(CN) – In Arizona, four out of five heroin users begin their addiction in a doctor’s office, with a prescription for painkillers.
These legal, prescription painkillers come by many names – morphine, oxycodone, fentanyl, tramadol and others – but all come from the same family as a much more dangerous, illegal substance: heroin. The prescription pills are meant to alleviate chronic pain, but they can be so addictive that many people can’t stop using them.
In Arizona, about two people die daily from opioids, 280 since January. More people die from drug overdoses in the state than from car accidents, and opioids account for more than half of those overdoses.
These realities led Gov. Doug Ducey to declare a state of emergency to address the opioid crisis on June 5, making him one of six governors to do so.
The declaration ordered state police and other health care officials to report all deaths to the state Department of Health and Safety. It also prompted a report from the department on how the state should respond to the crisis.
Dr. Cara Christ, director of the agency, says Arizona and the rest of the country haven’t faced an addiction problem like this before.
“You’re given a prescription for seven days, for 10 days, for 30 days,” Christ told Courthouse News. “You take that medication as directed by your physician and all of a sudden you’re dependent on it and you can’t stop. I don’t think that people realize how easy and how addictive opioids truly are.”
Opioids across the Arizona desert
Ashley Null grew up in Kingman, Arizona, a city located in Mohave County that has seen a high rate of deaths due to opioids.
Kingman lies on the historic Route 66, a point of pride for the city. Murals of the historic route and classic memorabilia can be found around the city. The dry, hot desert landscape encourages most people to stay inside during the summer months, but like the rest of Arizona, winters provide a welcome escape from the sweltering heat.
Kingman, population 28,000, lost 10 to 16 people to opioids in 2016. By comparison, the area of North Mountain in the Phoenix metropolitan area experienced 25 to 36 opioid-related deaths, but has a population of over 250,000 people.
According to a 2017 report from the U.S. Centers for Disease Control and Prevention, Mohave County prescribes opioids at rates twice the national average.
When Null was living in Kingman at 12, she tried methamphetamine with a friend without knowing what it was, and afterward vowed to never do it again.
As she grew up, Null developed chronic migraines that left her awake for several days on end.
She was prescribed oxycodone as a temporary solution for her chronic pain.
“When you start getting a headache you take the opioid,” Null said. “When you start feeling withdrawals, you just want to take another one, because you know it’ll help make all that [pain] stop.”
After several years of searching for an alternative solution, she stopped looking altogether.
Null felt she had found a solution with oxycodone. She was sleeping again, and the drug cleared all the migraine pain.
Eventually, however, her tolerance to oxycodone increased. When she ran out of her prescription, the pain and withdrawals would set in.