Heroin, a Re-Emerging Threat


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Heroin, a Re-emerging Threat


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Heroin, a Re-Emerging Threat


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Excerpt from Heroin, a Re-Emerging Threat: Hearing Before the Subcommittee on National Security, International Affairs, and Criminal Justice of the Committee on Government Reform and Oversight, House of Representatives, One Hundred Fourth Congress, Second Session I just want to say there is important information that we are going to be talking about here today, especially the increase in her oin. Cocaine has been something that we had been focusing on for a long, long time, that the introduction of - increased introduction of heroin especially out of Colombia has been a real problem. I just want to say the work that you have done not just in the last couple of months or the last year but last several years on this issue has just been outstanding. We have some work to do in this Congress for the next several weeks or so. But we are going to miss you and you have taken the leadership, you have made a difference in this Congress. I think there are a lot of people who come in these doors and go out these doors who probably never have made a difference, but there are two gentlemen seated here that have and we are going to miss both of you and appreciate the good work you have done, and I yield back. Mr. Zeliff. Mr. Cummings from Maryland. We spoke a little bit. We are going to be doing a hearing up in Maryland. He is a leader in his home district, Certainly has felt it firsthand in terms of the issues he has been trying to deal with. Mr. Cummings. Mr. Cummings. Mr. Chairman, I do want to thank you for your strong leadership, and I want to thank all the witnesses that are here today for sharing a few moments of your lives with us so we can help the people of this great country. I want you to do me a favor when you testify. I want you to keep one single question that I am curious about in mind. See, I believe very strongly that we have to cutoff the demand. We have to deal with the borders but we have to cut the demand, too. I want - I see you, Mr. April. I don't have my glasses on. I want you all to tell us what Government can do. What Government can do to alleviate this problem. That is a very important question be cause we hear back and forth people saying, maybe Government isn't doing this or the administration isn't do that or Congress isn't doing that. We are here about the business of changing negative circumstances and making the world a better place to live and making our country a better place to live. So we need to know what we can do. And if you can't think of anything we can do, let us know that, too. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.




104-2 Hearing


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Heroin, a Re-emerging Threat


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Pain Management and the Opioid Epidemic


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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.