。