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{
"cells": [
{
"cell_type": "markdown",
"metadata": {},
"source": [
"# 94-775/95-865: Basic Text Processing with spaCy\n",
"\n",
"Author: George H. Chen (georgechen [at symbol] cmu.edu)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Let's begin by loading in the spaCy package (you have to install spaCy first, including installing spaCy's English model)."
]
},
{
"cell_type": "code",
"execution_count": 1,
"metadata": {},
"outputs": [],
"source": [
"import spacy\n",
"nlp = spacy.load('en') # load spaCy's built-in English models"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Next, we load in the text file that we will analyze. I've copy and pasted text from the opioid epidemic Wikipedia page into \"opioid_wikipedia.txt\", which should be placed in the same directory as this Jupyter notebook."
]
},
{
"cell_type": "code",
"execution_count": 2,
"metadata": {
"scrolled": false
},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"The opioid epidemic or opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States and Canada in the 2010s. Opioids are a diverse class of moderately strong painkillers, including oxycodone (commonly sold under the trade names OxyContin and Percocet), hydrocodone (Vicodin), and a very strong painkiller, fentanyl, which is synthesized to resemble other opiates such as opium-derived morphine and heroin. The potency and availability of these substances, despite their high risk of addiction and overdose, have made them popular both as formal medical treatments and as recreational drugs. Due to their sedative effects on the part of the brain which regulates breathing, opioids in high doses present the potential for respiratory depression, and may cause respiratory failure and death.[2]\n",
"\n",
"According to the U.S. Drug Enforcement Administration, \"overdose deaths, particularly from prescription drugs and heroin, have reached epidemic levels.\"[3]:iii Nearly half of all opioid overdose deaths in 2016 involved prescription opioids.[1] From 1999 to 2008, overdose death rates, sales, and substance abuse treatment admissions related to opioid pain relievers all increased substantially.[4] By 2015, annual overdose deaths from heroin alone surpassed deaths from both car accidents and guns, with other opioid overdose deaths also on the rise.[5]\n",
"\n",
"Drug overdoses have since become the leading cause of death of Americans under 50, with two-thirds of those deaths from opioids.[6] In 2016, 62,000 Americans died from overdoses, 19 percent more than in 2015, and had killed more Americans in one year than both the wars in Vietnam and Iraq combined.[7][6] By comparison, the figure was 16,000 in 2010, and 4,000 in 1999. Figures from June 2017 indicate the problem has worsened.[8][9] While death rates varied by state,[10] public health experts estimate that nationwide over 500,000 people could die from the epidemic over the next 10 years.[11]\n",
"\n",
"In March 2017, Larry Hogan, the governor of Maryland, declared a state of emergency to combat the opioid epidemic,[12] and in July 2017 opioid addiction was cited as the \"FDA's biggest crisis.\"[13] CDC director Thomas Frieden said that \"America is awash in opioids; urgent action is critical.\"[14] The crisis has changed moral, social, and cultural resistance to street drug alternatives such as heroin.[15] On August 10, 2017, President Donald Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a \"national emergency.\"[16][17] On September 1, Trump nominated as \"drug czar\" Tom Marino, whose election campaign had been financed by pharmaceutical distribution companies that had lobbied for, and profited from, legislation co-sponsored by Marino which protected pharmacies suspected of diverting pills.[18]\n",
"\n",
"Contents [hide] \n",
"1 Background in the United States\n",
"1.1 Main causes\n",
"1.2 Effects\n",
"1.3 Fentanyl\n",
"1.4 History of opiate use in the United States\n",
"1.5 Demographics\n",
"1.6 Outside the U.S.\n",
"2 Countermeasures\n",
"2.1 Federal government\n",
"2.2 State and local governments\n",
"2.3 Prescription drug monitoring\n",
"2.4 In the media\n",
"2.5 Solutions for addicts\n",
"2.5.1 Naloxone\n",
"2.5.2 Methadone\n",
"2.5.3 Buprenorphine\n",
"2.5.4 Behavioral treatment options\n",
"3 See also\n",
"4 References\n",
"5 External links\n",
"Background in the United States[edit]\n",
"Main causes[edit]\n",
"What the U.S. Surgeon General calls \"The Opioid Crisis\" likely began with over-prescription of powerful opioid pain relievers in the 1990s, which led to them becoming the most prescribed class of medications in the United States. As of 2016 more than 289 million prescriptions were written for opioid drugs per year.[19]:43In the late 1990s, many Americans were diagnosed with chronic pain, estimated to affect around 100 million people or a third of the U.S. population. This led to a push by drug companies and the federal government to expand the use of painkilling opioids.[10] Between 1991 and 2011, painkiller prescriptions in the U.S. tripled from 76 million to 219 million per year. Among the most common opioids prescribed have been oxycodone (OxyContin and Percocet) and hydrocodone (Vicodin). With the increase in volume, potency of opioids also increased. By 2002, one in six drug users were being prescribed drugs more powerful than morphine; by 2012, the ratio had doubled to one-in-three.[10]\n",
"\n",
"Despite the increased use of painkillers, there has been no change in the amount of pain reported in the U.S.[20][19] This has led to differing medical opinions, with some noting that there is little evidence that opioids are effective for chronic pain not caused by cancer.[21]\n",
"\n",
"Effects[edit]\n",
"When people continue to use opioids beyond what a doctor prescribes, whether to minimize pain or to enjoy the euphoric feelings, it can mark the beginning stages of an opiate addiction, with a tolerance developing and eventually leading to dependence, when a person relies on the drug to prevent withdrawal symptoms.[22]\n",
"\n",
"As the number of opioid prescriptions rose, drug cartels began flooding the U.S. with heroin. For many opioid users, heroin was cheaper, more potent, and often easier to acquire than prescription medications.[8] According to the CDC, tighter prescription policies by doctors did not necessarily lead to this increased heroin use.[21] The main suppliers of heroin to the U.S. have been Mexican transnational criminal organizations.[8] From 2005–2009, Mexican heroin production increased by over 600%, from an estimated 8 metric tons in 2005 to 50 metric tons in 2009.[8] Between 2010 and 2014, the amount seized at the border more than doubled.[23] According to the DEA, smugglers and distributors \"profit primarily by putting drugs on the street and have become crucial to the Mexican cartels.\"[3]:3\n",
"\n",
"\n",
"Opiate self-injection paraphernalia\n",
"The opioid epidemic has since emerged as one of the worst drug crises in American history: more than 33,000 people died from overdoses in 2015, nearly equal to the number of deaths from car crashes, with deaths from heroin alone more than from gun homicides.[24] It has also left thousands of children suddenly in need of foster care after their parents have died from an overdose.[25]\n",
"\n",
"Fentanyl[edit]\n",
"There have always been drug addicts in need of help, but the scale of the present wave of heroin and opioid abuse is unprecedented. In Maryland, the first six months of 2015 saw 121 fentanyl deaths. In the first six months of 2016, the figure rose to 446.\n",
"Christopher Caldwell,\n",
"senior editor The Weekly Standard[15]\n",
"Fentanyl, a newer synthetic opioid painkiller, is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin,[15] with only 2 mg becoming a lethal dose. It is pure white, odorless and flavorless, with a potency strong enough that police and first responders helping overdose victims have themselves overdosed by simply touching or inhaling a small amount.[26][27][28] As a result, the DEA has recommended that officers not field test drugs if fentanyl is suspected, but instead collect and send samples to a laboratory for analysis. \"Exposure via inhalation or skin absorption can be deadly,\" they state.[29]\n",
"\n",
"Fentanyl-laced heroin has become a big problem for major cities, including Philadelphia, Detroit and Chicago.[30] Its use has caused a spike in deaths among users of heroin and prescription painkillers, while becoming easier to obtain and conceal. Some arrested or hospitalized users are surprised to find that what they thought was heroin was actually fentanyl.[15] According to CDC director Thomas Frieden:\n",
"\n",
"As overdose deaths involving heroin more than quadrupled since 2010, what was a slow stream of illicit fentanyl, a synthetic opioid 50 to 100 times stronger than morphine, is now a flood, with the amount of the powerful drug seized by law enforcement increasing dramatically. America is awash in opioids; urgent action is critical.[14]\n",
"\n",
"According to the Centers for Disease Control and Prevention (CDC), death rates from synthetic opioids, including fentanyl, increased over 72% from 2014 to 2015.[22] In addition, the CDC reports that the total deaths from opioid overdoses may be under-counted, since they do not include deaths that are associated with synthetic opioids which are used as pain relievers. The CDC presumes[when?] that a large proportion of the increase in deaths is due to illegally-made fentanyl; as the statistics on overdose deaths do not distinguish pharmaceutical fentanyl from illegally-made fentanyl, the actual death rate could therefore be much higher than reported.[31]\n",
"\n",
"Those taking fentanyl-laced heroin are more likely to overdose because they do not know they also are ingesting the more powerful drug.[32] In March 2017, New Jersey police arrested a person possessing nearly 31 pounds (14 kg) of fentanyl (14 kg would yield 7 million lethal doses).[33][34] Among those who died from overdosing on fentanyl was singer Prince.[34][35]\n",
"\n",
"Fentanyl has surpassed heroin as a killer in several locales: in all of 2014 the CDC identified 998 fatal fentanyl overdoses in Ohio, which is the same number of deaths recorded in just the first five months of 2015.[36] In Cleveland, a person was caught selling blue fentanyl pills disguised to look like doses of the milder opioid painkiller oxycodone.[36] The U.S. attorney for Ohio stated:\n",
"\n",
"One of the truly terrifying things is the pills are pressed and dyed to look like oxycodone. If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen. Each of those pills is a potential overdose death.[36]\n",
"\n",
"In 2016 the medical publication STAT reported that while Mexican cartels are a main source of heroin smuggled into the U.S., Chinese suppliers provide both raw fentanyl and the machinery necessary for its production.[36] In British Columbia, police discovered a lab making 100,000 fentanyl pills each month, which they were shipping to Calgary, Alberta. 90 people in Calgary overdosed on the drug in 2015.[36] In Southern California, a home-operated drug lab with six pill presses was uncovered by federal agents; each machine was capable of producing thousands of pills an hour.[36]\n",
"\n",
"History of opiate use in the United States[edit]\n",
"In the early 1900s, as veterans of the First World War were returning home from overseas, there were few options to help relieve pain, and doctors mainly turned to morphine.[37] Opiates soon became known as a wonder drug and were prescribed for a wide array of ailments, even for relatively minor treatments such as cough relief. Beginning around 1920, however, their addictiveness was recognized and not too long afterwards heroin was made an illegal drug.[37] In the Anti-Heroin Act of 1924, the U.S. Congress banned the sale, importation, or manufacture of heroin.\n",
"\n",
"Around World War II, doctors used opiates in lieu of surgery. This made prescriptions for opiates skyrocket.[37] In the 1950s, heroin addiction was known among jazz musicians, but still fairly unknown by average Americans, many of whom saw it as a frightening condition.[15] The fear extended into the 1960s and 1970s, although it became common to hear or read about drugs such as marijuana and psychedelics, which were widely used at rock concerts like Woodstock.[15] Heroin addiction began to make the news when famous people such as Janis Joplin, John Belushi, Jim Morrison and Lenny Bruce, whom most people did not know were addicted, died from overdoses. During and after the Vietnam War, addicted soldiers returned from Vietnam, where heroin was easily bought. Heroin addiction grew within low-income housing projects during the same time period.[15] In 1971, congressmen released an explosive report on the growing heroin epidemic among U.S. servicemen in Vietnam, finding that ten to fifteen percent were addicted to heroin. \"The Nixon White House panicked,\" wrote political editor Christopher Caldwell and declared drug abuse \"public enemy number one\".[38] By 1973, there were 1.5 overdose deaths per 100,000 people.[15]\n",
"\n",
"In the 1980s, many medical experts did not believe that opioids were addictive. A brief letter published in the New England Journal of Medicine (NEJM) in January 1980, titled \"Addiction Rare in Patients Treated with Narcotics\", was subsequently cited over 600 times to support this position.[39][40] A group of researchers in Canada claim that the letter may have originated and contributed to the opioid crisis.[39] The NEJM published its rebuttal to the 1980 letter in June 2017, pointing out among other things that the conclusions were based on hospitalized patients only, and not on patients taking the drugs after they were sent home.[41] The original author, Dr. Hershel Jick, has said that he never intended for the article to justify widespread opioid use.[39]\n",
"\n",
"In the mid-to-late 1980s the crack epidemic followed widespread cocaine use in American cities. The death rate was worse, reaching almost 2 per 100,000. In 1982, Vice President George H. W. Bush and his aides began pushing for the involvement of the CIA and the U.S. military in drug interdiction efforts, the so-called War on Drugs.[42] By comparison, as of 2016, the present opioid epidemic is killing on average 10.3 people per 100,000. In some states it is far worse: over 30 per 100,000 in New Hampshire and over 40 per 100,000 in West Virginia.[15]\n",
"\n",
"Demographics[edit]\n",
"In the U.S., addiction and overdose victims are mostly white and working-class. Geographically, those living in rural areas of the country have been the hardest hit as a percentage of the national population,[43] Prescription drug abuse has been increasing in teenagers, especially as 12- to 17-year-olds were one-third of all new abusers of prescription drugs in 2006. Teens abuse prescription drugs more than any illicit drug except marijuana, more than cocaine, heroin and methamphetamine combined, per the Office of National Drug Control Policy’s 2008 Report Prescription for Danger.\n",
"\n",
"In Palm Beach County, Florida, overdose deaths went from 149 in 2012 to 588 in 2016.[44]\n",
"\n",
"In Middletown, Ohio, overdose deaths quadrupled in the 15 years since 2000.[45]\n",
"\n",
"There has been a difference in the number of opioid prescriptions written by doctors in different states. In Hawaii, doctors wrote about 52 prescriptions for every 100 people, whereas in Alabama, they wrote almost 143 prescriptions per 100 people. Researchers suspect that the variation results from a lack of consensus among doctors in different states about how much pain medication to prescribe. A higher rate of prescription drug use does not lead to better health outcomes or patient satisfaction, according to studies.[8]\n",
"\n",
"Outside the U.S.[edit]\n",
"Approximately 80 percent of the global pharmaceutical opioid supply is consumed in the United States.[47]\n",
"\n",
"It has also become a serious problem outside the U.S., mostly among young adults.[48] The concern not only relates to the drugs themselves, but to the fact that in many countries doctors are less trained about drug addiction, both about its causes or treatment.[20] According to an epidemiologist at Columbia University: \"Once pharmaceuticals start targeting other countries and make people feel like opioids are safe, we might see a spike [in opioid abuse]. It worked here. Why wouldn’t it work elsewhere?\" [20] The majority of deaths worldwide from overdoses were from either medically prescribed opioids or illegal heroin. In Europe, prescription opioids accounted for three-quarters of overdose deaths among those between ages 15 and 39.[48] Some worry that the epidemic could become a worldwide pandemic if not curtailed.[20] Prescription drug abuse among teenagers in Canada, Australia, and Europe were at rates comparable to U.S. teenagers.[20] In Lebanon and Saudi Arabia, and in parts of China, surveys found that one in ten students had used prescription painkillers for non-medical purposes. Similar high rates of non-medical use were found among the young throughout Europe, including Spain and the United Kingdom.[20]\n",
"\n",
"Countermeasures[edit]\n",
"\n",
"This section is in a list format that may be better presented using prose. You can help by converting this section to prose, if appropriate. Editing help is available. (August 2017)\n",
"Federal government[edit]\n",
"In 2010, the US government began cracking down on pharmacists and doctors who were over-prescribing opioid pain killers. The unintended consequence of this was that users turned to cheaper but illegal heroin, a significantly more potent opioid, as a substitute,[10] including addicted patients who were denied opioid prescriptions as doctors tried to cut back painkiller drug abuse.[15] A 2017 survey in Utah of heroin users found about 80 percent started with prescription drugs.[49] As a result, by 2015 nationwide deaths from prescription opioids had increased by 15% and for heroin users by 23%.[10][50]\n",
"In 2010, the CSA was amended with the Secure and Responsible Drug Disposal Act which allows pharmacies to accept controlled substances from households or long term care facilities in their drug disposal programs or \"take-back\" programs.[51]\n",
"In 2011, the Obama administration released a white paper describing the administration's plan to deal with the crisis. Its concerns have been echoed by numerous medical and government advisory groups around the world.[52][53][54]\n",
"In 2016, the U.S. Surgeon General listed statistics which describe the extent of the problem.[19]\n",
"In July 2016, President Barack Obama signed into law the Comprehensive Addiction and Recovery Act, which expands opioid addiction treatment with buprenorphine and authorizes millions of dollars in new funding for opioid research and treatment.[55]\n",
"In December 2016, the 21st Century Cures Act, which includes $1 billion in state grants to fight the opioid epidemic, was passed by Congress by a wide bipartisan majority (94-5 in the Senate, 392-26 in the House of Representatives),[56] and was signed into law by President Obama.[57]\n",
"As of March 2017, President Donald Trump appointed a commission to deal on the epidemic, chaired by Governor Chris Christie of New Jersey.[58][59][60]\n",
"In June 2017, the FDA asked the manufacturer to remove its injectable form of oxymorphone (Opana ER) from the US market, because the drug's benefits may no longer outweigh its risks, this being the first time the agency has asked to remove a currently marketed opioid pain medication from sale due to public health consequences of abuse.[61]\n",
"In July 2017, FDA commissioner Dr Scott Gottlieb stated that for the first time, pharmacists, nurses, and physicians, would have training made available on appropriate prescribing of opioid medicines, because opioid addiction had become the \"FDA's biggest crisis\".[13]\n",
"On August 10, 2017, President Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a \"national emergency.\"[16][17]\n",
"On September 1, 2017, Trump nominated Representative Tom Marino as director of the Office of National Drug Control Policy, or \"drug czar\".[62] Pharmaceutical distribution companies had contributed $134,000 to Marino's election campaigns in 2014 and 2016, more than contributions from any other industry. Pharmaceutical distibutors had lobbied for legislation which Marino co-sponsored in 2016, the Ensuring Patient Access and Effective Drug Enforcement Act, which made it harder for the DEA to shut down pharmacies suspected of diverting pills.[18]\n",
"State and local governments[edit]\n",
"In July 2016, governors of most U.S. states and territories entered into a formal \"Compact to Fight Opioid Addiction.\" They agreed that collective action would be needed to end the opioid crisis, and they would coordinate their responses across all levels of government and the private sector, including opioid manufacturers and doctors.[63]\n",
"In March 2017, the Governor of Maryland, as an urgent response to the crisis, declared a State of Emergency to combat the rapid increase in overdoses by increasing and speeding up coordination between the state and local jurisdictions.[64][12] In 2016, about 2,000 people in the state had died from opioid overdoses.[65]\n",
"In March 2017, Delaware, which has the 12th-highest overdose death rate in the country, introduced bills to both limit doctors' ability to over-prescribe painkillers and improve access to treatment. In 2015, 228 people had died from overdose, which increased 35%—to 308—in 2016.[66]\n",
"In March 2017, a similar plan was begun in Michigan, which introduced the Michigan Automated Prescription System (MAPS), allowing doctors to check when and what painkillers have already been prescribed to a patient, and thereby help keep addicts from switching doctors to receive drugs.[67][68]\n",
"During the 2017 General Session of the Utah Legislature, Rep. Edward H. Redd and Sen. Todd Weiler proposed amendments to Utah's involuntary commitment statutes by trying to pass H.B. 299 into law which would allow relatives to petition a court to mandate substance- abuse treatment for adults.[69][49]\n",
"In Maine, new laws were imposed which capped the maximum daily strength of prescribed opioids and which limited prescriptions to seven days. But some doctors were then concerned that patients would turn to using street drugs like heroin to extend their use of painkillers.[15]\n",
"In West Virginia, which leads the nation in overdose deaths per capita, lawsuits seek to declare drug distribution companies a \"public nuisance\" in an effort to place accountability upon the drug industry for the costs associated with the epidemic.[70][71]\n",
"In February 2017, officials in Everett, Washington filed a lawsuit against the manufacturer of OxyContin for negligence by allowing drugs to be illegally trafficked to residents and failing to prevent it. The city wants the company to pay the costs of handling the crisis.[72]\n",
"Prescription drug monitoring[edit]\n",
"In 2016, the CDC published its \"Guideline for Prescribing Opioids for Chronic Pain\", recommending opioids only be used when benefits for pain and function are expected to outweigh risks, and then used at the lowest effective dosage, with avoidance of concurrent opioid and benzodiazepine use whenever possible.[73] Silvia Martins, an epidemiologist at Columbia University, has suggested getting out more information about the risks:\n",
"\n",
"The greater “social acceptance” for using these medications (versus illegal substances) and the misconception that they are “safe” may be contributing factors to their misuse. Hence, a major target for intervention is the general public, including parents and youth, who must be better informed about the negative consequences of sharing with others medications prescribed for their own ailments. Equally important is the improved training of medical practitioners and their staff to better recognize patients at potential risk of developing nonmedical use, and to consider potential alternative treatments as well as closely monitor the medications they dispense to these patients.[48]\n",
"\n",
"As of April 2017, prescription drug monitoring programs (PDMPs) exist in every state.[74] A person on opioids for more than three months has a 15-fold (1,500%) greater chance of becoming addicted.[21] PDMPs allow pharmacists and prescribers to access patients’ prescription histories to identify suspicious use. However, a survey of US physicians published in 2015 found only 53% of doctors used these programs, while 22% were not aware these programs were available.[75] The Centers for Disease Control and Prevention (CDC) was tasked with establishing and publishing a new guideline, and was heavily lobbied.[76][77]\n",
"\n",
"In the media[edit]\n",
"Media coverage has largely focused on law-enforcement solutions to the epidemic, which portray the issue as criminal rather than medical.[78] There has been differential reporting on how white suburban or rural addicts of opioids are portrayed compared to black and Hispanic urban addicts, often of heroin, reinforcing stereotypes of drug users and drug-using offenders.[79] In newspapers, white addicts' stories are often given more space, allowing for a longer backstory explaining how they became addicted, and what potential they had before using drugs. Black and Hispanic addicts are more likely to be dehumanized, portrayed criminally, and mentioned more briefly.[79]\n",
"\n",
"In July 2017, a 400-page report by the National Academy of Science presented plans to reduce the addiction crisis, which it said was killing 91 people each day.[80]\n",
"\n",
"Solutions for addicts[edit]\n",
"Main article: Drug abuse treatment\n",
"The opioid epidemic is often discussed in terms of prevention, but helping those who are already addicts is talked about less frequently.[78] Opioid dependence can lead to a number of consequences like contraction of HIV and overdose. For addicts who wish to treat their addiction, there are two classes of treatment options available: medical and behavioral.[81] Neither is guaranteed to successfully treat opioid addiction. Which, or which combination, is most effective varies from person to person.[82] These treatments are doctor-prescribed and -regulated, but differ in their treatment mechanism. Popular treatments include naloxone, methadone, and buprenorphine, which are more effective when combined with a form of behavioral treatment.[82]\n",
"\n",
"Naloxone[edit]\n",
"Naloxone is used mostly as a rescue medication for opioid overdose. It is an opioid antagonist, meaning it binds to opioid receptors but does not turn them on. It also happens that naloxone binds to opioid receptors more strongly than heroin or any prescription opioids. This means that when someone is overdosing on opioids, naloxone can be administered, allowing it to take the place of the opioid drug in the person's receptors, turning them off. This blocks the effect of the receptors. Naloxone is sometimes administered with other drugs such as buprenorphine, as a way to taper off buprenorphine over time. Naloxone binds to some of the receptors, blocking the effectiveness of some receptors in case of relapse.[82]\n",
"\n",
"Methadone[edit]\n",
"Methadone has been used for opioid dependence since 1964, and studied the most of the pharmacological treatment options.[83] It is a synthetic long acting opioid, so it can replace multiple heroin uses by being taken once daily.[82] It works by binding to the opioid receptors in the brain and spinal cord, activating them, reducing withdrawal symptoms and cravings while suppressing the \"high\" that other opioids can elicit. The decrease in withdrawal symptoms and cravings allow the user to slowly taper off the drug in a controlled manner, decreasing the likelihood of relapse. It is not accessible to all addicts. It is a regulated substance, and requires that each dose be picked up from a methadone clinic daily. This can be inconvenient as some patients are unable to travel to a clinic, or avoid the stigma associated with drug addiction.[82]\n",
"\n",
"Buprenorphine[edit]\n",
"Buprenorphine is used similarly to methadone, with some doctors recommending it as the best solution for medication-assisted treatment to help people reduce or quit their use of heroin or other opiates. It is claimed to be safer and less regulated than methadone, with month-long prescriptions allowed. It is also said to eliminate opiate withdrawal symptoms and cravings in many patients without inducing euphoria.[84]\n",
"\n",
"Unlike methadone treatment, which must be performed in a highly structured clinic, buprenorphine, according to SAMHSA, can be prescribed or dispensed in physician offices.[85] Patients can thereby receive a full year of treatment for a fraction of the cost of detox programs.[84]\n",
"\n",
"Behavioral treatment options[edit]\n",
"It is less effective to use behavioral treatment without medical treatment during initial detoxification. It has similarly been shown that medical treatments tend to get better results when accompanied by behavioral treatment.[81] Popular behavioral treatment options include group or individual therapy, residential treatment centers, and Twelve-step programs such as Narcotics Anonymous.[83] Residential treatment centers allow for a 24-hour drug-free environment to decrease the chances of relapse. These centers allow addicts to be in supportive environments during the difficult time of detox.[86]\n",
"\n",
"Twelve-step programs are one of the most well-known options. The philosophy is that a group of people sharing the same addiction can remain abstinent with the support of and connection to others who empathize and understand. There is also a spiritual, though not religious, component to it, with freedom to believe as one chooses.[87]\n",
"\n",
"See also[edit]\n",
"Crack epidemic\n",
"List of deaths from drug overdose and intoxication\n",
"References[edit]\n",
"^ Jump up to: a b Data Overview. Drug Overdose. CDC Injury Center, Centers for Disease Control and Prevention 2016.\n",
"Jump up ^ \"WHO | Information sheet on opioid overdose\". www.who.int. Retrieved 2017-07-30.\n",
"^ Jump up to: a b \"2015 National Drug Threat Assessment Summary\", DEA, Oct. 2015\n",
"Jump up ^ \"CDC – MMWR – MMWR Publications – MMWR Weekly: Past Volume (2011)\". www.cdc.gov. November 4, 2011 / 60(43);1487–1492. Retrieved 2017-07-30.\n",
"Jump up ^ \"Drug overdoses now kill more Americans than guns\", CBS News, Dec. 9, 2016\n",
"^ Jump up to: a b \"Drug Deaths in America Are Rising Faster Than Ever\", New York Times, June 5, 2017\n",
"Jump up ^ \"In 2016, drug overdoses likely killed more Americans than the entire wars in Vietnam and Iraq\", Vox, July 7, 2017\n",
"^ Jump up to: a b c d e \"How Bad is the Opioid Epidemic?\", PBS, Feb. 23, 2016\n",
"Jump up ^ \"America’s Addiction to Opioids: Heroin and Prescription Drug Abuse\", National Institute on Drug Abuse (NIDA), May 14, 2014\n",
"^ Jump up to: a b c d e \"America’s opioid epidemic is worsening\", the Economist (U.K.) March 6, 2017\n",
"Jump up ^ \"STAT forecast: Opioids could kill nearly 500,000 Americans in the next decade\", STAT, June 27, 2017\n",
"^ Jump up to: a b Turque, B. Maryland governor declares state of emergency for opioid crisis, The Washington Post, March 1, 2017\n",
"^ Jump up to: a b \"FDA's Scott Gottlieb: Opioid addiction is FDA's biggest crisis now\", CNBC, July 21, 2017\n",
"^ Jump up to: a b \"CDC Chief Frieden: How to end America's growing opioid epidemic\", Fox News, Dec. 17, 2016\n",
"^ Jump up to: a b c d e f g h i j k Caldwell, Christoper. \"American Carnage: The New Landscape of Opioid Addiction\", First Things, April 2017\n",
"^ Jump up to: a b \"White House opioid commission to Trump: ‘Declare a national emergency’ on drug overdoses\", Washington Post, July 31, 2017\n",
"^ Jump up to: a b \"Trump says opioid crisis is a national emergency, pledges more money and attention\", Washington Post, August 10, 2017\n",
"^ Jump up to: a b \"Drug Companies Sure Are Cozy With Trump’s Pick to Solve the Opioid Crisis\". Mother Jones. October 13, 2017. Retrieved October 13, 2017.\n",
"^ Jump up to: a b c \"Facing Addiction in America\", U.S. Surgeon General (2016), 413 pp\n",
"^ Jump up to: a b c d e f \"The opioid epidemic could turn into a pandemic if we’re not careful\", Washington Post, Feb. 9, 2017\n",
"^ Jump up to: a b c \"Opioid Prescriptions Fall After 2010 Peak, C.D.C. Report Finds\", New York Times, July 6, 2017\n",
"^ Jump up to: a b \"Why opioid overdose deaths seem to happen in spurts\", CNN, Feb. 8, 2017\n",
"Jump up ^ \"Heroin Production in Mexico and U.S. Policy\", Congressional Research Service report, March 3, 2016\n",
"Jump up ^ \"Heroin deaths surpass gun homicides for the first time, CDC data shows\", Washington Post, Dec. 8, 2016, Retrieved 2017-05-08\n",
"Jump up ^ \"The Children of the Opioid Crisis\", Wall Street Journal, Dec. 15, 2016\n",
"Jump up ^ \"Fentanyl Takes a Deadly Toll on Vermont\", VTDigger, June 4, 2017\n",
"Jump up ^ \"Why fentanyl is deadlier than heroin, in a single photo\", Stat, Sept. 29, 2016\n",
"Jump up ^ \"Fentanyl drug profile\", The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)\n",
"Jump up ^ \"Fentanyl: Preventing Occupational Exposure to Emergency Responders\", CDC\n",
"Jump up ^ \"Orlando man pleads guilty to selling heroin mixed with fentanyl\", Orlando.com, March 20, 2017\n",
"Jump up ^ \"Opioid Data Analysis\", Centers for Disease Control and Prevention (CDC), date?\n",
"Jump up ^ \"Coroner: Franklin County fentanyl deaths hit ‘unprecedented’ rate of one per day\", The Columbus Dispatch, March 16, 2017\n",
"Jump up ^ \"State, feds seize 14 kilos of dangerous opioid fentanyl in N.J.\", NJ.com, March 17, 2017\n",
