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title: Heroin Use Among White People is Spiking
description: A report sheds new light on the opioid and prescription painkillers epidemic, showing that heroin use is up, especially among white users
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author: Alexandra Sifferlin
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt2174509fd4a26820/6988c04acd1bbacda57047bc/heroin.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Heroin Use Is Spiking Among White Americans

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<!-- video src="https://cdn.jwplayer.com/manifests/G29NrLnC.m3u8" -->
## Video: White House Opioid Crisis Commission Tells Trump: 'Declare a National Emergency'

[Watch (HLS stream): White House Opioid Crisis Commission Tells Trump: 'Declare a National Emergency'](https://cdn.jwplayer.com/manifests/G29NrLnC.m3u8) (0:24)

![White House Opioid Crisis Commission Tells Trump: 'Declare a National Emergency'](https://cdn.jwplayer.com/v2/media/G29NrLnC/poster.jpg?width=720)

_Published 2017-08-01. Members of the White House's Commission on Combating Drug Addiction and the opioid crisis have called on President Donald Trump to "declare a national emergency" under either the Public Health Service Act or the Stafford Act_


by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Mar 29, 2017 3:00 PM UTC

Members of the White House's Commission on Combating Drug Addiction and the opioid crisis have called on President Donald Trump to "declare a national emergency" under either the Public Health Service Act or the Stafford Act 

by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Mar 29, 2017 3:00 PM UTC

The U.S. is in the throes of an [opioid epidemic](http://time.com/4677394/donald-trump-opioid-epidemic-and-rising-drug-costs/), with 91 people dying every day from an [overdose](https://www.cdc.gov/drugoverdose/epidemic/index.html) on opioids like prescription painkillers or heroin. A [new study](http://jamanetwork.com/journals/jamapsychiatry/fullarticle/10.1001/jamapsychiatry.2017.0113) reports that [heroin](http://time.com/3946904/heroin-epidemic/) use across the country has increased substantially since 2001, and the largest spikes have been among white Americans. Prescription painkiller abuse may be playing a role in heroin’s growing popularity.

In the report, researchers looked at national surveys taken from 2001-2002 and 2012-2013 and found that heroin use increased five-fold during that time. The number of people with a heroin use disorder tripled. They also found that the use of heroin among white Americans increased from 0.34% in the earlier years to 1.90% in the later years. It increased among non-whites, too, but to a lesser extent: 0.32% in 2001-2002 and 1.05% in 2012-2013\. (The researchers say the real numbers may not be exact, since the surveys did not include people who are homeless or incarcerated.)

The findings support the idea that addiction to prescription painkillers is contributing to higher rates of heroin use among white Americans. The amount of people who said they abused prescription painkillers before they started using heroin increased only among white people, from 36% in 2001-2002 to nearly 53% in 2012-2013.

Physicians have [played a large role](http://time.com/4675325/doctors-opioid-epidemic/?iid=sr-link1) in perpetuating the epidemic, writes Bertha Madras, a professor of psychobiology at Harvard Medical School, in a [corresponding editorial](http://jamanetwork.com/journals/jamapsychiatry/fullarticle/10.1001/jamapsychiatry.2017.0113). Over the last two decades, doctors’ prescriptions of opioids for chronic pain tripled. “This shift in practice norms was fueled by an acceptance of low-quality evidence that opioids are a relatively benign remedy for managing chronic pain,” she writes. “These vast opioid supplies created a risk for diversion, opioid misuse and disorder, and overdose death.”

People who are addicted to prescription painkillers are [40 times more likely](https://www.cdc.gov/media/releases/2015/p0707-heroin-epidemic.html) to use or be addicted to heroin, according to the Centers for Disease Control and Prevention (CDC). They may switch to heroin because it is cheaper and doesn’t require a prescription.


The current study only looked at rates of use for heroin, but other evidence shows that deaths are also increasing. From 2000 to 2015, overdose deaths related to heroin use have more than quadrupled in the United States, [according to the CDC.](https://www.cdc.gov/drugoverdose/opioids/heroin.html)


## Transcript

142 Americans are dying everyday of drug overdose, everyday. Which means we have a 911 scale loss every three weeks in America. So, the first recommendation we said in the President is you must declare a national emergency. A public health emergency that will empower your cabinet the executive branch and motivate the congressional folks to be able to fund this and to get on top of it because we have a crisis

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