Wararka iyo Sheekooyinka

Sannadkii hore bishii Agoosto 31, Maalinta Wacyigelinta Xad-dhaaf u Isticmaalka Daawooyinka, CareOregon waxay kula biirtay degmooyinka Multnomah, Washington iyo Clackamas si ay ugu dhawaaqaan dadaal cusub oo lagu qaybinayo daawada dib u celinta xad-dhaafka u isticmaalka daawada ee Naloxone-ka goobaha bulshada. Maalgelinta $3.9 milyan ee CareOregon ayaa waxay dabooshay kharashyada loo qoondeeyay agabka dhimista waxyeelada ee ay degmooyinka u qaybiyeen ururrada bulshadooda - taasoo ka dhigaysa daawadan naf-badbaadinta ah inay si lacag la'aan ah ay ku helaan xubnaha bulshada.  

Intii u dhaxaysay Agoosto 2022 iyo Agoosto 2023, in ka badan 60,000 qiyaasood oo Naloxone-ka ah ayaa loo qaybiyay ururada iskaashatada bulshada, oo ay ku jiraan fulinta sharciga, xarumaha dhibta isticmaalka mukhaadaraadka iyo xarumaha daaweynta caafimaadka dhimirka iyo adeegyada kale ee bulshada si loola dagaalamo kororka dhimashada ka dhalata xad-dhaaf u isticmaalka daawada taas ka dhacdo gobolka.

Wada-hawlgalayaasha bulshada ayaa soo sheegay in helitaanka Naloxone-ka ay keentay jawaab-celin wax-ku-ool ah oo ku aaddan xad-dhaaf u isticmaalka daawada.

Shaqaalaha City Central Concern, tusaale ahaan, waxay xuseen in lix bilood kahor hirgelinta qaybintan (Juun - Diseembar 2022), Naloxone-ka ay bixin jireen dadka deegaanka, shaqaalaha ama martida 52% ee dhacdooyinka xad-dhaaf u isticmaalka daawada ee la ogyahay ama laga shakisan yahay ee guryahooga ka dhaca. Lixdii bilood ee laga soo bilaabo qaybinta (Janaayo - Juunyo 2023), boqolleydaasi waxay korodhay ilaa 75%.

"In laga heli karo daawada Naloxone-ka dabaq kasta oo ka mid ah guryahayaga ayaa durba saameyn ku yeeshay waxkaqabadka xad-dhaaf u isticmaalka daawada guryahayaga," ayay tiri Juliana DePietro, Maamulaha Barnaamijka Kahortagga Isticmaalka Xad-dhaafka ah ee Daawada ee Central City Concern. "Waxay badbaadinaysaa nolosha.

Barnaamijka waxa kale oo ka mid ahaa horumarinta siyaasada iyo tababarida shaqaalaha kaas oo lagu qabanaayo xarunta ururada martigalinaayo, si ay ugu diyaar garoobaan isticmaalka daawada.

"Helitaanka Naloxone-ka waa qayb muhiim ah oo ka mid ah ilaalinta bukaannadayada iyo shaqaalaheenna inta ay joogaan rugtayada caafimaadka iyo marka ay ku dhex jiraan bulshada," ayay tiri Kayla Carlson, Maamulaha Sare ee Hawlgallada Caafimaad ee Fora Health.

"Naloxone-ka hadda si sahal ah ayaa looga heli karaa xaruntayada caafimaadka oo dhan, waxaana si joogta ah ugu tababarnaa shaqaalaha. Bukaan kasta oo ka taga adeegeena waxa uu helayaa qalab, qof kasta oo albaabadayada soo maraa waxa uu u qaadan karaa Naloxone-ka guriga. Hadafkayagu waa inaanu sameyno meel ay bukaanadu ku dareemaan in la taageeray oo aan la dhaleecayn, deeqdii Naloxone-ka ee aan helnayna, waxaan awoodnay inaan taas ku guuleysano."