"^ Jump up to: a b \"Prince's Autopsy Result Highlights Dangers of Opioid Painkiller Fentanyl\", ABC News, June 2, 2016\n",
"Jump up ^ \"Documents highlight Prince’s struggle with opioid addiction\", Seattle Times, April 17, 2017\n",
"^ Jump up to: a b c d e f \"‘Truly terrifying’: Chinese suppliers flood US and Canada with deadly fentanyl\", STAT, April 5, 2016\n",
"^ Jump up to: a b c Moghe, Sonia. \"Opioids: From 'wonder drug' to abuse epidemic\". CNN. Retrieved 11 April 2017.\n",
"Jump up ^ WGBH educational foundation. Interview with Dr. Robert Dupoint. PBS.org (February 18, 1970)\n",
"^ Jump up to: a b c \"Opioid crisis: The letter that started it all\". bbc.co.uk. BBC. 3 June 2017. Retrieved 3 June 2017.\n",
"Jump up ^ Jane Porter and Hershel Jick (10 January 1980). \"Addiction Rare in Patients Treated with Narcotics\". nejm.org. New England Journal of Medicine. Retrieved 3 June 2017.\n",
"Jump up ^ \"A 1980 Letter on the Risk of Opioid Addiction\". nejm.org. New England Journal of Medicine. 1 June 2017. Retrieved 3 June 2017.\n",
"Jump up ^ Scott, Peter Dale; Marshall, Jonathan. Cocaine Politics: Drugs, Armies, and the CIA in Central America, Berkeley, CA: University of California Press (1991) p. 2\n",
"Jump up ^ Sullivan, Andrew.\"The Opioid Epidemic Is This Generation’s AIDS Crisis\", New York Magazine, March 16, 2017\n",
"Jump up ^ \"Patient brokering exacerbates opioid crisis in Florida\", South Bend Tribune, April 2, 2017\n",
"Jump up ^ de La Bruyere, Emily (August 2, 2017). \"Middletown, Ohio, a city under siege: \"Everyone I know is on heroin\"\". Yahoo.\n",
"Jump up ^ \"Vital Signs: Variation Among States in Prescribing of Opioid Pain Relievers and Benzodiazepines — United States, 2012\", CDC, July 4, 2014\n",
"Jump up ^ \"Americans consume vast majority of the world's opioids\", Dina Gusovsky, CNBC, 27 Apr 2016\n",
"^ Jump up to: a b c Silvia S. Martins, Lilian A. Ghandour \"Nonmedical use of prescription drugs in adolescents and young adults: not just a Western phenomenon\", World Psychiatry, Jan. 26, 2017\n",
"^ Jump up to: a b \"Poll: Many Utahns know people who seek treatment for opioid addiction, but barriers remain\", The Salt Lake Tribune, April 3, 2017\n",
"Jump up ^ \"Overdose Death Rates\", US National Institute on Drug Abuse, January 2017\n",
"Jump up ^ Secure and Responsible Drug Disposal Act of 2010 Oct. 12, 2010, Government Publishing Office, 4pp\n",
"Jump up ^ \"Tackling the Opioid Public Health Crisis\", College of Physicians and Surgeons of Ontario, September 8, 2010\n",
"Jump up ^ \"First Do No Harm: Responding to Canada’s Prescription Drug Crisis\", Canadian Centre on Substance Abuse, March 2013\n",
"Jump up ^ \"UK: Task Force offers ideas for opioid addiction solutions\". Delhidailynews.com. 2014-06-11. Retrieved 2016-01-07.\n",
"Jump up ^ Summary of the Comprehensive Addiction and Recovery Act, American Society of Addiction Medicine.\n",
"Jump up ^ Mike DeBonis, Congress passes 21st Century Cures Act, boosting research and easing drug approvals, Washington Post (December 7, 2016).\n",
"Jump up ^ Juliet Eilperin & Carolyn Y. Johnson, paying tribute to Biden and bipartisanship, signs 21st Century Cures Act Tuesday, Washington Post (December 13, 2016).\n",
"Jump up ^ \"Opioid Epidemic: Trump to Set Up Commission on Addiction Crisis\", NBC News, March 29, 2017\n",
"Jump up ^ \"It's time to 'Trump' opioid addiction in the United States\", The Hill, Feb. 27, 2017\n",
"Jump up ^ \"President Trump Hosts an Opioid and Drug Abuse Listening Session\", Real Clear Politics, March 29, 2017\n",
"Jump up ^ Commissioner, Office of the. \"Press Announcements – FDA requests removal of Opana ER for risks related to abuse\". www.fda.gov. Retrieved 2017-06-15.\n",
"Jump up ^ \"Trump to tap Rep. Tom Marino as 'drug czar'\". Politico. September 1, 2017. Retrieved 13 October 2017.\n",
"Jump up ^ \"A Compact to Fight Opioid Addiction\", National Governors Assoc., July 13, 2016\n",
"Jump up ^ \"Hogan-Rutherford Administration Declares State of Emergency, Announces Major Funding to Combat Heroin and Opioid Crisis in Maryland\", Maryland.gov, March 1, 2017\n",
"Jump up ^ \"Gov. Hogan Announces Opioid Epidemic State Of Emergency\", CBS Baltimore, March 1, 2017\n",
"Jump up ^ \"Delaware lawmakers tackle opioid addiction epidemic\", Newsworks, March 23, 2017\n",
"Jump up ^ \"Governor Snyder rolls out plan to fight opioid addiction\", WILX, March 23, 2017\n",
"Jump up ^ \"Snyder: Efforts to stop opioid abuse aren’t working\", Michigan Radio, March 23, 2017\n",
"Jump up ^ \"HB0299\". le.utah.gov. Retrieved 2017-07-27.\n",
"Jump up ^ \"Opioid distributors sued by West Virginia counties hit by drug crisis\". Washington Post. Retrieved 2017-06-27.\n",
"Jump up ^ \"Lawyer Behind West Virginia County Lawsuit Against Opioid Distributors\". NPR.org. Retrieved 2017-06-27.\n",
"Jump up ^ \"U.S. City Sues OxyContin Maker For Contributing To Opioid Crisis\", NPR, Feb. 3, 2017\n",
"Jump up ^ Dowell, Deborah; Haegerich, Tamara; Chou, Roger (March 15, 2016). \"CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016\". JAMA. 315: 1624–45. PMID 26977696. doi:10.1001/jama.2016.1464. Retrieved March 18, 2016.\n",
"Jump up ^ Missouri is final state to pass PDMP program; US News & World Report; April 13, 2017\n",
"Jump up ^ Rutkow Lainie; et al. (2015). \"Most primary care physicians are aware of prescription drug monitoring programs, but many find the data difficult to access\". Health Affairs. 34 (3): 484–492. doi:10.1377/hlthaff.2014.1085.\n",
"Jump up ^ Matthew Perrone, Associated Press. \"Painkiller politics: Effort to curb prescribing under fire\". The Washington Times. Retrieved 2017-06-13.\n",
"Jump up ^ Ghorayshi, Azeen. \"Missouri Is The Only State In The US Where Doctors Have No Idea What Prescriptions People Are Getting\". BuzzFeed. Retrieved 11 April 2017.\n",
"^ Jump up to: a b McGinty, E. \"Criminal Activity or Treatable Health Condition? News Media Framing of Opioid Analgesic Abuse in the United States\". Psychiatric Services. 67: 405–411.\n",
"^ Jump up to: a b Netherland, J. (December 2016). \"The War on Drugs That Wasn't: Wasted Whiteness, \"Dirty Doctors,\" and Race in Media Coverage of Prescription Opioid Misuse\". Cult Med Psychiatry. 40 (4): 664–686.\n",
"Jump up ^ \"Major Science Report Lays Out a Plan to Tamp Down Opioid Crisis\", Scientific American, July 13, 2017\n",
"^ Jump up to: a b Veilleux, Jennifer. \"A Review of Opioid Dependence Treatment: Pharmacological and Psychosocial Interventions to Treat Opioid Addiction\". Clinical Psychology Review. 30.2: 155–166.\n",
"^ Jump up to: a b c d e Dixon, David (May 13, 2017). \"Opioid Abuse Treatment and Management: Medical Care\". Medscape.\n",
"^ Jump up to: a b \"WHAT ARE MY TREATMENT OPTIONS?\". TURN TO HELP. June 11, 2017.\n",
"^ Jump up to: a b \"My View: New approach needed for opioid epidemic\", Portland Tribune, July 25, 2017\n",
"Jump up ^ Buprenorphine, SAMHSA\n",
"Jump up ^ \"Heroin Abuse Solutions\". Narconon New Life Retreat. June 12, 2017.\n",
"Jump up ^ \"12 Step Programs for Drug Rehab & Alcohol Treatment\". American Addiction Centers. June 6, 2017.\n"
]
}
],
"source": [
"text = open('opioid_epidemic.txt').read() # open text file of text from opioid epidemic Wikipedia page\n",
"print(text)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"The processing that spaCy does can be done in one line:"
]
},
{
"cell_type": "code",
"execution_count": 3,
"metadata": {},
"outputs": [],
"source": [
"parsed_text = nlp(text)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"In case you want to know what the data type is of any Python object, use the `type` function:"
]
},
{
"cell_type": "code",
"execution_count": 4,
"metadata": {},
"outputs": [
{
"data": {
"text/plain": [
"spacy.tokens.doc.Doc"
]
},
"execution_count": 4,
"metadata": {},
"output_type": "execute_result"
}
],
"source": [
"type(parsed_text)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"At this point, we can iterate through the variable `parsed_text` using a for loop. Each element of `parsed_text` is a token:"
]
},
{
"cell_type": "code",
"execution_count": 5,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"The the DET \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"or or CCONJ \n",
"opioid opioid ADJ \n",
"crisis crisis NOUN \n",
"is be VERB \n",
"the the DET \n",
"rapid rapid ADJ \n",
"increase increase NOUN \n",
"in in ADP \n",
"the the DET \n",
"use use NOUN \n",
"of of ADP \n",
"prescription prescription NOUN \n",
"and and CCONJ \n",
"non non ADJ \n",
"- - PUNCT \n",
"prescription prescription NOUN \n",
"opioid opioid NOUN \n",
"drugs drug NOUN \n",
"in in ADP \n",
"the the DET GPE\n",
"United united PROPN GPE\n",
"States states PROPN GPE\n",
"and and CCONJ \n",
"Canada canada PROPN GPE\n",
"in in ADP \n",
"the the DET DATE\n",
"2010s 2010s NUM DATE\n",
". . PUNCT \n",
"Opioids opioid NOUN \n",
"are be VERB \n",
"a a DET \n",
"diverse diverse ADJ \n",
"class class NOUN \n",
"of of ADP \n",
"moderately moderately ADV \n",
"strong strong ADJ \n",
"painkillers painkiller NOUN \n",
", , PUNCT \n",
"including include VERB \n",
"oxycodone oxycodone NOUN \n",
"( ( PUNCT \n",
"commonly commonly ADV \n",
"sold sell VERB \n",
"under under ADP \n",
"the the DET \n",
"trade trade NOUN \n",
"names name NOUN \n",
"OxyContin oxycontin PROPN PERSON\n",
"and and CCONJ \n",
"Percocet percocet PROPN PERSON\n",
") ) PUNCT \n",
", , PUNCT \n",
"hydrocodone hydrocodone PROPN \n",
"( ( PUNCT \n",
"Vicodin vicodin PROPN PERSON\n",
") ) PUNCT \n",
", , PUNCT \n",
"and and CCONJ \n",
"a a DET \n",
"very very ADV \n",
"strong strong ADJ \n",
"painkiller painkiller NOUN \n",
", , PUNCT \n",
"fentanyl fentanyl NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"is be VERB \n",
"synthesized synthesize VERB \n",
"to to PART \n",
"resemble resemble VERB \n",
"other other ADJ \n",
"opiates opiate NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"opium opium NOUN \n",
"- - PUNCT \n",
"derived derive VERB \n",
"morphine morphine NOUN \n",
"and and CCONJ \n",
"heroin heroin NOUN \n",
". . PUNCT \n",
"The the DET \n",
"potency potency NOUN \n",
"and and CCONJ \n",
"availability availability NOUN \n",
"of of ADP \n",
"these these DET \n",
"substances substance NOUN \n",
", , PUNCT \n",
"despite despite ADP \n",
"their -PRON- ADJ \n",
"high high ADJ \n",
"risk risk NOUN \n",
"of of ADP \n",
"addiction addiction NOUN \n",
"and and CCONJ \n",
"overdose overdose NOUN \n",
", , PUNCT \n",
"have have VERB \n",
"made make VERB \n",
"them -PRON- PRON \n",
"popular popular ADJ \n",
"both both DET \n",
"as as ADP \n",
"formal formal ADJ \n",
"medical medical ADJ \n",
"treatments treatment NOUN \n",
"and and CCONJ \n",
"as as ADP \n",
"recreational recreational ADJ \n",
"drugs drug NOUN \n",
". . PUNCT \n",
"Due due ADP \n",
"to to ADP \n",
"their -PRON- ADJ \n",
"sedative sedative ADJ \n",
"effects effect NOUN \n",
"on on ADP \n",
"the the DET \n",
"part part NOUN \n",
"of of ADP \n",
"the the DET \n",
"brain brain NOUN \n",
"which which ADJ \n",
"regulates regulate VERB \n",
"breathing breathing NOUN \n",
", , PUNCT \n",
"opioids opioid NOUN \n",
"in in ADP \n",
"high high ADJ \n",
"doses dos NOUN \n",
"present present VERB \n",
"the the DET \n",
"potential potential NOUN \n",
"for for ADP \n",
"respiratory respiratory ADJ \n",
"depression depression NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"may may VERB \n",
"cause because VERB \n",
"respiratory respiratory ADJ \n",
"failure failure NOUN \n",
"and and CCONJ \n",
"death.[2 death.[2 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"According accord VERB \n",
"to to ADP \n",
"the the DET ORG\n",
"U.S. u.s. PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Enforcement enforcement PROPN ORG\n",
"Administration administration PROPN ORG\n",
", , PUNCT \n",
"\" \" PUNCT \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
", , PUNCT \n",
"particularly particularly ADV \n",
"from from ADP \n",
"prescription prescription NOUN \n",
"drugs drug NOUN \n",
"and and CCONJ \n",
"heroin heroin NOUN \n",
", , PUNCT \n",
"have have VERB \n",
"reached reach VERB \n",
"epidemic epidemic NOUN \n",
"levels.\"[3]:iii levels.\"[3]:iii ADV ORG\n",
"Nearly nearly ADV CARDINAL\n",
"half half NOUN CARDINAL\n",
"of of ADP \n",
"all all DET \n",
"opioid opioid ADJ \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"in in ADP \n",
"2016 2016 NUM DATE\n",
"involved involved ADJ \n",
"prescription prescription NOUN \n",
"opioids.[1 opioids.[1 PROPN \n",
"] ] PUNCT \n",
"From from ADP \n",
"1999 1999 NUM DATE\n",
"to to ADP DATE\n",
"2008 2008 NUM DATE\n",
", , PUNCT \n",
"overdose overdose ADJ \n",
"death death NOUN \n",
"rates rate NOUN \n",
", , PUNCT \n",
"sales sale NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"substance substance NOUN \n",
"abuse abuse NOUN \n",
"treatment treatment NOUN \n",
"admissions admission NOUN \n",
"related relate VERB \n",
"to to ADP \n",
"opioid opioid VERB \n",
"pain pain NOUN \n",
"relievers reliever NOUN \n",
"all all DET \n",
"increased increase VERB \n",
"substantially.[4 substantially.[4 NOUN \n",
"] ] PUNCT \n",
"By by ADP \n",
"2015 2015 NUM DATE\n",
", , PUNCT \n",
"annual annual ADJ DATE\n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"from from ADP \n",
"heroin heroin NOUN \n",
"alone alone ADV \n",
"surpassed surpass VERB \n",
"deaths death NOUN \n",
"from from ADP \n",
"both both DET \n",
"car car NOUN \n",
"accidents accident NOUN \n",
"and and CCONJ \n",
"guns gun NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"other other ADJ \n",
"opioid opioid ADJ \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"also also ADV \n",
"on on ADP \n",
"the the DET DATE\n",
"rise.[5 rise.[5 NOUN DATE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Drug drug PROPN \n",
"overdoses overdos NOUN \n",
"have have VERB \n",
"since since ADP \n",
"become become VERB \n",
"the the DET \n",
"leading lead VERB \n",
"cause because NOUN \n",
"of of ADP \n",
"death death NOUN \n",
"of of ADP \n",
"Americans americans PROPN NORP\n",
"under under ADP \n",
"50 50 NUM DATE\n",
", , PUNCT \n",
"with with ADP \n",
"two two NUM CARDINAL\n",
"- - PUNCT CARDINAL\n",
"thirds third NOUN CARDINAL\n",
"of of ADP \n",
"those those DET \n",
"deaths death NOUN \n",
"from from ADP \n",
"opioids.[6 opioids.[6 ADJ \n",
"] ] PUNCT \n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"62,000 62,000 NUM CARDINAL\n",
"Americans americans PROPN NORP\n",
"died die VERB \n",
"from from ADP \n",
"overdoses overdos NOUN \n",
", , PUNCT \n",
"19 19 NUM PERCENT\n",
"percent percent NOUN PERCENT\n",
"more more ADJ \n",
"than than ADP \n",
"in in ADP \n",
"2015 2015 NUM DATE\n",
", , PUNCT \n",
"and and CCONJ \n",
"had have VERB \n",
"killed kill VERB \n",
"more more ADJ \n",
"Americans americans PROPN NORP\n",
"in in ADP \n",
"one one NUM DATE\n",
"year year NOUN DATE\n",
"than than ADP \n",
"both both DET \n",
"the the DET \n",
"wars war NOUN \n",
"in in ADP \n",
"Vietnam vietnam PROPN GPE\n",
"and and CCONJ \n",
"Iraq iraq PROPN GPE\n",
"combined.[7][6 combined.[7][6 NOUN \n",
"] ] PUNCT \n",
"By by ADP \n",
"comparison comparison NOUN \n",
", , PUNCT \n",
"the the DET \n",
"figure figure NOUN \n",
"was be VERB \n",
"16,000 16,000 NUM CARDINAL\n",
"in in ADP \n",
"2010 2010 NUM DATE\n",
", , PUNCT \n",
"and and CCONJ \n",
"4,000 4,000 NUM CARDINAL\n",
"in in ADP \n",
"1999 1999 NUM DATE\n",
". . PUNCT \n",
"Figures figure NOUN \n",
"from from ADP \n",
"June june PROPN DATE\n",
"2017 2017 NUM DATE\n",
"indicate indicate VERB \n",
"the the DET \n",
"problem problem NOUN \n",
"has have VERB \n",
"worsened.[8][9 worsened.[8][9 ADV \n",
"] ] PUNCT \n",
"While while ADP \n",
"death death NOUN \n",
"rates rate NOUN \n",
"varied vary VERB \n",
"by by ADP \n",
"state,[10 state,[10 PROPN DATE\n",
"] ] PUNCT \n",
"public public ADJ \n",
"health health NOUN \n",
"experts expert NOUN \n",
"estimate estimate VERB \n",
"that that ADP \n",
"nationwide nationwide ADV \n",
"over over ADP CARDINAL\n",
"500,000 500,000 NUM CARDINAL\n",
"people people NOUN \n",
"could could VERB \n",
"die die VERB \n",
"from from ADP \n",
"the the DET \n",
"epidemic epidemic NOUN \n",
"over over ADP \n",
"the the DET DATE\n",
"next next ADJ DATE\n",
"10 10 NUM DATE\n",
"years.[11 years.[11 NOUN DATE\n",
"] ] PUNCT DATE\n",
"\n",
"\n",
" \n",
"\n",
" SPACE DATE\n",
"In in ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"Larry larry PROPN PERSON\n",
"Hogan hogan PROPN PERSON\n",
", , PUNCT \n",
"the the DET \n",
"governor governor NOUN \n",
"of of ADP \n",
"Maryland maryland PROPN GPE\n",
", , PUNCT \n",
"declared declare VERB \n",
"a a DET \n",
"state state NOUN \n",
"of of ADP \n",
"emergency emergency NOUN \n",
"to to PART \n",
"combat combat VERB \n",
"the the DET \n",
"opioid opioid ADJ \n",
"epidemic,[12 epidemic,[12 NOUN ORG\n",
"] ] PUNCT \n",
"and and CCONJ \n",
"in in ADP \n",
"July july PROPN DATE\n",
"2017 2017 NUM DATE\n",
"opioid opioid NOUN \n",
"addiction addiction NOUN \n",
"was be VERB \n",
"cited cite VERB \n",
"as as ADP \n",
"the the DET \n",
"\" \" PUNCT \n",
"FDA fda PROPN ORG\n",
"'s 's PART \n",
"biggest big ADJ \n",
"crisis.\"[13 crisis.\"[13 PROPN \n",
"] ] PUNCT \n",
"CDC cdc PROPN ORG\n",
"director director NOUN \n",
"Thomas thomas PROPN PERSON\n",
"Frieden frieden PROPN PERSON\n",
"said say VERB \n",
"that that ADP \n",
"\" \" PUNCT \n",
"America america PROPN GPE\n",
"is be VERB \n",
"awash awash NOUN \n",
"in in ADP \n",
"opioids opioid NOUN \n",
"; ; PUNCT \n",
"urgent urgent ADJ \n",
"action action NOUN \n",
"is be VERB \n",
"critical.\"[14 critical.\"[14 PROPN \n",
"] ] PUNCT \n",
"The the DET \n",
"crisis crisis NOUN \n",
"has have VERB \n",
"changed change VERB \n",
"moral moral ADJ \n",
", , PUNCT \n",
"social social ADJ \n",
", , PUNCT \n",
"and and CCONJ \n",
"cultural cultural ADJ \n",
"resistance resistance NOUN \n",
"to to ADP \n",
"street street NOUN \n",
"drug drug NOUN \n",
"alternatives alternative NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"heroin.[15 heroin.[15 PROPN \n",
"] ] PUNCT \n",
"On on ADP \n",
"August august PROPN DATE\n",
"10 10 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"President president PROPN \n",
"Donald donald PROPN PERSON\n",
"Trump trump PROPN PERSON\n",
"agreed agree VERB \n",
"with with ADP \n",
"his -PRON- ADJ \n",
"Commission commission PROPN ORG\n",
"'s 's PART \n",
"report report NOUN \n",
"released release VERB \n",
"few few ADJ DATE\n",
"weeks week NOUN DATE\n",
"earlier earlier ADV DATE\n",
"and and CCONJ \n",
"declared declare VERB \n",
"the the DET \n",
"country country NOUN \n",
"'s 's PART \n",
"opioid opioid NOUN \n",
"crisis crisis NOUN \n",
"a a DET \n",
"\" \" PUNCT \n",
"national national ADJ \n",
"emergency.\"[16][17 emergency.\"[16][17 NOUN ORG\n",
"] ] PUNCT \n",
"On on ADP \n",
"September september PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT \n",
"Trump trump PROPN ORG\n",
"nominated nominate VERB \n",
"as as ADP \n",
"\" \" PUNCT \n",
"drug drug NOUN \n",
"czar czar NOUN \n",
"\" \" PUNCT \n",
"Tom tom PROPN PERSON\n",
"Marino marino PROPN PERSON\n",
", , PUNCT \n",
"whose whose ADJ \n",
"election election NOUN \n",
"campaign campaign NOUN \n",
"had have VERB \n",
"been be VERB \n",
"financed finance VERB \n",
"by by ADP \n",
"pharmaceutical pharmaceutical ADJ \n",
"distribution distribution NOUN \n",
"companies company NOUN \n",
"that that ADJ \n",
"had have VERB \n",
"lobbied lobby VERB \n",
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", , PUNCT \n",
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]
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{
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", , PUNCT \n",
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"co co NOUN \n",
"- - PUNCT \n",
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"by by ADP \n",
"Marino marino PROPN PERSON\n",
"which which ADJ \n",
"protected protect VERB \n",
"pharmacies pharmacy NOUN \n",
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"of of ADP \n",
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"pills.[18 pills.[18 NUM GPE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE PERSON\n",
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" SPACE \n",
"[ [ PUNCT \n",
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"] ] PUNCT \n",
"\n",
" \n",
" SPACE LAW\n",
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" SPACE LAW\n",
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"United united PROPN ORG\n",
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"\n",
" \n",
" SPACE ORG\n",
"1.1 1.1 NUM \n",
" SPACE \n",
"Main main PROPN \n",
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"\n",
" \n",
" SPACE GPE\n",
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" SPACE \n",
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"\n",
" \n",
" SPACE GPE\n",
"1.3 1.3 NUM ORG\n",
" SPACE ORG\n",
"Fentanyl fentanyl PROPN ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"1.4 1.4 NUM CARDINAL\n",
" SPACE \n",
"History history NOUN \n",
"of of ADP \n",
"opiate opiate NOUN \n",
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"the the DET GPE\n",
"United united PROPN GPE\n",
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"\n",
" \n",
" SPACE \n",
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" SPACE \n",
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" \n",
" SPACE EVENT\n",
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" SPACE EVENT\n",
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" \n",
" SPACE FAC\n",
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" SPACE \n",
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" \n",
" SPACE ORG\n",
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" SPACE \n",
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"\n",
" \n",
" SPACE GPE\n",
"2.2 2.2 NUM CARDINAL\n",
" SPACE \n",
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"\n",
" \n",
" SPACE GPE\n",
"2.3 2.3 NUM CARDINAL\n",
" SPACE CARDINAL\n",
"Prescription prescription PROPN CARDINAL\n",
"drug drug NOUN \n",
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"\n",
" \n",
" SPACE GPE\n",
"2.4 2.4 NUM CARDINAL\n",
" SPACE \n",
"In in ADP \n",
"the the DET \n",
"media medium NOUN \n",
"\n",
" \n",
" SPACE GPE\n",
"2.5 2.5 NUM \n",
" SPACE \n",
"Solutions solutions PROPN \n",
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"\n",
" \n",
" SPACE GPE\n",
"2.5.1 2.5.1 NOUN CARDINAL\n",
" SPACE \n",
"Naloxone naloxone PROPN ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"2.5.2 2.5.2 NUM ORG\n",
" SPACE ORG\n",
"Methadone methadone PROPN \n",
"\n",
" \n",
" SPACE GPE\n",
"2.5.3 2.5.3 NUM CARDINAL\n",
" SPACE \n",
"Buprenorphine buprenorphine PROPN \n",
"\n",
" \n",
" SPACE \n",
"2.5.4 2.5.4 NUM CARDINAL\n",
" SPACE \n",
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"\n",
" \n",
" SPACE GPE\n",
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" SPACE \n",
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" \n",
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" SPACE \n",
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"\n",
" \n",
" SPACE GPE\n",
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" SPACE \n",
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"\n",
" \n",
" SPACE EVENT\n",
"Background background PROPN EVENT\n",
"in in ADP \n",
"the the DET FAC\n",
"United united PROPN FAC\n",
"States[edit states[edit PROPN FAC\n",
"] ] PUNCT FAC\n",
"\n",
" \n",
" SPACE GPE\n",
"Main main PROPN \n",
"causes[edit causes[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"What what NOUN \n",
"the the DET ORG\n",
"U.S. u.s. PROPN ORG\n",
"Surgeon surgeon PROPN ORG\n",
"General general PROPN ORG\n",
"calls call VERB \n",
"\" \" PUNCT \n",
"The the DET WORK_OF_ART\n",
"Opioid opioid PROPN WORK_OF_ART\n",
"Crisis crisis PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
"likely likely ADV \n",
"began begin VERB \n",
"with with ADP \n",
"over over ADP \n",
"- - PUNCT \n",
"prescription prescription NOUN \n",
"of of ADP \n",
"powerful powerful ADJ \n",
"opioid opioid NOUN \n",
"pain pain NOUN \n",
"relievers reliever NOUN \n",
"in in ADP \n",
"the the DET DATE\n",
"1990s 1990 NOUN DATE\n",
", , PUNCT \n",
"which which ADJ \n",
"led lead VERB \n",
"to to ADP \n",
"them -PRON- PRON \n",
"becoming become VERB \n",
"the the DET \n",
"most most ADV \n",
"prescribed prescribed ADJ \n",
"class class NOUN \n",
"of of ADP \n",
"medications medication NOUN \n",
"in in ADP \n",
"the the DET GPE\n",
"United united PROPN GPE\n",
"States states PROPN GPE\n",
". . PUNCT \n",
"As as ADP \n",
"of of ADP \n",
"2016 2016 NUM DATE\n",
"more more ADJ CARDINAL\n",
"than than ADP CARDINAL\n",
"289 289 NUM CARDINAL\n",
"million million NUM CARDINAL\n",
"prescriptions prescription NOUN \n",
"were be VERB \n",
"written write VERB \n",
"for for ADP \n",
"opioid opioid ADJ \n",
"drugs drug NOUN \n",
"per per ADP \n",
"year.[19]:43In year.[19]:43in NOUN \n",
"the the DET DATE\n",
"late late ADJ DATE\n",
"1990s 1990 NOUN DATE\n",
", , PUNCT \n",
"many many ADJ \n",
"Americans americans PROPN NORP\n",
"were be VERB \n",
"diagnosed diagnose VERB \n",
"with with ADP \n",
"chronic chronic ADJ \n",
"pain pain NOUN \n",
", , PUNCT \n",
"estimated estimate VERB \n",
"to to PART \n",
"affect affect VERB \n",
"around around ADP CARDINAL\n",
"100 100 NUM CARDINAL\n",
"million million NUM CARDINAL\n",
"people people NOUN \n",
"or or CCONJ \n",
"a a DET CARDINAL\n",
"third third NOUN CARDINAL\n",
"of of ADP \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
"population population NOUN \n",
". . PUNCT \n",
"This this DET \n",
"led lead VERB \n",
"to to ADP \n",
"a a DET \n",
"push push NOUN \n",
"by by ADP \n",
"drug drug NOUN \n",
"companies company NOUN \n",
"and and CCONJ \n",
"the the DET \n",
"federal federal ADJ \n",
"government government NOUN \n",
"to to PART \n",
"expand expand VERB \n",
"the the DET \n",
"use use NOUN \n",
"of of ADP \n",
"painkilling painkill VERB \n",
"opioids.[10 opioids.[10 NUM \n",
"] ] PUNCT \n",
"Between between ADP DATE\n",
"1991 1991 NUM DATE\n",
"and and CCONJ DATE\n",
"2011 2011 NUM DATE\n",
", , PUNCT \n",
"painkiller painkiller NOUN \n",
"prescriptions prescription NOUN \n",
"in in ADP \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
"tripled triple VERB \n",
"from from ADP \n",
"76 76 NUM CARDINAL\n",
"million million NUM CARDINAL\n",
"to to ADP \n",
"219 219 NUM CARDINAL\n",
"million million NUM CARDINAL\n",
"per per ADP \n",
"year year NOUN \n",
". . PUNCT \n",
"Among among ADP \n",
"the the DET \n",
"most most ADV \n",
"common common ADJ \n",
"opioids opioid NOUN \n",
"prescribed prescribe VERB \n",
"have have VERB \n",
"been be VERB \n",
"oxycodone oxycodone NOUN \n",
"( ( PUNCT \n",
"OxyContin oxycontin PROPN PERSON\n",
"and and CCONJ \n",
"Percocet percocet PROPN PERSON\n",
") ) PUNCT \n",
"and and CCONJ \n",
"hydrocodone hydrocodone PROPN \n",
"( ( PUNCT \n",
"Vicodin vicodin PROPN PERSON\n",
") ) PUNCT \n",
". . PUNCT \n",
"With with ADP \n",
"the the DET \n",
"increase increase NOUN \n",
"in in ADP \n",
"volume volume NOUN \n",
", , PUNCT \n",
"potency potency NOUN \n",
"of of ADP \n",
"opioids opioid NOUN \n",
"also also ADV \n",
"increased increase VERB \n",
". . PUNCT \n",
"By by ADP \n",
"2002 2002 NUM DATE\n",
", , PUNCT \n",
"one one NUM CARDINAL\n",
"in in ADP \n",
"six six NUM CARDINAL\n",
"drug drug NOUN \n",
"users user NOUN \n",
"were be VERB \n",
"being be VERB \n",
"prescribed prescribe VERB \n",
"drugs drug NOUN \n",
"more more ADV \n",
"powerful powerful ADJ \n",
"than than ADP \n",
"morphine morphine NOUN \n",
"; ; PUNCT \n",
"by by ADP \n",
"2012 2012 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"ratio ratio NOUN \n",
"had have VERB \n",
"doubled double VERB \n",
"to to ADP \n",
"one one NUM CARDINAL\n",
"- - PUNCT \n",
"in in ADP \n",
"- - PUNCT \n",
"three.[10 three.[10 ADJ \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE PERSON\n",
"Despite despite ADP PERSON\n",
"the the DET \n",
"increased increase VERB \n",
"use use NOUN \n",
"of of ADP \n",
"painkillers painkiller NOUN \n",
", , PUNCT \n",
"there there ADV \n",
"has have VERB \n",
"been be VERB \n",
"no no DET \n",
"change change NOUN \n",
"in in ADP \n",
"the the DET \n",
"amount amount NOUN \n",
"of of ADP \n",
"pain pain NOUN \n",
"reported report VERB \n",
"in in ADP \n",
"the the DET \n",
"U.S.[20][19 u.s.[20][19 NOUN GPE\n",
"] ] PUNCT \n",
"This this DET \n",
"has have VERB \n",
"led lead VERB \n",
"to to ADP \n",
"differing differ VERB \n",
"medical medical ADJ \n",
"opinions opinion NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"some some DET \n",
"noting note VERB \n",
"that that ADP \n",
"there there ADV \n",
"is be VERB \n",
"little little ADJ \n",
"evidence evidence NOUN \n",
"that that ADP \n",
"opioids opioid NOUN \n",
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"effective effective ADJ \n",
"for for ADP \n",
"chronic chronic ADJ \n",
"pain pain NOUN \n",
"not not ADV \n",
"caused cause VERB \n",
"by by ADP \n",
"cancer.[21 cancer.[21 PROPN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Effects[edit effects[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"When when ADV \n",
"people people NOUN \n",
"continue continue VERB \n",
"to to PART \n",
"use use VERB \n",
"opioids opioid NOUN \n",
"beyond beyond ADP \n",
"what what NOUN \n",
"a a DET \n",
"doctor doctor NOUN \n",
"prescribes prescribe VERB \n",
", , PUNCT \n",
"whether whether ADP \n",
"to to PART \n",
"minimize minimize VERB \n",
"pain pain NOUN \n",
"or or CCONJ \n",
"to to PART \n",
"enjoy enjoy VERB \n",
"the the DET \n",
"euphoric euphoric ADJ \n",
"feelings feeling NOUN \n",
", , PUNCT \n",
"it -PRON- PRON \n",
"can can VERB \n",
"mark mark VERB \n",
"the the DET \n",
"beginning beginning NOUN \n",
"stages stage NOUN \n",
"of of ADP \n",
"an an DET \n",
"opiate opiate NOUN \n",
"addiction addiction NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"a a DET \n",
"tolerance tolerance NOUN \n",
"developing develop VERB \n",
"and and CCONJ \n",
"eventually eventually ADV \n",
"leading lead VERB \n",
"to to ADP \n",
"dependence dependence NOUN \n",
", , PUNCT \n",
"when when ADV \n",
"a a DET \n",
"person person NOUN \n",
"relies rely VERB \n",
"on on ADP \n",
"the the DET \n",
"drug drug NOUN \n",
"to to PART \n",
"prevent prevent VERB \n",
"withdrawal withdrawal NOUN \n",
"symptoms.[22 symptoms.[22 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"As as ADP \n",
"the the DET \n",
"number number NOUN \n",
"of of ADP \n",
"opioid opioid ADJ \n",
"prescriptions prescription NOUN \n",
"rose rise VERB \n",
", , PUNCT \n",
"drug drug NOUN \n",
"cartels cartel NOUN \n",
"began begin VERB \n",
"flooding flood VERB \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
"with with ADP \n",
"heroin heroin NOUN \n",
". . PUNCT \n",
"For for ADP \n",
"many many ADJ \n",
"opioid opioid ADJ \n",
"users user NOUN \n",
", , PUNCT \n",
"heroin heroin NOUN \n",
"was be VERB \n",
"cheaper cheap ADJ \n",
", , PUNCT \n",
"more more ADV \n",
"potent potent ADJ \n",
", , PUNCT \n",
"and and CCONJ \n",
"often often ADV \n",
"easier easy ADJ \n",
"to to PART \n",
"acquire acquire VERB \n",
"than than ADP \n",
"prescription prescription NOUN \n",
"medications.[8 medications.[8 NOUN \n",
"] ] PUNCT \n",
"According accord VERB \n",
"to to ADP \n",
"the the DET \n",
"CDC cdc PROPN ORG\n",
", , PUNCT \n",
"tighter tight ADJ \n",
"prescription prescription NOUN \n",
"policies policy NOUN \n",
"by by ADP \n",
"doctors doctor NOUN \n",
"did do VERB \n",
"not not ADV \n",
"necessarily necessarily ADV \n",
"lead lead VERB \n",
"to to ADP \n",
"this this DET \n",
"increased increase VERB \n",
"heroin heroin NOUN \n",
"use.[21 use.[21 PROPN \n",
"] ] PUNCT \n"
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"The the DET \n",
"main main ADJ \n",
"suppliers supplier NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
"to to ADP \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
"have have VERB \n",
"been be VERB \n",
"Mexican mexican ADJ NORP\n",
"transnational transnational ADJ \n",
"criminal criminal ADJ \n",
"organizations.[8 organizations.[8 NOUN \n",
"] ] PUNCT \n",
"From from ADP \n",
"2005–2009 2005–2009 NUM \n",
", , PUNCT \n",
"Mexican mexican ADJ NORP\n",
"heroin heroin NOUN \n",
"production production NOUN \n",
"increased increase VERB \n",
"by by ADP \n",
"over over ADP PERCENT\n",
"600 600 NUM PERCENT\n",
"% % NOUN PERCENT\n",
", , PUNCT \n",
"from from ADP \n",
"an an DET QUANTITY\n",
"estimated estimate VERB QUANTITY\n",
"8 8 NUM QUANTITY\n",
"metric metric ADJ QUANTITY\n",
"tons ton NOUN QUANTITY\n",
"in in ADP \n",
"2005 2005 NUM DATE\n",
"to to ADP \n",
"50 50 NUM QUANTITY\n",
"metric metric ADJ QUANTITY\n",
"tons ton NOUN QUANTITY\n",
"in in ADP \n",
"2009.[8 2009.[8 NUM DATE\n",
"] ] PUNCT DATE\n",
"Between between ADP \n",
"2010 2010 NUM \n",
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"2014 2014 NUM DATE\n",
", , PUNCT \n",
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"seized seize VERB \n",
"at at ADP \n",
"the the DET \n",
"border border NOUN \n",
"more more ADJ \n",
"than than ADP \n",
"doubled.[23 doubled.[23 PROPN \n",
"] ] PUNCT \n",
"According accord VERB \n",
"to to ADP \n",
"the the DET \n",
"DEA dea PROPN ORG\n",
", , PUNCT \n",
"smugglers smuggler NOUN \n",
"and and CCONJ \n",
"distributors distributor NOUN \n",
"\" \" PUNCT \n",
"profit profit NOUN \n",
"primarily primarily ADV \n",
"by by ADP \n",
"putting put VERB \n",
"drugs drug NOUN \n",
"on on ADP \n",
"the the DET \n",
"street street NOUN \n",
"and and CCONJ \n",
"have have VERB \n",
"become become VERB \n",
"crucial crucial ADJ \n",
"to to ADP \n",
"the the DET ORG\n",
"Mexican mexican ADJ ORG\n",
"cartels.\"[3]:3 cartels.\"[3]:3 NOUN ORG\n",
"\n",
"\n",
"\n",
" \n",
"\n",
"\n",
" SPACE ORG\n",
"Opiate opiate PROPN ORG\n",
"self self NOUN \n",
"- - PUNCT \n",
"injection injection NOUN \n",
"paraphernalia paraphernalia NOUN \n",
"\n",
