Mississippi Today
Mississippi pharmacies fall short in providing opioid-reversal drug, study shows
Almost half of Mississippi pharmacists are not readily storing and selling naloxone, according to a study conducted by researchers at the University of Mississippi.
More than 40% of Mississippi pharmacies do not carry naloxone, despite a 2017 standing order from the state that allows pharmacists to dispense naloxone with or without a prescription at a patient’s request.
This is the first study since the passage of the order to investigate the accessibility of naloxone, commonly known as Narcan – a drug that can reverse the effects of an opioid overdose.
Emily Gravlee, a fourth-year University of Mississippi doctoral student in pharmacy administration and creator of the study for her master’s thesis, said it’s important to have naloxone available at community pharmacies because they are access points for many people.
“If we don’t have naloxone available at community pharmacies, then that could potentially represent a missed opportunity for a patient to receive a life-saving medication,” Gravlee told Mississippi Today.
Using a secret shopper method, volunteers cold-called 591 community pharmacies to request the drug: 328 were independent pharmacies, 147 were chain pharmacies and 116 were grocery store pharmacies.
The report showed that only 25% of independent pharmacies had naloxone available for same-day pickup, resulting in the lowest proportion out of the three groups. Fifty-six percent of grocery store pharmacies offered naloxone.
Mona Arnold-McBride, executive director of the Mississippi Pharmacists Association, did not make herself available for an interview with Mississippi Today for the story.
Sujith Ramachandran, associate professor of the Department of Pharmacy Administration at the University of Mississippi and one of the paper’s coauthors, said there could be multiple reasons that independent pharmacies fall short among community pharmacies.
Standardized corporate policies may be in place throughout chain pharmacies to stock and dispense naloxone, while independent pharmacies’ policies vary from business to business.
“I personally know some independent pharmacies that took an initiative to make sure they stock naloxone and are engaging in harm reduction services where possible, but that sort of proactiveness is not consistent across all independent pharmacies,” Ramachandran told Mississippi Today.
Robert Hugh Dozier, executive director of Mississippi Independent Pharmacies Association (MIPA), said the association sees naloxone availability as a positive because it can keep people safe, but ultimately, independent pharmacies will each decide whether or not to stock naloxone.
“If the product is priced too high, and the pharmacy cost is high, they might not be able to stock that product in their pharmacy,” Dozier told Mississippi Today. “There also may not be a market need for it in their surrounding area.”
According to the Mississippi Opioid and Heroin Data Collaborative, 78% of overdosing deaths in the state were caused by opioids in 2022, compared to 72% in 2021.
The University of Mississippi study noted how naloxone was least available in the western part of the state.
Gravlee said broadly speaking, educational interventions about the accessibility of naloxone could be a useful approach for both pharmacies and people.
“Maybe, more than we realize, it’s a two-piece problem,” Gravlee said. “Pharmacies may not know about the standing order or understand the standing order, but also patients, people, in the community may not know that they can receive this drug under the standing order.”
Under the Health’s Opioid and Substance Use Disorder Program through the Mississippi State Department of Health, Mississippians can receive free naloxone kits, which cost about $100 without insurance coverage.
The naloxone kits include two doses of naloxone, an index card on how to recognize an overdose, the signs and symptoms a person may experience and how to administer naloxone.
For every person who requests naloxone, a pharmacist transcribes the prescription, and the order is then labeled and shipped to the individual’s mailing address.
There have been roughly 7,000 kits shipped directly to individuals as of early September, according to the state Department of Health.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1908
Dec. 26, 1908
Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion.
Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.”
After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves.
He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel.
In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today.
Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.”
In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence.
He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon.
To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook.
“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Health department’s budget request prioritizes training doctors, increasing health insurance coverage
New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year.
The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation.
The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training.
The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs.
The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn.
A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage.
People will access these services at community-based health departments, said Flynn.
Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26.
“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said.
The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace.
The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff.
State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.
“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said.
State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April.
The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9.
The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.
Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1956
Dec. 25, 1956
Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.
An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”
Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.
Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”
Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.
A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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