Ka dhigista daawada Naloxone-ka mid muuqata oo laga heli karo bulshooyinka sidoo kale waxay muhiim u tahay yaraynta dhaleeceynta isticmaalka daroogada iyo xad-dhaaf u isticmaalka daawada. Wada-hawlgalayaashu waxay xuseen in ka dhigista Naloxone-ka mid muuqda ay keentay wadahadalo taageero ah oo ku saabsan isticmaalka daroogada iyo khatarta xad-dhaaf u isticmaalka daawada. Wadahadalladan ayaa kaa caawin kara in laga hortago ku isticmaalka maandooriyaha meel cidlo ah, oo ah arrin khatar weyn ah oo keeni karto xad-dhaaf u isticmaalka daawada oo nafta goyn karto.

Xad-dhaafka u isticmaalka la xiriirta daroogada Fentanyl-ka ee Oregon waxay korodhay 600% intii u dhaxaysay 2019 iyo 2021, marka loo eego dib-u-eegis ku saabsan u qaadashada daroogada si xad-dhaaf ah si aan ula kac ahayn iyo xogta caddaynta dhimashada ee Maamulka Caafimaadka Oregon. Sare u kaca dhimashada daroogada fentanyl-ka waxay ka dhigeysaa guud ahaan heerarka xad-dhaaf u isticmaalka heerarkii ugu sarreeyey ee abid la arko.

Iyada oo laga jawaabayo kororka tirada dhimashada ay sababtay qaadashada daawada qiyaasteedu xad-dhaafka tahay sanadihii la soo dhaafay, CareOregon ayaa ku dhawaaqday 2022 iskaashi cusub oo ay la yeelanayso degmooyinka Multnomah, Washington iyo Clackamas si ay si degdeg ah u gaarsiiyaan kumanaan qiyaasood oo ah daawada baabiinta xaaladda xad-dhaaf u isticmaalka daawada ee Naloxone-ka iyo agabka kale ee dhimista waxyeelada goobaha bulshada. Ujeedada maalgalinta $3 milyan oo doolar ee ugu horraysay waxay ahayd in la qaybiyo 20,000 qiyaasaha daawada sanka laga qaato ee Naloxone-ka iyo 20,000 oo ah agabka yaraynta waxyeelada-Barnaamijka ayaa intaa kadib la ballaariyay si uu u noqdo maalgalin $3.9 milyan ah oo qaybinaya in ka badan 60,000 qiyaasaha Naloxone-ka.

"Ma jiro wax caqabad ah oo ka imaanaysa helitaanka agabka Naloxone-ka taasina waa naf badbaadin," ayuu yiri Stacie Andoniadis, maamulaha Barnaamijka Dhibaatada Isticmaalka Maandooriyaha ee CareOregon. “Waxay galayaan gacmaha dadka aadka ugu baahan. Helitaanka fudud ayaa beddesha dhaqanka ku xeeran Naloxone-ka-Kooxo badan oo sharci-fulinta iyo amniga ayaa codsanaya oo adeegyada caafimaadka gurmadka (EMS) oo badana way uga daayaan bukaanada. Tani waa waxa saxda ah ee aan u baahanahay si aan u dhimno ugana hortagno xad-dhaaf u isticmaalka daawada ee dilaaga ah."

Ururada wada-hawlgalayaasha ee ka qayb galaya:

Nidaamyada Caafimaadka / EDs / EMS

• Kaiser Permanente
• Legacy Health
• OHSU Improving Addiction Care Team (IMPACT)
• OHSU ED
• Portland Fire and Rescue – CHAT Program
• Adventist Health System