" \n",
" SPACE GPE\n",
"The the DET \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"has have VERB \n",
"since since ADP \n",
"emerged emerge VERB \n",
"as as ADP \n",
"one one NUM CARDINAL\n",
"of of ADP \n",
"the the DET \n",
"worst bad ADJ \n",
"drug drug NOUN \n",
"crises crisis NOUN \n",
"in in ADP \n",
"American american ADJ NORP\n",
"history history NOUN \n",
": : PUNCT \n",
"more more ADJ CARDINAL\n",
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"33,000 33,000 NUM CARDINAL\n",
"people people NOUN \n",
"died die VERB \n",
"from from ADP \n",
"overdoses overdos NOUN \n",
"in in ADP \n",
"2015 2015 NUM DATE\n",
", , PUNCT \n",
"nearly nearly ADV \n",
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"number number NOUN \n",
"of of ADP \n",
"deaths death NOUN \n",
"from from ADP \n",
"car car NOUN \n",
"crashes crash NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"deaths death NOUN \n",
"from from ADP \n",
"heroin heroin NOUN \n",
"alone alone ADV \n",
"more more ADJ \n",
"than than ADP \n",
"from from ADP \n",
"gun gun NOUN \n",
"homicides.[24 homicides.[24 NOUN \n",
"] ] PUNCT \n",
"It -PRON- PRON \n",
"has have VERB \n",
"also also ADV \n",
"left leave VERB \n",
"thousands thousand NOUN CARDINAL\n",
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"children child NOUN \n",
"suddenly suddenly ADV \n",
"in in ADP \n",
"need need NOUN \n",
"of of ADP \n",
"foster foster ADJ \n",
"care care NOUN \n",
"after after ADP \n",
"their -PRON- ADJ \n",
"parents parent NOUN \n",
"have have VERB \n",
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"from from ADP \n",
"an an DET CARDINAL\n",
"overdose.[25 overdose.[25 NOUN CARDINAL\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Fentanyl[edit fentanyl[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"There there ADV \n",
"have have VERB \n",
"always always ADV \n",
"been be VERB \n",
"drug drug NOUN \n",
"addicts addict NOUN \n",
"in in ADP \n",
"need need NOUN \n",
"of of ADP \n",
"help help NOUN \n",
", , PUNCT \n",
"but but CCONJ \n",
"the the DET \n",
"scale scale NOUN \n",
"of of ADP \n",
"the the DET \n",
"present present ADJ \n",
"wave wave NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
"and and CCONJ \n",
"opioid opioid NOUN \n",
"abuse abuse NOUN \n",
"is be VERB \n",
"unprecedented unprecedented ADJ \n",
". . PUNCT \n",
"In in ADP \n",
"Maryland maryland PROPN GPE\n",
", , PUNCT \n",
"the the DET DATE\n",
"first first ADJ DATE\n",
"six six NUM DATE\n",
"months month NOUN DATE\n",
"of of ADP DATE\n",
"2015 2015 NUM DATE\n",
"saw see VERB \n",
"121 121 NUM CARDINAL\n",
"fentanyl fentanyl NOUN \n",
"deaths death NOUN \n",
". . PUNCT \n",
"In in ADP \n",
"the the DET DATE\n",
"first first ADJ DATE\n",
"six six NUM DATE\n",
"months month NOUN DATE\n",
"of of ADP DATE\n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"figure figure NOUN \n",
"rose rise VERB \n",
"to to ADP \n",
"446 446 NUM CARDINAL\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Christopher christopher PROPN PERSON\n",
"Caldwell caldwell PROPN PERSON\n",
", , PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"senior senior ADJ \n",
"editor editor NOUN \n",
"The the DET ORG\n",
"Weekly weekly PROPN ORG\n",
"Standard[15 standard[15 PROPN ORG\n",
"] ] PUNCT ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"Fentanyl fentanyl PROPN \n",
", , PUNCT \n",
"a a DET \n",
"newer new ADJ \n",
"synthetic synthetic ADJ \n",
"opioid opioid NOUN \n",
"painkiller painkiller NOUN \n",
", , PUNCT \n",
"is be VERB \n",
"50 50 NUM CARDINAL\n",
"to to PART CARDINAL\n",
"100 100 NUM CARDINAL\n",
"times time NOUN \n",
"more more ADV \n",
"potent potent ADJ \n",
"than than ADP \n",
"morphine morphine NOUN \n",
"and and CCONJ \n",
"30 30 NUM CARDINAL\n",
"to to PART CARDINAL\n",
"50 50 NUM CARDINAL\n",
"times time NOUN \n",
"more more ADV \n",
"potent potent ADJ \n",
"than than ADP \n",
"heroin,[15 heroin,[15 NOUN \n",
"] ] PUNCT \n",
"with with ADP \n",
"only only ADV CARDINAL\n",
"2 2 NUM CARDINAL\n",
"mg mg ADP \n",
"becoming become VERB \n",
"a a DET \n",
"lethal lethal ADJ \n",
"dose dose NOUN \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"pure pure ADJ \n",
"white white ADJ \n",
", , PUNCT \n",
"odorless odorless NOUN \n",
"and and CCONJ \n",
"flavorless flavorless NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"a a DET \n",
"potency potency NOUN \n",
"strong strong ADJ \n",
"enough enough ADV \n",
"that that DET \n",
"police police NOUN \n",
"and and CCONJ \n",
"first first ADJ ORDINAL\n",
"responders responder NOUN \n",
"helping help VERB \n",
"overdose overdose ADJ \n",
"victims victim NOUN \n",
"have have VERB \n",
"themselves -PRON- PRON \n",
"overdosed overdose VERB \n",
"by by ADP \n",
"simply simply ADV \n",
"touching touch VERB \n",
"or or CCONJ \n",
"inhaling inhale VERB \n",
"a a DET \n",
"small small ADJ \n",
"amount.[26][27][28 amount.[26][27][28 NOUN \n",
"] ] PUNCT \n",
"As as ADP \n",
"a a DET \n",
"result result NOUN \n",
", , PUNCT \n",
"the the DET \n",
"DEA dea PROPN ORG\n",
"has have VERB \n",
"recommended recommend VERB \n",
"that that ADP \n",
"officers officer NOUN \n",
"not not ADV \n",
"field field VERB \n",
"test test NOUN \n",
"drugs drug NOUN \n",
"if if ADP \n",
"fentanyl fentanyl NOUN \n",
"is be VERB \n",
"suspected suspect VERB \n",
", , PUNCT \n",
"but but CCONJ \n",
"instead instead ADV \n",
"collect collect VERB \n",
"and and CCONJ \n",
"send send VERB \n",
"samples sample NOUN \n",
"to to ADP \n",
"a a DET \n",
"laboratory laboratory NOUN \n",
"for for ADP \n",
"analysis analysis NOUN \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"Exposure exposure NOUN \n",
"via via ADP \n",
"inhalation inhalation NOUN \n",
"or or CCONJ \n",
"skin skin NOUN \n",
"absorption absorption NOUN \n",
"can can VERB \n",
"be be VERB \n",
"deadly deadly ADJ \n",
", , PUNCT \n",
"\" \" PUNCT \n",
"they -PRON- PRON \n",
"state.[29 state.[29 VERB \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Fentanyl fentanyl PROPN \n",
"- - PUNCT \n",
"laced laced ADJ \n",
"heroin heroin NOUN \n",
"has have VERB \n",
"become become VERB \n",
"a a DET \n",
"big big ADJ \n",
"problem problem NOUN \n",
"for for ADP \n",
"major major ADJ \n",
"cities city NOUN \n",
", , PUNCT \n",
"including include VERB \n",
"Philadelphia philadelphia PROPN GPE\n",
", , PUNCT \n",
"Detroit detroit PROPN GPE\n",
"and and CCONJ \n",
"Chicago.[30 chicago.[30 PROPN GPE\n",
"] ] PUNCT \n",
"Its -PRON- ADJ \n",
"use use NOUN \n",
"has have VERB \n",
"caused cause VERB \n",
"a a DET \n",
"spike spike NOUN \n",
"in in ADP \n",
"deaths death NOUN \n",
"among among ADP \n",
"users user NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
"and and CCONJ \n",
"prescription prescription NOUN \n",
"painkillers painkiller NOUN \n",
", , PUNCT \n",
"while while ADP \n",
"becoming become VERB \n",
"easier easy ADJ \n",
"to to PART \n",
"obtain obtain VERB \n",
"and and CCONJ \n",
"conceal conceal VERB \n",
". . PUNCT \n",
"Some some DET \n",
"arrested arrest VERB \n",
"or or CCONJ \n",
"hospitalized hospitalize VERB \n",
"users user NOUN \n",
"are be VERB \n",
"surprised surprised ADJ \n",
"to to PART \n",
"find find VERB \n",
"that that ADP \n",
"what what NOUN \n",
"they -PRON- PRON \n",
"thought think VERB \n",
"was be VERB \n",
"heroin heroin NOUN \n",
"was be VERB \n",
"actually actually ADV \n",
"fentanyl.[15 fentanyl.[15 NOUN \n",
"] ] PUNCT \n",
"According accord VERB \n",
"to to ADP \n",
"CDC cdc PROPN ORG\n",
"director director NOUN \n",
"Thomas thomas PROPN PERSON\n",
"Frieden frieden PROPN PERSON\n",
": : PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"As as ADP \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"involving involve VERB \n",
"heroin heroin NOUN \n",
"more more ADV \n",
"than than ADP \n",
"quadrupled quadruple VERB \n",
"since since ADP \n",
"2010 2010 NUM DATE\n",
", , PUNCT \n",
"what what NOUN \n",
"was be VERB \n",
"a a DET \n",
"slow slow ADJ \n",
"stream stream NOUN \n",
"of of ADP \n",
"illicit illicit ADJ \n",
"fentanyl fentanyl NOUN \n",
", , PUNCT \n",
"a a DET \n",
"synthetic synthetic ADJ \n",
"opioid opioid NOUN \n",
"50 50 NUM CARDINAL\n",
"to to PART CARDINAL\n",
"100 100 NUM CARDINAL\n",
"times time NOUN \n",
"stronger strong ADJ \n",
"than than ADP \n",
"morphine morphine NOUN \n",
", , PUNCT \n",
"is be VERB \n",
"now now ADV \n",
"a a DET \n",
"flood flood NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"the the DET \n",
"amount amount NOUN \n",
"of of ADP \n",
"the the DET \n",
"powerful powerful ADJ \n",
"drug drug NOUN \n",
"seized seize VERB \n",
"by by ADP \n",
"law law NOUN \n",
"enforcement enforcement NOUN \n",
"increasing increase VERB \n",
"dramatically dramatically ADV \n",
". . PUNCT \n",
"America america PROPN GPE\n",
"is be VERB \n",
"awash awash NOUN \n",
"in in ADP \n",
"opioids opioid NOUN \n",
"; ; PUNCT \n",
"urgent urgent ADJ \n",
"action action NOUN \n",
"is be VERB \n",
"critical.[14 critical.[14 DET \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"According accord VERB \n",
"to to ADP \n",
"the the DET ORG\n",
"Centers centers PROPN ORG\n",
"for for ADP ORG\n",
"Disease disease PROPN ORG\n",
"Control control PROPN ORG\n",
"and and CCONJ ORG\n",
"Prevention prevention PROPN ORG\n",
"( ( PUNCT \n",
"CDC cdc PROPN ORG\n",
") ) PUNCT \n",
", , PUNCT \n",
"death death NOUN \n",
"rates rate NOUN \n",
"from from ADP \n",
"synthetic synthetic ADJ \n",
"opioids opioid NOUN \n",
", , PUNCT \n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"including include VERB \n",
"fentanyl fentanyl NOUN \n",
", , PUNCT \n",
"increased increase VERB \n",
"over over ADP \n",
"72 72 NUM PERCENT\n",
"% % NOUN PERCENT\n",
"from from ADP \n",
"2014 2014 NUM DATE\n",
"to to ADP \n",
"2015.[22 2015.[22 NUM CARDINAL\n",
"] ] PUNCT \n",
"In in ADP \n",
"addition addition NOUN \n",
", , PUNCT \n",
"the the DET \n",
"CDC cdc PROPN ORG\n",
"reports report VERB \n",
"that that ADP \n",
"the the DET \n",
"total total ADJ \n",
"deaths death NOUN \n",
"from from ADP \n",
"opioid opioid ADJ \n",
"overdoses overdos NOUN \n",
"may may VERB \n",
"be be VERB \n",
"under under ADV \n",
"- - PUNCT \n",
"counted count VERB \n",
", , PUNCT \n",
"since since ADP \n",
"they -PRON- PRON \n",
"do do VERB \n",
"not not ADV \n",
"include include VERB \n",
"deaths death NOUN \n",
"that that ADJ \n",
"are be VERB \n",
"associated associate VERB \n",
"with with ADP \n",
"synthetic synthetic ADJ \n",
"opioids opioid NOUN \n",
"which which ADJ \n",
"are be VERB \n",
"used use VERB \n",
"as as ADP \n",
"pain pain NOUN \n",
"relievers reliever NOUN \n",
". . PUNCT \n",
"The the DET \n",
"CDC cdc PROPN ORG\n",
"presumes[when presumes[when NOUN \n",
"? ? PUNCT \n",
"] ] PUNCT \n",
"that that ADP \n",
"a a DET \n",
"large large ADJ \n",
"proportion proportion NOUN \n",
"of of ADP \n",
"the the DET \n",
"increase increase NOUN \n",
"in in ADP \n",
"deaths death NOUN \n",
"is be VERB \n",
"due due ADJ \n",
"to to ADP \n",
"illegally illegally ADV \n",
"- - PUNCT \n",
"made make VERB \n",
"fentanyl fentanyl NOUN \n",
"; ; PUNCT \n",
"as as ADP \n",
"the the DET \n",
"statistics statistic NOUN \n",
"on on ADP \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"do do VERB \n",
"not not ADV \n",
"distinguish distinguish VERB \n",
"pharmaceutical pharmaceutical ADJ \n",
"fentanyl fentanyl NOUN \n",
"from from ADP \n",
"illegally illegally ADV \n",
"- - PUNCT \n",
"made make VERB \n",
"fentanyl fentanyl NOUN \n",
", , PUNCT \n",
"the the DET \n",
"actual actual ADJ \n",
"death death NOUN \n",
"rate rate NOUN \n",
"could could VERB \n",
"therefore therefore ADV \n",
"be be VERB \n",
"much much ADV \n",
"higher high ADJ \n",
"than than ADP \n",
"reported.[31 reported.[31 ADV \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Those those DET \n",
"taking take VERB \n",
"fentanyl fentanyl NOUN \n",
"- - PUNCT \n",
"laced laced ADJ \n",
"heroin heroin NOUN \n",
"are be VERB \n",
"more more ADV \n",
"likely likely ADJ \n",
"to to PART \n",
"overdose overdose VERB \n",
"because because ADP \n",
"they -PRON- PRON \n",
"do do VERB \n",
"not not ADV \n",
"know know VERB \n",
"they -PRON- PRON \n",
"also also ADV \n",
"are be VERB \n",
"ingesting ingest VERB \n",
"the the DET \n",
"more more ADV \n",
"powerful powerful ADJ \n",
"drug.[32 drug.[32 PROPN \n",
"] ] PUNCT \n",
"In in ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"New new PROPN GPE\n",
"Jersey jersey PROPN GPE\n",
"police police NOUN \n",
"arrested arrest VERB \n",
"a a DET \n",
"person person NOUN \n",
"possessing possess VERB \n",
"nearly nearly ADV QUANTITY\n",
"31 31 NUM QUANTITY\n",
"pounds pound NOUN QUANTITY\n",
"( ( PUNCT \n",
"14 14 NUM QUANTITY\n",
"kg kg NOUN QUANTITY\n",
") ) PUNCT \n",
"of of ADP \n",
"fentanyl fentanyl NOUN \n",
"( ( PUNCT \n",
"14 14 NUM QUANTITY\n",
"kg kg NOUN QUANTITY\n",
"would would VERB \n",
"yield yield VERB \n",
"7 7 NUM CARDINAL\n",
"million million NUM CARDINAL\n",
"lethal lethal ADJ \n",
"doses).[33][34 doses).[33][34 NOUN \n",
"] ] PUNCT \n",
"Among among ADP \n",
"those those DET \n",
"who who NOUN \n",
"died die VERB \n",
"from from ADP \n",
"overdosing overdose VERB \n",
"on on ADP \n",
"fentanyl fentanyl NOUN \n",
"was be VERB \n",
"singer singer NOUN \n",
"Prince.[34][35 prince.[34][35 VERB PERSON\n",
"] ] PUNCT PERSON\n",
"\n",
"\n",
" \n",
"\n",
" SPACE PERSON\n",
"Fentanyl fentanyl PROPN PERSON\n",
"has have VERB \n",
"surpassed surpass VERB \n",
"heroin heroin NOUN \n",
"as as ADP \n",
"a a DET \n",
"killer killer NOUN \n",
"in in ADP \n",
"several several ADJ \n",
"locales locale NOUN \n",
": : PUNCT \n",
"in in ADP \n",
"all all DET \n",
"of of ADP \n",
"2014 2014 NUM DATE\n",
"the the DET \n",
"CDC cdc PROPN ORG\n",
"identified identify VERB \n",
"998 998 NUM CARDINAL\n",
"fatal fatal ADJ \n",
"fentanyl fentanyl NOUN \n",
"overdoses overdos NOUN \n",
"in in ADP \n",
"Ohio ohio PROPN GPE\n",
", , PUNCT \n",
"which which ADJ \n",
"is be VERB \n",
"the the DET \n",
"same same ADJ \n",
"number number NOUN \n",
"of of ADP \n",
"deaths death NOUN \n",
"recorded record VERB \n",
"in in ADP \n",
"just just ADV DATE\n",
"the the DET DATE\n",
"first first ADJ DATE\n",
"five five NUM DATE\n",
"months month NOUN DATE\n",
"of of ADP DATE\n",
"2015.[36 2015.[36 NUM DATE\n",
"] ] PUNCT \n",
"In in ADP \n",
"Cleveland cleveland PROPN GPE\n",
", , PUNCT \n",
"a a DET \n",
"person person NOUN \n",
"was be VERB \n",
"caught catch VERB \n",
"selling sell VERB \n",
"blue blue ADJ \n",
"fentanyl fentanyl NOUN \n",
"pills pill NOUN \n",
"disguised disguise VERB \n",
"to to PART \n",
"look look VERB \n",
"like like ADP \n",
"doses dos NOUN \n",
"of of ADP \n",
"the the DET \n",
"milder milder NOUN \n",
"opioid opioid NOUN \n",
"painkiller painkiller NOUN \n",
"oxycodone.[36 oxycodone.[36 NOUN \n",
"] ] PUNCT \n",
"The the DET \n",
"U.S. u.s. PROPN GPE\n",
"attorney attorney NOUN \n",
"for for ADP \n",
"Ohio ohio PROPN GPE\n",
"stated state VERB \n",
": : PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"One one NUM CARDINAL\n",
"of of ADP \n",
"the the DET \n",
"truly truly ADV \n",
"terrifying terrifying ADJ \n",
"things thing NOUN \n",
"is be VERB \n",
"the the DET \n",
"pills pill NOUN \n",
"are be VERB \n",
"pressed press VERB \n",
"and and CCONJ \n",
"dyed dye VERB \n",
"to to PART \n",
"look look VERB \n",
"like like ADP \n",
"oxycodone oxycodone NOUN \n",
". . PUNCT \n",
"If if ADP \n",
"you -PRON- PRON \n",
"are be VERB \n",
"using use VERB \n",
"oxycodone oxycodone NOUN \n",
"and and CCONJ \n",
"take take VERB \n",
"fentanyl fentanyl NOUN \n",
"not not ADV \n",
"knowing know VERB \n",
"it -PRON- PRON \n",
"is be VERB \n",
"fentanyl fentanyl NOUN \n",
", , PUNCT \n",
"that that DET \n",
"is be VERB \n",
"an an DET \n",
"overdose overdose NOUN \n",
"waiting wait VERB \n",
"to to PART \n",
"happen happen VERB \n",
". . PUNCT \n",
"Each each DET \n",
"of of ADP \n",
"those those DET \n",
"pills pill NOUN \n",
"is be VERB \n",
"a a DET \n",
"potential potential ADJ \n",
"overdose overdose NOUN \n",
"death.[36 death.[36 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
"the the DET \n",
"medical medical ADJ \n",
"publication publication NOUN \n",
"STAT stat PROPN ORG\n",
"reported report VERB \n",
"that that ADP \n",
"while while ADP \n",
"Mexican mexican ADJ NORP\n",
"cartels cartel NOUN \n",
"are be VERB \n",
"a a DET \n",
"main main ADJ \n",
"source source NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
"smuggled smuggle VERB \n",
"into into ADP \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
", , PUNCT \n",
"Chinese chinese ADJ NORP\n",
"suppliers supplier NOUN \n",
"provide provide VERB \n",
"both both DET \n",
"raw raw ADJ \n",
"fentanyl fentanyl NOUN \n",
"and and CCONJ \n",
"the the DET \n",
"machinery machinery NOUN \n",
"necessary necessary ADJ \n",
"for for ADP \n",
"its -PRON- ADJ \n",
"production.[36 production.[36 NOUN \n",
"] ] PUNCT \n",
"In in ADP \n",
"British british PROPN GPE\n",
"Columbia columbia PROPN GPE\n",
", , PUNCT \n",
"police police NOUN \n",
"discovered discover VERB \n",
"a a DET \n",
"lab lab NOUN \n",
"making make VERB \n",
"100,000 100,000 NUM CARDINAL\n",
"fentanyl fentanyl NOUN \n",
"pills pill NOUN \n",
"each each DET DATE\n",
"month month NOUN DATE\n",
", , PUNCT \n",
"which which ADJ \n",
"they -PRON- PRON \n",
"were be VERB \n",
"shipping ship VERB \n",
"to to ADP \n",
"Calgary calgary PROPN GPE\n",
", , PUNCT \n",
"Alberta alberta PROPN GPE\n",
". . PUNCT \n",
"90 90 NUM CARDINAL\n",
"people people NOUN \n",
"in in ADP \n",
"Calgary calgary PROPN GPE\n",
"overdosed overdose VERB \n",
"on on ADP \n",
"the the DET \n",
"drug drug NOUN \n",
"in in ADP \n",
"2015.[36 2015.[36 NUM CARDINAL\n",
"] ] PUNCT \n",
"In in ADP \n",
"Southern southern PROPN LOC\n",
"California california PROPN LOC\n",
", , PUNCT \n",
"a a DET \n",
"home home NOUN \n",
"- - PUNCT \n",
"operated operate VERB \n",
"drug drug NOUN \n",
"lab lab NOUN \n",
"with with ADP \n",
"six six NUM CARDINAL\n",
"pill pill NOUN \n",
"presses press NOUN \n",
"was be VERB \n",
"uncovered uncover VERB \n",
"by by ADP \n",
"federal federal ADJ \n",
"agents agent NOUN \n",
"; ; PUNCT \n",
"each each DET \n",
"machine machine NOUN \n",
"was be VERB \n",
"capable capable ADJ \n",
"of of ADP \n",
"producing produce VERB \n",
"thousands thousand NOUN CARDINAL\n",
"of of ADP \n",
"pills pill NOUN \n",
"an an DET \n",
"hour.[36 hour.[36 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE PERSON\n",
"History history NOUN PERSON\n",
"of of ADP \n",
"opiate opiate NOUN \n",
"use use NOUN \n",
"in in ADP \n",
"the the DET ORG\n",
"United united PROPN ORG\n",
"States[edit states[edit PROPN ORG\n",
"] ] PUNCT ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"In in ADP \n",
"the the DET DATE\n",
"early early ADJ DATE\n",
"1900s 1900s NUM DATE\n",
", , PUNCT \n",
"as as ADP \n",
"veterans veteran NOUN \n",
"of of ADP \n",
"the the DET EVENT\n",
"First first PROPN EVENT\n",
"World world PROPN EVENT\n",
"War war PROPN EVENT\n",
"were be VERB \n",
"returning return VERB \n",
"home home ADV \n",
"from from ADP \n",
"overseas overseas ADV \n",
", , PUNCT \n",
"there there ADV \n",
"were be VERB \n",
"few few ADJ \n",
"options option NOUN \n",
"to to PART \n",
"help help VERB \n",
"relieve relieve VERB \n",
"pain pain NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"doctors doctor NOUN \n",
"mainly mainly ADV \n",
"turned turn VERB \n",
"to to ADP \n",
"morphine.[37 morphine.[37 PROPN \n",
"] ] PUNCT \n",
"Opiates opiates PROPN \n",
"soon soon ADV \n",
"became become VERB \n",
"known know VERB \n",
"as as ADP \n",
"a a DET \n",
"wonder wonder NOUN \n",
"drug drug NOUN \n",
"and and CCONJ \n",
"were be VERB \n",
"prescribed prescribe VERB \n",
"for for ADP \n",
"a a DET \n",
"wide wide ADJ \n",
"array array NOUN \n",
"of of ADP \n",
"ailments ailment NOUN \n",
", , PUNCT \n",
"even even ADV \n",
"for for ADP \n",
"relatively relatively ADV \n",
"minor minor ADJ \n",
"treatments treatment NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"cough cough NOUN \n",
"relief relief NOUN \n",
". . PUNCT \n",
"Beginning begin VERB \n",
"around around ADP DATE\n",
"1920 1920 NUM DATE\n",
", , PUNCT \n",
"however however ADV \n",
", , PUNCT \n",
"their -PRON- ADJ \n",
"addictiveness addictiveness NOUN \n",
"was be VERB \n",
"recognized recognize VERB \n",
"and and CCONJ \n",
"not not ADV \n",
"too too ADV \n",
"long long ADV \n",
"afterwards afterwards ADV \n",
"heroin heroin NOUN \n",
"was be VERB \n",
"made make VERB \n",
"an an DET \n",
"illegal illegal ADJ \n",
"drug.[37 drug.[37 NOUN \n",
"] ] PUNCT \n",
"In in ADP \n",
"the the DET \n",
"Anti anti ADV \n",
"- - PUNCT \n",
"Heroin heroin PROPN \n",
"Act act PROPN \n",
"of of ADP \n",
"1924 1924 NUM DATE\n",
", , PUNCT \n",
"the the DET ORG\n",
"U.S. u.s. PROPN ORG\n",
"Congress congress PROPN ORG\n",
"banned ban VERB \n",
"the the DET \n",
"sale sale NOUN \n",
", , PUNCT \n",
"importation importation NOUN \n",
", , PUNCT \n",
"or or CCONJ \n",
"manufacture manufacture NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
". . PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Around around ADP EVENT\n",
"World world PROPN EVENT\n",
"War war PROPN EVENT\n",
"II ii PROPN EVENT\n",
", , PUNCT \n",
"doctors doctor NOUN \n",
"used use VERB \n",
"opiates opiate NOUN \n",
"in in ADP \n",
"lieu lieu NOUN \n",
"of of ADP \n",
"surgery surgery NOUN \n",
". . PUNCT \n",
"This this DET \n",
"made make VERB \n",
"prescriptions prescription NOUN \n",
"for for ADP \n",
"opiates opiate NOUN \n",
"skyrocket.[37 skyrocket.[37 NUM \n",
"] ] PUNCT \n",
"In in ADP \n",
"the the DET DATE\n",
"1950s 1950 NOUN DATE\n",
", , PUNCT \n",
"heroin heroin NOUN \n",
"addiction addiction NOUN \n",
"was be VERB \n",
"known know VERB \n",
"among among ADP \n",
"jazz jazz NOUN \n",
"musicians musician NOUN \n",
", , PUNCT \n",
"but but CCONJ \n",
"still still ADV \n",
"fairly fairly ADV \n",
"unknown unknown ADJ \n",
"by by ADP \n",
"average average ADJ \n",
"Americans americans PROPN NORP\n",
", , PUNCT \n",
"many many DET \n",
"of of ADP \n",
"whom whom NOUN \n",
"saw see VERB \n",
"it -PRON- PRON \n",
"as as ADP \n",
"a a DET \n",
"frightening frightening ADJ \n",
"condition.[15 condition.[15 NOUN \n",
"] ] PUNCT \n",
"The the DET \n",
"fear fear NOUN \n",
"extended extend VERB \n",
"into into ADP \n",
"the the DET DATE\n",
"1960s 1960 NOUN DATE\n",
"and and CCONJ DATE\n",
"1970s 1970 NOUN DATE\n",
", , PUNCT \n",
"although although ADP \n",
"it -PRON- PRON \n",
"became become VERB \n",
"common common ADJ \n",
"to to PART \n",
"hear hear VERB \n",
"or or CCONJ \n",
"read read VERB \n",
"about about ADP \n",
"drugs drug NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"marijuana marijuana NOUN \n",
"and and CCONJ \n",
"psychedelics psychedelic NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"were be VERB \n",
"widely widely ADV \n",
"used use VERB \n",
"at at ADP \n",
"rock rock NOUN \n",
"concerts concert NOUN \n",
"like like ADP \n",
"Woodstock.[15 woodstock.[15 PROPN \n",
"] ] PUNCT \n",
"Heroin heroin PROPN PERSON\n",
"addiction addiction NOUN \n",
"began begin VERB \n",
"to to PART \n",
"make make VERB \n",
"the the DET \n",
"news news NOUN \n",
"when when ADV \n",
"famous famous ADJ \n",
"people people NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"Janis janis PROPN PERSON\n",
"Joplin joplin PROPN PERSON\n",
", , PUNCT \n",
"John john PROPN PERSON\n",
"Belushi belushi PROPN PERSON\n",
", , PUNCT \n",
"Jim jim PROPN PERSON\n",
"Morrison morrison PROPN PERSON\n",
"and and CCONJ \n",
"Lenny lenny PROPN PERSON\n",
"Bruce bruce PROPN PERSON\n",
", , PUNCT \n"
]
},
{
"name": "stdout",
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"text": [
"whom whom NOUN \n",
"most most ADJ \n",
"people people NOUN \n",
"did do VERB \n",
"not not ADV \n",
"know know VERB \n",
"were be VERB \n",
"addicted addict VERB \n",
", , PUNCT \n",
"died die VERB \n",
"from from ADP \n",
"overdoses overdos NOUN \n",
". . PUNCT \n",
"During during ADP \n",
"and and CCONJ \n",
"after after ADP \n",
"the the DET EVENT\n",
"Vietnam vietnam PROPN EVENT\n",
"War war PROPN EVENT\n",
", , PUNCT \n",
"addicted addicted ADJ \n",
"soldiers soldier NOUN \n",
"returned return VERB \n",
"from from ADP \n",
"Vietnam vietnam PROPN GPE\n",
", , PUNCT \n",
"where where ADV \n",
"heroin heroin NOUN \n",
"was be VERB \n",
"easily easily ADV \n",
"bought buy VERB \n",
". . PUNCT \n",
"Heroin heroin VERB PERSON\n",
"addiction addiction NOUN \n",
"grew grow VERB \n",
"within within ADP \n",
"low low ADJ \n",
"- - PUNCT \n",
"income income NOUN \n",
"housing housing NOUN \n",
"projects project NOUN \n",
"during during ADP \n",
"the the DET \n",
"same same ADJ \n",
"time time NOUN \n",
"period.[15 period.[15 NOUN \n",
"] ] PUNCT \n",
"In in ADP \n",
"1971 1971 NUM DATE\n",
", , PUNCT \n",
"congressmen congressman NOUN \n",
"released release VERB \n",
"an an DET \n",
"explosive explosive ADJ \n",
"report report NOUN \n",
"on on ADP \n",
"the the DET \n",
"growing grow VERB \n",
"heroin heroin NOUN \n",
"epidemic epidemic NOUN \n",
"among among ADP \n",
"U.S. u.s. PROPN GPE\n",
"servicemen serviceman NOUN \n",
"in in ADP \n",
"Vietnam vietnam PROPN GPE\n",
", , PUNCT \n",
"finding find VERB \n",
"that that ADP \n",
"ten ten NUM PERCENT\n",
"to to ADP PERCENT\n",
"fifteen fifteen NUM PERCENT\n",
"percent percent NOUN PERCENT\n",
"were be VERB \n",
"addicted addict VERB \n",
"to to PART \n",
"heroin heroin VERB \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"The the DET \n",
"Nixon nixon PROPN PERSON\n",
"White white PROPN ORG\n",
"House house PROPN ORG\n",
"panicked panic VERB \n",
", , PUNCT \n",
"\" \" PUNCT \n",
"wrote write VERB \n",
"political political ADJ \n",
"editor editor NOUN \n",
"Christopher christopher PROPN PERSON\n",
"Caldwell caldwell PROPN PERSON\n",
"and and CCONJ \n",
"declared declare VERB \n",
"drug drug NOUN \n",
"abuse abuse NOUN \n",
"\" \" PUNCT \n",
"public public ADJ \n",
"enemy enemy NOUN \n",
"number number NOUN \n",
"one\".[38 one\".[38 NOUN \n",
"] ] PUNCT \n",
"By by ADP \n",
"1973 1973 NUM DATE\n",
", , PUNCT \n",
"there there ADV \n",
"were be VERB \n",
"1.5 1.5 NUM CARDINAL\n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"per per ADP \n",
"100,000 100,000 NUM CARDINAL\n",
"people.[15 people.[15 NUM \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"the the DET DATE\n",
"1980s 1980 NOUN DATE\n",
", , PUNCT \n",
"many many ADJ \n",
"medical medical ADJ \n",
"experts expert NOUN \n",
"did do VERB \n",
"not not ADV \n",
"believe believe VERB \n",
"that that ADP \n",
"opioids opioid NOUN \n",
"were be VERB \n",
"addictive addictive ADJ \n",
". . PUNCT \n",
"A a DET \n",
"brief brief ADJ \n",
"letter letter NOUN \n",
"published publish VERB \n",
"in in ADP \n",
"the the DET ORG\n",
"New new PROPN ORG\n",
"England england PROPN ORG\n",
"Journal journal PROPN ORG\n",
"of of ADP ORG\n",
"Medicine medicine PROPN ORG\n",
"( ( PUNCT \n",
"NEJM nejm PROPN ORG\n",
") ) PUNCT \n",
"in in ADP \n",
"January january PROPN DATE\n",
"1980 1980 NUM DATE\n",
", , PUNCT \n",
"titled title VERB \n",
"\" \" PUNCT \n",
"Addiction addiction PROPN WORK_OF_ART\n",
"Rare rare PROPN WORK_OF_ART\n",
"in in ADP WORK_OF_ART\n",
"Patients patients PROPN WORK_OF_ART\n",
"Treated treat VERB WORK_OF_ART\n",
"with with ADP WORK_OF_ART\n",
"Narcotics narcotics PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"was be VERB \n",
"subsequently subsequently ADV \n",
"cited cite VERB \n",
"over over ADP \n",
"600 600 NUM CARDINAL\n",
"times time NOUN \n",
"to to PART \n",
"support support VERB \n",
"this this DET \n",
"position.[39][40 position.[39][40 ADJ \n",
"] ] PUNCT \n",
"A a DET \n",
"group group NOUN \n",
"of of ADP \n",
"researchers researcher NOUN \n",
"in in ADP \n",
"Canada canada PROPN GPE\n",
"claim claim VERB \n",
"that that ADP \n",
"the the DET \n",
"letter letter NOUN \n",
"may may VERB \n",
"have have VERB \n",
"originated originate VERB \n",
"and and CCONJ \n",
"contributed contribute VERB \n",
"to to ADP \n",
"the the DET \n",
"opioid opioid ADJ \n",
"crisis.[39 crisis.[39 NOUN \n",
"] ] PUNCT \n",
"The the DET \n",
"NEJM nejm PROPN ORG\n",
"published publish VERB \n",
"its -PRON- ADJ \n",
"rebuttal rebuttal NOUN \n",
"to to ADP \n",
"the the DET \n",
"1980 1980 NUM DATE\n",
"letter letter NOUN \n",
"in in ADP \n",
"June june PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"pointing point VERB \n",
"out out PART \n",
"among among ADP \n",
"other other ADJ \n",
"things thing NOUN \n",
"that that ADJ \n",
"the the DET \n",
"conclusions conclusion NOUN \n",
"were be VERB \n",
"based base VERB \n",
"on on ADP \n",
"hospitalized hospitalize VERB \n",
"patients patient NOUN \n",
"only only ADV \n",
", , PUNCT \n",
"and and CCONJ \n",
"not not ADV \n",
"on on ADP \n",
"patients patient NOUN \n",
"taking take VERB \n",
"the the DET \n",
"drugs drug NOUN \n",
"after after ADP \n",
"they -PRON- PRON \n",
"were be VERB \n",
"sent send VERB \n",
"home.[41 home.[41 NUM \n",
"] ] PUNCT \n",
"The the DET \n",
"original original ADJ \n",
"author author NOUN \n",
", , PUNCT \n",
"Dr. dr. PROPN \n",
"Hershel hershel PROPN PERSON\n",
"Jick jick PROPN PERSON\n",
", , PUNCT \n",
"has have VERB \n",
"said say VERB \n",
"that that ADP \n",
"he -PRON- PRON \n",
"never never ADV \n",
"intended intend VERB \n",
"for for ADP \n",
"the the DET \n",
"article article NOUN \n",
"to to PART \n",
"justify justify VERB \n",
"widespread widespread ADJ \n",
"opioid opioid NOUN \n",
"use.[39 use.[39 PROPN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"the the DET \n",
"mid mid ADJ \n",
"- - PUNCT \n",
"to to ADP \n",
"- - PUNCT \n",
"late late ADJ DATE\n",
"1980s 1980 NOUN DATE\n",
"the the DET \n",
"crack crack NOUN \n",
"epidemic epidemic NOUN \n",
"followed follow VERB \n",
"widespread widespread ADJ \n",
"cocaine cocaine NOUN \n",
"use use NOUN \n",
"in in ADP \n",
"American american ADJ NORP\n",
"cities city NOUN \n",
". . PUNCT \n",
"The the DET \n",
"death death NOUN \n",
"rate rate NOUN \n",
"was be VERB \n",
"worse bad ADJ \n",
", , PUNCT \n",
"reaching reach VERB \n",
"almost almost ADV CARDINAL\n",
"2 2 NUM CARDINAL\n",
"per per ADP CARDINAL\n",
"100,000 100,000 NUM CARDINAL\n",
". . PUNCT \n",
"In in ADP \n",
"1982 1982 NUM DATE\n",
", , PUNCT \n",
"Vice vice PROPN \n",
"President president PROPN \n",
"George george PROPN PERSON\n",
"H. h. PROPN PERSON\n",
"W. w. PROPN PERSON\n",
"Bush bush PROPN PERSON\n",
"and and CCONJ \n",
"his -PRON- ADJ \n",
"aides aide NOUN \n",
"began begin VERB \n",
"pushing push VERB \n",
"for for ADP \n",
"the the DET \n",
"involvement involvement NOUN \n",
"of of ADP \n",
"the the DET \n",
"CIA cia PROPN ORG\n",
"and and CCONJ \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
"military military NOUN \n",
"in in ADP \n",
"drug drug NOUN \n",
"interdiction interdiction NOUN \n",
"efforts effort NOUN \n",
", , PUNCT \n",
"the the DET \n",
"so so ADV \n",
"- - PUNCT \n",
"called call VERB \n",
"War war PROPN EVENT\n",
"on on ADP \n",
"Drugs.[42 drugs.[42 PROPN \n",
"] ] PUNCT \n",
"By by ADP \n",
"comparison comparison NOUN \n",
", , PUNCT \n",
"as as ADP \n",
"of of ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"present present ADJ \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"is be VERB \n",
"killing kill VERB \n",
"on on ADP \n",
"average average ADJ \n",
"10.3 10.3 NUM CARDINAL\n",
"people people NOUN \n",
"per per ADP \n",
"100,000 100,000 NUM CARDINAL\n",
". . PUNCT \n",
"In in ADP \n",
"some some DET \n",
"states state NOUN \n",
"it -PRON- PRON \n",
"is be VERB \n",
"far far ADV \n",
"worse bad ADJ \n",
": : PUNCT \n",
"over over ADP CARDINAL\n",
"30 30 NUM CARDINAL\n",
"per per ADP \n",
"100,000 100,000 NUM CARDINAL\n",
"in in ADP \n",
"New new PROPN GPE\n",
"Hampshire hampshire PROPN GPE\n",
"and and CCONJ \n",
"over over ADP CARDINAL\n",
"40 40 NUM CARDINAL\n",
"per per ADP CARDINAL\n",
"100,000 100,000 NUM CARDINAL\n",
"in in ADP \n",
"West west PROPN GPE\n",
"Virginia.[15 virginia.[15 PROPN GPE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Demographics[edit demographics[edit PROPN PRODUCT\n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"the the DET \n",
"U.S. u.s. PROPN GPE\n",
", , PUNCT \n",
"addiction addiction NOUN \n",
"and and CCONJ \n",
"overdose overdose ADJ \n",
"victims victim NOUN \n",
"are be VERB \n",
"mostly mostly ADV \n",
"white white ADJ \n",
"and and CCONJ \n",
"working working ADJ \n",
"- - PUNCT \n",
"class class NOUN \n",
". . PUNCT \n",
"Geographically geographically ADV \n",
", , PUNCT \n",
"those those DET \n",
"living live VERB \n",
"in in ADP \n",
"rural rural ADJ \n",
"areas area NOUN \n",
"of of ADP \n",
"the the DET \n",
"country country NOUN \n",
"have have VERB \n",
"been be VERB \n",
"the the DET \n",
"hardest hardest ADV \n",
"hit hit VERB \n",
"as as ADP \n",
"a a DET \n",
"percentage percentage NOUN \n",
"of of ADP \n",
"the the DET \n",
"national national ADJ \n",
"population,[43 population,[43 NOUN \n",
"] ] PUNCT \n",
"Prescription prescription PROPN \n",
"drug drug NOUN \n",
"abuse abuse NOUN \n",
"has have VERB \n",
"been be VERB \n",
"increasing increase VERB \n",
"in in ADP \n",
"teenagers teenager NOUN \n",
", , PUNCT \n",
"especially especially ADV \n",
"as as ADP \n",
"12- 12- NUM \n",
"to to ADP \n",
"17-year 17-year NUM \n",
"- - PUNCT \n",
"olds old NOUN \n",
"were be VERB \n",
"one one NUM CARDINAL\n",
"- - PUNCT CARDINAL\n",
"third third NOUN CARDINAL\n",
"of of ADP \n",
"all all DET \n",
"new new ADJ \n",
"abusers abuser NOUN \n",
"of of ADP \n",
"prescription prescription NOUN \n",
"drugs drug NOUN \n",
"in in ADP \n",
"2006 2006 NUM DATE\n",
". . PUNCT \n",
"Teens teen NOUN \n",
"abuse abuse VERB \n",
"prescription prescription NOUN \n",
"drugs drug NOUN \n",
"more more ADJ \n",
"than than ADP \n",
"any any DET \n",
"illicit illicit ADJ \n",
"drug drug NOUN \n",
"except except ADP \n",
"marijuana marijuana NOUN \n",
", , PUNCT \n",
"more more ADJ \n",
