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Epidemic

Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, works at one of the few non-major pharmacies in the county participating in the program to give low to no cost Narcan to those with prescription health insurance coverage. Photo by Kyle Barr

By Kyle Barr

The opioid crisis on Long Island has left devastation in its wake, and as opioid-related deaths rise every year, New York State has created an additional, more affordable way to combat it. To deal with the rash of overdoses as a result of addiction, New York State made it easier for people with prescription insurance to afford Naloxone, a common overdose reversal medication.

On Aug. 7, New York Gov. Andrew Cuomo (D) announced starting Aug. 9 that people with prescription health insurance coverage would be able to receive Naloxone, which is commonly referred to as Narcan, for a copay of up to $40. New York is the first state to offer the drug for such a low cost in pharmacies.

Narcan kit are now available for low to no cost at many New York pharmacies. File photo by Rohma Abbas

“The vast majority of folks who have health insurance with prescription coverage will be able to receive Naloxone through this program for free,” said Ben Rosen, a spokesperson for the New York State Department of Health.

Before the change, the average shelf cost of Narcan, which is administered nasally, was $125 without prescription with an average national copay of $10. People on Medicaid and Medicare paid between $1 and $3, Rosen said.

This action on part of the state comes at a critical time. Over 300 people from Suffolk County died from opioid-related deaths in 2016, according to county medical examiner records. On Aug. 10, President Donald Trump (R) declared the opioid issue a national emergency, meaning that there is now more pressure on Congress to pass legislation to deal with the crisis, as well as a push to supply more funds to states, police departments and health services to help deal with the problem.

The drug is available in over 3,000 pharmacies across New York and well over 100 pharmacies in Suffolk County. This includes all major pharmacies like CVS Health, Walgreens and Rite Aid, but also includes a few local pharmacies that already participate in the state Aids Drug Assistance Program and Elderly Pharmaceutical Insurance Coverage and Medicaid, according to Kathy Febraio, the executive director of the Pharmacists Society of the State of New York, a not-for-profit pharmacists advocacy group.

The program is only available for people who either have Medicare, Medicaid or health insurance with prescription coverage. Otherwise, officials said that those who lack insurance who need access can get it through a number of free Narcan training courses.

“We think that anything that can have an affect on this crisis is a good thing,” Febraio said. “This will certainly help. We need anything that will get Naloxone into the hands of those who need it.”

While Suffolk County Legislator and Presiding Officer DuWayne Gregory (D-Amityville) likes the idea of additional access to Narcan, he is skeptical about whether those who get it know how to properly administer it.

Narcan kits are now available for low to no cost at many New York pharmacies, like at Rely RX Pharmacy & Medical Supplies in St. James. Photo by Kyle Barr

“You don’t need a PHD to know how to use it, but there is some training that would help people be more comfortable, such as how to properly use it in an emergency situation and how to store it so that it is accessible while making sure children can’t get their hands on it,” he said. “Unfortunately the epidemic is so wide spread. Everyone knows someone who is affected.”

Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, one of the few non-major pharmacies in the county participating in the program, said though the business has not yet received many calls for Narcan, the state requires pharmacists to demonstrate how to use it.

“You have to counsel the patient and show them how to use it,” she said. “We were showed videos, we were given kits to practice on before we were certified to do it. I feel like it’s a good thing that they’re doing it.”

The county currently provides numerous Narcan training courses for locals, where they receive training and free supplies of the life-saving drug. Suffolk County Legislator Sarah Anker (D-Mount Sinai) said that she will be co-hosting a free Narcan training course Oct. 5 at Rocky Point High School with support from the North Shore Youth Council.

“They absolutely need to be trained,” she said. “Narcan is almost a miracle drug — it brings people back from death. However, people need to know what they’re doing so that it is administered correctly.”

Check on the New York State Department of Health website’s opioid overdose directories section for a full list of participating pharmacies.

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We didn’t make up that headline. That is the name of an actual recent military study, the second of its kind, that found at least 9 million American youths are too overweight to serve in the armed forces.

That’s about a quarter of our young people between ages 17 and 24, according to population statistics from the U.S. Census Bureau.

Being overweight or obese is the top medical reason preventing young people from enlisting, according to the military study. One retired Army general called childhood obesity “a potential threat to our national security” in the future.

In case anyone was unsure of whether we have a weight or obesity problem in this country, that fact should really hammer it home. The military study gives a snapshot of what is occurring throughout our entire nation.

The problem is parents.

Some may feel outrage to see this blunt statement in ink, but the fact is that parents are responsible for teaching their kids, partly by example and partly by directive, how to eat healthy and live a healthy lifestyle that includes physical activity.

It’s true there is a degree of health and nutrition education in schools and, of course, schools should strive to offer healthy food in their breakfast and lunch programs. However, school districts should only be supplementing what parents are supposed to do in their own homes. An obvious reason for this is that children spend a tremendous amount of time with their parents and learn the most from them and their examples throughout their lives. And it is up to parents to raise their children and show them how to make good decisions, not the public school system.

Of course there are medical conditions that cause weight gain, such as hypothyroidism and Cushing’s syndrome, and complicate matters. But those conditions — both of which are much more prevalent in females than males, who are the primary target for military recruitment — certainly do not account for anywhere near all of the overweight young people. In fact, both conditions are more likely to affect older people than children and young adults.

Some may argue that it’s hard to teach kids about proper nutrition when they are bombarded by fast food ads, or when the parents are busy working to support the family. But we’re not saying parenting is easy — we’re saying it’s a parent’s job.

Teaching kids how to eat healthy and exercise is important and many parents need to step up their game, or it’s not just our military recruitment numbers that will suffer.