Barnaamijyada Degmada

• Clackamas County Public Health (Caafimaadka Dadweynaha Degmada Clackamas)
• Waaxda Caafimaadka Degmada Multnomah Barnaamijka Dhimista Waxyeelada
• Multnomah County Health Department Sexual Transmitted Disease (STD) Program (Waaxda Caafimaadka Degmada Multnomah ee Barnaamijka Cudurada Galmada La isugu Gudbiyo).
• Adeegyada Goobta Maktabadda Degmada Multnomah
• Degmada Multnomah/DCHS/Adeegyada Muddada Dheer iyo Taageerada (LTCC)
• Waaxda Caafimaadka Degmada Multnomah - Caafimaadka Habdhaqanka Isku-dhafan iyo La Qabsashada Balwadaha
• Waaxda Cadaalada Bulshada ee Degmada Multnomah
• Degmada Multnomah, Deegaanka ODHS 2, Daryeelka Carruurta & Barnaamijyada Isku Filnaanshaha
• Adeegyada Naafanimada, Gabowga iyo Halyeeyada ee Degmada Washington
• Barnaamijka Maareynta Kaamamka Degmada Washington
• Degmada Washington (Xarumaha, Gaadiidka & Beeraha)
• Qaybta Adeegyada Hoy la'aanta ee Degmada Washington
• Barnaamijka Adeegyada Taageerada Guriyeynta Degmada Washington
• Kooxda Qalalaasaha ee Wareegta ee Caafimaadka Hab-dhaqanka ee Degmada Clackamas
• Degmada Clackamas Tabobar ayey Bixisaa Si ay u Cawiso Kooxda Kahortagga Ismiidaaminta
• Rugaha Talaalka Caafimaadka Dadweynaha ee Degmada Clackamas
• Maktabadda Milwaukee ee Degmada Clackamas
• Clackamas Women's Services

Sharci Fulinta / Xabsiyada

• Xafiiska Booliska Portland
• Xafiiska Booliska ee Degmada Multnomah - Roondeynta / Wacyigelinta
• Xafiiska Booliska ee Degmada Multnomah - Barnaamijyada/la-talinta MCDC
• Degmada Multnomah HD/Xabsiyada Caafimaadka/Barnaamijka Adeegyada Kala-guurka (TSP)
• Xafiiska Booliska ee Degmada Washington
• Xabsiga Degmada Washington
• Waaxda Booliska Magaalada Beaverton
• Xafiiska Booliska ee Degmada Clackamas
• Xabsiga Degmada Clackamas

Dugsiyada

• Degmada Adeegga Waxbarashada Multnomah
• Dugsiyada Dadweynaha Portland
• Jaamacadda Linfield, Kambaska Portland
• Dugsiga Barashada Caafimaadka ee OHSU
• La Salle

SUD/Daawaynta Caafimaadka Maskaxda, Adeegga kale ee Bulshada

• 4th Dimension Recovery Center
• Alano Club of Portland / Mashruuca RED
• Guriga Martigelinta ee Blanchet
• Bridges to Change
• Kooxda CareKitBloc
• CareOregon
• Central City Concern
• CODA - OP
• CODA-OTP
• Community of Mutual Aid Volunteers
• Xarunta Cadaalada Qoyska ee Degmada Washington
• Daaweynta iyo Soo kabashada Caafimaadka Fora
• Forest Grove Foundation
• Home Forward
• Iron Tribe Network
• Juntos
• Lift Urban Portland (Lift UP)
• Lifeworks NW - Adeegyada Isticmaalka Maandooriyaha
• Northwest Instituto Latino
• Mental Health and Addiction Association of Oregon (MHAAO)
• Morrison Child and Family Services
• Mountainview Christian Church
• Native Wellness Institute
• NARA NW, Inc. (Native American Rehabilitation Association)
• Haddii aad u baahan tahay 4 Narcan-ka: Ku Soo Biir Hawlgalkayaga
• New Narrative
• New Avenues for Youth
• Northwest Instituto Latino
• Northwest Treatment
• Outside In
• Oxford House Inc.
• Portland Street Medicine
• Quest Center for Integrative Health
• Rahab's Sisters
• Recovery Works NW
• Right to Dream 2
• R.R.C.S. (Resolute Recovery Community Services)
• S.A.C.O.O. (Smali American Council of Oregon)
• Sequoia Mental Health
• Buugaagta Wadooyinka
• Telecare ACT
• Xarunta Daaweynta Dhamaystiran ee Tigard
• Tualatin Together
• Volunteers of America Oregon
• Wallace Medical Concern
• Yakima Valley Farm Workers Clinic
• Adult & Teen Challenge
• Oregon Chinese Coalition
• Bottle Drop Chicks
• Phoenix Rising
• BSA Scout Troop Oregon City
• The Father's Heart
• Chinese Friendship Association of Portland
• Timberlake Job Corps
• City Auto Wholesale
• Todos Juntos
• Living Room
• Transcending Hope
• Love One
• Xarunta Bulshada Slavic ee NW