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San Diego County has been grappling with a significant opioid crisis in recent years. From 2015 to 2021, San Diego County experienced a notable increase in opioid-related overdoses and encounters.
Fentanyl is a key player. Fentanyl deaths more than tripled from 143 in 2019 to 450 in 2020.
The fentanyl crisis demands a multifaceted, sustained response from all levels of government and community stakeholders. While progress has been made, the impact of fentanyl on San Diego underscores the need for continued vigilance, innovation, and commitment to saving lives and supporting those affected by this potent opioid.
Key Statistics on Opioid Use in San Diego
- The impact of fentanyl on San Diego County has been staggering. In 2018, 92 fentanyl-related deaths were recorded. In 2022, 815 fentanyl-related deaths were recorded. That represents an increase of 785% over 5 years.
- Fentanyl now accounts for nearly two-thirds of all fatal overdoses in the region.
- San Diego’s proximity to the U.S.-Mexico border makes it an epicenter for opioid trafficking, resulting in more opioid seizures than at any other domestic port of entry.
- San Diego has received a substantial portion of the more than $200 million distributed directly to local governments.
- San Diego faces a projected shortage of 18,500 behavioral health professionals by 2027.
Opioid Overdose Statistics in San Diego
- San Diego County has seen a 115% increase in opioid-related deaths from 2016 to 2020, reaching 528 deaths in 2020.
- Opioid-related deaths in San Diego have increased by 20% in the last five years, with fentanyl-related deaths rising over tenfold during the same period.
Demographic Data & Insights
- Young adults (18-24 years) represent a significant portion of those affected, accounting for 89.6% of screened youths in a recent study.
- Males are more heavily impacted, comprising 71.6% of screened individuals.
- Middle-aged adults, particularly those ages 45 to 64, have experienced alarming increases in opioid-involved overdose death rates.
- Hispanic or Latino individuals represent the largest affected group, accounting for 51.2% of screened youths.
- Black or African American individuals comprise 29.2% of those screened.
- White individuals make up 17.7% of the screened population.
Common Opioids & Prescribing Trends
- The period from 2017 to 2019 saw an accelerated reduction in opioid prescribing, with a 35.1% decrease in total morphine milligram equivalents (MME).
- The annual decrease in total MME averaged 5.9% from 2012 to 2019. These changes reflect efforts to address the opioid crisis through more cautious pain management approaches.
- The composition of opioid-related deaths in San Diego County in 2022 includes 70% fentanyl, 20% prescription opioids, and 10% heroin.
- Fentanyl has transformed the opioid crisis in San Diego, escalating it to unprecedented levels of danger and mortality. This synthetic opioid, 50 to 100 times more potent than morphine and 25 to 50 times stronger than heroin, has become the primary driver of overdose deaths in the region.
State Funds & Resource Allocation
- The San Diego Police Department has launched specific initiatives to combat the surge in fentanyl overdoses, reflecting a citywide commitment to addressing this crisis.
- San Diego is among the counties with the largest overall number of deaths from fentanyl and other opioids in California, alongside Los Angeles, Orange County, and Riverside. These populous counties have received 48.5% of the opioid settlement money distributed among counties and cities in California
- Executive Order 2022-1, signed by the Mayor of San Diego, directs the following actions:
- Strengthening enforcement for fentanyl sales-related crimes
- Pursuing legislation to reclassify illicit fentanyl as a Schedule I drug federally
- Seeking sentencing enhancements for trafficking near schools
- Advocating for state and federal funding for enforcement, education, and treatment programs
- The NIH HEAL Initiative invests over $250 million annually to prevent and treat opioid misuse, addiction, and overdose
Resources & Support Groups in San Diego
- San Diego County’s Access and Crisis Line
- Provides information and referrals to addiction treatment services
- Phone: 888-724-7240
- American Addiction Centers’ Laguna Treatment Center
- Offers medically supervised detoxification and withdrawal management
- Address: 24552 Pacific Park Dr, Aliso Viejo, CA 92656
- Phone: 949-647-4618
- Healthy Life Recovery
- Provides comprehensive addiction treatment programs in a picturesque Southern California setting
- Address: 1010 Turquoise St, San Diego, CA 92109
- Phone: 858-201-4249
- Family Health Centers of San Diego (FHCSD):
- Offers MAT services, including buprenorphine/naloxone and naltrexone treatments
- Address: 823 Gateway Center Way, San Diego, CA 92102
- Phone: 619-515-2300
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).