"than than ADP \n",
"cocaine cocaine NOUN \n",
", , PUNCT \n",
"heroin heroin NOUN \n",
"and and CCONJ \n",
"methamphetamine methamphetamine NOUN \n",
"combined combine VERB \n",
", , PUNCT \n",
"per per ADP \n",
"the the DET ORG\n",
"Office office PROPN ORG\n",
"of of ADP ORG\n",
"National national PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Control control PROPN ORG\n",
"Policy policy PROPN ORG\n",
"’s ’s PROPN ORG\n",
"2008 2008 NUM ORG\n",
"Report report PROPN ORG\n",
"Prescription prescription PROPN ORG\n",
"for for ADP ORG\n",
"Danger danger PROPN ORG\n",
". . PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"Palm palm PROPN GPE\n",
"Beach beach PROPN GPE\n",
"County county PROPN GPE\n",
", , PUNCT \n",
"Florida florida PROPN GPE\n",
", , PUNCT \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"went go VERB \n",
"from from ADP \n",
"149 149 NUM CARDINAL\n",
"in in ADP \n",
"2012 2012 NUM DATE\n",
"to to ADP \n",
"588 588 NUM CARDINAL\n",
"in in ADP \n",
"2016.[44 2016.[44 NUM \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"Middletown middletown PROPN GPE\n",
", , PUNCT \n",
"Ohio ohio PROPN GPE\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
", , PUNCT \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"quadrupled quadruple VERB \n",
"in in ADP \n",
"the the DET DATE\n",
"15 15 NUM DATE\n",
"years year NOUN DATE\n",
"since since ADP \n",
"2000.[45 2000.[45 NUM \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"There there ADV \n",
"has have VERB \n",
"been be VERB \n",
"a a DET \n",
"difference difference NOUN \n",
"in in ADP \n",
"the the DET \n",
"number number NOUN \n",
"of of ADP \n",
"opioid opioid ADJ \n",
"prescriptions prescription NOUN \n",
"written write VERB \n",
"by by ADP \n",
"doctors doctor NOUN \n",
"in in ADP \n",
"different different ADJ \n",
"states state NOUN \n",
". . PUNCT \n",
"In in ADP \n",
"Hawaii hawaii PROPN GPE\n",
", , PUNCT \n",
"doctors doctor NOUN \n",
"wrote write VERB \n",
"about about ADV CARDINAL\n",
"52 52 NUM CARDINAL\n",
"prescriptions prescription NOUN \n",
"for for ADP \n",
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"100 100 NUM CARDINAL\n",
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", , PUNCT \n",
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". . PUNCT \n",
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". . PUNCT \n",
"A a DET \n",
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", , PUNCT \n",
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"] ] PUNCT \n",
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" \n",
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" SPACE \n",
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"] ] PUNCT \n",
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" \n",
"\n",
" SPACE \n",
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"U.S. u.s. PROPN GPE\n",
", , PUNCT \n",
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"adults.[48 adults.[48 PROPN \n",
"] ] PUNCT \n",
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", , PUNCT \n",
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"in in ADP \n",
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", , PUNCT \n",
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"or or CCONJ \n",
"treatment.[20 treatment.[20 NOUN \n",
"] ] PUNCT \n",
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"to to ADP \n",
"an an DET \n",
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"at at ADP \n",
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": : PUNCT \n",
"\" \" PUNCT \n",
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"opioids opioid NOUN \n",
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", , PUNCT \n",
"we -PRON- PRON \n",
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"see see VERB \n",
"a a DET \n",
"spike spike NOUN \n",
"[ [ PUNCT \n",
"in in ADP \n",
"opioid opioid NOUN \n",
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"] ] PUNCT \n",
". . PUNCT \n",
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"here here ADV \n",
". . PUNCT \n",
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"it -PRON- PRON \n",
"work work VERB \n",
"elsewhere elsewhere ADV \n",
"? ? PUNCT \n",
"\" \" PUNCT \n",
"[ [ PUNCT \n",
"20 20 NUM CARDINAL\n",
"] ] PUNCT \n",
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"deaths death NOUN \n",
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"opioids opioid NOUN \n",
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"illegal illegal ADJ \n",
"heroin heroin NOUN \n",
". . PUNCT \n",
"In in ADP \n",
"Europe europe PROPN LOC\n",
", , PUNCT \n",
"prescription prescription NOUN \n",
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"three three NUM DATE\n",
"- - PUNCT DATE\n",
"quarters quarter NOUN DATE\n",
"of of ADP \n",
"overdose overdose ADJ \n",
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"those those DET \n",
"between between ADP DATE\n",
"ages age NOUN DATE\n",
"15 15 NUM DATE\n",
"and and CCONJ \n",
"39.[48 39.[48 PUNCT \n",
"] ] PUNCT \n",
"Some some DET \n",
"worry worry VERB \n",
"that that ADP \n",
"the the DET \n",
"epidemic epidemic NOUN \n",
"could could VERB \n",
"become become VERB \n",
"a a DET \n",
"worldwide worldwide ADJ \n",
"pandemic pandemic NOUN \n",
"if if ADP \n",
"not not ADV \n",
"curtailed.[20 curtailed.[20 ADJ \n",
"] ] PUNCT \n",
"Prescription prescription PROPN \n",
"drug drug NOUN \n",
"abuse abuse NOUN \n",
"among among ADP \n",
"teenagers teenager NOUN \n",
"in in ADP \n",
"Canada canada PROPN GPE\n",
", , PUNCT \n",
"Australia australia PROPN GPE\n",
", , PUNCT \n",
"and and CCONJ \n",
"Europe europe PROPN LOC\n",
"were be VERB \n",
"at at ADP \n",
"rates rate NOUN \n",
"comparable comparable ADJ \n",
"to to ADP \n",
"U.S. u.s. PROPN GPE\n",
"teenagers.[20 teenagers.[20 NOUN \n",
"] ] PUNCT \n",
"In in ADP \n",
"Lebanon lebanon PROPN GPE\n",
"and and CCONJ \n",
"Saudi saudi PROPN GPE\n",
"Arabia arabia PROPN GPE\n",
", , PUNCT \n",
"and and CCONJ \n",
"in in ADP \n",
"parts part NOUN \n",
"of of ADP \n",
"China china PROPN GPE\n",
", , PUNCT \n",
"surveys survey NOUN \n",
"found find VERB \n",
"that that ADP \n",
"one one NUM CARDINAL\n",
"in in ADP \n",
"ten ten NUM CARDINAL\n",
"students student NOUN \n",
"had have VERB \n",
"used use VERB \n",
"prescription prescription NOUN \n",
"painkillers painkiller NOUN \n",
"for for ADP \n",
"non non ADJ \n",
"- - PUNCT \n",
"medical medical ADJ \n",
"purposes purpose NOUN \n",
". . PUNCT \n",
"Similar similar ADJ \n",
"high high ADJ \n",
"rates rate NOUN \n",
"of of ADP \n",
"non non ADJ \n",
"- - PUNCT \n",
"medical medical ADJ \n",
"use use NOUN \n",
"were be VERB \n",
"found find VERB \n",
"among among ADP \n",
"the the DET \n",
"young young ADJ \n",
"throughout throughout ADP \n",
"Europe europe PROPN LOC\n",
", , PUNCT \n",
"including include VERB \n",
"Spain spain PROPN GPE\n",
"and and CCONJ \n",
"the the DET GPE\n",
"United united PROPN GPE\n",
"Kingdom.[20 kingdom.[20 PROPN GPE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Countermeasures[edit countermeasures[edit PROPN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"This this DET \n",
"section section NOUN \n",
"is be VERB \n",
"in in ADP \n",
"a a DET \n",
"list list NOUN \n",
"format format NOUN \n",
"that that ADJ \n",
"may may VERB \n",
"be be VERB \n",
"better better ADV \n",
"presented present VERB \n",
"using use VERB \n",
"prose prose NOUN \n",
". . PUNCT \n",
"You -PRON- PRON \n",
"can can VERB \n",
"help help VERB \n",
"by by ADP \n",
"converting convert VERB \n",
"this this DET \n",
"section section NOUN \n",
"to to PART \n",
"prose prose VERB \n",
", , PUNCT \n",
"if if ADP \n",
"appropriate appropriate ADJ \n",
". . PUNCT \n",
"Editing editing NOUN \n",
"help help NOUN \n",
"is be VERB \n",
"available available ADJ \n",
". . PUNCT \n",
"( ( PUNCT \n",
"August august PROPN DATE\n",
"2017 2017 NUM DATE\n",
") ) PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Federal federal PROPN \n",
"government[edit government[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"2010 2010 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"US us PROPN GPE\n",
"government government NOUN \n",
"began begin VERB \n",
"cracking crack VERB \n",
"down down PART \n",
"on on ADP \n",
"pharmacists pharmacist NOUN \n",
"and and CCONJ \n",
"doctors doctor NOUN \n",
"who who NOUN \n",
"were be VERB \n",
"over over ADV \n",
"- - PUNCT \n",
"prescribing prescribe VERB \n",
"opioid opioid NOUN \n",
"pain pain NOUN \n",
"killers killer NOUN \n",
". . PUNCT \n",
"The the DET \n",
"unintended unintended ADJ \n",
"consequence consequence NOUN \n",
"of of ADP \n",
"this this DET \n",
"was be VERB \n",
"that that ADP \n",
"users user NOUN \n",
"turned turn VERB \n",
"to to ADP \n",
"cheaper cheap ADJ \n",
"but but CCONJ \n",
"illegal illegal ADJ \n",
"heroin heroin NOUN \n",
", , PUNCT \n",
"a a DET \n",
"significantly significantly ADV \n",
"more more ADV \n",
"potent potent ADJ \n",
"opioid opioid NOUN \n",
", , PUNCT \n",
"as as ADP \n",
"a a DET \n",
"substitute,[10 substitute,[10 NOUN ORG\n",
"] ] PUNCT \n",
"including include VERB \n",
"addicted addict VERB \n",
"patients patient NOUN \n",
"who who NOUN \n",
"were be VERB \n",
"denied deny VERB \n",
"opioid opioid ADJ \n",
"prescriptions prescription NOUN \n",
"as as ADP \n",
"doctors doctor NOUN \n",
"tried try VERB \n",
"to to PART \n",
"cut cut VERB \n",
"back back PART \n",
"painkiller painkiller NOUN \n",
"drug drug NOUN \n",
"abuse.[15 abuse.[15 PROPN \n",
"] ] PUNCT \n",
"A a DET \n",
"2017 2017 NUM DATE\n",
"survey survey NOUN \n",
"in in ADP \n",
"Utah utah PROPN GPE\n",
"of of ADP \n",
"heroin heroin NOUN \n",
"users user NOUN \n",
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"about about ADV PERCENT\n",
"80 80 NUM PERCENT\n",
"percent percent NOUN PERCENT\n",
"started start VERB \n",
"with with ADP \n",
"prescription prescription NOUN \n",
"drugs.[49 drugs.[49 NUM \n",
"] ] PUNCT \n",
"As as ADP \n",
"a a DET \n",
"result result NOUN \n",
", , PUNCT \n",
"by by ADP \n",
"2015 2015 NUM DATE\n",
"nationwide nationwide ADJ \n",
"deaths death NOUN \n",
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"prescription prescription NOUN \n",
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"by by ADP \n",
"15 15 NUM PERCENT\n",
"% % NOUN PERCENT\n",
"and and CCONJ \n",
"for for ADP \n",
"heroin heroin NOUN \n",
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"by by ADP \n",
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"] ] PUNCT \n",
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{
"name": "stdout",
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"In in ADP \n",
"2010 2010 NUM DATE\n",
", , PUNCT \n",
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"CSA csa PROPN ORG\n",
"was be VERB \n",
"amended amend VERB \n",
"with with ADP \n",
"the the DET \n",
"Secure secure PROPN \n",
"and and CCONJ \n",
"Responsible responsible PROPN \n",
"Drug drug PROPN \n",
"Disposal disposal PROPN \n",
"Act act PROPN \n",
"which which ADJ \n",
"allows allow VERB \n",
"pharmacies pharmacy NOUN \n",
"to to PART \n",
"accept accept VERB \n",
"controlled control VERB \n",
"substances substance NOUN \n",
"from from ADP \n",
"households household NOUN \n",
"or or CCONJ \n",
"long long ADJ \n",
"term term NOUN \n",
"care care NOUN \n",
"facilities facility NOUN \n",
"in in ADP \n",
"their -PRON- ADJ \n",
"drug drug NOUN \n",
"disposal disposal NOUN \n",
"programs program NOUN \n",
"or or CCONJ \n",
"\" \" PUNCT \n",
"take take VERB \n",
"- - PUNCT \n",
"back back PART \n",
"\" \" PUNCT \n",
"programs.[51 programs.[51 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"2011 2011 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"Obama obama PROPN PERSON\n",
"administration administration NOUN \n",
"released release VERB \n",
"a a DET \n",
"white white ADJ \n",
"paper paper NOUN \n",
"describing describe VERB \n",
"the the DET \n",
"administration administration NOUN \n",
"'s 's PART \n",
"plan plan NOUN \n",
"to to PART \n",
"deal deal VERB \n",
"with with ADP \n",
"the the DET \n",
"crisis crisis NOUN \n",
". . PUNCT \n",
"Its -PRON- ADJ \n",
"concerns concern NOUN \n",
"have have VERB \n",
"been be VERB \n",
"echoed echo VERB \n",
"by by ADP \n",
"numerous numerous ADJ \n",
"medical medical ADJ \n",
"and and CCONJ \n",
"government government NOUN \n",
"advisory advisory ADJ \n",
"groups group NOUN \n",
"around around ADP \n",
"the the DET \n",
"world.[52][53][54 world.[52][53][54 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"the the DET ORG\n",
"U.S. u.s. PROPN ORG\n",
"Surgeon surgeon PROPN ORG\n",
"General general PROPN ORG\n",
"listed list VERB \n",
"statistics statistic NOUN \n",
"which which ADJ \n",
"describe describe VERB \n",
"the the DET \n",
"extent extent NOUN \n",
"of of ADP \n",
"the the DET \n",
"problem.[19 problem.[19 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"July july PROPN DATE\n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"President president PROPN \n",
"Barack barack PROPN PERSON\n",
"Obama obama PROPN PERSON\n",
"signed sign VERB \n",
"into into ADP \n",
"law law NOUN \n",
"the the DET ORG\n",
"Comprehensive comprehensive PROPN ORG\n",
"Addiction addiction PROPN ORG\n",
"and and CCONJ ORG\n",
"Recovery recovery PROPN ORG\n",
"Act act PROPN ORG\n",
", , PUNCT \n",
"which which ADJ \n",
"expands expand VERB \n",
"opioid opioid ADJ \n",
"addiction addiction NOUN \n",
"treatment treatment NOUN \n",
"with with ADP \n",
"buprenorphine buprenorphine NOUN \n",
"and and CCONJ \n",
"authorizes authorize VERB \n",
"millions million NOUN MONEY\n",
"of of ADP MONEY\n",
"dollars dollar NOUN MONEY\n",
"in in ADP \n",
"new new ADJ \n",
"funding funding NOUN \n",
"for for ADP \n",
"opioid opioid ADJ \n",
"research research NOUN \n",
"and and CCONJ \n",
"treatment.[55 treatment.[55 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"December december PROPN DATE\n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
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"21st 21st ADJ DATE\n",
"Century century PROPN DATE\n",
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"Act act PROPN \n",
", , PUNCT \n",
"which which ADJ \n",
"includes include VERB \n",
"$ $ SYM MONEY\n",
"1 1 NUM MONEY\n",
"billion billion NUM MONEY\n",
"in in ADP \n",
"state state NOUN \n",
"grants grant NOUN \n",
"to to PART \n",
"fight fight VERB \n",
"the the DET \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
", , PUNCT \n",
"was be VERB \n",
"passed pass VERB \n",
"by by ADP \n",
"Congress congress PROPN ORG\n",
"by by ADP \n",
"a a DET \n",
"wide wide ADJ \n",
"bipartisan bipartisan ADJ \n",
"majority majority NOUN \n",
"( ( PUNCT \n",
"94 94 NUM CARDINAL\n",
"- - SYM \n",
"5 5 NUM \n",
"in in ADP \n",
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"Senate senate PROPN ORG\n",
", , PUNCT \n",
"392 392 NUM CARDINAL\n",
"- - SYM \n",
"26 26 NUM \n",
"in in ADP \n",
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"of of ADP \n",
"Representatives),[56 representatives),[56 PROPN GPE\n",
"] ] PUNCT \n",
"and and CCONJ \n",
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"into into ADP \n",
"law law NOUN \n",
"by by ADP \n",
"President president PROPN \n",
"Obama.[57 obama.[57 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"As as ADP \n",
"of of ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"President president PROPN \n",
"Donald donald PROPN PERSON\n",
"Trump trump PROPN PERSON\n",
"appointed appoint VERB \n",
"a a DET \n",
"commission commission NOUN \n",
"to to PART \n",
"deal deal VERB \n",
"on on ADP \n",
"the the DET \n",
"epidemic epidemic NOUN \n",
", , PUNCT \n",
"chaired chair VERB \n",
"by by ADP \n",
"Governor governor PROPN \n",
"Chris chris PROPN PERSON\n",
"Christie christie PROPN PERSON\n",
"of of ADP \n",
"New new PROPN \n",
"Jersey.[58][59][60 jersey.[58][59][60 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"June june PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"FDA fda PROPN ORG\n",
"asked ask VERB \n",
"the the DET \n",
"manufacturer manufacturer NOUN \n",
"to to PART \n",
"remove remove VERB \n",
"its -PRON- ADJ \n",
"injectable injectable ADJ \n",
"form form NOUN \n",
"of of ADP \n",
"oxymorphone oxymorphone NOUN \n",
"( ( PUNCT \n",
"Opana opana PROPN \n",
"ER er PROPN \n",
") ) PUNCT \n",
"from from ADP \n",
"the the DET \n",
"US us PROPN GPE\n",
"market market NOUN \n",
", , PUNCT \n",
"because because ADP \n",
"the the DET \n",
"drug drug NOUN \n",
"'s 's PART \n",
"benefits benefit NOUN \n",
"may may VERB \n",
"no no ADV \n",
"longer longer ADV \n",
"outweigh outweigh VERB \n",
"its -PRON- ADJ \n",
"risks risk NOUN \n",
", , PUNCT \n",
"this this DET \n",
"being be VERB \n",
"the the DET \n",
"first first ADJ ORDINAL\n",
"time time NOUN \n",
"the the DET \n",
"agency agency NOUN \n",
"has have VERB \n",
"asked ask VERB \n",
"to to PART \n",
"remove remove VERB \n",
"a a DET \n",
"currently currently ADV \n",
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"opioid opioid NOUN \n",
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"medication medication NOUN \n",
"from from ADP \n",
"sale sale NOUN \n",
"due due ADP \n",
"to to ADP \n",
"public public ADJ \n",
"health health NOUN \n",
"consequences consequence NOUN \n",
"of of ADP \n",
"abuse.[61 abuse.[61 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"July july PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"FDA fda PROPN ORG\n",
"commissioner commissioner NOUN \n",
"Dr dr PROPN \n",
"Scott scott PROPN PERSON\n",
"Gottlieb gottlieb PROPN PERSON\n",
"stated state VERB \n",
"that that ADP \n",
"for for ADP \n",
"the the DET \n",
"first first ADJ ORDINAL\n",
"time time NOUN \n",
", , PUNCT \n",
"pharmacists pharmacist NOUN \n",
", , PUNCT \n",
"nurses nurse NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"physicians physician NOUN \n",
", , PUNCT \n",
"would would VERB \n",
"have have VERB \n",
"training training NOUN \n",
"made make VERB \n",
"available available ADJ \n",
"on on ADP \n",
"appropriate appropriate ADJ \n",
"prescribing prescribing NOUN \n",
"of of ADP \n",
"opioid opioid ADJ \n",
"medicines medicine NOUN \n",
", , PUNCT \n",
"because because ADP \n",
"opioid opioid ADJ \n",
"addiction addiction NOUN \n",
"had have VERB \n",
"become become VERB \n",
"the the DET \n",
"\" \" PUNCT \n",
"FDA fda PROPN ORG\n",
"'s 's PART \n",
"biggest big ADJ \n",
"crisis\".[13 crisis\".[13 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"On on ADP \n",
"August august PROPN DATE\n",
"10 10 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"President president PROPN \n",
"Trump trump PROPN PERSON\n",
"agreed agree VERB \n",
"with with ADP \n",
"his -PRON- ADJ \n",
"Commission commission PROPN ORG\n",
"'s 's PART \n",
"report report NOUN \n",
"released release VERB \n",
"few few ADJ DATE\n",
"weeks week NOUN DATE\n",
"earlier earlier ADV DATE\n",
"and and CCONJ \n",
"declared declare VERB \n",
"the the DET \n",
"country country NOUN \n",
"'s 's PART \n",
"opioid opioid NOUN \n",
"crisis crisis NOUN \n",
"a a DET \n",
"\" \" PUNCT \n",
"national national ADJ \n",
"emergency.\"[16][17 emergency.\"[16][17 NOUN ORG\n",
"] ] PUNCT ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"On on ADP \n",
"September september PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"Trump trump PROPN ORG\n",
"nominated nominate VERB ORG\n",
"Representative representative PROPN \n",
"Tom tom PROPN PERSON\n",
"Marino marino PROPN PERSON\n",
"as as ADP \n",
"director director NOUN \n",
"of of ADP \n",
"the the DET ORG\n",
"Office office PROPN ORG\n",
"of of ADP ORG\n",
"National national PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Control control PROPN ORG\n",
"Policy policy PROPN ORG\n",
", , PUNCT \n",
"or or CCONJ \n",
"\" \" PUNCT \n",
"drug drug NOUN \n",
"czar\".[62 czar\".[62 PROPN \n",
"] ] PUNCT \n",
"Pharmaceutical pharmaceutical PROPN \n",
"distribution distribution NOUN \n",
"companies company NOUN \n",
"had have VERB \n",
"contributed contribute VERB \n",
"$ $ SYM \n",
"134,000 134,000 NUM MONEY\n",
"to to ADP \n",
"Marino marino PROPN PERSON\n",
"'s 's PART \n",
"election election NOUN \n",
"campaigns campaign NOUN \n",
"in in ADP \n",
"2014 2014 NUM DATE\n",
"and and CCONJ \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"more more ADJ \n",
"than than ADP \n",
"contributions contribution NOUN \n",
"from from ADP \n",
"any any DET \n",
"other other ADJ \n",
"industry industry NOUN \n",
". . PUNCT \n",
"Pharmaceutical pharmaceutical NOUN \n",
"distibutors distibutor NOUN \n",
"had have VERB \n",
"lobbied lobby VERB \n",
"for for ADP \n",
"legislation legislation NOUN \n",
"which which ADJ \n",
"Marino marino PROPN PERSON\n",
"co co NOUN \n",
"- - PUNCT \n",
"sponsored sponsor VERB \n",
"in in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"the the DET ORG\n",
"Ensuring ensuring PROPN ORG\n",
"Patient patient PROPN ORG\n",
"Access access PROPN ORG\n",
"and and CCONJ ORG\n",
"Effective effective PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Enforcement enforcement PROPN ORG\n",
"Act act PROPN ORG\n",
", , PUNCT \n",
"which which ADJ \n",
"made make VERB \n",
"it -PRON- PRON \n",
"harder hard ADJ \n",
"for for ADP \n",
"the the DET \n",
"DEA dea PROPN ORG\n",
"to to PART \n",
"shut shut VERB \n",
"down down PART \n",
"pharmacies pharmacy NOUN \n",
"suspected suspect VERB \n",
"of of ADP \n",
"diverting divert VERB \n",
"pills.[18 pills.[18 PROPN GPE\n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"State state PROPN \n",
"and and CCONJ \n",
"local local ADJ \n",
"governments[edit governments[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"July july PROPN DATE\n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"governors governor NOUN \n",
"of of ADP \n",
"most most ADJ \n",
"U.S. u.s. PROPN GPE\n",
"states state NOUN \n",
"and and CCONJ \n",
"territories territory NOUN \n",
"entered enter VERB \n",
"into into ADP \n",
"a a DET \n",
"formal formal ADJ \n",
"\" \" PUNCT \n",
"Compact compact PROPN LAW\n",
"to to PART LAW\n",
"Fight fight VERB LAW\n",
"Opioid opioid PROPN LAW\n",
"Addiction addiction PROPN LAW\n",
". . PUNCT \n",
"\" \" PUNCT \n",
"They -PRON- PRON \n",
"agreed agree VERB \n",
"that that DET \n",
"collective collective ADJ \n",
"action action NOUN \n",
"would would VERB \n",
"be be VERB \n",
"needed need VERB \n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"to to PART \n",
"end end VERB \n",
"the the DET \n",
"opioid opioid ADJ \n",
"crisis crisis NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"they -PRON- PRON \n",
"would would VERB \n",
"coordinate coordinate VERB \n",
"their -PRON- ADJ \n",
"responses response NOUN \n",
"across across ADP \n",
"all all DET \n",
"levels level NOUN \n",
"of of ADP \n",
"government government NOUN \n",
"and and CCONJ \n",
"the the DET \n",
"private private ADJ \n",
"sector sector NOUN \n",
", , PUNCT \n",
"including include VERB \n",
"opioid opioid NOUN \n",
"manufacturers manufacturer NOUN \n",
"and and CCONJ \n",
"doctors.[63 doctors.[63 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"Governor governor PROPN \n",
"of of ADP \n",
"Maryland maryland PROPN GPE\n",
", , PUNCT \n",
"as as ADP \n",
"an an DET \n",
"urgent urgent ADJ \n",
"response response NOUN \n",
"to to ADP \n",
"the the DET \n",
"crisis crisis NOUN \n",
", , PUNCT \n",
"declared declare VERB \n",
"a a DET WORK_OF_ART\n",
"State state PROPN WORK_OF_ART\n",
"of of ADP WORK_OF_ART\n",
"Emergency emergency PROPN WORK_OF_ART\n",
"to to PART \n",
"combat combat VERB \n",
"the the DET \n",
"rapid rapid ADJ \n",
"increase increase NOUN \n",
"in in ADP \n",
"overdoses overdos NOUN \n",
"by by ADP \n",
"increasing increase VERB \n",
"and and CCONJ \n",
"speeding speed VERB \n",
"up up PART \n",
"coordination coordination NOUN \n",
"between between ADP \n",
"the the DET \n",
"state state NOUN \n",
"and and CCONJ \n",
"local local ADJ \n",
"jurisdictions.[64][12 jurisdictions.[64][12 PROPN \n",
"] ] PUNCT \n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"about about ADV CARDINAL\n",
"2,000 2,000 NUM CARDINAL\n",
"people people NOUN \n",
"in in ADP \n",
"the the DET \n",
"state state NOUN \n",
"had have VERB \n",
"died die VERB \n",
"from from ADP \n",
"opioid opioid NOUN \n",
"overdoses.[65 overdoses.[65 NUM \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"Delaware delaware PROPN GPE\n",
", , PUNCT \n",
"which which ADJ \n",
"has have VERB \n",
"the the DET \n",
"12th 12th ADV ORDINAL\n",
"- - PUNCT \n",
"highest high ADJ \n",
"overdose overdose ADJ \n",
"death death NOUN \n",
"rate rate NOUN \n",
"in in ADP \n",
"the the DET \n",
"country country NOUN \n",
", , PUNCT \n",
"introduced introduce VERB \n",
"bills bill NOUN \n",
"to to ADP \n",
"both both DET \n",
"limit limit VERB \n",
"doctors doctor NOUN \n",
"' ' PART \n",
"ability ability NOUN \n",
"to to ADP \n",
"over over ADP \n",
"- - PUNCT \n",
"prescribe prescribe NOUN \n",
"painkillers painkiller NOUN \n",
"and and CCONJ \n",
"improve improve VERB \n",
"access access NOUN \n",
"to to ADP \n",
"treatment treatment NOUN \n",
". . PUNCT \n",
"In in ADP \n",
"2015 2015 NUM DATE\n",
", , PUNCT \n",
"228 228 NUM CARDINAL\n",
"people people NOUN \n",
"had have VERB \n",
"died die VERB \n",
"from from ADP \n",
"overdose overdose NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"increased increase VERB \n",
"35%—to 35%—to NUM CARDINAL\n",
"308—in 308—in PROPN \n",
"2016.[66 2016.[66 NUM \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"March march PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"a a DET \n",
"similar similar ADJ \n",
"plan plan NOUN \n",
"was be VERB \n",
"begun begin VERB \n",
"in in ADP \n",
"Michigan michigan PROPN GPE\n",
", , PUNCT \n",
"which which ADJ \n",
"introduced introduce VERB \n",
"the the DET ORG\n",
"Michigan michigan PROPN ORG\n",
"Automated automated PROPN ORG\n",
"Prescription prescription PROPN ORG\n",
"System system PROPN ORG\n",
"( ( PUNCT \n",
"MAPS maps PROPN ORG\n",
") ) PUNCT \n",
", , PUNCT \n",
"allowing allow VERB \n",
"doctors doctor NOUN \n",
"to to PART \n",
"check check VERB \n",
"when when ADV \n",
"and and CCONJ \n",
"what what ADJ \n",
"painkillers painkiller NOUN \n",
"have have VERB \n",
"already already ADV \n",
"been be VERB \n",
"prescribed prescribe VERB \n",
"to to ADP \n",
"a a DET \n",
"patient patient NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"thereby thereby ADV \n",
"help help VERB \n",
"keep keep VERB \n",
"addicts addict NOUN \n",
"from from ADP \n",
"switching switch VERB \n",
"doctors doctor NOUN \n",
"to to PART \n",
"receive receive VERB \n",
"drugs.[67][68 drugs.[67][68 NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"During during ADP \n",
"the the DET \n",
"2017 2017 NUM \n",
"General general PROPN \n",
"Session session PROPN \n",
"of of ADP \n",
"the the DET \n",
"Utah utah PROPN GPE\n",
"Legislature legislature PROPN \n",
", , PUNCT \n",
"Rep. rep. PROPN \n",
"Edward edward PROPN PERSON\n",
"H. h. PROPN PERSON\n",
"Redd redd PROPN PERSON\n",
"and and CCONJ \n",
"Sen. sen. PROPN \n",
"Todd todd PROPN PERSON\n",
"Weiler weiler PROPN PERSON\n",
"proposed propose VERB \n",
"amendments amendment NOUN \n",
"to to ADP \n",
"Utah utah PROPN GPE\n",
"'s 's PART \n",
"involuntary involuntary ADJ \n",
"commitment commitment NOUN \n",
"statutes statute NOUN \n",
"by by ADP \n",
"trying try VERB \n",
"to to PART \n",
"pass pass VERB \n",
"H.B. h.b. PROPN FAC\n",
"299 299 NUM FAC\n",
"into into ADP \n",
"law law NOUN \n",
"which which ADJ \n",
"would would VERB \n",
"allow allow VERB \n",
"relatives relative NOUN \n",
"to to PART \n",
"petition petition VERB \n",
"a a DET \n",
"court court NOUN \n",
"to to PART \n",
"mandate mandate VERB \n",
"substance- substance- ADJ \n",
"abuse abuse NOUN \n",
"treatment treatment NOUN \n",
"for for ADP \n",
"adults.[69][49 adults.[69][49 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"Maine maine PROPN GPE\n",
", , PUNCT \n",
"new new ADJ \n",
"laws law NOUN \n",
"were be VERB \n",
"imposed impose VERB \n",
"which which ADJ \n",
"capped cap VERB \n",
"the the DET \n",
"maximum maximum ADJ \n",
"daily daily ADJ DATE\n",
"strength strength NOUN \n",
"of of ADP \n",
"prescribed prescribed ADJ \n",
"opioids opioid NOUN \n",
"and and CCONJ \n",
"which which ADJ \n",
"limited limit VERB \n",
"prescriptions prescription NOUN \n",
"to to ADP \n",
"seven seven NUM DATE\n",
"days day NOUN DATE\n",
". . PUNCT \n",
"But but CCONJ \n",
"some some DET \n",
"doctors doctor NOUN \n",
"were be VERB \n",
"then then ADV \n",
"concerned concerned ADJ \n",
"that that ADP \n",
"patients patient NOUN \n",
"would would VERB \n",
"turn turn VERB \n",
"to to ADP \n",
"using use VERB \n",
"street street NOUN \n",
"drugs drug NOUN \n",
"like like ADP \n",
"heroin heroin NOUN \n",
"to to PART \n",
"extend extend VERB \n",
"their -PRON- ADJ \n",
"use use NOUN \n",
"of of ADP \n",
"painkillers.[15 painkillers.[15 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"West west PROPN GPE\n",
"Virginia virginia PROPN GPE\n",
", , PUNCT \n",
"which which ADJ \n",
"leads lead VERB \n",
"the the DET \n",
"nation nation NOUN \n",
"in in ADP \n",
"overdose overdose ADJ \n",
"deaths death NOUN \n",
"per per ADP \n",
"capita capita NOUN \n",
", , PUNCT \n",
"lawsuits lawsuit NOUN \n",
"seek seek VERB \n",
"to to PART \n",
"declare declare VERB \n",
"drug drug NOUN \n",
"distribution distribution NOUN \n",
"companies company NOUN \n",
"a a DET \n",
"\" \" PUNCT \n",
"public public ADJ \n",
"nuisance nuisance NOUN \n",
"\" \" PUNCT \n",
"in in ADP \n",
"an an DET \n",
"effort effort NOUN \n",
"to to PART \n",
"place place VERB \n",
"accountability accountability NOUN \n",
"upon upon ADP \n",
"the the DET \n",
"drug drug NOUN \n",
"industry industry NOUN \n",
"for for ADP \n",
"the the DET \n",
"costs cost NOUN \n",
"associated associate VERB \n",
"with with ADP \n",
"the the DET \n",
"epidemic.[70][71 epidemic.[70][71 PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"February february PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"officials official NOUN \n",
"in in ADP \n",
"Everett everett PROPN GPE\n",
", , PUNCT \n",
"Washington washington PROPN GPE\n",
"filed file VERB \n",
"a a DET \n",
"lawsuit lawsuit NOUN \n",
"against against ADP \n",
"the the DET \n",
"manufacturer manufacturer NOUN \n",
"of of ADP \n",
"OxyContin oxycontin PROPN PERSON\n",
"for for ADP \n",
"negligence negligence NOUN \n",
"by by ADP \n",
"allowing allow VERB \n",
"drugs drug NOUN \n",
"to to PART \n",
"be be VERB \n",
"illegally illegally ADV \n",
"trafficked traffic VERB \n",
"to to ADP \n",
"residents resident NOUN \n",
"and and CCONJ \n",
"failing fail VERB \n",
"to to PART \n",
"prevent prevent VERB \n",
"it -PRON- PRON \n",
". . PUNCT \n",
"The the DET \n",
"city city NOUN \n",
"wants want VERB \n",
"the the DET \n",
"company company NOUN \n",
"to to PART \n",
"pay pay VERB \n",
"the the DET \n",
"costs cost NOUN \n",
"of of ADP \n",
"handling handle VERB \n",
"the the DET ORG\n",
"crisis.[72 crisis.[72 NOUN ORG\n",
"] ] PUNCT ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"Prescription prescription PROPN ORG\n",
"drug drug NOUN \n",
"monitoring[edit monitoring[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"the the DET \n",
"CDC cdc PROPN ORG\n",
"published publish VERB \n",
"its -PRON- ADJ \n",
"\" \" PUNCT \n",
"Guideline guideline PROPN WORK_OF_ART\n",
"for for ADP WORK_OF_ART\n",
"Prescribing prescribing PROPN WORK_OF_ART\n",
"Opioids opioids PROPN WORK_OF_ART\n",
"for for ADP WORK_OF_ART\n",
"Chronic chronic PROPN WORK_OF_ART\n",
"Pain pain PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"recommending recommend VERB \n",
"opioids opioid NOUN \n",
"only only ADV \n",
"be be VERB \n",
"used use VERB \n",
"when when ADV \n",
"benefits benefit NOUN \n",
"for for ADP \n",
"pain pain NOUN \n",
"and and CCONJ \n",
"function function NOUN \n",
"are be VERB \n",
"expected expect VERB \n",
"to to PART \n",
"outweigh outweigh VERB \n",
"risks risk NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"then then ADV \n",
"used use VERB \n",
"at at ADP \n",
"the the DET \n",
"lowest low ADJ \n",
"effective effective ADJ \n",
"dosage dosage NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"avoidance avoidance NOUN \n",
"of of ADP \n",
"concurrent concurrent ADJ \n",
"opioid opioid NOUN \n",
"and and CCONJ \n",
"benzodiazepine benzodiazepine NOUN \n",
"use use NOUN \n",
"whenever whenever ADV \n",
"possible.[73 possible.[73 PROPN \n",
"] ] PUNCT \n",
"Silvia silvia PROPN PERSON\n",
"Martins martins PROPN PERSON\n",
", , PUNCT \n",
"an an DET \n",
"epidemiologist epidemiologist NOUN \n",
"at at ADP \n",
"Columbia columbia PROPN ORG\n",
"University university PROPN ORG\n",
", , PUNCT \n",
"has have VERB \n",
"suggested suggest VERB \n",
"getting get VERB \n",
"out out PART \n",
"more more ADJ \n",
"information information NOUN \n",
"about about ADP \n",
"the the DET \n",
"risks risk NOUN \n",
": : PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"The the DET \n",
"greater great ADJ \n",
"“ \" PUNCT \n",
"social social ADJ \n",
"acceptance acceptance NOUN \n",
"” \" PUNCT \n",
"for for ADP \n",
"using use VERB \n",
"these these DET \n",
"medications medication NOUN \n",
"( ( PUNCT \n",
"versus versus ADP \n",
"illegal illegal ADJ \n",
"substances substance NOUN \n",
") ) PUNCT \n",
"and and CCONJ \n",
"the the DET \n",
"misconception misconception NOUN \n",
"that that ADP \n",
"they -PRON- PRON \n",
"are be VERB \n",
"“ \" PUNCT \n",
"safe safe ADJ \n",
"” \" PUNCT \n",
"may may VERB \n",
"be be VERB \n",
"contributing contribute VERB \n",
"factors factor NOUN \n",
"to to ADP \n",
"their -PRON- ADJ \n",
"misuse misuse NOUN \n",
". . PUNCT \n",
"Hence hence ADV \n",
", , PUNCT \n",
"a a DET \n",
"major major ADJ \n",
"target target NOUN \n",
"for for ADP \n",
"intervention intervention NOUN \n",
"is be VERB \n",
"the the DET \n",
"general general ADJ \n",
