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The Seattle metropolitan area, particularly King County, faces a severe opioid crisis with unprecedented overdose rates. In 2022, King County recorded 1,017 total overdose deaths, a 43% increase from 709 deaths in 2021. This sharp rise underscores the urgency of addressing the epidemic.
The opioid crisis affects various demographics across King County, with certain areas showing higher concentrations of drug-related deaths. Central Seattle neighborhoods like SoDo, Rainier Valley, First Hill, Capitol Hill, and Belltown consistently demonstrate higher rates of major drug deaths compared to the county average.
Seattle is adopting a holistic and compassionate public health approach to address opioid addiction, moving away from purely punitive measures. The city’s response now requires a multifaceted approach, combining harm reduction strategies, increased access to treatment, and targeted interventions to address the unique challenges posed by fentanyl and changing patterns of drug use.
Key Statistics on Opioid Use in Seattle
- In 2023, over 1,067 people died from fentanyl poisonings and overdoses in King County.
- In King County, emergency medical services respond to hundreds of thousands of acute overdose events annually. This high volume of responses underscores the severity of the opioid epidemic in the region.
- In King County, the first four months of the most recent year saw nearly 2,500 opioid overdoses treated by emergency services.
- While opioids remain a primary concern, methamphetamine-involved deaths have risen dramatically. In 2015, meth was involved in over a quarter of drug-caused deaths, up from zero deaths in the late 1990s.
Opioid Overdose Statistics in Seattle
- The Seattle Fire Department responds to an average of 15 drug overdose calls per day.
- Of overdose victims in King County, 70% were male, 81% were white, and 18% were experiencing homelessness.
- Of overdoses in King County, 67% happened at a place of residence.
- The prevalence of fake pills laced with fentanyl has created a dangerous landscape for drug users, many of whom may be unaware of the presence of fentanyl in their drugs.
- Recent data reveals that 77% of substance-related deaths in King County involved multiple substances.
- In 2018, 32% of alcohol and drug-related deaths involved both an opioid and a stimulant, up from 17% in 2009.
Demographic Data & Insights
- Black, American Indian/Alaska Native, Asian, Native Hawaiian or other Pacific Islander, multiracial, and Hispanic adults tend to die from opioid-related causes at younger ages (33 to 44 years) compared to white adults (45 years).
- About 71% of preventable opioid deaths occur among those aged 25 to 54.
- The 35 to 44 age group currently experiences the highest number of opioid overdose deaths (21,139), showing a 5% increase from 2021 and an 82% increase since 2019.
- A concerning trend of rapidly growing opioid-related deaths is emerging among individuals 55 and older.
Common Opioids & Prescribing Trends
- In the early 2010s, Seattle’s opioid crisis was largely fueled by the misuse of prescription opioids. Many individuals became addicted after receiving opioid prescriptions for routine surgeries or chronic pain management.
- As awareness of the addictive nature of these drugs grew and prescribing practices changed, some users transitioned to heroin. A survey of heroin users in King County found that 39% reported being “hooked on” prescription opioids before switching to heroin.
- Urban-rural differences in opioid prescribing metrics are most pronounced between large central metropolitan areas and all other categories.
- A recent overdose cluster in South Seattle involved crack cocaine potentially laced with fentanyl, highlighting the dangers of unknowingly consuming multiple substances.
State Funds & Resource Allocation
- Washington has implemented a statewide effort to address the opioid crisis, involving collaboration among government agencies, researchers, medical providers, and community stakeholders.
- The King County Medical Examiner’s Office has developed a “real-time” fatal overdose surveillance system to expedite death certification and information dissemination.
- EMS data is being used to monitor non-fatal opioid-involved overdose trends in near real-time, helping to guide tailored public health responses and prevention efforts.
- To improve naloxone accessibility, Washington State has implemented policies like 2SSB 5195, which helps increase access to this life-saving medication.
Resources & Support Groups in Seattle
- Washington State Department of Health
- Connects Washington residents with the treatment programs they need
- Visit the website: https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/behavioral-health-agencies-bha/opioid-treatment-program
- Evergreen Treatment Services (ETS)
- Offers methadone and buprenorphine-based medications along with supportive wraparound services
- Address: 1700 Airport Way S, Seattle, WA 98134
- Phone: (206) 223-3644
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).