Life expectancy has dropped further in 2017 in the United States because of overdoses

Life expectancy has continued to decline in the United States in 2017 compared to 2014, a historical decline mainly due to the drug overdose crisis, according to health statistics released Thursday.

"This is the first time we have seen a downward trend since the great flu epidemic of 1918," says AFP Robert Anderson, chief of mortality statistics at the National Center for Health Statistics, who published the new figures. While stating that the decline was certainly much stronger in 1918.

In 2017, life expectancy at birth was 76.1 years for men and 81.1 years for women. The average for the population was 78.6 years, compared to 78.9 in 2014.

That's three and a half years less than across the border in Canada, which is also affected by overdoses.

"These statistics alert us to the fact that we are losing too many Americans too often for preventable causes," said Robert Redfield, director of the Centers for Disease Control and Prevention.

The scourge of drug overdoses began in the early 2000s, its intensity accelerating for four years.

In 2017, about 70,000 Americans died of drug overdoses, 10% more than in 2016.

In terms of deaths, Robert Anderson compares this to the peak of the HIV epidemic, with one difference: it had declined rapidly. The statistician hopes that the overdoses will follow the same path. "We are a developed country, life expectancy should increase, not decrease," he says.

Among the 35 OECD countries, only Iceland has recently seen life expectancy decline over three years, according to figures up to 2016. Elsewhere, it has increased or stagnated.

Suicides have also increased in 2017 in the United States. Only whites have seen their mortality rate increase significantly.

opiates

There are two categories of overdoses: non-opioid drugs, such as cocaine, methamphetamine, and other psychostimulants, including MDMA. 27,000 deaths.

The increase is largely due to the second category: opiates.

This includes heroin, morphine, and so-called semi-synthetic opiates such as oxycodone, a prescription painkiller but diverted to the black market, with the help of complicit doctors and labs who claim to ignore the problem, and who is often the gateway to addiction.

Lately, the majority of deaths came from a new generation: synthetic opiates, like fentanyl, dozens of times more potent than heroin, where a dosage error can be fatal.

The singer Prince is dead. The product was used to execute a convict in August in Nebraska. These substances are easy to ship by mail because a small amount, slipped into an envelope, enough.

The rate of synthetic opiate deaths doubled from 2015 to 2016. Last year, it increased "only" by 45%.

This is the relative note of hope contained in the figures of 2017: the number of overdoses continues to grow, but at a pace less sustained.

Preliminary data for 2018 even suggests that the crisis peaked earlier in the year. The Trump government echoed this.

"But it's hard to say, we only have data on the quarter of 2018 right now," says Robert Anderson cautiously.

In Staten Island, New York, the doctor Harshal Kirane, director of the addiction service, refrains from any conclusion. "It's encouraging to see the trajectory bend," he told AFP. "But 70,000 deaths, it's hard to digest."

America is not equally struck by the plague. Rural states in the center of the country, from Texas to South Dakota, are relatively spared.

The crisis is acute in New England, in the northeast corner, where overdose deaths provide more than a quarter of organ donations, rivaling road accidents.

It is also very strong in two states of the former industrial belt (Ohio and Pennsylvania) and, especially, the very poor West Virginia, leading the sad clbadification with 58 deaths per 100,000 people, against a national average of 22.