"public public NOUN \n",
", , PUNCT \n",
"including include VERB \n",
"parents parent NOUN \n",
"and and CCONJ \n",
"youth youth NOUN \n",
", , PUNCT \n",
"who who NOUN \n",
"must must VERB \n",
"be be VERB \n",
"better better ADV \n",
"informed inform VERB \n",
"about about ADP \n",
"the the DET \n",
"negative negative ADJ \n",
"consequences consequence NOUN \n",
"of of ADP \n",
"sharing share VERB \n",
"with with ADP \n",
"others other NOUN \n",
"medications medication NOUN \n",
"prescribed prescribe VERB \n",
"for for ADP \n",
"their -PRON- ADJ \n",
"own own ADJ \n",
"ailments ailment NOUN \n",
". . PUNCT \n",
"Equally equally ADV \n",
"important important ADJ \n",
"is be VERB \n",
"the the DET \n",
"improved improved ADJ \n",
"training training NOUN \n",
"of of ADP \n",
"medical medical ADJ \n",
"practitioners practitioner NOUN \n",
"and and CCONJ \n",
"their -PRON- ADJ \n",
"staff staff NOUN \n",
"to to PART \n",
"better better ADV \n",
"recognize recognize VERB \n",
"patients patient NOUN \n",
"at at ADP \n",
"potential potential ADJ \n",
"risk risk NOUN \n",
"of of ADP \n",
"developing develop VERB \n",
"nonmedical nonmedical ADJ \n",
"use use NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"to to PART \n",
"consider consider VERB \n",
"potential potential ADJ \n",
"alternative alternative ADJ \n",
"treatments treatment NOUN \n",
"as as ADV \n",
"well well ADV \n",
"as as ADP \n",
"closely closely ADV \n",
"monitor monitor VERB \n",
"the the DET \n",
"medications medication NOUN \n",
"they -PRON- PRON \n",
"dispense dispense VERB \n",
"to to ADP \n",
"these these DET \n",
"patients.[48 patients.[48 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"As as ADP \n",
"of of ADP \n",
"April april PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"prescription prescription NOUN \n",
"drug drug NOUN \n",
"monitoring monitoring NOUN \n",
"programs program NOUN \n",
"( ( PUNCT \n",
"PDMPs pdmp NOUN \n",
") ) PUNCT \n",
"exist exist VERB \n",
"in in ADP \n",
"every every DET \n",
"state.[74 state.[74 NOUN \n",
"] ] PUNCT \n",
"A a DET \n",
"person person NOUN \n",
"on on ADP \n",
"opioids opioid NOUN \n",
"for for ADP \n",
"more more ADJ DATE\n",
"than than ADP DATE\n",
"three three NUM DATE\n",
"months month NOUN DATE\n",
"has have VERB \n",
"a a DET \n",
"15-fold 15-fold NUM CARDINAL\n",
"( ( PUNCT \n",
"1,500 1,500 NUM PERCENT\n",
"% % NOUN PERCENT\n",
") ) PUNCT \n",
"greater great ADJ \n",
"chance chance NOUN \n",
"of of ADP \n",
"becoming become VERB \n",
"addicted.[21 addicted.[21 PROPN \n",
"] ] PUNCT \n",
"PDMPs pdmp NOUN \n",
"allow allow VERB \n",
"pharmacists pharmacist NOUN \n",
"and and CCONJ \n",
"prescribers prescriber NOUN \n",
"to to PART \n",
"access access NOUN \n"
]
},
{
"name": "stdout",
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"patients’ patients’ PROPN ORG\n",
"prescription prescription NOUN \n",
"histories history NOUN \n",
"to to PART \n",
"identify identify VERB \n",
"suspicious suspicious ADJ \n",
"use use NOUN \n",
". . PUNCT \n",
"However however ADV \n",
", , PUNCT \n",
"a a DET \n",
"survey survey NOUN \n",
"of of ADP \n",
"US us PROPN GPE\n",
"physicians physician NOUN \n",
"published publish VERB \n",
"in in ADP \n",
"2015 2015 NUM DATE\n",
"found find VERB \n",
"only only ADV PERCENT\n",
"53 53 NUM PERCENT\n",
"% % NOUN PERCENT\n",
"of of ADP \n",
"doctors doctor NOUN \n",
"used use VERB \n",
"these these DET \n",
"programs program NOUN \n",
", , PUNCT \n",
"while while ADP \n",
"22 22 NUM PERCENT\n",
"% % NOUN PERCENT\n",
"were be VERB \n",
"not not ADV \n",
"aware aware ADJ \n",
"these these DET \n",
"programs program NOUN \n",
"were be VERB \n",
"available.[75 available.[75 NUM \n",
"] ] PUNCT \n",
"The the DET ORG\n",
"Centers centers PROPN ORG\n",
"for for ADP ORG\n",
"Disease disease PROPN ORG\n",
"Control control PROPN ORG\n",
"and and CCONJ ORG\n",
"Prevention prevention PROPN ORG\n",
"( ( PUNCT \n",
"CDC cdc PROPN ORG\n",
") ) PUNCT \n",
"was be VERB \n",
"tasked task VERB \n",
"with with ADP \n",
"establishing establish VERB \n",
"and and CCONJ \n",
"publishing publish VERB \n",
"a a DET \n",
"new new ADJ \n",
"guideline guideline NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"was be VERB \n",
"heavily heavily ADV \n",
"lobbied.[76][77 lobbied.[76][77 VERB \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"the the DET \n",
"media[edit media[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Media media PROPN ORG\n",
"coverage coverage NOUN \n",
"has have VERB \n",
"largely largely ADV \n",
"focused focus VERB \n",
"on on ADP \n",
"law law NOUN \n",
"- - PUNCT \n",
"enforcement enforcement NOUN \n",
"solutions solution NOUN \n",
"to to ADP \n",
"the the DET \n",
"epidemic epidemic NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"portray portray VERB \n",
"the the DET \n",
"issue issue NOUN \n",
"as as ADP \n",
"criminal criminal ADJ \n",
"rather rather ADV \n",
"than than ADP \n",
"medical.[78 medical.[78 NUM \n",
"] ] PUNCT \n",
"There there ADV \n",
"has have VERB \n",
"been be VERB \n",
"differential differential ADJ \n",
"reporting report VERB \n",
"on on ADP \n",
"how how ADV \n",
"white white ADJ \n",
"suburban suburban ADJ \n",
"or or CCONJ \n",
"rural rural ADJ \n",
"addicts addict NOUN \n",
"of of ADP \n",
"opioids opioid NOUN \n",
"are be VERB \n",
"portrayed portray VERB \n",
"compared compare VERB \n",
"to to ADP \n",
"black black ADJ \n",
"and and CCONJ \n",
"Hispanic hispanic ADJ NORP\n",
"urban urban ADJ \n",
"addicts addict NOUN \n",
", , PUNCT \n",
"often often ADV \n",
"of of ADP \n",
"heroin heroin NOUN \n",
", , PUNCT \n",
"reinforcing reinforce VERB \n",
"stereotypes stereotype NOUN \n",
"of of ADP \n",
"drug drug NOUN \n",
"users user NOUN \n",
"and and CCONJ \n",
"drug drug NOUN \n",
"- - PUNCT \n",
"using use VERB \n",
"offenders.[79 offenders.[79 NOUN \n",
"] ] PUNCT \n",
"In in ADP \n",
"newspapers newspaper NOUN \n",
", , PUNCT \n",
"white white ADJ \n",
"addicts addict NOUN \n",
"' ' PART \n",
"stories story NOUN \n",
"are be VERB \n",
"often often ADV \n",
"given give VERB \n",
"more more ADJ \n",
"space space NOUN \n",
", , PUNCT \n",
"allowing allow VERB \n",
"for for ADP \n",
"a a DET \n",
"longer long ADJ \n",
"backstory backstory NOUN \n",
"explaining explain VERB \n",
"how how ADV \n",
"they -PRON- PRON \n",
"became become VERB \n",
"addicted addicted ADJ \n",
", , PUNCT \n",
"and and CCONJ \n",
"what what NOUN \n",
"potential potential NOUN \n",
"they -PRON- PRON \n",
"had have VERB \n",
"before before ADP \n",
"using use VERB \n",
"drugs drug NOUN \n",
". . PUNCT \n",
"Black black ADJ \n",
"and and CCONJ \n",
"Hispanic hispanic ADJ NORP\n",
"addicts addict NOUN \n",
"are be VERB \n",
"more more ADV \n",
"likely likely ADJ \n",
"to to PART \n",
"be be VERB \n",
"dehumanized dehumanize VERB \n",
", , PUNCT \n",
"portrayed portray VERB \n",
"criminally criminally ADV \n",
", , PUNCT \n",
"and and CCONJ \n",
"mentioned mention VERB \n",
"more more ADJ \n",
"briefly.[79 briefly.[79 PROPN LANGUAGE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"In in ADP \n",
"July july PROPN DATE\n",
"2017 2017 NUM DATE\n",
", , PUNCT \n",
"a a DET \n",
"400-page 400-page NUM CARDINAL\n",
"report report NOUN \n",
"by by ADP \n",
"the the DET ORG\n",
"National national PROPN ORG\n",
"Academy academy PROPN ORG\n",
"of of ADP ORG\n",
"Science science PROPN ORG\n",
"presented present VERB \n",
"plans plan NOUN \n",
"to to PART \n",
"reduce reduce VERB \n",
"the the DET \n",
"addiction addiction NOUN \n",
"crisis crisis NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"it -PRON- PRON \n",
"said say VERB \n",
"was be VERB \n",
"killing kill VERB \n",
"91 91 NUM CARDINAL\n",
"people people NOUN \n",
"each each DET \n",
"day.[80 day.[80 NOUN ORG\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Solutions solution NOUN \n",
"for for ADP \n",
"addicts[edit addicts[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Main main ADJ PERSON\n",
"article article NOUN \n",
": : PUNCT \n",
"Drug drug NOUN \n",
"abuse abuse NOUN \n",
"treatment treatment NOUN \n",
"\n",
" \n",
" SPACE GPE\n",
"The the DET \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"is be VERB \n",
"often often ADV \n",
"discussed discuss VERB \n",
"in in ADP \n",
"terms term NOUN \n",
"of of ADP \n",
"prevention prevention NOUN \n",
", , PUNCT \n",
"but but CCONJ \n",
"helping help VERB \n",
"those those DET \n",
"who who NOUN \n",
"are be VERB \n",
"already already ADV \n",
"addicts addict NOUN \n",
"is be VERB \n",
"talked talk VERB \n",
"about about ADP \n",
"less less ADJ \n",
"frequently.[78 frequently.[78 NOUN \n",
"] ] PUNCT \n",
"Opioid opioid PROPN ORG\n",
"dependence dependence NOUN \n",
"can can VERB \n",
"lead lead VERB \n",
"to to ADP \n",
"a a DET \n",
"number number NOUN \n",
"of of ADP \n",
"consequences consequence NOUN \n",
"like like ADP \n",
"contraction contraction NOUN \n",
"of of ADP \n",
"HIV hiv PROPN \n",
"and and CCONJ \n",
"overdose overdose ADJ \n",
". . PUNCT \n",
"For for ADP \n",
"addicts addict NOUN \n",
"who who NOUN \n",
"wish wish VERB \n",
"to to PART \n",
"treat treat VERB \n",
"their -PRON- ADJ \n",
"addiction addiction NOUN \n",
", , PUNCT \n",
"there there ADV \n",
"are be VERB \n",
"two two NUM CARDINAL\n",
"classes class NOUN \n",
"of of ADP \n",
"treatment treatment NOUN \n",
"options option NOUN \n",
"available available ADJ \n",
": : PUNCT \n",
"medical medical ADJ \n",
"and and CCONJ \n",
"behavioral.[81 behavioral.[81 PROPN \n",
"] ] PUNCT \n",
"Neither neither CCONJ \n",
"is be VERB \n",
"guaranteed guarantee VERB \n",
"to to PART \n",
"successfully successfully ADV \n",
"treat treat VERB \n",
"opioid opioid ADJ \n",
"addiction addiction NOUN \n",
". . PUNCT \n",
"Which which ADJ \n",
", , PUNCT \n",
"or or CCONJ \n",
"which which ADJ \n",
"combination combination NOUN \n",
", , PUNCT \n",
"is be VERB \n",
"most most ADV \n",
"effective effective ADJ \n",
"varies varie NOUN \n",
"from from ADP \n",
"person person NOUN \n",
"to to ADP \n",
"person.[82 person.[82 NOUN \n",
"] ] PUNCT \n",
"These these DET \n",
"treatments treatment NOUN \n",
"are be VERB \n",
"doctor doctor NOUN \n",
"- - PUNCT \n",
"prescribed prescribe VERB \n",
"and and CCONJ \n",
"-regulated -regulat VERB \n",
", , PUNCT \n",
"but but CCONJ \n",
"differ differ VERB \n",
"in in ADP \n",
"their -PRON- ADJ \n",
"treatment treatment NOUN \n",
"mechanism mechanism NOUN \n",
". . PUNCT \n",
"Popular popular ADJ \n",
"treatments treatment NOUN \n",
"include include VERB \n",
"naloxone naloxone ADJ \n",
", , PUNCT \n",
"methadone methadone NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"buprenorphine buprenorphine NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"are be VERB \n",
"more more ADV \n",
"effective effective ADJ \n",
"when when ADV \n",
"combined combine VERB \n",
"with with ADP \n",
"a a DET \n",
"form form NOUN \n",
"of of ADP \n",
"behavioral behavioral ADJ \n",
"treatment.[82 treatment.[82 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Naloxone[edit naloxone[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Naloxone naloxone PROPN \n",
"is be VERB \n",
"used use VERB \n",
"mostly mostly ADV \n",
"as as ADP \n",
"a a DET \n",
"rescue rescue NOUN \n",
"medication medication NOUN \n",
"for for ADP \n",
"opioid opioid ADJ \n",
"overdose overdose ADJ \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"an an DET \n",
"opioid opioid ADJ \n",
"antagonist antagonist NOUN \n",
", , PUNCT \n",
"meaning mean VERB \n",
"it -PRON- PRON \n",
"binds bind VERB \n",
"to to PART \n",
"opioid opioid VERB \n",
"receptors receptor NOUN \n",
"but but CCONJ \n",
"does do VERB \n",
"not not ADV \n",
"turn turn VERB \n",
"them -PRON- PRON \n",
"on on PART \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"also also ADV \n",
"happens happen VERB \n",
"that that ADP \n",
"naloxone naloxone ADJ \n",
"binds bind NOUN \n",
"to to PART \n",
"opioid opioid VERB \n",
"receptors receptor NOUN \n",
"more more ADV \n",
"strongly strongly ADV \n",
"than than ADP \n",
"heroin heroin NOUN \n",
"or or CCONJ \n",
"any any DET \n",
"prescription prescription NOUN \n",
"opioids opioid NOUN \n",
". . PUNCT \n",
"This this DET \n",
"means mean VERB \n",
"that that ADP \n",
"when when ADV \n",
"someone someone NOUN \n",
"is be VERB \n",
"overdosing overdose VERB \n",
"on on ADP \n",
"opioids opioid NOUN \n",
", , PUNCT \n",
"naloxone naloxone ADJ \n",
"can can VERB \n",
"be be VERB \n",
"administered administer VERB \n",
", , PUNCT \n",
"allowing allow VERB \n",
"it -PRON- PRON \n",
"to to PART \n",
"take take VERB \n",
"the the DET \n",
"place place NOUN \n",
"of of ADP \n",
"the the DET \n",
"opioid opioid ADJ \n",
"drug drug NOUN \n",
"in in ADP \n",
"the the DET \n",
"person person NOUN \n",
"'s 's PART \n",
"receptors receptor NOUN \n",
", , PUNCT \n",
"turning turn VERB \n",
"them -PRON- PRON \n",
"off off PART \n",
". . PUNCT \n",
"This this DET \n",
"blocks block VERB \n",
"the the DET \n",
"effect effect NOUN \n",
"of of ADP \n",
"the the DET \n",
"receptors receptor NOUN \n",
". . PUNCT \n",
"Naloxone naloxone PROPN PERSON\n",
"is be VERB \n",
"sometimes sometimes ADV \n",
"administered administer VERB \n",
"with with ADP \n",
"other other ADJ \n",
"drugs drug NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"buprenorphine buprenorphine NOUN \n",
", , PUNCT \n",
"as as ADP \n",
"a a DET \n",
"way way NOUN \n",
"to to ADP \n",
"taper taper VERB \n",
"off off PART \n",
"buprenorphine buprenorphine NOUN \n",
"over over ADP \n",
"time time NOUN \n",
". . PUNCT \n",
"Naloxone naloxone PROPN PERSON\n",
"binds bind NOUN \n",
"to to ADP \n",
"some some DET \n",
"of of ADP \n",
"the the DET \n",
"receptors receptor NOUN \n",
", , PUNCT \n",
"blocking block VERB \n",
"the the DET \n",
"effectiveness effectiveness NOUN \n",
"of of ADP \n",
"some some DET \n",
"receptors receptor NOUN \n",
"in in ADP \n",
"case case NOUN \n",
"of of ADP \n",
"relapse.[82 relapse.[82 NOUN GPE\n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Methadone[edit methadone[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Methadone methadone PROPN \n",
"has have VERB \n",
"been be VERB \n",
"used use VERB \n",
"for for ADP \n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"opioid opioid ADJ \n",
"dependence dependence NOUN \n",
"since since ADP \n",
"1964 1964 NUM DATE\n",
", , PUNCT \n",
"and and CCONJ \n",
"studied study VERB \n",
"the the DET \n",
"most most ADJ \n",
"of of ADP \n",
"the the DET \n",
"pharmacological pharmacological ADJ \n",
"treatment treatment NOUN \n",
"options.[83 options.[83 NUM \n",
"] ] PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"a a DET \n",
"synthetic synthetic ADJ \n",
"long long ADJ \n",
"acting acting NOUN \n",
"opioid opioid NOUN \n",
", , PUNCT \n",
"so so ADP \n",
"it -PRON- PRON \n",
"can can VERB \n",
"replace replace VERB \n",
"multiple multiple ADJ \n",
"heroin heroin NOUN \n",
"uses us NOUN \n",
"by by ADP \n",
"being be VERB \n",
"taken take VERB \n",
"once once ADV \n",
"daily.[82 daily.[82 PROPN \n",
"] ] PUNCT \n",
"It -PRON- PRON \n",
"works work VERB \n",
"by by ADP \n",
"binding bind VERB \n",
"to to ADP \n",
"the the DET \n",
"opioid opioid ADJ \n",
"receptors receptor NOUN \n",
"in in ADP \n",
"the the DET \n",
"brain brain NOUN \n",
"and and CCONJ \n",
"spinal spinal ADJ \n",
"cord cord NOUN \n",
", , PUNCT \n",
"activating activate VERB \n",
"them -PRON- PRON \n",
", , PUNCT \n",
"reducing reduce VERB \n",
"withdrawal withdrawal NOUN \n",
"symptoms symptom NOUN \n",
"and and CCONJ \n",
"cravings craving NOUN \n",
"while while ADP \n",
"suppressing suppress VERB \n",
"the the DET \n",
"\" \" PUNCT \n",
"high high ADJ \n",
"\" \" PUNCT \n",
"that that ADP \n",
"other other ADJ \n",
"opioids opioid NOUN \n",
"can can VERB \n",
"elicit elicit VERB \n",
". . PUNCT \n",
"The the DET \n",
"decrease decrease NOUN \n",
"in in ADP \n",
"withdrawal withdrawal NOUN \n",
"symptoms symptom NOUN \n",
"and and CCONJ \n",
"cravings craving NOUN \n",
"allow allow VERB \n",
"the the DET \n",
"user user NOUN \n",
"to to PART \n",
"slowly slowly ADV \n",
"taper taper VERB \n",
"off off PART \n",
"the the DET \n",
"drug drug NOUN \n",
"in in ADP \n",
"a a DET \n",
"controlled control VERB \n",
"manner manner NOUN \n",
", , PUNCT \n",
"decreasing decrease VERB \n",
"the the DET \n",
"likelihood likelihood NOUN \n",
"of of ADP \n",
"relapse relapse NOUN \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"not not ADV \n",
"accessible accessible ADJ \n",
"to to ADP \n",
"all all DET \n",
"addicts addict NOUN \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"a a DET \n",
"regulated regulated ADJ \n",
"substance substance NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"requires require VERB \n",
"that that ADP \n",
"each each DET \n",
"dose dose NOUN \n",
"be be VERB \n",
"picked pick VERB \n",
"up up PART \n",
"from from ADP \n",
"a a DET \n",
"methadone methadone NOUN \n",
"clinic clinic NOUN \n",
"daily daily ADV DATE\n",
". . PUNCT \n",
"This this DET \n",
"can can VERB \n",
"be be VERB \n",
"inconvenient inconvenient ADJ \n",
"as as ADP \n",
"some some DET \n",
"patients patient NOUN \n",
"are be VERB \n",
"unable unable ADJ \n",
"to to PART \n",
"travel travel VERB \n",
"to to ADP \n",
"a a DET \n",
"clinic clinic NOUN \n",
", , PUNCT \n",
"or or CCONJ \n",
"avoid avoid VERB \n",
"the the DET \n",
"stigma stigma NOUN \n",
"associated associate VERB \n",
"with with ADP \n",
"drug drug NOUN \n",
"addiction.[82 addiction.[82 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Buprenorphine[edit buprenorphine[edit PROPN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Buprenorphine buprenorphine PROPN \n",
"is be VERB \n",
"used use VERB \n",
"similarly similarly ADV \n",
"to to ADP \n",
"methadone methadone NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"some some DET \n",
"doctors doctor NOUN \n",
"recommending recommend VERB \n",
"it -PRON- PRON \n",
"as as ADP \n",
"the the DET \n",
"best good ADJ \n",
"solution solution NOUN \n",
"for for ADP \n",
"medication medication NOUN \n",
"- - PUNCT \n",
"assisted assist VERB \n",
"treatment treatment NOUN \n",
"to to PART \n",
"help help VERB \n",
"people people NOUN \n",
"reduce reduce VERB \n",
"or or CCONJ \n",
"quit quit VERB \n",
"their -PRON- ADJ \n",
"use use NOUN \n",
"of of ADP \n",
"heroin heroin NOUN \n",
"or or CCONJ \n",
"other other ADJ \n",
"opiates opiate NOUN \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"claimed claim VERB \n",
"to to PART \n",
"be be VERB \n",
"safer safe ADJ \n",
"and and CCONJ \n",
"less less ADV \n",
"regulated regulated ADJ \n",
"than than ADP \n",
"methadone methadone NOUN \n",
", , PUNCT \n",
"with with ADP \n",
"month month NOUN DATE\n",
"- - PUNCT DATE\n",
"long long ADJ DATE\n",
"prescriptions prescription NOUN \n",
"allowed allow VERB \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"is be VERB \n",
"also also ADV \n",
"said say VERB \n",
"to to PART \n",
"eliminate eliminate VERB \n",
"opiate opiate ADJ \n",
"withdrawal withdrawal NOUN \n",
"symptoms symptom NOUN \n",
"and and CCONJ \n",
"cravings craving NOUN \n",
"in in ADP \n",
"many many ADJ \n",
"patients patient NOUN \n",
"without without ADP \n",
"inducing induce VERB \n",
"euphoria.[84 euphoria.[84 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Unlike unlike ADP \n",
"methadone methadone NOUN \n",
"treatment treatment NOUN \n",
", , PUNCT \n",
"which which ADJ \n",
"must must VERB \n",
"be be VERB \n",
"performed perform VERB \n",
"in in ADP \n",
"a a DET \n",
"highly highly ADV \n",
"structured structured ADJ \n",
"clinic clinic NOUN \n",
", , PUNCT \n",
"buprenorphine buprenorphine NOUN \n",
", , PUNCT \n",
"according accord VERB \n",
"to to ADP \n",
"SAMHSA samhsa PROPN ORG\n",
", , PUNCT \n",
"can can VERB \n",
"be be VERB \n",
"prescribed prescribe VERB \n",
"or or CCONJ \n",
"dispensed dispense VERB \n",
"in in ADP \n",
"physician physician NOUN \n",
"offices.[85 offices.[85 PROPN \n",
"] ] PUNCT \n",
"Patients patients PROPN \n",
"can can VERB \n",
"thereby thereby ADV \n",
"receive receive VERB \n",
"a a DET DATE\n",
"full full ADJ DATE\n",
"year year NOUN DATE\n",
"of of ADP \n",
"treatment treatment NOUN \n",
"for for ADP \n",
"a a DET \n",
"fraction fraction NOUN \n",
"of of ADP \n",
"the the DET \n",
"cost cost NOUN \n",
"of of ADP \n",
"detox detox NOUN \n",
"programs.[84 programs.[84 NUM \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Behavioral behavioral ADJ \n",
"treatment treatment NOUN \n",
"options[edit options[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"It -PRON- PRON \n",
"is be VERB \n",
"less less ADV \n",
"effective effective ADJ \n",
"to to PART \n",
"use use VERB \n",
"behavioral behavioral ADJ \n",
"treatment treatment NOUN \n",
"without without ADP \n",
"medical medical ADJ \n",
"treatment treatment NOUN \n",
"during during ADP \n",
"initial initial ADJ \n",
"detoxification detoxification NOUN \n",
". . PUNCT \n",
"It -PRON- PRON \n",
"has have VERB \n",
"similarly similarly ADV \n",
"been be VERB \n",
"shown show VERB \n",
"that that ADP \n",
"medical medical ADJ \n",
"treatments treatment NOUN \n",
"tend tend VERB \n",
"to to PART \n",
"get get VERB \n",
"better good ADJ \n",
"results result NOUN \n",
"when when ADV \n",
"accompanied accompany VERB \n",
"by by ADP \n",
"behavioral behavioral ADJ \n",
"treatment.[81 treatment.[81 NUM \n",
"] ] PUNCT \n",
"Popular popular ADJ NORP\n",
"behavioral behavioral ADJ \n",
"treatment treatment NOUN \n",
"options option NOUN \n",
"include include VERB \n",
"group group NOUN \n",
"or or CCONJ \n",
"individual individual ADJ \n",
"therapy therapy NOUN \n",
", , PUNCT \n",
"residential residential ADJ \n",
"treatment treatment NOUN \n",
"centers center NOUN \n",
", , PUNCT \n",
"and and CCONJ \n",
"Twelve twelve NUM CARDINAL\n",
"- - PUNCT \n",
"step step NOUN \n",
"programs program NOUN \n",
"such such ADJ \n",
"as as ADP \n",
"Narcotics narcotics PROPN ORG\n",
"Anonymous.[83 anonymous.[83 PROPN ORG\n",
"] ] PUNCT \n",
"Residential residential ADJ \n",
"treatment treatment NOUN \n",
"centers center NOUN \n",
"allow allow VERB \n",
"for for ADP \n",
"a a DET \n",
"24-hour 24-hour NUM \n",
"drug drug NOUN \n",
"- - PUNCT \n",
"free free ADJ \n",
"environment environment NOUN \n",
"to to PART \n",
"decrease decrease VERB \n",
"the the DET \n",
"chances chance NOUN \n",
"of of ADP \n",
"relapse relapse NOUN \n",
". . PUNCT \n",
"These these DET \n",
"centers center NOUN \n",
"allow allow VERB \n",
"addicts addict NOUN \n",
"to to PART \n",
"be be VERB \n",
"in in ADP \n",
"supportive supportive ADJ \n",
"environments environment NOUN \n",
"during during ADP \n",
"the the DET \n",
"difficult difficult ADJ \n",
"time time NOUN \n",
"of of ADP \n",
"detox.[86 detox.[86 NUM \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"Twelve twelve NUM CARDINAL\n",
"- - PUNCT \n",
"step step NOUN \n",
"programs program NOUN \n",
"are be VERB \n",
"one one NUM CARDINAL\n",
"of of ADP \n",
"the the DET \n",
"most most ADV \n",
"well well ADV \n",
"- - PUNCT \n",
"known know VERB \n",
"options option NOUN \n",
". . PUNCT \n",
"The the DET \n",
"philosophy philosophy NOUN \n",
"is be VERB \n",
"that that ADP \n",
"a a DET \n",
"group group NOUN \n",
"of of ADP \n",
"people people NOUN \n",
"sharing share VERB \n",
"the the DET \n",
"same same ADJ \n",
"addiction addiction NOUN \n",
"can can VERB \n",
"remain remain VERB \n",
"abstinent abstinent ADJ \n",
"with with ADP \n",
"the the DET \n",
"support support NOUN \n",
"of of ADP \n",
"and and CCONJ \n",
"connection connection NOUN \n",
"to to ADP \n",
"others other NOUN \n",
"who who NOUN \n",
"empathize empathize VERB \n",
"and and CCONJ \n",
"understand understand VERB \n",
". . PUNCT \n",
"There there ADV \n",
"is be VERB \n",
"also also ADV \n",
"a a DET \n",
"spiritual spiritual ADJ \n",
", , PUNCT \n",
"though though ADP \n",
"not not ADV \n",
"religious religious ADJ \n",
", , PUNCT \n",
"component component NOUN \n",
"to to ADP \n",
"it -PRON- PRON \n",
", , PUNCT \n",
"with with ADP \n",
"freedom freedom NOUN \n",
"to to PART \n",
"believe believe VERB \n",
"as as ADP \n",
"one one NUM CARDINAL\n",
"chooses.[87 chooses.[87 NOUN \n",
"] ] PUNCT \n",
"\n",
"\n",
" \n",
"\n",
" SPACE \n",
"See see VERB \n",
"also[edit also[edit NOUN \n",
"] ] PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Crack crack PROPN \n",
"epidemic epidemic NOUN \n",
"\n",
" \n",
" SPACE \n",
"List list PROPN \n",
"of of ADP \n",
"deaths death NOUN \n",
"from from ADP \n",
"drug drug NOUN \n",
"overdose overdose NOUN \n",
"and and CCONJ \n",
"intoxication intoxication NOUN \n",
"\n",
" \n",
" SPACE ORG\n",
"References[edit references[edit PROPN ORG\n",
"] ] PUNCT ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b PROPN \n",
"Data data PROPN ORG\n",
"Overview overview PROPN ORG\n",
". . PUNCT \n",
"Drug drug PROPN PERSON\n",
"Overdose overdose PROPN PERSON\n",
". . PUNCT \n",
"CDC cdc PROPN ORG\n",
"Injury injury PROPN ORG\n",
"Center center PROPN ORG\n",
", , PUNCT ORG\n",
"Centers centers PROPN ORG\n",
"for for ADP ORG\n",
"Disease disease PROPN ORG\n",
"Control control PROPN ORG\n",
"and and CCONJ ORG\n",
"Prevention prevention PROPN ORG\n",
"2016 2016 NUM ORG\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"WHO who NOUN \n",
"| | PROPN \n",
"Information information NOUN \n",
"sheet sheet NOUN \n",
"on on ADP \n",
"opioid opioid ADJ \n",
"overdose overdose NOUN \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"www.who.int www.who.int NOUN \n",
". . PUNCT \n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Retrieved retrieved ADJ PERSON\n",
"2017 2017 NUM PERSON\n",
"- - SYM PERSON\n",
"07 07 NUM PERSON\n",
"- - SYM PERSON\n",
"30 30 NUM PERSON\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"2015 2015 NUM DATE\n",
"National national PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Threat threat PROPN ORG\n",
"Assessment assessment PROPN ORG\n",
"Summary summary PROPN ORG\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"DEA dea PROPN ORG\n",
", , PUNCT \n",
"Oct. October PROPN DATE\n",
"2015 2015 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"CDC cdc PROPN ORG\n",
"– – PUNCT \n",
"MMWR mmwr PROPN \n",
"– – PUNCT \n",
"MMWR mmwr PROPN ORG\n",
"Publications publications PROPN ORG\n",
"– – PUNCT \n",
"MMWR mmwr PROPN ORG\n",
"Weekly weekly PROPN ORG\n",
": : PUNCT \n",
"Past past PROPN \n",
"Volume volume NOUN \n",
"( ( PUNCT \n",
"2011 2011 NUM DATE\n",
") ) PUNCT \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"www.cdc.gov www.cdc.gov ADJ \n",
". . PUNCT \n",
"November november PROPN DATE\n",
"4 4 NUM DATE\n",
", , PUNCT DATE\n",
"2011 2011 NUM DATE\n",
"/ / SYM DATE\n",
"60(43);1487–1492 60(43);1487–1492 NUM DATE\n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2017 2017 NUM DATE\n",
"- - SYM DATE\n",
"07 07 NUM DATE\n",
"- - SYM DATE\n",
"30 30 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Drug drug NOUN \n",
"overdoses overdos NOUN \n",
"now now ADV \n",
"kill kill VERB \n",
"more more ADJ \n",
"Americans americans PROPN NORP\n",
"than than ADP \n",
"guns gun NOUN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"CBS cbs PROPN ORG\n",
"News news PROPN ORG\n",
", , PUNCT \n",
"Dec. December PROPN DATE\n",
"9 9 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"Drug drug PROPN WORK_OF_ART\n",
"Deaths deaths PROPN WORK_OF_ART\n",
"in in ADP WORK_OF_ART\n",
"America america PROPN WORK_OF_ART\n",
"Are be VERB \n",
"Rising rise VERB \n",
"Faster faster ADV \n",
"Than than ADP \n",
"Ever ever ADV \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"New new PROPN ORG\n",
"York york PROPN ORG\n",
"Times times PROPN ORG\n",
", , PUNCT \n",
"June june PROPN DATE\n",
"5 5 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up ADV \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"In in ADP \n",
"2016 2016 NUM DATE\n",
", , PUNCT \n",
"drug drug NOUN \n",
"overdoses overdos NOUN \n",
"likely likely ADV \n",
"killed kill VERB \n",
"more more ADJ \n",
"Americans americans PROPN NORP\n",
"than than ADP \n",
"the the DET \n",
"entire entire ADJ \n",
"wars war NOUN \n",
"in in ADP \n",
"Vietnam vietnam PROPN GPE\n",
"and and CCONJ \n",
"Iraq iraq PROPN GPE\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Vox vox PROPN PERSON\n",
", , PUNCT \n",
"July july PROPN DATE\n",
"7 7 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"c c NOUN \n",
"d d X \n",
"e e NOUN \n",
"\" \" PUNCT \n",
"How how ADV \n",
"Bad bad ADJ \n",
"is be VERB \n",
"the the DET ORG\n",
"Opioid opioid PROPN ORG\n",
"Epidemic epidemic PROPN ORG\n",
"? ? PUNCT \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"PBS pbs PROPN ORG\n",
", , PUNCT \n",
"Feb. February PROPN DATE\n",
"23 23 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"Jump jump PROPN \n",
"up up ADV \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"America america PROPN WORK_OF_ART\n",
"’s ’s PART WORK_OF_ART\n",
"Addiction addiction PROPN WORK_OF_ART\n",
"to to ADP WORK_OF_ART\n",
"Opioids opioids PROPN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"Heroin heroin PROPN ORG\n",
"and and CCONJ ORG\n",
"Prescription prescription PROPN ORG\n",
"Drug drug PROPN ORG\n",
"Abuse abuse PROPN ORG\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"National national PROPN ORG\n",
"Institute institute PROPN ORG\n",
"on on ADP ORG\n",
"Drug drug PROPN ORG\n",
"Abuse abuse PROPN ORG\n",
"( ( PUNCT \n",
"NIDA nida PROPN \n",
") ) PUNCT \n",
", , PUNCT \n",
"May may PROPN DATE\n",
"14 14 NUM DATE\n",
", , PUNCT DATE\n",
"2014 2014 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"c c NOUN \n",
"d d X \n",
"e e NOUN \n",
"\" \" PUNCT \n",
"America america PROPN GPE\n",
"’s ’s PART \n",
"opioid opioid NOUN \n",
"epidemic epidemic NOUN \n",
"is be VERB \n",
"worsening worsen VERB \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"the the DET \n",
"Economist economist PROPN \n",
"( ( PUNCT \n",
"U.K. u.k. PROPN GPE\n",
") ) PUNCT \n",
"March march PROPN DATE\n",
"6 6 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"STAT stat NOUN ORG\n",
"forecast forecast NOUN \n",
": : PUNCT \n",
"Opioids opioid NOUN NORP\n",
"could could VERB \n",
"kill kill VERB \n",
"nearly nearly ADV CARDINAL\n",
"500,000 500,000 NUM CARDINAL\n",
"Americans americans PROPN NORP\n",
"in in ADP \n",
"the the DET DATE\n",
"next next ADJ DATE\n",
"decade decade NOUN DATE\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"STAT stat PROPN ORG\n",
", , PUNCT \n",
"June june PROPN DATE\n",
"27 27 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"Turque turque PROPN \n",
", , PUNCT \n",
"B. b. PROPN GPE\n",
"Maryland maryland PROPN GPE\n",
"governor governor NOUN \n",
"declares declare VERB \n",
"state state NOUN \n",
"of of ADP \n",
"emergency emergency NOUN \n",
"for for ADP \n",
"opioid opioid ADJ \n",
"crisis crisis NOUN \n",
", , PUNCT \n",
"The the DET ORG\n",
"Washington washington PROPN ORG\n",
"Post post PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"FDA fda PROPN ORG\n",
"'s 's PART \n",
"Scott scott PROPN PERSON\n",
"Gottlieb gottlieb PROPN PERSON\n",
": : PUNCT \n",
"Opioid opioid PROPN ORG\n",
"addiction addiction NOUN \n",
"is be VERB \n",
"FDA fda PROPN ORG\n",
"'s 's PART \n",
"biggest big ADJ \n",
"crisis crisis NOUN \n",
"now now ADV \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"CNBC cnbc PROPN ORG\n",
", , PUNCT \n",
"July july PROPN DATE\n",
"21 21 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"CDC cdc PROPN ORG\n",
"Chief chief PROPN \n",
"Frieden frieden PROPN \n",
": : PUNCT \n",
"How how ADV \n",
"to to PART \n",
"end end VERB \n",
"America america PROPN GPE\n",
"'s 's PART \n",
"growing grow VERB \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Fox fox PROPN ORG\n",
"News news PROPN ORG\n",
", , PUNCT \n",
"Dec. December PROPN DATE\n",
"17 17 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"c c NOUN \n",
"d d X \n",
"e e PUNCT \n",
"f f X \n",
"g g X \n",
"h h NOUN \n",
"i i NOUN \n",
"j j PROPN \n",
"k k PROPN \n",
"Caldwell caldwell PROPN PERSON\n",
", , PUNCT \n",
"Christoper christoper PROPN PERSON\n",
". . PUNCT \n",
"\" \" PUNCT \n",
"American american PROPN WORK_OF_ART\n",
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": : PUNCT WORK_OF_ART\n",
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"of of ADP ORG\n",
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"Addiction addiction PROPN ORG\n",
"\" \" PUNCT \n",
", , PUNCT \n",
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"Things things PROPN ORG\n",
", , PUNCT \n",
"April april PROPN DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"White white PROPN ORG\n",
"House house PROPN ORG\n",
"opioid opioid NOUN \n",
"commission commission NOUN \n",
"to to ADP \n",
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": : PUNCT ORG\n",
"‘ ' PUNCT ORG\n",
"Declare declare VERB ORG\n",
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"on on ADP \n",
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"\" \" PUNCT \n",
", , PUNCT \n",
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", , PUNCT \n",
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", , PUNCT DATE\n",
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"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
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"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"Trump trump PROPN \n",
"says say VERB \n",
"opioid opioid ADJ \n",
"crisis crisis NOUN \n",
"is be VERB \n",
"a a DET \n",
"national national ADJ \n",
"emergency emergency NOUN \n",
", , PUNCT \n",
"pledges pledge VERB \n",
"more more ADJ \n",
"money money NOUN \n",
"and and CCONJ \n",
"attention attention NOUN \n",
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", , PUNCT \n",
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", , PUNCT \n",
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", , PUNCT DATE\n",
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"\n",
