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Philadelphia’s opioid crisis has reached alarming levels. Nearly 3 in 10 Philadelphia residents personally know someone who has died due to opioid use.
In 2022, 57% of overdose deaths in the city involved both an opioid (typically fentanyl) and a stimulant like cocaine. This pattern significantly increases the risk of overdose and complicates treatment efforts.
Xylazine, an animal tranquilizer not approved for human use, is another emerging threat in the local drug supply. It was detected in 34% of all overdose deaths in Philadelphia, with virtually every xylazine-related death also involving fentanyl.
Access to treatment remains a significant challenge despite effective medications for opioid use disorder. A study found that fewer than 10% of individuals who experienced non-fatal overdoses received medications like naltrexone or buprenorphine in the months following their overdose.
Key Statistics on Opioid Use in Philadelphia
- The opioid crisis in Philadelphia has not affected all areas equally, with certain neighborhoods bearing a disproportionate burden of overdose deaths and related challenges. Kensington, in Philadelphia’s lower northeast side, has emerged as the epicenter, as it has the highest concentration of overdose deaths in Philadelphia, and it’s home to one of the largest open-air drug markets on the East Coast.
- North Philadelphia has seen significant increases in overdose deaths. The 19132 zip code saw a 48% increase in deaths from 2017 to 2021 (35 to 52 deaths), and the 19140 zip code had a 61% increase from 2017 to 2021 (52 to 84 deaths). These areas, including neighborhoods like Hunting Park, Tioga, and Nicetown, are particularly hard-hit by the crisis.
- Synthetic opioids like fentanyl have become increasingly prevalent in Philadelphia. Fentanyl has emerged as the primary driver of overdose deaths, replacing heroin as the most common drug involved in fatal overdoses.
Opioid Overdose Statistics in Philadelphia
- In 2022, Philadelphia experienced 1,413 unintentional drug overdose deaths, marking an 11% increase from 2021.
- Philadelphia’s overdose death rate is the highest per capita among large U.S. cities, with over 60 deaths per 100,000 residents.
- In 2022, 80% of overdose deaths contained both an opioid (primarily fentanyl) and a stimulant, indicating a trend of poly-drug use. Stimulants, such as cocaine, were detected in over 70% of overdose deaths.
Demographic Data & Insights
- Non-Hispanic Black individuals saw a nearly 20% increase in overdose deaths from 2021 to 2022.
- From 2018 to 2022, overdose fatalities increased by 87% among Black individuals and 43% among Hispanic individuals.
- In 2022, Black men experienced the highest number of overdose fatalities among any demographic group in the city.
- The median age of overdose victims in Philadelphia increased from 43.5 in 2018 to 48 in 2022.
Common Opioids & Prescribing Trends
- In Pennsylvania, opioid prescribing rates have decreased substantially. The prescribing rate in 2017 was 53.7 prescriptions per 100 population. In 2019, the rate was 40.7 prescriptions per 100 population.
- Longer-term prescriptions (>7 days) decreased more significantly (43%) compared to short-term prescriptions (27%)
- Prescriptions for larger quantities (>22 pills) saw a greater reduction (37%) than those for smaller amounts (21%). These changes are particularly significant given that longer-term opioid use is associated with a higher risk of dependence and potential for abuse.
State Funds & Resource Allocation
- In 2022, the Philadelphia Department of Public Health distributed 54,036 doses of naloxone to communities.
- The city installed a Naloxone Near Me Tower, a 24/7 vending machine dispensing free naloxone, in West Philadelphia.
- Since May 2019, Philadelphians can access free naloxone by mail through a partnership between NEXT, the Philadelphia Department of Public Health, and SOL Collective.
Resource & Support Groups in Philadelphia
- Narcotics Anonymous (NA) in Philadelphia
- SMART Recovery in Philadelphia
- Community Behavioral Health
- Provides substance abuse treatment for people who don’t have medical assistance or Medicaid
- Call: 888-545-2600
- Ryan’s Hope Program
- Provides a support group for parents who have lost a child to substance use or overdose; meetings held monthly, and pre-registration required
- Address: 336 King of Prussia Road, Radnor, PA 19087
- Phone: 610-687-5150
- Pennsylvania’s Get Help Now Hotline
- Provides information about available treatment within the state
- Phone: 800-662-4357
Frequently Asked Questions
If you do not have insurance, the cost can vary based on the prescribed dose. Patients unable to afford buprenorphine/naloxone (Suboxone) (regardless of insurance coverage) can apply for cost-assistance. The company that makes Suboxone offers this type of program to help reduce out-of-pocket expenses. To learn more, go to: inSupport program.
You can also get discounted buprenorphine/naloxone (Suboxone) using pharmacy coupons or cash prizes. If you go to the GoodRx website (goodrx.com), you can enter in your zip code and find coupons and discounts at your pharmacy of choice. (On average, if you use GoodRx coupons/discounts, you can slash the typical price of generic Suboxone film from $395 to $118).
Before you are prescribed buprenorphine/naloxone (Suboxone), you will need to undergo an initial medical evaluation so that the doctor can ensure that it is an appropriate medication for you, though this does not require an in-person visit and can be done via telehealth (with video or telephone).
Once you have completed this assessment, the doctor will send a prescription to your preferred pharmacy. So, yes! You can find a licensed buprenorphine/naloxone (Suboxone) provider online and they can get you started on it via telehealth services without any in-person appointments.
- Buprenorphine/naloxone (Subxone) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Naloxone (Vivitrol) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Methadone, which is available only through methadone clinics
If you are interested in Buprenorphine/naloxone (Suboxone) offered entirely through telehealth services, visit bicyclehealth.com. To get help on finding other treatment options and levels of care (such as inpatient programs, intensive outpatient programs/IOPs, residential programs, and methadone clinics), call the SAMHSA helpline at:
1-800-662-HELP (4357).