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Lou's reply-add up the deaths Tabitha

Posted by Lou PIlder on July 27, 2016, at 9:25:25

In reply to Re: drug-induced mortality, posted by Tabitha on July 26, 2016, at 15:14:29

> > In fact, there is no class of medications listed as a leading cause of death. It is all illnesses, accidents, and suicide.
> >
> > This is data from 2014:
> > ... All causes 2,626,418 100.0 823.7
> > 1 Diseases of heart (I00-I09,I11,I13,I20-I51) 614,348 23.4 192.7
> > 2 Malignant neoplasms (C00-C97) 591,699 22.5 185.6
> > 3 Chronic lower respiratory diseases (J40-J47) 147,101 5.6 46.1
> > 4 Accidents (unintentional injuries) (V01-X59,Y85-Y86) 136,053 5.2 42.7
> > ...
> > 15 Pneumonitis due to solids and liquids (J69) 18,792 0.7 5.9
>
>
> Just looked into this some more-- I mis-interpreted the above data. The category #4, Accidents, includes drug-induced deaths. I thought it meant traumatic injury such as car accidents.
>
> So for 2013, there were in fact 46,000 drug-induced deaths in the U.S. total (legal, illegal, abuse and as-prescribed). I can't find a specific breakout of those categories, but I would speculate that opioid pain-killers are the #1 killer among Rx drugs. However, it's still clear that a claim that 200,000 or 500,000 deaths occur is exaggerated.
>
> Lou also posted that some people say 40,000, which is in the ballpark of 46,000. But in this context, people are discussing as-prescribed use of certain medications (psych meds), so it's inaccurate and unnecessarily alarming to cite death numbers that include all types of drugs and all types of usage.
>
> ===
>
> From http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf :
>
> "In 2013, a total of 46,471 persons died of drug-induced causes
> in the United States (Tables 10, 12, and 13). This category includes
> deaths from poisoning and medical conditions caused by use of
> legal or illegal drugs, as well as deaths from poisoning due to
> medically prescribed and other drugs. It excludes unintentional
> injuries, homicides, and other causes indirectly related to drug use,
> as well as newborn deaths due to the mothers drug use. (For a list
> of drug-induced causes, see Technical Notes; also see the discussion
> of poisoning mortality that uses the more narrow definition of
> poisoning as an injury in the preceding Injury mortality by mechanism
> and intent section.)"
>
> Tabitha,
Let me try to help you here. The deaths from these drugs can be compiled. This is because a pathologist can determine what caused the death.
Let us look at Remeron. Remeron can cause agranulocytosis which can cause death. The pathologist rules out other cause if there is Remeron in the deceased person's blood.
Then the death is recorded as being caused by Remeron and these records are available.
Let us look at these records.
http://www.ehealthme.com/ds/mirtazapine/agranulocytosis
NOw you see there are numbers that can be added to a data base of other deaths caused by these drugs. Then all the deaths can be known as to be caused by the drug and the number 40000 can be generally accepted
Lou

 

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poster:Lou PIlder thread:1090852
URL: http://www.dr-bob.org/babble/admin/20151112/msgs/1090891.html