" \n",
" SPACE DATE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"Drug drug PROPN WORK_OF_ART\n",
"Companies companies PROPN WORK_OF_ART\n",
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"Are be VERB WORK_OF_ART\n",
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"With with ADP \n",
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"Pick pick PROPN ORG\n",
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"Solve solve VERB ORG\n",
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"Opioid opioid PROPN EVENT\n",
"Crisis crisis PROPN EVENT\n",
"\" \" PUNCT \n",
". . PUNCT \n",
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". . PUNCT \n",
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", , PUNCT DATE\n",
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". . PUNCT \n",
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", , PUNCT DATE\n",
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". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
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": : PUNCT \n",
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"b b NOUN \n",
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"\" \" PUNCT \n",
"Facing face VERB \n",
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", , PUNCT \n",
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"( ( PUNCT \n",
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") ) PUNCT \n",
", , PUNCT \n",
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"pp pp PROPN \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
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"c c NOUN \n",
"d d X \n",
"e e PUNCT \n",
"f f X \n",
"\" \" PUNCT \n",
"The the DET \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"could could VERB \n",
"turn turn VERB \n",
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"pandemic pandemic NOUN \n",
"if if ADP \n",
"we -PRON- PRON \n",
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": : PUNCT \n",
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"than than ADP \n",
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", , PUNCT DATE\n",
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": : PUNCT \n",
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"seize seize VERB \n",
"14 14 NUM QUANTITY\n",
"kilos kilo NOUN QUANTITY\n",
"of of ADP \n",
"dangerous dangerous ADJ \n",
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", , PUNCT DATE\n",
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"'s 's PART \n",
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", , PUNCT \n",
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": : PUNCT \n",
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"suppliers supplier NOUN \n",
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"\" \" PUNCT \n",
", , PUNCT \n",
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", , PUNCT \n",
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", , PUNCT DATE\n",
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", , PUNCT \n",
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". . PUNCT \n",
"\" \" PUNCT \n",
"Opioids opioid NOUN \n",
": : PUNCT \n",
"From from ADP \n",
"' ' PUNCT \n",
"wonder wonder NOUN \n",
"drug drug NOUN \n",
"' ' PUNCT \n",
"to to PART \n",
"abuse abuse VERB \n",
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". . PUNCT \n",
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": : PUNCT WORK_OF_ART\n",
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". . PUNCT \n",
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". . PUNCT \n",
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". . PUNCT \n",
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". . PUNCT \n",
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". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
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"( ( PUNCT \n",
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") ) PUNCT \n",
". . PUNCT \n",
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". . PUNCT \n",
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" \n",
" SPACE GPE\n",
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"^ ^ PROPN \n",
"\" \" PUNCT \n",
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"1980 1980 NUM DATE\n",
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". . PUNCT \n",
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". . PUNCT \n",
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"3 3 NUM DATE\n",
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". . PUNCT \n",
"\n",
" \n",
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"up up PART \n",
"^ ^ PUNCT \n",
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", , PUNCT \n",
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"; ; PUNCT \n",
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", , PUNCT \n",
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", , PUNCT \n",
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", , PUNCT \n",
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": : PUNCT \n",
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". . PUNCT \n",
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"\n",
" \n",
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": : PUNCT \n",
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"^ ^ PROPN \n",
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"'s 's PART \n",
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"\n",
" \n",
" SPACE ORG\n",
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": : PUNCT \n",
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", , PUNCT \n",
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"adults adult NOUN \n",
": : PUNCT \n",
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"just just ADV \n",
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"Western western ADJ \n",
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", , PUNCT \n",
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", , PUNCT \n",
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"26 26 NUM DATE\n",
", , PUNCT DATE\n",
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"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
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"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
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"\" \" PUNCT \n",
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": : PUNCT WORK_OF_ART\n",
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"know know VERB WORK_OF_ART\n",
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"who who NOUN WORK_OF_ART\n",
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"for for ADP WORK_OF_ART\n",
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", , PUNCT \n",
"but but CCONJ \n",
"barriers barrier NOUN \n",
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"\" \" PUNCT \n",
", , PUNCT \n",
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", , PUNCT \n",
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" \n",
" SPACE ORG\n",
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"^ ^ PROPN \n",
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"\" \" PUNCT \n",
", , PUNCT \n",
"US us PROPN ORG\n",
"National national PROPN ORG\n",
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", , PUNCT \n",
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"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
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"^ ^ PUNCT \n",
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"12 12 NUM DATE\n",
", , PUNCT DATE\n",
"2010 2010 NUM DATE\n",
", , PUNCT \n",
"Government government PROPN ORG\n",
"Publishing publishing PROPN ORG\n",
"Office office PROPN ORG\n",
", , PUNCT \n",
"4pp 4pp NOUN ORDINAL\n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Tackling tackle VERB \n",
"the the DET ORG\n",
"Opioid opioid PROPN ORG\n",
"Public public PROPN ORG\n",
"Health health PROPN ORG\n",
"Crisis crisis PROPN ORG\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"College college PROPN ORG\n",
"of of ADP ORG\n",
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"Surgeons surgeons PROPN ORG\n",
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", , PUNCT \n",
"September september PROPN DATE\n",
"8 8 NUM DATE\n",
", , PUNCT DATE\n",
"2010 2010 NUM DATE\n",
"\n",
" \n",
" SPACE DATE\n",
"Jump jump PROPN \n",
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"^ ^ PROPN \n",
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"First first ADV WORK_OF_ART\n",
"Do do VERB WORK_OF_ART\n",
"No no DET WORK_OF_ART\n",
"Harm harm NOUN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"Responding respond VERB \n",
"to to ADP \n",
"Canada canada PROPN GPE\n",
"’s ’s PART \n",
"Prescription prescription PROPN EVENT\n",
"Drug drug PROPN EVENT\n",
"Crisis crisis PROPN EVENT\n",
"\" \" PUNCT \n",
", , PUNCT \n",
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"on on ADP \n",
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", , PUNCT \n",
"March march PROPN DATE\n",
"2013 2013 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"UK uk PROPN GPE\n",
": : PUNCT \n",
"Task task PROPN ORG\n",
"Force force PROPN ORG\n",
"offers offer VERB \n",
"ideas idea NOUN \n",
"for for ADP \n",
"opioid opioid ADJ \n",
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"solutions solution NOUN \n",
"\" \" PUNCT \n",
". . PUNCT \n",
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". . PUNCT \n",
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"- - SYM DATE\n",
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"- - SYM DATE\n",
"11 11 NUM DATE\n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2016 2016 NUM DATE\n",
"- - SYM DATE\n",
"01 01 NUM DATE\n",
"- - SYM DATE\n",
"07 07 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
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"of of ADP \n",
"the the DET ORG\n",
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"Addiction addiction PROPN ORG\n",
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"Recovery recovery PROPN ORG\n",
"Act act PROPN ORG\n",
", , PUNCT \n",
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"of of ADP ORG\n",
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". . PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
"Mike mike PROPN PERSON\n",
"DeBonis debonis PROPN PERSON\n",
", , PUNCT \n",
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", , PUNCT \n",
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", , PUNCT \n",
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"( ( PUNCT \n",
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"7 7 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
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"Eilperin eilperin PROPN ORG\n",
"& & CCONJ ORG\n",
"Carolyn carolyn PROPN ORG\n",
"Y. y. PROPN PERSON\n",
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", , PUNCT \n",
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"to to ADP \n",
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"and and CCONJ \n",
"bipartisanship bipartisanship NOUN \n",
", , PUNCT \n",
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"Century century PROPN \n",
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", , PUNCT \n",
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"( ( PUNCT \n",
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"13 13 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Opioid opioid PROPN WORK_OF_ART\n",
"Epidemic epidemic PROPN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
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"to to PART WORK_OF_ART\n",
"Set set VERB WORK_OF_ART\n",
"Up up PART WORK_OF_ART\n",
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"on on ADP WORK_OF_ART\n",
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"\" \" PUNCT \n",
", , PUNCT \n",
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", , PUNCT \n",
"March march PROPN DATE\n",
"29 29 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"It -PRON- PRON \n",
"'s be VERB \n",
"time time NOUN \n",
"to to PART \n",
"' ' PUNCT \n",
"Trump trump PROPN ORG\n",
"' ' PART ORG\n",
"opioid opioid NOUN \n",
"addiction addiction NOUN \n",
"in in ADP \n",
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"\" \" PUNCT \n",
", , PUNCT \n",
"The the DET \n",
"Hill hill PROPN \n",
", , PUNCT \n",
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"27 27 NUM DATE\n",
", , PUNCT DATE\n",
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"\n",
" \n",
" SPACE ORG\n",
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"up up ADV \n",
"^ ^ PROPN \n",
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"President president PROPN \n",
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"Listening listening PROPN ORG\n",
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", , PUNCT \n",
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", , PUNCT \n",
"March march PROPN DATE\n",
"29 29 NUM DATE\n",
", , PUNCT DATE\n",
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"\n",
" \n",
" SPACE GPE\n",
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", , PUNCT \n",
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". . PUNCT \n",
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"– – PUNCT \n",
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"of of ADP \n",
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"ER er PROPN \n",
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"risks risk NOUN \n",
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". . PUNCT \n",
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". . PUNCT \n",
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"2017 2017 NUM \n",
"- - SYM \n",
"06 06 NUM \n",
"- - SYM \n",
"15 15 NUM \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Trump trump NOUN \n",
"to to PART \n",
"tap tap VERB \n",
"Rep. rep. PROPN \n",
"Tom tom PROPN PERSON\n",
"Marino marino PROPN PERSON\n",
"as as ADP \n",
"' ' PUNCT \n",
"drug drug NOUN \n",
"czar czar NOUN \n",
"' ' PUNCT \n",
"\" \" PUNCT \n",
". . PUNCT \n",
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". . PUNCT \n",
"September september PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n",
"Retrieved retrieve VERB \n",
"13 13 NUM \n",
"October october PROPN DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"A a DET WORK_OF_ART\n",
"Compact compact PROPN WORK_OF_ART\n",
"to to PART WORK_OF_ART\n",
"Fight fight VERB WORK_OF_ART\n",
"Opioid opioid PROPN WORK_OF_ART\n",
"Addiction addiction PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
", , PUNCT \n",
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"Governors governors PROPN ORG\n",
"Assoc assoc PROPN ORG\n",
". . PUNCT \n",
", , PUNCT \n",
"July july PROPN DATE\n",
"13 13 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Hogan hogan PROPN ORG\n",
"- - PUNCT ORG\n",
"Rutherford rutherford PROPN ORG\n",
"Administration administration PROPN ORG\n",
"Declares declare VERB ORG\n",
"State state PROPN ORG\n",
"of of ADP ORG\n",
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", , PUNCT \n",
"Announces announce VERB \n",
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"Funding funding PROPN \n",
"to to ADP \n",
"Combat combat PROPN PERSON\n",
"Heroin heroin PROPN PERSON\n",
"and and CCONJ \n",
"Opioid opioid PROPN ORG\n",
"Crisis crisis PROPN ORG\n",
"in in ADP \n",
"Maryland maryland PROPN GPE\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Maryland.gov maryland.gov PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up ADV \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Gov. gov. PROPN \n",
"Hogan hogan PROPN PERSON\n",
"Announces announce VERB \n",
"Opioid opioid PROPN GPE\n",
"Epidemic epidemic PROPN GPE\n",
"State state PROPN GPE\n",
"Of of ADP GPE\n",
"Emergency emergency PROPN GPE\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"CBS cbs PROPN ORG\n",
"Baltimore baltimore PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"1 1 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Delaware delaware NOUN GPE\n",
"lawmakers lawmaker NOUN \n",
"tackle tackle VERB \n",
"opioid opioid ADJ \n",
"addiction addiction NOUN \n",
"epidemic epidemic NOUN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Newsworks newsworks PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"23 23 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up ADV \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Governor governor PROPN \n",
"Snyder snyder PROPN PERSON\n",
"rolls roll VERB \n",
"out out PART \n",
"plan plan NOUN \n",
"to to PART \n",
"fight fight VERB \n",
"opioid opioid NOUN \n",
"addiction addiction NOUN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"WILX wilx PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"23 23 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up ADV \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Snyder snyder NOUN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"Efforts effort NOUN WORK_OF_ART\n",
"to to PART WORK_OF_ART\n",
"stop stop VERB WORK_OF_ART\n",
"opioid opioid ADJ WORK_OF_ART\n",
"abuse abuse NOUN WORK_OF_ART\n",
"are be VERB WORK_OF_ART\n",
"n’t not ADV WORK_OF_ART\n",
"working work VERB WORK_OF_ART\n",
"\" \" PUNCT WORK_OF_ART\n",
", , PUNCT \n",
"Michigan michigan PROPN ORG\n",
"Radio radio PROPN ORG\n",
", , PUNCT \n",
"March march PROPN DATE\n",
"23 23 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"HB0299 hb0299 NOUN CARDINAL\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"le.utah.gov le.utah.gov INTJ \n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2017 2017 NUM \n",
"- - SYM \n",
"07 07 NUM \n",
"- - PUNCT \n",
"27 27 NUM \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Opioid opioid PROPN ORG\n",
"distributors distributor NOUN \n",
"sued sue VERB \n",
"by by ADP \n",
"West west PROPN GPE\n",
"Virginia virginia PROPN GPE\n",
"counties county NOUN \n",
"hit hit VERB \n",
"by by ADP \n",
"drug drug NOUN \n",
"crisis crisis NOUN \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Washington washington PROPN ORG\n",
"Post post PROPN ORG\n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2017 2017 NUM DATE\n",
"- - SYM DATE\n",
"06 06 NUM DATE\n",
"- - SYM DATE\n",
"27 27 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Lawyer lawyer PROPN EVENT\n",
"Behind behind ADP EVENT\n",
"West west PROPN EVENT\n",
"Virginia virginia PROPN EVENT\n",
"County county PROPN EVENT\n",
"Lawsuit lawsuit PROPN EVENT\n",
"Against against PROPN EVENT\n",
"Opioid opioid PROPN EVENT\n",
"Distributors distributors PROPN EVENT\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"NPR.org npr.org PROPN \n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2017 2017 NUM DATE\n",
"- - SYM DATE\n",
"06 06 NUM DATE\n",
"- - SYM DATE\n",
"27 27 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"U.S. u.s. PROPN GPE\n",
"City city PROPN \n",
"Sues sues PROPN \n",
"OxyContin oxycontin PROPN PERSON\n",
"Maker maker PROPN PERSON\n",
"For for ADP \n",
"Contributing contribute VERB ORG\n",
"To to ADP ORG\n",
"Opioid opioid PROPN ORG\n",
"Crisis crisis PROPN ORG\n",
"\" \" PUNCT \n",
", , PUNCT \n",
"NPR npr PROPN ORG\n",
", , PUNCT \n",
"Feb. February PROPN DATE\n",
"3 3 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up PART \n",
"^ ^ PUNCT \n",
"Dowell dowell PROPN PERSON\n",
", , PUNCT \n",
"Deborah deborah PROPN PERSON\n",
"; ; PUNCT \n",
"Haegerich haegerich PROPN GPE\n",
", , PUNCT \n",
"Tamara tamara PROPN \n",
"; ; PUNCT \n",
"Chou chou PROPN PERSON\n",
", , PUNCT \n",
"Roger roger PROPN PERSON\n",
"( ( PUNCT \n",
"March march PROPN DATE\n",
"15 15 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"CDC cdc PROPN ORG\n",
"Guideline guideline PROPN ORG\n",
"for for ADP \n",
"Prescribing prescribing PROPN ORG\n",
"Opioids opioids PROPN ORG\n",
"for for ADP ORG\n",
"Chronic chronic PROPN ORG\n",
"Pain pain PROPN ORG\n",
"— — PUNCT ORG\n",
"United united PROPN ORG\n",
"States states PROPN ORG\n",
", , PUNCT \n",
"2016 2016 NUM DATE\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"JAMA jama PROPN \n",
". . PUNCT \n",
"315 315 NUM CARDINAL\n",
": : SYM \n",
"1624–45 1624–45 NUM \n",
". . PUNCT \n",
"PMID pmid VERB \n",
"26977696 26977696 NUM \n",
". . PUNCT \n",
"doi:10.1001/jama.2016.1464 doi:10.1001/jama.2016.1464 NOUN \n",
". . PUNCT \n",
"Retrieved retrieve VERB \n",
"March march PROPN DATE\n",
"18 18 NUM DATE\n",
", , PUNCT DATE\n",
"2016 2016 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
"Missouri missouri PROPN GPE\n",
"is be VERB \n",
"final final ADJ \n",
"state state NOUN \n",
"to to PART \n",
"pass pass VERB \n",
"PDMP pdmp NOUN \n",
"program program NOUN \n",
"; ; PUNCT \n",
"US us PROPN ORG\n",
"News news PROPN ORG\n",
"& & CCONJ ORG\n",
"World world PROPN ORG\n",
"Report report PROPN ORG\n",
"; ; PUNCT \n",
"April april PROPN DATE\n",
"13 13 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN ORG\n",
"up up PART \n",
"^ ^ PUNCT \n",
"Rutkow rutkow PROPN PERSON\n",
"Lainie lainie PROPN PERSON\n",
"; ; PUNCT \n",
"et et PROPN \n",
"al al PROPN ORG\n",
". . PUNCT \n",
"( ( PUNCT \n",
"2015 2015 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"Most most ADJ \n",
"primary primary ADJ \n",
"care care NOUN \n",
"physicians physician NOUN \n",
"are be VERB \n",
"aware aware ADJ \n",
"of of ADP \n",
"prescription prescription NOUN \n",
"drug drug NOUN \n",
"monitoring monitoring NOUN \n",
"programs program NOUN \n",
", , PUNCT \n",
"but but CCONJ \n",
"many many ADJ \n",
"find find VERB \n",
"the the DET \n",
"data datum NOUN \n",
"difficult difficult ADJ \n",
"to to PART \n",
"access access VERB \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Health health PROPN ORG\n",
"Affairs affairs PROPN ORG\n",
". . PUNCT \n",
"34 34 NUM CARDINAL\n",
"( ( PUNCT \n",
"3 3 NUM CARDINAL\n",
") ) PUNCT \n",
": : PUNCT \n",
"484–492 484–492 X \n",
". . PUNCT \n",
"doi:10.1377/hlthaff.2014.1085 doi:10.1377/hlthaff.2014.1085 VERB \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
"Matthew matthew PROPN PERSON\n",
"Perrone perrone PROPN PERSON\n",
", , PUNCT \n",
"Associated associated PROPN ORG\n",
"Press press PROPN ORG\n",
". . PUNCT \n",
"\" \" PUNCT \n",
"Painkiller painkiller ADJ ORG\n",
"politics politic NOUN \n",
": : PUNCT \n",
"Effort effort NOUN \n",
"to to PART \n",
"curb curb VERB \n",
"prescribing prescribing NOUN \n",
"under under ADP \n",
"fire fire NOUN \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"The the DET ORG\n",
"Washington washington PROPN ORG\n",
"Times times PROPN ORG\n",
". . PUNCT \n",
"Retrieved retrieved ADJ \n",
"2017 2017 NUM \n",
"- - SYM \n",
"06 06 NUM \n",
"- - SYM \n",
"13 13 NUM \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
"Ghorayshi ghorayshi PROPN GPE\n",
", , PUNCT \n",
"Azeen azeen PROPN PERSON\n",
". . PUNCT \n",
"\" \" PUNCT \n",
"Missouri missouri PROPN GPE\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Is be VERB \n",
"The the DET \n",
"Only only ADJ \n",
"State state PROPN \n",
"In in ADP \n",
"The the DET \n",
"US us PROPN GPE\n",
"Where where ADV \n",
"Doctors doctor NOUN \n",
"Have have VERB \n",
"No no DET \n",
"Idea idea PROPN \n",
"What what NOUN \n",
"Prescriptions prescriptions PROPN \n",
"People people NOUN \n",
"Are be VERB \n",
"Getting get VERB \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"BuzzFeed buzzfeed PROPN ORG\n",
". . PUNCT \n",
"Retrieved retrieved ADJ DATE\n",
"11 11 NUM DATE\n",
"April april PROPN DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b PROPN \n",
"McGinty mcginty PROPN PERSON\n",
", , PUNCT \n",
"E. e. PROPN PERSON\n",
"\" \" PUNCT PERSON\n",
"Criminal criminal ADJ PERSON\n",
"Activity activity PROPN PERSON\n",
"or or CCONJ PERSON\n",
"Treatable treatable PROPN ORG\n",
"Health health PROPN ORG\n",
"Condition condition PROPN ORG\n",
"? ? PUNCT \n",
"News news NOUN ORG\n",
"Media medium NOUN ORG\n",
"Framing framing PROPN \n",
"of of ADP \n",
"Opioid opioid PROPN ORG\n",
"Analgesic analgesic PROPN ORG\n",
"Abuse abuse PROPN ORG\n",
"in in ADP \n",
"the the DET GPE\n",
"United united PROPN GPE\n",
"States states PROPN GPE\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Psychiatric psychiatric PROPN ORG\n",
"Services services PROPN ORG\n",
". . PUNCT \n",
"67 67 NUM CARDINAL\n",
": : PUNCT \n",
"405–411 405–411 NUM CARDINAL\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b PUNCT \n",
"Netherland netherland PROPN GPE\n",
", , PUNCT \n",
"J. j. PROPN PERSON\n",
"( ( PUNCT \n",
"December december PROPN DATE\n",
"2016 2016 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"The the DET WORK_OF_ART\n",
"War war PROPN WORK_OF_ART\n",
"on on ADP WORK_OF_ART\n",
"Drugs drug NOUN WORK_OF_ART\n",
"That that ADJ \n",
"Was be VERB \n",
"n't not ADV \n",
": : PUNCT \n",
"Wasted waste VERB PERSON\n",
"Whiteness whiteness PROPN PERSON\n",
", , PUNCT \n",
"\" \" PUNCT \n",
"Dirty dirty ADJ PERSON\n",
"Doctors doctor NOUN PERSON\n",
", , PUNCT \n",
"\" \" PUNCT \n",
"and and CCONJ \n",
"Race race PROPN PERSON\n",
"in in ADP \n",
"Media media PROPN ORG\n",
"Coverage coverage PROPN ORG\n",
"of of ADP ORG\n",
"Prescription prescription PROPN ORG\n",
"Opioid opioid PROPN ORG\n",
"Misuse misuse PROPN ORG\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Cult cult PROPN PERSON\n",
"Med med PROPN PERSON\n",
"Psychiatry psychiatry PROPN PERSON\n",
". . PUNCT \n",
"40 40 NUM CARDINAL\n",
"( ( PUNCT \n",
"4 4 NUM CARDINAL\n",
") ) PUNCT \n",
": : PUNCT \n",
"664–686 664–686 NUM \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Major major PROPN \n",
"Science science PROPN \n",
"Report report PROPN \n",
"Lays lay VERB \n",
"Out out PART \n",
"a a DET \n",
"Plan plan NOUN \n",
"to to ADP \n",
"Tamp tamp PROPN \n",
"Down down PROPN \n",
"Opioid opioid PROPN \n",
"Crisis crisis PROPN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Scientific scientific PROPN ORG\n",
"American american PROPN ORG\n",
", , PUNCT \n",
"July july PROPN DATE\n",
"13 13 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump PROPN PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"Veilleux veilleux PROPN ORG\n",
", , PUNCT \n",
"Jennifer jennifer PROPN PERSON\n",
". . PUNCT \n",
"\" \" PUNCT \n",
"A a DET WORK_OF_ART\n",
"Review review PROPN WORK_OF_ART\n",
"of of ADP WORK_OF_ART\n",
"Opioid opioid PROPN WORK_OF_ART\n",
"Dependence dependence PROPN WORK_OF_ART\n",
"Treatment treatment PROPN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"Pharmacological pharmacological PROPN \n",
"and and CCONJ \n",
"Psychosocial psychosocial PROPN ORG\n",
"Interventions interventions PROPN ORG\n",
"to to ADP \n",
"Treat treat PROPN ORG\n",
"Opioid opioid PROPN ORG\n",
"Addiction addiction PROPN ORG\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Clinical clinical PROPN ORG\n",
"Psychology psychology PROPN ORG\n",
"Review review PROPN ORG\n",
". . PUNCT \n",
"30.2 30.2 NUM CARDINAL\n",
": : PUNCT \n",
"155–166 155–166 NUM \n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"c c NOUN \n",
"d d X \n",
"e e PROPN \n",
"Dixon dixon PROPN PERSON\n",
", , PUNCT \n",
"David david PROPN PERSON\n",
"( ( PUNCT \n",
"May may PROPN DATE\n",
"13 13 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
") ) PUNCT \n",
". . PUNCT \n",
"\" \" PUNCT \n",
"Opioid opioid PROPN WORK_OF_ART\n",
"Abuse abuse PROPN WORK_OF_ART\n",
"Treatment treatment PROPN WORK_OF_ART\n",
"and and CCONJ WORK_OF_ART\n",
"Management management PROPN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"Medical medical PROPN WORK_OF_ART\n",
"Care care PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Medscape medscape PROPN GPE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"WHAT what NOUN \n",
"ARE are VERB \n",
"MY my ADJ \n",
"TREATMENT treatment PROPN \n",
"OPTIONS option NOUN \n",
"? ? PUNCT \n",
"\" \" PUNCT \n",
". . PUNCT \n",
"TURN turn VERB \n",
"TO to ADP \n",
"HELP help PROPN ORG\n",
". . PUNCT \n",
"June june PROPN DATE\n",
"11 11 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"^ ^ PUNCT \n",
"Jump jump VERB PERSON\n",
"up up PART \n",
"to to ADP \n",
": : PUNCT \n",
"a a DET \n",
"b b NOUN \n",
"\" \" PUNCT \n",
"My -PRON- ADJ WORK_OF_ART\n",
"View view NOUN WORK_OF_ART\n",
": : PUNCT WORK_OF_ART\n",
"New new ADJ WORK_OF_ART\n",
"approach approach NOUN \n",
"needed need VERB \n",
"for for ADP \n",
"opioid opioid ADJ \n",
"epidemic epidemic NOUN \n",
"\" \" PUNCT \n",
", , PUNCT \n",
"Portland portland PROPN ORG\n",
"Tribune tribune PROPN ORG\n",
", , PUNCT \n",
"July july PROPN DATE\n",
"25 25 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
"\n",
" \n",
" SPACE \n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PUNCT \n",
"Buprenorphine buprenorphine PROPN PERSON\n",
", , PUNCT \n",
"SAMHSA samhsa PROPN ORG\n",
"\n",
" \n",
" SPACE ORG\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"Heroin heroin PROPN WORK_OF_ART\n",
"Abuse abuse PROPN WORK_OF_ART\n",
"Solutions solutions PROPN WORK_OF_ART\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"Narconon narconon PROPN ORG\n",
"New new PROPN ORG\n",
"Life life PROPN ORG\n",
"Retreat retreat PROPN ORG\n",
". . PUNCT \n",
"June june PROPN DATE\n",
"12 12 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n",
"\n",
" \n",
" SPACE GPE\n",
"Jump jump PROPN \n",
"up up PART \n",
"^ ^ PROPN \n",
"\" \" PUNCT \n",
"12 12 NUM CARDINAL\n",
"Step step PROPN ORG\n",
"Programs programs PROPN ORG\n",
"for for ADP ORG\n",
"Drug drug PROPN ORG\n",
"Rehab rehab PROPN ORG\n",
"& & CCONJ ORG\n",
"Alcohol alcohol PROPN ORG\n",
"Treatment treatment PROPN ORG\n",
"\" \" PUNCT \n",
". . PUNCT \n",
"American american PROPN ORG\n",
"Addiction addiction PROPN ORG\n",
"Centers centers PROPN ORG\n",
". . PUNCT \n",
"June june PROPN DATE\n",
"6 6 NUM DATE\n",
", , PUNCT DATE\n",
"2017 2017 NUM DATE\n",
". . PUNCT \n"
]
}
],
"source": [
"for token in parsed_text:\n",
" # display the token's orthographic representation, lemma, part of speech, and entity type (which is empty if the token is not part of a named entity)\n",
" print(token.orth_, token.lemma_, token.pos_, token.ent_type_)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Again, you can check on some types (this following check's the type for the very last token seen):"
]
},
{
"cell_type": "code",
"execution_count": 6,
"metadata": {},
"outputs": [
{
"data": {
"text/plain": [
"str"
]
},
"execution_count": 6,
"metadata": {},
"output_type": "execute_result"
}
],
"source": [
"type(token.lemma_)"
]
},
{
"cell_type": "code",
"execution_count": 7,
"metadata": {},
"outputs": [
{
"data": {
"text/plain": [
"spacy.tokens.token.Token"
]
},
"execution_count": 7,
"metadata": {},
"output_type": "execute_result"
}
],
"source": [
"type(token)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"We can iterate through the named entities and print them out:"
]
},
{
"cell_type": "code",
"execution_count": 8,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"the United States GPE\n",
"Canada GPE\n",
"the 2010s DATE\n",
"OxyContin PERSON\n",
"Percocet PERSON\n",
"Vicodin PERSON\n",
"the U.S. Drug Enforcement Administration ORG\n",
"levels.\"[3]:iii ORG\n",
"Nearly half CARDINAL\n",
"2016 DATE\n",
"1999 to 2008 DATE\n",
"2015 DATE\n",
"annual DATE\n",
"the rise.[5 DATE\n",
"Americans NORP\n",
"50 DATE\n",
"two-thirds CARDINAL\n",
"2016 DATE\n",
"62,000 CARDINAL\n",
"Americans NORP\n",
"19 percent PERCENT\n",
"2015 DATE\n",
"Americans NORP\n",
"one year DATE\n",
"Vietnam GPE\n",
"Iraq GPE\n",
"16,000 CARDINAL\n",
"2010 DATE\n",
"4,000 CARDINAL\n",
"1999 DATE\n",
"June 2017 DATE\n",
"state,[10 DATE\n",
"over 500,000 CARDINAL\n",
"the next 10 years.[11]\n",
"\n",
" DATE\n",
"March 2017 DATE\n",
"Larry Hogan PERSON\n",
"Maryland GPE\n",
"epidemic,[12 ORG\n",
"July 2017 DATE\n",
"FDA ORG\n",
"CDC ORG\n",
"Thomas Frieden PERSON\n",
"America GPE\n",
"August 10, 2017 DATE\n",
"Donald Trump PERSON\n",
"Commission ORG\n",
"few weeks earlier DATE\n",
"emergency.\"[16][17 ORG\n",
"September 1 DATE\n",
"Trump ORG\n",
"Tom Marino PERSON\n",
"Marino PERSON\n",
"pills.[18 GPE\n",
"\n",
"\n",
"Contents PERSON\n",
"\n",
"1 Background LAW\n",
"the United States\n",
" ORG\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"1.3 Fentanyl\n",
" ORG\n",
"1.4 CARDINAL\n",
"the United States GPE\n",
"1.5 CARDINAL\n",
"\n",
"1.6 Outside EVENT\n",
"the U.S.\n",
"2 FAC\n",
"Countermeasures\n",
"2.1 ORG\n",
"\n",
" GPE\n",
"2.2 CARDINAL\n",
"\n",
" GPE\n",
"2.3 Prescription CARDINAL\n",
"\n",
" GPE\n",
"2.4 CARDINAL\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"2.5.1 CARDINAL\n",
"Naloxone\n",
"2.5.2 ORG\n",
"\n",
" GPE\n",
"2.5.3 CARDINAL\n",
"2.5.4 CARDINAL\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"\n",
"Background EVENT\n",
"the United States[edit] FAC\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"the U.S. Surgeon General ORG\n",
"The Opioid Crisis WORK_OF_ART\n",
"the 1990s DATE\n",
"the United States GPE\n",
"2016 DATE\n",
"more than 289 million CARDINAL\n",
"the late 1990s DATE\n",
"Americans NORP\n",
"around 100 million CARDINAL\n",
"a third CARDINAL\n",
"U.S. GPE\n",
"Between 1991 and 2011 DATE\n",
"U.S. GPE\n",
"76 million CARDINAL\n",
"219 million CARDINAL\n",
"OxyContin PERSON\n",
"Percocet PERSON\n",
"Vicodin PERSON\n",
"2002 DATE\n",
"one CARDINAL\n",
"six CARDINAL\n",
"2012 DATE\n",
"one CARDINAL\n",
"\n",
"\n",
"Despite PERSON\n",
"U.S.[20][19 GPE\n",
"\n",
" GPE\n",
"U.S. GPE\n",
"CDC ORG\n",
"U.S. GPE\n",
"Mexican NORP\n",
"Mexican NORP\n",
"over 600% PERCENT\n",
"an estimated 8 metric tons QUANTITY\n",
"2005 DATE\n",
"50 metric tons QUANTITY\n",
"2009.[8] DATE\n",
"2014 DATE\n",
"DEA ORG\n",
"the Mexican cartels.\"[3]:3\n",
"\n",
"\n",
"Opiate ORG\n",
"\n",
" GPE\n",
"one CARDINAL\n",
"American NORP\n",
"more than 33,000 CARDINAL\n",
"2015 DATE\n",
"thousands CARDINAL\n",
"an overdose.[25 CARDINAL\n",
"\n",
" GPE\n",
"Maryland GPE\n",
"the first six months of 2015 DATE\n",
"121 CARDINAL\n",
"the first six months of 2016 DATE\n",
"446 CARDINAL\n",
"Christopher Caldwell PERSON\n",
"\n",
" GPE\n",
"The Weekly Standard[15]\n",
" ORG\n",
"50 to 100 CARDINAL\n",
"30 to 50 CARDINAL\n",
"only 2 CARDINAL\n",
"first ORDINAL\n",
"DEA ORG\n",
"Philadelphia GPE\n",
"Detroit GPE\n",
"Chicago.[30 GPE\n",
"CDC ORG\n",
"Thomas Frieden PERSON\n",
"2010 DATE\n",
"50 to 100 CARDINAL\n",
"America GPE\n",
"the Centers for Disease Control and Prevention ORG\n",
"CDC ORG\n",
"72% PERCENT\n",
"2014 DATE\n",
"2015.[22 CARDINAL\n",
"CDC ORG\n",
"CDC ORG\n",
"March 2017 DATE\n",
"New Jersey GPE\n",
"nearly 31 pounds QUANTITY\n",
"14 kg QUANTITY\n",
"14 kg QUANTITY\n",
"7 million CARDINAL\n",
"Prince.[34][35] PERSON\n",
"\n",
"\n",
"Fentanyl PERSON\n",
"2014 DATE\n",
"CDC ORG\n",
"998 CARDINAL\n",
"Ohio GPE\n",
"just the first five months of 2015.[36 DATE\n",
"Cleveland GPE\n",
"U.S. GPE\n",
"Ohio GPE\n",
"One CARDINAL\n",
"2016 DATE\n",
"STAT ORG\n",
"Mexican NORP\n",
"U.S. GPE\n",
"Chinese NORP\n",
"British Columbia GPE\n",
"100,000 CARDINAL\n",
"each month DATE\n",
"Calgary GPE\n",
"Alberta GPE\n",
"90 CARDINAL\n",
"Calgary GPE\n",
"2015.[36 CARDINAL\n",
"Southern California LOC\n",
"six CARDINAL\n",
"thousands CARDINAL\n",
"\n",
"\n",
"History PERSON\n",
"the United States[edit]\n",
" ORG\n",
"the early 1900s DATE\n",
"the First World War EVENT\n",
"around 1920 DATE\n",
"1924 DATE\n",
"the U.S. Congress ORG\n",
"Around World War II EVENT\n",
"the 1950s DATE\n",
"Americans NORP\n",
"the 1960s and 1970s DATE\n",
"Heroin PERSON\n",
"Janis Joplin PERSON\n",
"John Belushi PERSON\n",
"Jim Morrison PERSON\n",
"Lenny Bruce PERSON\n",
"the Vietnam War EVENT\n",
"Vietnam GPE\n",
"Heroin PERSON\n",
"1971 DATE\n",
"U.S. GPE\n",
"Vietnam GPE\n",
"ten to fifteen percent PERCENT\n",
"Nixon PERSON\n",
"White House ORG\n",
"Christopher Caldwell PERSON\n",
"1973 DATE\n",
"1.5 CARDINAL\n",
"100,000 CARDINAL\n",
"the 1980s DATE\n",
"the New England Journal of Medicine ORG\n",
"NEJM ORG\n",
"January 1980 DATE\n",
"Addiction Rare in Patients Treated with Narcotics WORK_OF_ART\n",
"600 CARDINAL\n",
"Canada GPE\n",
"NEJM ORG\n",
"1980 DATE\n",
"June 2017 DATE\n",
"Hershel Jick PERSON\n",
"late 1980s DATE\n",
"American NORP\n",
"almost 2 per 100,000 CARDINAL\n",
"1982 DATE\n",
"George H. W. Bush PERSON\n",
"CIA ORG\n",
"U.S. GPE\n",
"War EVENT\n",
"2016 DATE\n",
"10.3 CARDINAL\n",
"100,000 CARDINAL\n",
"over 30 CARDINAL\n",
"100,000 CARDINAL\n",
"New Hampshire GPE\n",
"over 40 per 100,000 CARDINAL\n",
"West Virginia.[15 GPE\n",
"Demographics[edit PRODUCT\n",
"\n",
" GPE\n",
"U.S. GPE\n",
"one-third CARDINAL\n",
"2006 DATE\n",
"the Office of National Drug Control Policy’s 2008 Report Prescription for Danger ORG\n",
"Palm Beach County GPE\n",
"Florida GPE\n",
"149 CARDINAL\n",
"2012 DATE\n",
"588 CARDINAL\n",
"Middletown GPE\n",
"Ohio GPE\n",
"the 15 years DATE\n",
"Hawaii GPE\n",
"about 52 CARDINAL\n",
"every 100 CARDINAL\n",
"Alabama GPE\n",
"almost 143 CARDINAL\n",
"100 CARDINAL\n",
"\n",
" GPE\n",
"Approximately 80 percent PERCENT\n",
"United ORG\n",
"U.S. GPE\n",
"Columbia University ORG\n",
"20 CARDINAL\n",
"Europe LOC\n",
"three-quarters DATE\n",
"between ages 15 DATE\n",
"Canada GPE\n",
"Australia GPE\n",
"Europe LOC\n",
"U.S. GPE\n",
"Lebanon GPE\n",
"Saudi Arabia GPE\n",
"China GPE\n",
"one CARDINAL\n",
"ten CARDINAL\n",
"Europe LOC\n",
"Spain GPE\n",
"the United Kingdom.[20 GPE\n",
"August 2017 DATE\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"2010 DATE\n",
"US GPE\n",
"substitute,[10 ORG\n",
"2017 DATE\n",
"Utah GPE\n",
"about 80 percent PERCENT\n",
"2015 DATE\n",
"15% PERCENT\n",
"23%.[10][50 CARDINAL\n",
"\n",
" GPE\n",
"2010 DATE\n",
"CSA ORG\n",
"\n",
" GPE\n",
"2011 DATE\n",
"Obama PERSON\n",
"\n",
" GPE\n",
"2016 DATE\n",
"the U.S. Surgeon General ORG\n",
"\n",
" GPE\n",
"July 2016 DATE\n",
"Barack Obama PERSON\n",
"the Comprehensive Addiction and Recovery Act ORG\n",
"millions of dollars MONEY\n",
"\n",
" GPE\n",
"December 2016 DATE\n",
"the 21st Century DATE\n",
"$1 billion MONEY\n",
"Congress ORG\n",
"94 CARDINAL\n",
"Senate ORG\n",
"392 CARDINAL\n",
"House ORG\n",
"Representatives),[56 GPE\n",
"\n",
" GPE\n",
"March 2017 DATE\n",
"Donald Trump PERSON\n",
"Chris Christie PERSON\n",
"\n",
" GPE\n",
"June 2017 DATE\n",
"FDA ORG\n",
"US GPE\n",
"first ORDINAL\n",
"\n",
" GPE\n",
"July 2017 DATE\n",
"FDA ORG\n",
"Scott Gottlieb PERSON\n",
"first ORDINAL\n",
"FDA ORG\n",
"\n",
" GPE\n",
"August 10, 2017 DATE\n",
"Trump PERSON\n",
"Commission ORG\n",
"few weeks earlier DATE\n",
"emergency.\"[16][17]\n",
" ORG\n",
"September 1, 2017 DATE\n",
"Trump nominated ORG\n",
"Tom Marino PERSON\n",
"the Office of National Drug Control Policy ORG\n",
"134,000 MONEY\n",
"Marino PERSON\n",
"2014 DATE\n",
"2016 DATE\n",
"Marino PERSON\n",
"2016 DATE\n",
"the Ensuring Patient Access and Effective Drug Enforcement Act ORG\n",
"DEA ORG\n",
"pills.[18 GPE\n",
"\n",
" GPE\n",
"\n",
" GPE\n",
"July 2016 DATE\n",
"U.S. GPE\n",
"Compact to Fight Opioid Addiction LAW\n",
"\n",
" GPE\n",
"March 2017 DATE\n",
"Maryland GPE\n",
"a State of Emergency WORK_OF_ART\n",
"2016 DATE\n",
"about 2,000 CARDINAL\n",
"\n",
" GPE\n",
"March 2017 DATE\n",
"Delaware GPE\n",
"12th ORDINAL\n",
"2015 DATE\n",
"228 CARDINAL\n",
"35%—to CARDINAL\n",
"\n",
" GPE\n",
"March 2017 DATE\n",
"Michigan GPE\n",
"the Michigan Automated Prescription System ORG\n",
"MAPS ORG\n",
"\n",
" GPE\n",
"Utah GPE\n",
"Edward H. Redd PERSON\n",
"Todd Weiler PERSON\n",
"Utah GPE\n",
"H.B. 299 FAC\n",
"\n",
" GPE\n",
"Maine GPE\n",
"daily DATE\n",
"seven days DATE\n",
"\n",
" GPE\n",
"West Virginia GPE\n",
"\n",
" GPE\n",
"February 2017 DATE\n",
"Everett GPE\n",
"Washington GPE\n",
"OxyContin PERSON\n",
"the crisis.[72]\n",
"Prescription ORG\n",
"\n",
" GPE\n",
"2016 DATE\n",
"CDC ORG\n",
"Guideline for Prescribing Opioids for Chronic Pain WORK_OF_ART\n",
"Silvia Martins PERSON\n",
"Columbia University ORG\n",
"April 2017 DATE\n",
"more than three months DATE\n",
"15-fold CARDINAL\n",
"1,500% PERCENT\n",
"patients’ ORG\n",
"US GPE\n",
"2015 DATE\n",
"only 53% PERCENT\n",
"22% PERCENT\n",
"The Centers for Disease Control and Prevention ORG\n",
"CDC ORG\n",
"\n",
" GPE\n",
"Media ORG\n",
"Hispanic NORP\n",
"Hispanic NORP\n",
"briefly.[79 LANGUAGE\n",
"July 2017 DATE\n",
"400-page CARDINAL\n",
"the National Academy of Science ORG\n",
"91 CARDINAL\n",
"day.[80 ORG\n",
"Main PERSON\n",
"\n",
" GPE\n",
"Opioid ORG\n",
"two CARDINAL\n",
"Naloxone PERSON\n",
"Naloxone PERSON\n",
"relapse.[82 GPE\n",
"1964 DATE\n",
"daily DATE\n",
"month-long DATE\n",
"SAMHSA ORG\n",
"a full year DATE\n",
"\n",
" GPE\n",
"Popular NORP\n",
"Twelve CARDINAL\n",
"Narcotics Anonymous.[83 ORG\n",
"Twelve CARDINAL\n",
"one CARDINAL\n",
"one CARDINAL\n",
"\n",
"References[edit]\n",
" ORG\n",
"Jump PERSON\n",
"Data Overview ORG\n",
"Drug Overdose PERSON\n",
"CDC Injury Center, ORG\n",
"Centers for Disease Control and Prevention 2016 ORG\n",
"\n",
" GPE\n",
"Retrieved 2017-07-30 PERSON\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"2015 DATE\n",
"National Drug Threat Assessment Summary ORG\n",
"DEA ORG\n",
"Oct. 2015 DATE\n",
"\n",
" GPE\n",
"CDC ORG\n",
"MMWR Publications ORG\n",
"MMWR Weekly ORG\n",
"2011 DATE\n",
"November 4, 2011 / 60(43);1487–1492 DATE\n",
"2017-07-30 DATE\n",
"\n",
" GPE\n",
"Americans NORP\n",
"CBS News ORG\n",
"Dec. 9, 2016\n",
" DATE\n",
"Jump PERSON\n",
"Drug Deaths in America WORK_OF_ART\n",
"New York Times ORG\n",
"June 5, 2017 DATE\n",
"\n",
"Jump ORG\n",
"2016 DATE\n",
"Americans NORP\n",
"Vietnam GPE\n",
"Iraq GPE\n",
"Vox PERSON\n",
"July 7, 2017\n",
" DATE\n",
"Jump PERSON\n",
"the Opioid Epidemic ORG\n",
"PBS ORG\n",
"Feb. 23, 2016\n",
" DATE\n",
"America’s Addiction to Opioids: WORK_OF_ART\n",
"Heroin and Prescription Drug Abuse ORG\n",
"National Institute on Drug Abuse ORG\n",
"May 14, 2014\n",
" DATE\n",
"Jump PERSON\n",
"America GPE\n",
"U.K. GPE\n",
"March 6, 2017 DATE\n",
"\n",
" GPE\n",
"STAT ORG\n",
"Opioids NORP\n",
"nearly 500,000 CARDINAL\n",
"Americans NORP\n",
"the next decade DATE\n",
"STAT ORG\n",
"June 27, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"B. Maryland GPE\n",
"The Washington Post ORG\n",
"March 1, 2017\n",
" DATE\n",
"Jump PERSON\n",
"FDA ORG\n",
"Scott Gottlieb PERSON\n",
"Opioid ORG\n",
"FDA ORG\n",
"CNBC ORG\n",
"July 21, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"CDC ORG\n",
"America GPE\n",
"Fox News ORG\n",
"Dec. 17, 2016 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Caldwell PERSON\n",
"Christoper PERSON\n",
"American Carnage: WORK_OF_ART\n",
"The New Landscape of Opioid Addiction ORG\n",
"First Things ORG\n",
"April 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"White House ORG\n",
"Trump: ‘ ORG\n",
"Declare ORG\n",
"Washington Post ORG\n",
"July 31, 2017\n",
" DATE\n",
"Jump PERSON\n",
"Washington Post ORG\n",
"August 10, 2017\n",
" DATE\n",
"Jump PERSON\n",
"Drug Companies Sure Are Cozy WORK_OF_ART\n",
"Trump’s Pick ORG\n",
"Solve ORG\n",
"the Opioid Crisis EVENT\n",
"October 13, 2017 DATE\n",
"Retrieved October 13, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"America GPE\n",
"U.S. Surgeon General ORG\n",
"2016 DATE\n",
"413 CARDINAL\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Washington Post ORG\n",
"Feb. 9, 2017\n",
" DATE\n",
"Jump PERSON\n",
"Opioid Prescriptions Fall WORK_OF_ART\n",
"2010 DATE\n",
"C.D.C. Report Finds ORG\n",
"New York Times ORG\n",
"July 6, 2017\n",
" DATE\n",
"Jump PERSON\n",
"CNN ORG\n",
"Feb. 8, 2017 DATE\n",
"\n",
"Jump ORG\n",
"Mexico GPE\n",
"U.S. GPE\n",
"Congressional Research Service ORG\n",
"March 3, 2016\n",
" DATE\n",
"Heroin PERSON\n",
"first ORDINAL\n",
"CDC ORG\n",
"Washington Post ORG\n",
"Dec. 8, 2016 DATE\n",
"2017-05-08\n",
" DATE\n",
"The Children of the Opioid Crisis WORK_OF_ART\n",
"Wall Street Journal ORG\n",
"Dec. 15, 2016 DATE\n",
"\n",
"Jump ORG\n",
"Vermont GPE\n",
"June 4, 2017 DATE\n",
"\n",
" GPE\n",
"Stat PERSON\n",
"Sept. 29, 2016 DATE\n",
"\n",
" GPE\n",
"The European Monitoring Centre for Drugs and Drug Addiction ORG\n",
"\n",
" GPE\n",
"CDC\n",
" ORG\n",
"Orlando GPE\n",
"Orlando.com ORG\n",
"March 20, 2017 DATE\n",
"\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
" GPE\n",
"Opioid Data Analysis ORG\n",
"Centers for Disease Control and Prevention ORG\n",
"CDC ORG\n",
"\n",
" GPE\n",
"Franklin County GPE\n",
"one CARDINAL\n",
"The Columbus Dispatch ORG\n",
"March 16, 2017 DATE\n",
"\n",
" GPE\n",
"14 kilos QUANTITY\n",
"N.J. GPE\n",
"NJ.com ORG\n",
"March 17, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Autopsy Result Highlights Dangers PERSON\n",
"Opioid Painkiller Fentanyl ORG\n",
"ABC News ORG\n",
"June 2, 2016\n",
" DATE\n",
"Seattle Times ORG\n",
"April 17, 2017\n",
" DATE\n",
"Jump PERSON\n",
"Chinese NORP\n",
"US GPE\n",
"Canada GPE\n",
"STAT ORG\n",
"April 5, 2016\n",
" DATE\n",
"Jump PERSON\n",
"Moghe GPE\n",
"Sonia GPE\n",
"CNN ORG\n",
"11 April 2017 DATE\n",
"\n",
" GPE\n",
"WGBH ORG\n",
"Robert Dupoint PERSON\n",
"February 18, 1970 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Opioid crisis: The letter that started it all WORK_OF_ART\n",
"BBC ORG\n",
"3 June 2017 DATE\n",
"3 June 2017 DATE\n",
"\n",
" GPE\n",
"Jane Porter PERSON\n",
"Hershel Jick PERSON\n",
"10 January 1980 DATE\n",
"Addiction Rare in Patients Treated with Narcotics WORK_OF_ART\n",
"New England Journal of Medicine ORG\n",
"June 2017 DATE\n",
"\n",
" GPE\n",
"1980 DATE\n",
"the Risk of Opioid Addiction ORG\n",
"New England Journal of Medicine ORG\n",
"1 June 2017 DATE\n",
"Retrieved 3 June 2017 DATE\n",
"\n",
" GPE\n",
"Scott PERSON\n",
"Peter Dale PERSON\n",
"Marshall PERSON\n",
"Jonathan PERSON\n",
"Cocaine Politics PERSON\n",
"CIA ORG\n",
"Central America LOC\n",
"Berkeley GPE\n",
"CA: University of California Press ORG\n",
"1991 DATE\n",
"2 CARDINAL\n",
"Sullivan PERSON\n",
"Andrew.\"The Opioid Epidemic ORG\n",
"New York Magazine ORG\n",
"March 16, 2017 DATE\n",
"Florida GPE\n",
"South Bend Tribune GPE\n",
"April 2, 2017 DATE\n",
"\n",
"Jump ORG\n",
"de La PERSON\n",
"Emily PERSON\n",
"August 2, 2017 DATE\n",
"Middletown GPE\n",
"Ohio GPE\n",
"\n",
" GPE\n",
"Prescribing GPE\n",
"Opioid Pain Relievers ORG\n",
"United States GPE\n",
"2012 DATE\n",
"CDC ORG\n",
"July 4, 2014\n",
" DATE\n",
"Americans NORP\n",
"Dina Gusovsky PERSON\n",
"CNBC ORG\n",
"27 CARDINAL\n",
"Apr 2016\n",
" ORG\n",
"Jump PERSON\n",
"Silvia S. Martins ORG\n",
"Lilian A. Ghandour PERSON\n",
"World Psychiatry PERSON\n",
"Jan. 26, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Poll: Many Utahns know people who seek treatment for opioid addiction WORK_OF_ART\n",
"The Salt Lake Tribune ORG\n",
"April 3, 2017 DATE\n",
"\n",
"Jump ORG\n",
"US National Institute on Drug Abuse ORG\n",
"January 2017 DATE\n",
"\n",
"Jump ORG\n",
"2010 Oct. 12, 2010 DATE\n",
"Government Publishing Office ORG\n",
"4pp ORDINAL\n",
"the Opioid Public Health Crisis ORG\n",
"College of Physicians and Surgeons of Ontario ORG\n",
"September 8, 2010\n",
" DATE\n",
"First Do No Harm: WORK_OF_ART\n",
"Canada GPE\n",
"Prescription Drug Crisis EVENT\n",
"Canadian Centre ORG\n",
"Substance Abuse ORG\n",
"March 2013 DATE\n",
"\n",
"Jump ORG\n",
"UK GPE\n",
"Task Force ORG\n",
"Delhidailynews.com ORG\n",
"2014-06-11 DATE\n",
"2016-01-07 DATE\n",
"\n",
" GPE\n",
"Summary GPE\n",
"the Comprehensive Addiction and Recovery Act ORG\n",
"American Society of Addiction Medicine ORG\n",
"Mike DeBonis PERSON\n",
"Congress ORG\n",
"21st ORDINAL\n",
"Washington Post ORG\n",
"December 7, 2016 DATE\n",
"\n",
" GPE\n",
"Juliet Eilperin & Carolyn ORG\n",
"Y. Johnson PERSON\n",
"Biden PERSON\n",
"21st ORDINAL\n",
"Tuesday DATE\n",
"Washington Post ORG\n",
"December 13, 2016 DATE\n",
"\n",
" GPE\n",
"Opioid Epidemic: Trump to Set Up Commission on Addiction Crisis WORK_OF_ART\n",
"NBC News ORG\n",
"March 29, 2017 DATE\n",
"\n",
" GPE\n",
"Trump' ORG\n",
"the United States GPE\n",
"Feb. 27, 2017 DATE\n",
"\n",
"Jump ORG\n",
"Trump Hosts ORG\n",
"Opioid and Drug Abuse Listening Session ORG\n",
"Real Clear Politics ORG\n",
"March 29, 2017 DATE\n",
"\n",
" GPE\n",
"Opana ORG\n",
"Tom Marino PERSON\n",
"Politico GPE\n",
"September 1, 2017 DATE\n",
"October 2017 DATE\n",
"\n",
" GPE\n",
"A Compact to Fight Opioid Addiction WORK_OF_ART\n",
"National Governors Assoc ORG\n",
"July 13, 2016 DATE\n",
"\n",
" GPE\n",
"Hogan-Rutherford Administration Declares State of Emergency ORG\n",
"Combat Heroin PERSON\n",
"Opioid Crisis ORG\n",
"Maryland GPE\n",
"Maryland.gov ORG\n",
"March 1, 2017 DATE\n",
"Hogan PERSON\n",
"Opioid Epidemic State Of Emergency GPE\n",
"CBS Baltimore ORG\n",
"March 1, 2017 DATE\n",
"Delaware GPE\n",
"Newsworks ORG\n",
"March 23, 2017 DATE\n",
"\n",
"Jump ORG\n",
"Snyder PERSON\n",
"WILX ORG\n",
"March 23, 2017 DATE\n",
"\n",
" GPE\n",
"Snyder: Efforts to stop opioid abuse aren’t working\" WORK_OF_ART\n",
"Michigan Radio ORG\n",
"March 23, 2017 DATE\n",
"\n",
"Jump ORG\n",
"HB0299 CARDINAL\n",
"\n",
" GPE\n",
"Opioid ORG\n",
"West Virginia GPE\n",
"Washington Post ORG\n",
"2017-06-27 DATE\n",
"\n",
" GPE\n",
"Lawyer Behind West Virginia County Lawsuit Against Opioid Distributors EVENT\n",
"2017-06-27 DATE\n",
"\n",
" GPE\n",
"U.S. GPE\n",
"OxyContin Maker PERSON\n",
"Contributing To Opioid Crisis ORG\n",
"NPR ORG\n",
"Feb. 3, 2017 DATE\n",
"\n",
"Jump ORG\n",
"Dowell PERSON\n",
"Deborah PERSON\n",
"Haegerich GPE\n",
"Chou PERSON\n",
"Roger PERSON\n",
"March 15, 2016 DATE\n",
"CDC Guideline ORG\n",
"Prescribing Opioids for Chronic Pain—United States ORG\n",
"2016 DATE\n",
"315 CARDINAL\n",
"March 18, 2016 DATE\n",
"\n",
" GPE\n",
"Missouri GPE\n",
"US News & World Report ORG\n",
"April 13, 2017 DATE\n",
"\n",
"Jump ORG\n",
"Rutkow Lainie PERSON\n",
"al ORG\n",
"2015 DATE\n",
"Health Affairs ORG\n",
"34 CARDINAL\n",
"3 CARDINAL\n",
"\n",
" GPE\n",
"Matthew Perrone PERSON\n",
"Associated Press ORG\n",
"Painkiller ORG\n",
"The Washington Times ORG\n",
"\n",
" GPE\n",
"Ghorayshi GPE\n",
"Azeen PERSON\n",
"Missouri GPE\n",
"US GPE\n",
"BuzzFeed ORG\n",
"Retrieved 11 April 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"McGinty PERSON\n",
"E. \"Criminal Activity or PERSON\n",
"Treatable Health Condition ORG\n",
"News Media ORG\n",
"Opioid Analgesic Abuse ORG\n",
"the United States GPE\n",
"Psychiatric Services ORG\n",
"67 CARDINAL\n",
"405–411 CARDINAL\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Netherland GPE\n",
"J. PERSON\n",
"December 2016 DATE\n",
"The War on Drugs WORK_OF_ART\n",
"Wasted Whiteness PERSON\n",
"Dirty Doctors PERSON\n",
"Race PERSON\n",
"Media Coverage of Prescription Opioid Misuse ORG\n",
"Cult Med Psychiatry PERSON\n",
"40 CARDINAL\n",
"4 CARDINAL\n",
"Scientific American ORG\n",
"July 13, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Veilleux ORG\n",
"Jennifer PERSON\n",
"A Review of Opioid Dependence Treatment: WORK_OF_ART\n",
"Psychosocial Interventions ORG\n",
"Treat Opioid Addiction ORG\n",
"Clinical Psychology Review ORG\n",
"30.2 CARDINAL\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"Dixon PERSON\n",
"David PERSON\n",
"May 13, 2017 DATE\n",
"Opioid Abuse Treatment and Management: Medical Care WORK_OF_ART\n",
"Medscape GPE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"HELP ORG\n",
"June 11, 2017 DATE\n",
"\n",
" GPE\n",
"Jump PERSON\n",
"My View: New WORK_OF_ART\n",
"Portland Tribune ORG\n",
"July 25, 2017 DATE\n",
"Buprenorphine PERSON\n",
"SAMHSA\n",
" ORG\n",
"Heroin Abuse Solutions WORK_OF_ART\n",
"Narconon New Life Retreat ORG\n",
"June 12, 2017 DATE\n",
"\n",
" GPE\n",
"12 CARDINAL\n",
"Step Programs for Drug Rehab & Alcohol Treatment ORG\n",
"American Addiction Centers ORG\n",
"June 6, 2017 DATE\n"
]
}
],
"source": [
"for entity in parsed_text.ents:\n",
" print(entity, entity.label_)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"We can also iterate through the sentences detected by spaCy:"
]
},
{
"cell_type": "code",
"execution_count": 9,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 0 : The opioid epidemic or opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States and Canada in the 2010s.\n",
"Sentence number 1 : Opioids are a diverse class of moderately strong painkillers, including oxycodone (commonly sold under the trade names OxyContin and Percocet), hydrocodone (Vicodin), and a very strong painkiller, fentanyl, which is synthesized to resemble other opiates such as opium-derived morphine and heroin.\n",
"Sentence number 2 : The potency and availability of these substances, despite their high risk of addiction and overdose, have made them popular both as formal medical treatments and as recreational drugs.\n",
"Sentence number 3 : Due to their sedative effects on the part of the brain which regulates breathing, opioids in high doses present the potential for respiratory depression, and may cause respiratory failure and death.[2]\n",
"\n",
"\n",
"Sentence number 4 : According to the U.S. Drug Enforcement Administration, \"overdose deaths, particularly from prescription drugs and heroin, have reached epidemic levels.\"[3]:iii Nearly half of all opioid overdose deaths in 2016 involved prescription opioids.[1]\n",
"Sentence number 5 : From 1999 to 2008, overdose death rates, sales, and substance abuse treatment admissions related to opioid pain relievers all increased substantially.[4]\n",
"Sentence number 6 : By 2015, annual overdose deaths from heroin alone surpassed deaths from both car accidents and guns, with other opioid\n",
"Sentence number 7 : overdose deaths also on the rise.[5\n",
"Sentence number 8 : ]\n",
"\n",
"Drug overdoses have since become the leading cause of death of Americans under 50, with two-thirds of those deaths from opioids.[6]\n",
"Sentence number 9 : In 2016, 62,000 Americans died from overdoses, 19 percent more than in 2015, and had killed more Americans in one year than both the wars in Vietnam and Iraq combined.[7][6]\n",
"Sentence number 10 : By comparison, the figure was 16,000 in 2010, and 4,000 in 1999.\n",
"Sentence number 11 : Figures from June 2017 indicate the problem has worsened.[8][9]\n",
"Sentence number 12 : While death rates varied by state,[10] public health experts estimate that nationwide over 500,000 people could die from the epidemic over the next 10 years.[11]\n",
"\n",
"In March 2017, Larry Hogan, the governor of Maryland, declared a state of emergency to combat the opioid epidemic,[12] and in July 2017 opioid addiction was cited as the \"FDA's biggest crisis.\"[13]\n",
"Sentence number 13 : CDC director Thomas Frieden said that \"America is awash in opioids; urgent action is critical.\"[14]\n",
"Sentence number 14 : The crisis has changed moral, social, and cultural resistance to street drug alternatives such as heroin.[15]\n",
"Sentence number 15 : On August 10, 2017, President Donald Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a \"national emergency.\"[16][17]\n",
"Sentence number 16 : On September 1, Trump nominated as \"drug czar\" Tom Marino, whose election campaign had been financed by pharmaceutical distribution companies that had lobbied for, and profited from, legislation co-sponsored by Marino which protected pharmacies suspected of diverting pills.[18]\n",
"\n",
"Contents [hide] \n",
"1 Background in the United States\n",
"1.1 Main causes\n",
"1.2 Effects\n",
"1.3 Fentanyl\n",
"1.4 History of opiate use in the United States\n",
"1.5 Demographics\n",
"1.6 Outside the U.S.\n",
"2 Countermeasures\n",
"2.1 Federal government\n",
"2.2 State and local governments\n",
"2.3 Prescription drug monitoring\n",
"2.4 \n",
"Sentence number 17 : In the media\n",
"2.5 Solutions for addicts\n",
"2.5.1 \n",
"Sentence number 18 : Naloxone\n",
"2.5.2 \n",
"Sentence number 19 : Methadone\n",
"2.5.3 \n",
"Sentence number 20 : Buprenorphine\n",
"2.5.4 \n",
"Sentence number 21 : Behavioral treatment options\n",
"\n",
"Sentence number 22 : 3 See also\n",
"4 References\n",
"5 External links\n",
"Background in the United States[edit]\n",
"\n",
"Sentence number 23 : Main causes[edit]\n",
"\n",
"Sentence number 24 : What the U.S. Surgeon General calls \"The Opioid Crisis\" likely began with over-prescription of powerful opioid pain relievers in the 1990s, which led to them becoming the most prescribed class of medications in the United States.\n",
"Sentence number 25 : As of 2016 more than 289 million prescriptions were written for opioid drugs per year.[19]:43In the late 1990s, many Americans were diagnosed with chronic pain, estimated to affect around 100 million people or a third of the U.S. population.\n",
"Sentence number 26 : This led to a push by drug companies and the federal government to expand the use of painkilling opioids.[10]\n",
"Sentence number 27 : Between 1991 and 2011, painkiller prescriptions in the U.S. tripled from 76 million to 219 million per year.\n",
"Sentence number 28 : Among the most common opioids prescribed have been oxycodone (\n",
"Sentence number 29 : OxyContin and Percocet) and hydrocodone (Vicodin).\n",
"Sentence number 30 : With the increase in volume, potency of opioids also increased.\n",
"Sentence number 31 : By 2002, one in six drug users were being prescribed drugs more powerful than morphine; by 2012, the ratio had doubled to one-in-three.[10]\n",
"\n",
"Despite the increased use of painkillers, there has been no change in the amount of pain reported in the U.S.[20][19]\n",
"Sentence number 32 : This has led to differing medical opinions, with some noting that there is little evidence that opioids are effective for chronic pain not caused by cancer.[21]\n",
"\n",
"Effects[edit]\n",
"When people continue to use opioids beyond what a doctor prescribes, whether to minimize pain or to enjoy the euphoric feelings, it can mark the beginning stages of an opiate addiction, with a tolerance developing and eventually leading to dependence, when a person relies on the drug to prevent withdrawal symptoms.[22]\n",
"\n",
"\n",
"Sentence number 33 : As the number of opioid prescriptions rose, drug cartels began flooding the U.S. with heroin.\n",
"Sentence number 34 : For many opioid users, heroin was cheaper, more potent, and often easier to acquire than prescription medications.[8]\n",
"Sentence number 35 : According to the CDC, tighter prescription policies by doctors did not necessarily lead to this increased heroin use.[21]\n",
"Sentence number 36 : The main suppliers of heroin to the U.S. have been Mexican transnational criminal organizations.[8]\n",
"Sentence number 37 : From 2005–2009, Mexican heroin production increased by over 600%, from an estimated 8 metric tons in 2005 to 50 metric tons in 2009.[8]\n",
"Sentence number 38 : Between 2010 and 2014, the amount seized at the border more than doubled.[23]\n",
"Sentence number 39 : According to the DEA, smugglers and distributors \"profit primarily by putting drugs on the street and have become crucial to the Mexican cartels.\"[3]:3\n",
"\n",
"\n",
"Opiate self-injection paraphernalia\n",
"\n",
"Sentence number 40 : The opioid epidemic has since emerged as one of the worst drug crises in American history: more than 33,000 people died from overdoses in 2015, nearly equal to the number of deaths from car crashes, with deaths from heroin alone more than from gun homicides.[24]\n",
"Sentence number 41 : It has also left thousands of children suddenly in need of foster care after their parents have died from an overdose.[25]\n",
"\n",
"Fentanyl[edit]\n",
"\n",
"Sentence number 42 : There have always been drug addicts in need of help, but the scale of the present wave of heroin and opioid abuse is unprecedented.\n",
"Sentence number 43 : In Maryland, the first six months of 2015 saw 121 fentanyl deaths.\n",
"Sentence number 44 : In the first six months of 2016, the figure rose to 446.\n",
"\n",
"Sentence number 45 : Christopher Caldwell,\n",
"senior editor The Weekly Standard[15]\n",
"\n",
"Sentence number 46 : Fentanyl, a newer synthetic opioid painkiller, is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin,[15] with only 2 mg becoming a lethal dose.\n",
"Sentence number 47 : It is pure white, odorless and flavorless, with a potency strong enough that police and first responders helping overdose victims have themselves overdosed by simply touching or inhaling a small amount.[26][27][28]\n",
"Sentence number 48 : As a result, the DEA has recommended that officers not field test drugs if fentanyl is suspected, but instead collect and send samples to a laboratory for analysis. \"\n",
"Sentence number 49 : Exposure via inhalation or skin absorption can be deadly,\" they state.[29]\n",
"\n",
"\n",
"Sentence number 50 : Fentanyl-laced heroin has become a big problem for major cities, including Philadelphia, Detroit and Chicago.[30]\n",
"Sentence number 51 : Its use has caused a spike in deaths among users of heroin and prescription painkillers, while becoming easier to obtain and conceal.\n",
"Sentence number 52 : Some arrested or hospitalized users are surprised to find that what they thought was heroin was actually fentanyl.[15]\n",
"Sentence number 53 : According to CDC director Thomas Frieden:\n",
"\n",
"\n",
"Sentence number 54 : As overdose deaths involving heroin more than quadrupled since 2010, what was a slow stream of illicit fentanyl, a synthetic opioid 50 to 100 times stronger than morphine, is now a flood, with the amount of the powerful drug seized by law enforcement increasing dramatically.\n",
"Sentence number 55 : America is awash in opioids; urgent action is critical.[14]\n",
"\n",
"\n",
"Sentence number 56 : According to the Centers for Disease Control and Prevention (CDC), death rates from synthetic opioids, including fentanyl, increased over 72% from 2014 to 2015.[22]\n",
"Sentence number 57 : In addition, the CDC reports that the total deaths from opioid overdoses may be under-counted, since they do not include deaths that are associated with synthetic opioids which are used as pain relievers.\n",
"Sentence number 58 : The CDC presumes[when?] that a large proportion of the increase in deaths is due to illegally-made fentanyl;\n",
"Sentence number 59 : as the statistics on overdose deaths do not distinguish pharmaceutical fentanyl from illegally-made fentanyl, the actual death rate could therefore be much higher than reported.[31]\n",
"\n",
"\n",
"Sentence number 60 : Those taking fentanyl-laced heroin are more likely to overdose because they do not know they also are ingesting the more powerful drug.[32]\n",
"Sentence number 61 : In March 2017, New Jersey police arrested a person possessing nearly 31 pounds (14 kg) of fentanyl (14 kg would yield 7 million lethal doses).[33][34]\n",
"Sentence number 62 : Among those who died from overdosing on fentanyl was singer Prince.[34][35]\n",
"\n",
"Fentanyl has surpassed heroin as a killer in several locales: in all of 2014 the CDC identified 998 fatal fentanyl overdoses in Ohio, which is the same number of deaths recorded in just the first five months of 2015.[36]\n",
"Sentence number 63 : In Cleveland, a person was caught selling blue fentanyl pills disguised to look like doses of the milder opioid painkiller oxycodone.[36]\n",
"Sentence number 64 : The U.S. attorney for Ohio stated:\n",
"\n",
"One of the truly terrifying things is the pills are pressed and dyed to look like oxycodone.\n",
"Sentence number 65 : If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen.\n",
"Sentence number 66 : Each of those pills is a potential overdose death.[36]\n",
"\n",
"\n",
"Sentence number 67 : In 2016 the medical publication STAT reported that while Mexican cartels are a main source of heroin smuggled into the U.S., Chinese suppliers provide both raw fentanyl and the machinery necessary for its production.[36]\n",
"Sentence number 68 : In British Columbia, police discovered a lab making 100,000 fentanyl pills each month, which they were shipping to Calgary, Alberta.\n",
"Sentence number 69 : 90 people in Calgary overdosed on the drug in 2015.[36]\n",
"Sentence number 70 : In Southern California, a home-operated drug lab with six pill presses was uncovered by federal agents; each machine was capable of producing thousands of pills an hour.[36]\n",
"\n",
"History of opiate use in the United States[edit]\n",
"\n",
"Sentence number 71 : In the early 1900s, as veterans of the First World War were returning home from overseas, there were few options to help relieve pain, and doctors mainly turned to morphine.[37]\n",
"Sentence number 72 : Opiates soon became known as a wonder drug and were prescribed for a wide array of ailments, even for relatively minor treatments such as cough relief.\n",
"Sentence number 73 : Beginning around 1920, however, their addictiveness was recognized and not too long afterwards heroin was made an illegal drug.[37]\n",
"Sentence number 74 : In the Anti-Heroin Act of 1924, the U.S. Congress banned the sale, importation, or manufacture of heroin.\n",
"\n",
"\n",
"Sentence number 75 : Around World War II, doctors used opiates in lieu of surgery.\n",
"Sentence number 76 : This made prescriptions for opiates skyrocket.[37]\n",
"Sentence number 77 : In the 1950s, heroin addiction was known among jazz musicians, but still fairly unknown by average Americans, many of whom saw it as a frightening condition.[15]\n",
"Sentence number 78 : The fear extended into the 1960s and 1970s, although it became common to hear or read about drugs such as marijuana and psychedelics, which were widely used at rock concerts like Woodstock.[15]\n",
"Sentence number 79 : Heroin addiction began to make the news when famous people such as Janis Joplin, John Belushi, Jim Morrison and Lenny Bruce, whom most people did not know were addicted, died from overdoses.\n",
"Sentence number 80 : During and after the Vietnam War, addicted soldiers returned from Vietnam, where heroin was easily bought.\n",
"Sentence number 81 : Heroin addiction grew within low-income housing projects during the same time period.[15]\n",
"Sentence number 82 : In 1971, congressmen released an explosive report on the growing heroin epidemic among U.S. servicemen in Vietnam, finding that ten to fifteen percent were addicted to heroin. \"\n",
"Sentence number 83 : The Nixon White House panicked,\" wrote political editor Christopher Caldwell and declared drug abuse \"public enemy number one\".[38]\n",
"Sentence number 84 : By 1973, there were 1.5 overdose deaths per 100,000 people.[15]\n",
"\n",
"In the 1980s, many medical experts did not believe that opioids were addictive.\n",
"Sentence number 85 : A brief letter published in the New England Journal of Medicine (NEJM) in January 1980, titled \"Addiction Rare in Patients Treated with Narcotics\", was subsequently cited over 600 times to support this position.[39][40]\n",
"Sentence number 86 : A group of researchers in Canada claim that the letter may have originated and contributed to the opioid crisis.[39]\n",
"Sentence number 87 : The NEJM published its rebuttal to the 1980 letter in June 2017, pointing out among other things that the conclusions were based on hospitalized patients only, and not on patients taking the drugs after they were sent home.[41]\n",
"Sentence number 88 : The original author, Dr. Hershel Jick, has said that he never intended for the article to justify widespread opioid use.[39]\n",
"\n",
"In the mid-to-late 1980s the crack epidemic followed widespread cocaine use in American cities.\n",
"Sentence number 89 : The death rate was worse, reaching almost 2 per 100,000.\n",
"Sentence number 90 : In 1982, Vice President George H. W. Bush and his aides began pushing for the involvement of the CIA and the U.S. military in drug interdiction efforts, the so-called War on Drugs.[42]\n",
"Sentence number 91 : By comparison, as of 2016, the present opioid epidemic is killing on average 10.3 people per 100,000.\n",
"Sentence number 92 : In some states it is far worse: over 30 per 100,000 in New Hampshire and over 40 per 100,000 in West Virginia.[15]\n",
"\n",
"Demographics[edit]\n",
"In the U.S., addiction and overdose victims are mostly white and working-class.\n",
"Sentence number 93 : Geographically, those living in rural areas of the country have been the hardest hit as a percentage of the national population,[43] Prescription drug abuse has been increasing in teenagers, especially as 12- to 17-year-olds were one-third of all new abusers of prescription drugs in 2006.\n",
"Sentence number 94 : Teens abuse prescription drugs more than any illicit drug except marijuana, more than cocaine, heroin and methamphetamine combined, per the Office of National Drug Control Policy’s 2008 Report Prescription for Danger.\n",
"\n",
"\n",
"Sentence number 95 : In Palm Beach County, Florida, overdose deaths went from 149 in 2012 to 588 in 2016.[44]\n",
"\n",
"In Middletown, Ohio, overdose deaths quadrupled in the 15 years since 2000.[45]\n",
"\n",
"There has been a difference in the number of opioid prescriptions written by doctors in different states.\n",
"Sentence number 96 : In Hawaii, doctors wrote about 52 prescriptions for every 100 people, whereas in Alabama, they wrote almost 143 prescriptions per 100 people.\n",
"Sentence number 97 : Researchers suspect that the variation results from a lack of consensus among doctors in different states about how much pain medication to prescribe.\n",
"Sentence number 98 : A higher rate of prescription drug use does not lead to better health outcomes or patient satisfaction, according to studies.[8]\n",
"\n",
"Outside the U.S.[edit]\n",
"Approximately 80 percent of the global pharmaceutical opioid supply is consumed in the United States.[47]\n",
"\n",
"It has also become a serious problem outside the U.S., mostly among young adults.[48]\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 99 : The concern not only relates to the drugs themselves, but to the fact that in many countries doctors are less trained about drug addiction, both about its causes or treatment.[20]\n",
"Sentence number 100 : According to an epidemiologist at Columbia University: \"Once pharmaceuticals start targeting other countries and make people feel like opioids are safe, we might see a spike [in opioid abuse].\n",
"Sentence number 101 : It worked here.\n",
"Sentence number 102 : Why wouldn’t it work elsewhere?\"\n",
"Sentence number 103 : [20]\n",
"Sentence number 104 : The majority of deaths worldwide from overdoses were from either medically prescribed opioids or illegal heroin.\n",
"Sentence number 105 : In Europe, prescription opioids accounted for three-quarters of overdose deaths among those between ages 15 and 39.[48]\n",
"Sentence number 106 : Some worry that the epidemic could become a worldwide pandemic if not curtailed.[20] Prescription drug abuse among teenagers in Canada, Australia, and Europe were at rates comparable to U.S. teenagers.[20]\n",
"Sentence number 107 : In Lebanon and Saudi Arabia, and in parts of China, surveys found that one in ten students had used prescription painkillers for non-medical purposes.\n",
"Sentence number 108 : Similar high rates of non-medical use were found among the young throughout Europe, including Spain and the United Kingdom.[20]\n",
"\n",
"Countermeasures[edit]\n",
"\n",
"\n",
"Sentence number 109 : This section is in a list format that may be better presented using prose.\n",
"Sentence number 110 : You can help by converting this section to prose, if appropriate.\n",
"Sentence number 111 : Editing help is available.\n",
"Sentence number 112 : (August 2017)\n",
"Federal government[edit]\n",
"\n",
"Sentence number 113 : In 2010, the US government began cracking down on pharmacists and doctors who were over-prescribing opioid pain killers.\n",
"Sentence number 114 : The unintended consequence of this was that users turned to cheaper but illegal heroin, a significantly more potent opioid, as a substitute,[10] including addicted patients who were denied opioid prescriptions as doctors tried to cut back painkiller drug abuse.[15] A 2017 survey in Utah of heroin users found about 80 percent started with prescription drugs.[49]\n",
"Sentence number 115 : As a result, by 2015 nationwide deaths from prescription opioids had increased by 15% and for heroin users by 23%.[10][50]\n",
"\n",
"Sentence number 116 : In 2010, the CSA was amended with the Secure and Responsible Drug Disposal Act which allows pharmacies to accept controlled substances from households or long term care facilities in their drug disposal programs or \"take-back\" programs.[51]\n",
"In 2011, the Obama administration released a white paper describing the administration's plan to deal with the crisis.\n",
"Sentence number 117 : Its concerns have been echoed by numerous medical and government advisory groups around the world.[52][53][54]\n",
"\n",
"Sentence number 118 : In 2016, the U.S. Surgeon General listed statistics which describe the extent of the problem.[19]\n",
"In July 2016, President Barack Obama signed into law the Comprehensive Addiction and Recovery Act, which expands opioid addiction treatment with buprenorphine and authorizes millions of dollars in new funding for opioid research and treatment.[55]\n",
"\n",
"Sentence number 119 : In December 2016, the 21st Century Cures Act, which includes $1 billion in state grants to fight the opioid epidemic, was passed by Congress by a wide bipartisan majority (94-5 in the Senate, 392-26 in the House of Representatives),[56] and was signed into law by President Obama.[57]\n",
"\n",
"Sentence number 120 : As of March 2017, President Donald Trump appointed a commission to deal on the epidemic, chaired by Governor Chris Christie of New Jersey.[58][59][60]\n",
"\n",
"Sentence number 121 : In June 2017, the FDA asked the manufacturer to remove its injectable form of oxymorphone (Opana ER) from the US market, because the drug's benefits may no longer outweigh its risks, this being the first time the agency has asked to remove a currently marketed opioid pain medication from sale due to public health consequences of abuse.[61]\n",
"\n",
"Sentence number 122 : In July 2017, FDA commissioner Dr Scott Gottlieb stated that for the first time, pharmacists, nurses, and physicians, would have training made available on appropriate prescribing of opioid medicines, because opioid addiction had become the \"FDA's biggest crisis\".[13]\n",
"\n",
"Sentence number 123 : On August 10, 2017, President Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis\n",
"Sentence number 124 : a \"national emergency.\"[16][17]\n",
"On September 1, 2017, Trump nominated Representative Tom Marino as director of the Office of National Drug Control Policy, or \"drug czar\".[62]\n",
"Sentence number 125 : Pharmaceutical distribution companies had contributed $134,000 to Marino's election campaigns in 2014 and 2016, more than contributions from any other industry.\n",
"Sentence number 126 : Pharmaceutical distibutors had lobbied for legislation which Marino co-sponsored in 2016, the Ensuring Patient Access and Effective Drug Enforcement Act, which made it harder for the DEA to shut down pharmacies suspected of diverting pills.[18]\n",
"State and local governments[edit]\n",
"\n",
"Sentence number 127 : In July 2016, governors of most U.S. states and territories entered into a formal \"Compact to Fight Opioid Addiction.\"\n",
"Sentence number 128 : They agreed that collective action would be needed to end the opioid crisis, and they would coordinate their responses across all levels of government and the private sector, including opioid manufacturers and doctors.[63]\n",
"\n",
"Sentence number 129 : In March 2017, the Governor of Maryland, as an urgent response to the crisis, declared a State of Emergency to combat the rapid increase in overdoses by increasing and speeding up coordination between the state and local jurisdictions.[64][12]\n",
"Sentence number 130 : In 2016, about 2,000 people in the state had died from opioid overdoses.[65]\n",
"In March 2017, Delaware, which has the 12th-highest overdose death rate in the country, introduced bills to both limit doctors' ability to over-prescribe painkillers and improve access to treatment.\n",
"Sentence number 131 : In 2015, 228 people had died from overdose, which increased 35%—to 308—in 2016.[66]\n",
"In March 2017, a similar plan was begun in Michigan, which introduced the Michigan Automated Prescription System (MAPS), allowing doctors to check when and what painkillers have already been prescribed to a patient, and thereby help keep addicts from switching doctors to receive drugs.[67][68]\n",
"\n",
"Sentence number 132 : During the 2017 General Session of the Utah Legislature, Rep. Edward H. Redd and Sen. Todd Weiler proposed amendments to Utah's involuntary commitment statutes by trying to pass H.B. 299 into law which would allow relatives to petition a court to mandate substance- abuse treatment for adults.[69][49]\n",
"\n",
"Sentence number 133 : In Maine, new laws were imposed which capped the maximum daily strength of prescribed opioids and which limited prescriptions to seven days.\n",
"Sentence number 134 : But some doctors were then concerned that patients would turn to using street drugs like heroin to extend their use of painkillers.[15]\n",
"In West Virginia, which leads the nation in overdose deaths per capita, lawsuits seek to declare drug distribution companies a \"public nuisance\" in an effort to place accountability upon the drug industry for the costs associated with the epidemic.[70][71]\n",
"\n",
"Sentence number 135 : In February 2017, officials in Everett, Washington filed a lawsuit against the manufacturer of OxyContin for negligence by allowing drugs to be illegally trafficked to residents and failing to prevent it.\n",
"Sentence number 136 : The city wants the company to pay the costs of handling the crisis.[72]\n",
"Prescription drug monitoring[edit]\n",
"\n",
"Sentence number 137 : In 2016, the CDC published its \"Guideline for Prescribing Opioids for Chronic Pain\", recommending opioids only be used when benefits for pain and function are expected to outweigh risks, and then used at the lowest effective dosage, with avoidance of concurrent opioid and benzodiazepine use whenever possible.[73]\n",
"Sentence number 138 : Silvia Martins, an epidemiologist at Columbia University, has suggested getting out more information about the risks:\n",
"\n",
"The greater “social acceptance” for using these medications (versus illegal substances) and the misconception that they are “safe” may be contributing factors to their misuse.\n",
"Sentence number 139 : Hence, a major target for intervention is the general public, including parents and youth, who must be better informed about the negative consequences of sharing with others medications prescribed for their own ailments.\n",
"Sentence number 140 : Equally important is the improved training of medical practitioners and their staff to better recognize patients at potential risk of developing nonmedical use, and to consider potential alternative treatments as well as closely monitor the medications they dispense to these patients.[48]\n",
"\n",
"As of April 2017, prescription drug monitoring programs (PDMPs) exist in every state.[74]\n",
"Sentence number 141 : A person on opioids for more than three months has a 15-fold (1,500%) greater chance of becoming addicted.[21] PDMPs allow pharmacists and prescribers to access patients’ prescription histories to identify suspicious use.\n",
"Sentence number 142 : However, a survey of US physicians published in 2015 found only 53% of doctors used these programs, while 22% were not aware these programs were available.[75]\n",
"Sentence number 143 : The Centers for Disease Control and Prevention\n",
"Sentence number 144 : (CDC) was tasked with establishing and publishing a new guideline, and was heavily lobbied.[76][77]\n",
"\n",
"\n",
"Sentence number 145 : In the media[edit]\n",
"\n",
"Sentence number 146 : Media coverage has largely focused on law-enforcement solutions to the epidemic, which portray the issue as criminal rather than medical.[78]\n",
"Sentence number 147 : There has been differential reporting on how white suburban or rural addicts of opioids are portrayed compared to black and Hispanic urban addicts, often of heroin, reinforcing stereotypes of drug users and drug-using offenders.[79]\n",
"Sentence number 148 : In newspapers, white addicts' stories are often given more space, allowing for a longer backstory explaining how they became addicted, and what potential they had before using drugs.\n",
"Sentence number 149 : Black and Hispanic addicts are more likely to be dehumanized, portrayed criminally, and mentioned more briefly.[79]\n",
"\n",
"In July 2017, a 400-page report by the National Academy of Science presented plans to reduce the addiction crisis, which it said was killing 91 people each day.[80]\n",
"\n",
"Solutions for addicts[edit]\n",
"\n",
"Sentence number 150 : Main article: Drug abuse treatment\n",
"The opioid epidemic is often discussed in terms of prevention, but helping those who are already addicts is talked about less frequently.[78] Opioid dependence can lead to a number of consequences like contraction of HIV and overdose.\n",
"Sentence number 151 : For addicts who wish to treat their addiction, there are two classes of treatment options available: medical and behavioral.[81]\n",
"Sentence number 152 : Neither is guaranteed to successfully treat opioid addiction.\n",
"Sentence number 153 : Which, or which combination, is most effective varies from person to person.[82]\n",
"Sentence number 154 : These treatments are doctor-prescribed and -regulated, but differ in their treatment mechanism.\n",
"Sentence number 155 : Popular treatments include naloxone, methadone, and buprenorphine, which are more effective when combined with a form of behavioral treatment.[82]\n",
"\n",
"Naloxone[edit]\n",
"\n",
"Sentence number 156 : Naloxone is used mostly as a rescue medication for opioid overdose.\n",
"Sentence number 157 : It is an opioid antagonist, meaning it binds to opioid receptors but does not turn them on.\n",
"Sentence number 158 : It also happens that naloxone binds to opioid receptors more strongly than heroin or any prescription opioids.\n",
"Sentence number 159 : This means that when someone is overdosing on opioids, naloxone can be administered, allowing it to take the place of the opioid drug in the person's receptors, turning them off.\n",
"Sentence number 160 : This blocks the effect of the receptors.\n",
"Sentence number 161 : Naloxone is sometimes administered with other drugs such as buprenorphine, as a way to taper off buprenorphine over time.\n",
"Sentence number 162 : Naloxone binds to some of the receptors, blocking the effectiveness of some receptors in case of relapse.[82]\n",
"\n",
"Methadone[edit]\n",
"\n",
"Sentence number 163 : Methadone has been used for opioid dependence since 1964, and studied the most of the pharmacological treatment options.[83] It is a synthetic long acting opioid, so it can replace multiple heroin uses by being taken once daily.[82]\n",
"Sentence number 164 : It works by binding to the opioid receptors in the brain and spinal cord, activating them, reducing withdrawal symptoms and cravings while suppressing the \"high\" that other opioids can elicit.\n",
"Sentence number 165 : The decrease in withdrawal symptoms and cravings allow the user to slowly taper off the drug in a controlled manner, decreasing the likelihood of relapse.\n",
"Sentence number 166 : It is not accessible to all addicts.\n",
"Sentence number 167 : It is a regulated substance, and requires that each dose be picked up from a methadone clinic daily.\n",
"Sentence number 168 : This can be inconvenient as some patients are unable to travel to a clinic, or avoid the stigma associated with drug addiction.[82]\n",
"\n",
"Buprenorphine[edit]\n",
"Buprenorphine is used similarly to methadone, with some doctors recommending it as the best solution for medication-assisted treatment to help people reduce or quit their use of heroin or other opiates.\n",
"Sentence number 169 : It is claimed to be safer and less regulated than methadone, with month-long prescriptions allowed.\n",
"Sentence number 170 : It is also said to eliminate opiate withdrawal symptoms and cravings in many patients without inducing euphoria.[84]\n",
"\n",
"Unlike methadone treatment, which must be performed in a highly structured clinic, buprenorphine, according to SAMHSA, can be prescribed or dispensed in physician offices.[85]\n",
"Sentence number 171 : Patients can thereby receive a full year of treatment for a fraction of the cost of detox programs.[84]\n",
"\n",
"Behavioral treatment options[edit]\n",
"\n",
"Sentence number 172 : It is less effective to use behavioral treatment without medical treatment during initial detoxification.\n",
"Sentence number 173 : It has similarly been shown that medical treatments tend to get better results when accompanied by behavioral treatment.[81] Popular behavioral treatment options include group or individual therapy, residential treatment centers, and Twelve-step programs such as Narcotics Anonymous.[83]\n",
"Sentence number 174 : Residential treatment centers allow for a 24-hour drug-free environment to decrease the chances of relapse.\n",
"Sentence number 175 : These centers allow addicts to be in supportive environments during the difficult time of detox.[86]\n",
"\n",
"Twelve-step programs are one of the most well-known options.\n",
"Sentence number 176 : The philosophy is that a group of people sharing the same addiction can remain abstinent with the support of and connection to others who empathize and understand.\n",
"Sentence number 177 : There is also a spiritual, though not religious, component to it, with freedom to believe as one chooses.[87]\n",
"\n",
"See also[edit]\n",
"Crack epidemic\n",
"List of deaths from drug overdose and intoxication\n",
"References[edit]\n",
"\n",
"Sentence number 178 : ^ Jump up to: a b Data Overview.\n",
"Sentence number 179 : Drug Overdose.\n",
"Sentence number 180 : CDC Injury Center, Centers for Disease Control and Prevention 2016.\n",
"\n",
"Sentence number 181 : Jump up ^ \"WHO | Information sheet on opioid overdose\".\n",
"Sentence number 182 : www.who.int.\n",
"Sentence number 183 : Retrieved 2017-07-30.\n",
"\n",
"Sentence number 184 : ^\n",
"Sentence number 185 : Jump up to: a b \"2015 National Drug Threat Assessment Summary\", DEA, Oct. 2015\n",
"\n",
"Sentence number 186 : Jump up ^\n",
"Sentence number 187 : \"CDC – MMWR – MMWR Publications – MMWR Weekly:\n",
"Sentence number 188 : Past Volume (2011)\".\n",
"Sentence number 189 : www.cdc.gov.\n",
"Sentence number 190 : November 4, 2011 / 60(43);1487–1492.\n",
"Sentence number 191 : Retrieved 2017-07-30.\n",
"\n",
"Sentence number 192 : Jump up ^\n",
"Sentence number 193 : \"Drug overdoses now kill more Americans than guns\", CBS News, Dec. 9, 2016\n",
"^ Jump up to: a b \"Drug Deaths in America\n",
"Sentence number 194 : Are Rising Faster Than Ever\n",
"Sentence number 195 : \", New York Times, June 5, 2017\n",
"Jump up ^ \"\n",
"Sentence number 196 : In 2016, drug overdoses likely killed more Americans than the entire wars in Vietnam and Iraq\",\n",
"Sentence number 197 : Vox, July 7, 2017\n",
"^\n",
"Sentence number 198 : Jump up to: a b c d e\n",
"Sentence number 199 : \"How Bad is the Opioid Epidemic?\"\n",
"Sentence number 200 : , PBS, Feb. 23, 2016\n",
"Jump up ^\n",
"Sentence number 201 : \"America’s Addiction to Opioids:\n",
"Sentence number 202 : Heroin and Prescription Drug Abuse\", National Institute on Drug Abuse (NIDA), May 14, 2014\n",
"^ Jump up to: a b c d e \"America’s opioid epidemic is worsening\", the Economist (U.K.) March 6, 2017\n",
"\n",
"Sentence number 203 : Jump up ^\n",
"Sentence number 204 : \"STAT forecast: Opioids could kill nearly 500,000 Americans in the next decade\",\n",
"Sentence number 205 : STAT, June 27, 2017\n",
"^ Jump up to: a b Turque, B. Maryland governor declares state of emergency for opioid crisis, The Washington Post, March 1, 2017\n",
"^ Jump up to: a b \"FDA's Scott Gottlieb: Opioid addiction is FDA's biggest crisis now\"\n",
"Sentence number 206 : , CNBC, July 21, 2017\n",
"^\n",
"Sentence number 207 : Jump up to: a b \"CDC Chief Frieden: How to end America's growing opioid epidemic\"\n",
"Sentence number 208 : , Fox News, Dec. 17, 2016\n",
"^\n",
"Sentence number 209 : Jump up to: a b c d e f g h i j k Caldwell, Christoper. \"\n",
"Sentence number 210 : American Carnage:\n",
"Sentence number 211 : The New Landscape of Opioid Addiction\", First Things, April 2017\n",
"^ Jump up to: a b \"White House opioid commission to Trump: ‘Declare a national emergency’ on drug overdoses\", Washington Post, July 31, 2017\n",
"\n",
"Sentence number 212 : ^\n",
"Sentence number 213 : Jump up to: a b \"Trump says opioid crisis is a national emergency, pledges more money and attention\", Washington Post, August 10, 2017\n",
"^\n",
"Sentence number 214 : Jump up to: a b\n",
"Sentence number 215 : \"Drug Companies Sure Are Cozy\n",
"Sentence number 216 : With Trump’s Pick to Solve the Opioid Crisis\".\n",
"Sentence number 217 : Mother Jones.\n",
"Sentence number 218 : October 13, 2017.\n",
"Sentence number 219 : Retrieved October 13, 2017.\n",
"\n",
"Sentence number 220 : ^\n",
"Sentence number 221 : Jump up to: a b c \"Facing Addiction in America\", U.S. Surgeon General (2016), 413 pp\n",
"^\n",
"Sentence number 222 : Jump up to: a b c d e f\n",
"Sentence number 223 : \"The opioid epidemic could turn into a pandemic if we’re not careful\", Washington Post, Feb. 9, 2017\n",
"^\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 224 : Jump up to: a b c\n",
"Sentence number 225 : \"Opioid Prescriptions Fall\n",
"Sentence number 226 : After 2010 Peak, C.D.C. Report Finds\", New York Times, July 6, 2017\n",
"^ Jump up to: a b \"\n",
"Sentence number 227 : Why opioid overdose deaths seem to happen in spurts\n",
"Sentence number 228 : \", CNN, Feb. 8, 2017\n",
"Jump up ^ \"Heroin Production in Mexico and U.S. Policy\",\n",
"Sentence number 229 : Congressional Research Service report, March 3, 2016\n",
"\n",
"Sentence number 230 : Jump up ^ \"\n",
"Sentence number 231 : Heroin deaths surpass gun homicides for the first time, CDC data shows\", Washington Post, Dec. 8, 2016, Retrieved 2017-05-08\n",
"\n",
"Sentence number 232 : Jump up ^ \"\n",
"Sentence number 233 : The Children of the Opioid Crisis\", Wall Street Journal, Dec. 15, 2016\n",
"Jump up ^\n",
"Sentence number 234 : \"Fentanyl Takes a Deadly Toll on Vermont\", VTDigger, June 4, 2017\n",
"\n",
"Sentence number 235 : Jump up ^ \"\n",
"Sentence number 236 : Why fentanyl is deadlier than heroin, in a single photo\", Stat, Sept. 29, 2016\n",
"\n",
"Sentence number 237 : Jump up ^\n",
"Sentence number 238 : \"Fentanyl drug profile\", The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)\n",
"\n",
"Sentence number 239 : Jump up ^ \"Fentanyl: Preventing Occupational Exposure to Emergency Responders\", CDC\n",
"\n",
"Sentence number 240 : Jump up ^\n",
"Sentence number 241 : \"Orlando man pleads guilty to selling heroin mixed with fentanyl\", Orlando.com, March 20, 2017\n",
"\n",
"Sentence number 242 : Jump up ^\n",
"Sentence number 243 : \"Opioid Data Analysis\", Centers for Disease Control and Prevention (CDC), date?\n",
"\n",
"Sentence number 244 : Jump up ^ \"\n",
"Sentence number 245 : Coroner: Franklin County fentanyl deaths hit ‘unprecedented’ rate of one per day\", The Columbus Dispatch, March 16, 2017\n",
"\n",
"Sentence number 246 : Jump up ^\n",
"Sentence number 247 : \"State, feds seize 14 kilos of dangerous opioid fentanyl in N.J.\", NJ.com, March 17, 2017\n",
"\n",
"Sentence number 248 : ^\n",
"Sentence number 249 : Jump up to: a b \"Prince's Autopsy Result Highlights Dangers of Opioid Painkiller Fentanyl\", ABC News, June 2, 2016\n",
"\n",
"Sentence number 250 : Jump up ^ \"\n",
"Sentence number 251 : Documents highlight\n",
"Sentence number 252 : Prince’s struggle with opioid addiction\",\n",
"Sentence number 253 : Seattle Times, April 17, 2017\n",
"^ Jump up to:\n",
"Sentence number 254 : a b c d e f \"‘Truly terrifying’: Chinese suppliers flood US and Canada with deadly fentanyl\", STAT, April 5, 2016\n",
"^ Jump up to: a b c Moghe, Sonia. \"\n",
"Sentence number 255 : Opioids: From 'wonder drug' to abuse epidemic\".\n",
"Sentence number 256 : CNN.\n",
"Sentence number 257 : Retrieved 11 April 2017.\n",
"\n",
"Sentence number 258 : Jump up ^ WGBH educational foundation.\n",
"Sentence number 259 : Interview with Dr. Robert Dupoint.\n",
"Sentence number 260 : PBS.org (February 18, 1970)\n",
"^ Jump up to: a b c \"Opioid crisis: The letter that started it all\".\n",
"Sentence number 261 : bbc.co.uk.\n",
"Sentence number 262 : BBC.\n",
"Sentence number 263 : 3 June 2017.\n",
"Sentence number 264 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 265 : Jump up ^ Jane Porter and Hershel Jick (10 January 1980).\n",
"Sentence number 266 : \"\n",
"Sentence number 267 : Addiction Rare in Patients Treated with Narcotics\".\n",
"Sentence number 268 : nejm.org.\n",
"Sentence number 269 : New England Journal of Medicine.\n",
"Sentence number 270 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 271 : Jump up ^\n",
"Sentence number 272 : \"A 1980 Letter on the Risk of Opioid Addiction\".\n",
"Sentence number 273 : nejm.org.\n",
"Sentence number 274 : New England Journal of Medicine.\n",
"Sentence number 275 : 1 June 2017.\n",
"Sentence number 276 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 277 : Jump up ^ Scott, Peter Dale; Marshall, Jonathan.\n",
"Sentence number 278 : Cocaine Politics: Drugs, Armies, and the CIA in Central America, Berkeley, CA: University of California Press (1991)\n",
"Sentence number 279 : p. 2\n",
"\n",
"Sentence number 280 : Jump up ^ Sullivan, Andrew.\"The Opioid Epidemic\n",
"Sentence number 281 : Is This Generation’s AIDS Crisis\", New York Magazine, March 16, 2017\n",
"\n",
"Sentence number 282 : Jump up ^\n",
"Sentence number 283 : \"Patient brokering exacerbates opioid crisis in Florida\", South Bend Tribune, April 2, 2017\n",
"Jump up ^\n",
"Sentence number 284 : de La Bruyere, Emily (August 2, 2017).\n",
"Sentence number 285 : \"Middletown, Ohio, a city under siege: \"Everyone I know is on heroin\"\".\n",
"Sentence number 286 : Yahoo.\n",
"\n",
"Sentence number 287 : Jump up ^ \"\n",
"Sentence number 288 : Vital Signs: Variation Among States in Prescribing of Opioid Pain Relievers and Benzodiazepines — United States, 2012\", CDC, July 4, 2014\n",
"\n",
"Sentence number 289 : Jump up ^\n",
"Sentence number 290 : \"Americans consume vast majority of the world's opioids\", Dina Gusovsky, CNBC, 27 Apr 2016\n",
"\n",
"Sentence number 291 : ^\n",
"Sentence number 292 : Jump up to: a b c Silvia S. Martins, Lilian A. Ghandour \"Nonmedical use of prescription drugs in adolescents and young adults: not just a Western phenomenon\", World Psychiatry, Jan. 26, 2017\n",
"^\n",
"Sentence number 293 : Jump up to: a b \"Poll: Many Utahns know people who seek treatment for opioid addiction, but barriers remain\", The Salt Lake Tribune, April 3, 2017\n",
"Jump up ^ \"Overdose Death Rates\", US National Institute on Drug Abuse, January 2017\n",
"Jump up ^\n",
"Sentence number 294 : Secure and Responsible Drug Disposal Act of 2010 Oct. 12, 2010, Government Publishing Office, 4pp\n",
"\n",
"Sentence number 295 : Jump up ^ \"\n",
"Sentence number 296 : Tackling the Opioid Public Health Crisis\", College of Physicians and Surgeons of Ontario, September 8, 2010\n",
"Jump up ^ \"\n",
"Sentence number 297 : First Do No Harm:\n",
"Sentence number 298 : Responding to Canada’s Prescription Drug Crisis\", Canadian Centre on Substance Abuse, March 2013\n",
"Jump up ^ \"\n",
"Sentence number 299 : UK:\n",
"Sentence number 300 : Task Force offers ideas for opioid addiction solutions\".\n",
"Sentence number 301 : Delhidailynews.com.\n",
"Sentence number 302 : 2014-06-11.\n",
"Sentence number 303 : Retrieved 2016-01-07.\n",
"\n",
"Sentence number 304 : Jump up ^ Summary of the Comprehensive Addiction and Recovery Act, American Society of Addiction Medicine.\n",
"\n",
"Sentence number 305 : Jump up\n",
"Sentence number 306 : ^\n",
"Sentence number 307 : Mike DeBonis, Congress passes 21st Century Cures Act, boosting research and easing drug approvals, Washington Post (December 7, 2016).\n",
"\n",
"Sentence number 308 : Jump up ^ Juliet Eilperin & Carolyn Y. Johnson, paying tribute to Biden and bipartisanship, signs 21st Century Cures Act Tuesday, Washington Post (December 13, 2016).\n",
"\n",
"Sentence number 309 : Jump up ^\n",
"Sentence number 310 : \"Opioid Epidemic: Trump to Set Up Commission on Addiction Crisis\", NBC News, March 29, 2017\n",
"\n",
"Sentence number 311 : Jump up ^\n",
"Sentence number 312 : \"It's time to 'Trump' opioid addiction in the United States\",\n",
"Sentence number 313 : The Hill, Feb. 27, 2017\n",
"Jump up ^ \"\n",
"Sentence number 314 : President Trump Hosts an Opioid and Drug Abuse Listening Session\", Real Clear Politics, March 29, 2017\n",
"\n",
"Sentence number 315 : Jump up\n",
"Sentence number 316 : ^\n",
"Sentence number 317 : Commissioner, Office of the. \"\n",
"Sentence number 318 : Press Announcements – FDA requests removal of Opana ER for risks related to abuse\".\n",
"Sentence number 319 : www.fda.gov.\n",
"Sentence number 320 : Retrieved 2017-06-15.\n",
"\n",
"Sentence number 321 : Jump up ^ \"Trump to tap Rep. Tom Marino as 'drug czar'\".\n",
"Sentence number 322 : Politico.\n",
"Sentence number 323 : September 1, 2017.\n",
"Sentence number 324 : Retrieved 13 October 2017.\n",
"\n",
"Sentence number 325 : Jump up ^ \"\n",
"Sentence number 326 : A Compact to Fight Opioid Addiction\", National Governors Assoc., July 13, 2016\n",
"\n",
"Sentence number 327 : Jump up ^ \"Hogan-Rutherford Administration Declares State of Emergency, Announces Major Funding to Combat Heroin and Opioid Crisis in Maryland\", Maryland.gov, March 1, 2017\n",
"\n",
"Sentence number 328 : Jump up ^ \"\n",
"Sentence number 329 : Gov. Hogan Announces Opioid Epidemic State Of Emergency\", CBS Baltimore, March 1, 2017\n",
"\n",
"Sentence number 330 : Jump up ^ \"\n",
"Sentence number 331 : Delaware lawmakers tackle opioid addiction epidemic\", Newsworks, March 23, 2017\n",
"Jump up ^ \"Governor Snyder rolls out plan to fight opioid addiction\", WILX, March 23, 2017\n",
"\n",
"Sentence number 332 : Jump up ^\n",
"Sentence number 333 : \"Snyder: Efforts to stop opioid abuse aren’t working\", Michigan Radio, March 23, 2017\n",
"Jump up ^ \"HB0299\".\n",
"Sentence number 334 : le.utah.gov.\n",
"Sentence number 335 : Retrieved 2017-07-27.\n",
"\n",
"Sentence number 336 : Jump up ^ \"\n",
"Sentence number 337 : Opioid distributors sued by West Virginia counties hit by drug crisis\".\n",
"Sentence number 338 : Washington Post.\n",
"Sentence number 339 : Retrieved 2017-06-27.\n",
"\n",
"Sentence number 340 : Jump up ^ \"Lawyer Behind West Virginia County Lawsuit Against Opioid Distributors\".\n",
"Sentence number 341 : NPR.org.\n",
"Sentence number 342 : Retrieved 2017-06-27.\n",
"\n",
"Sentence number 343 : Jump up ^\n",
"Sentence number 344 : \"U.S. City Sues OxyContin Maker For Contributing To Opioid Crisis\"\n",
"Sentence number 345 : , NPR, Feb. 3, 2017\n",
"Jump up\n",
"Sentence number 346 : ^\n",
"Sentence number 347 : Dowell, Deborah; Haegerich, Tamara; Chou, Roger (March 15, 2016).\n"
]
},
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"text": [
"Sentence number 348 : \"CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016\".\n",
"Sentence number 349 : JAMA.\n",
"Sentence number 350 : 315: 1624–45.\n",
"Sentence number 351 : PMID 26977696.\n",
"Sentence number 352 : doi:10.1001/jama.2016.1464.\n",
"Sentence number 353 : Retrieved March 18, 2016.\n",
"\n",
"Sentence number 354 : Jump up ^\n",
"Sentence number 355 : Missouri is final state to pass PDMP program; US News & World Report; April 13, 2017\n",
"Jump up ^ Rutkow Lainie; et al.\n",
"Sentence number 356 : (2015).\n",
"Sentence number 357 : \"Most primary care physicians are aware of prescription drug monitoring programs, but many find the data difficult to access\".\n",
"Sentence number 358 : Health Affairs.\n",
"Sentence number 359 : 34 (3): 484–492.\n",
"Sentence number 360 : doi:10.1377/hlthaff.2014.1085.\n",
"\n",
"Sentence number 361 : Jump up ^ Matthew Perrone, Associated Press. \"\n",
"Sentence number 362 : Painkiller politics: Effort to curb prescribing under fire\".\n",
"Sentence number 363 : The Washington Times.\n",
"Sentence number 364 : Retrieved 2017-06-13.\n",
"\n",
"Sentence number 365 : Jump up ^ Ghorayshi, Azeen. \"\n",
"Sentence number 366 : Missouri Is The Only State\n",
"Sentence number 367 : In The US\n",
"Sentence number 368 : Where Doctors Have No Idea\n",
"Sentence number 369 : What Prescriptions People Are Getting\".\n",
"Sentence number 370 : BuzzFeed.\n",
"Sentence number 371 : Retrieved 11 April 2017.\n",
"\n",
"Sentence number 372 : ^\n",
"Sentence number 373 : Jump up to: a b McGinty, E. \"Criminal Activity or Treatable Health Condition?\n",
"Sentence number 374 : News Media Framing of Opioid Analgesic Abuse in the United States\".\n",
"Sentence number 375 : Psychiatric Services.\n",
"Sentence number 376 : 67: 405–411.\n",
"\n",
"Sentence number 377 : ^\n",
"Sentence number 378 : Jump up to:\n",
"Sentence number 379 : a b Netherland, J. (December 2016).\n",
"Sentence number 380 : \"The War on Drugs\n",
"Sentence number 381 : That Wasn't:\n",
"Sentence number 382 : Wasted Whiteness, \"Dirty Doctors,\" and Race in Media Coverage of Prescription Opioid Misuse\".\n",
"Sentence number 383 : Cult Med Psychiatry.\n",
"Sentence number 384 : 40 (4):\n",
"Sentence number 385 : 664–686.\n",
"\n",
"Sentence number 386 : Jump up ^ \"\n",
"Sentence number 387 : Major Science Report Lays Out a Plan to Tamp\n",
"Sentence number 388 : Down Opioid Crisis\",\n",
"Sentence number 389 : Scientific American, July 13, 2017\n",
"^ Jump up to: a b Veilleux, Jennifer. \"\n",
"Sentence number 390 : A Review of Opioid Dependence Treatment:\n",
"Sentence number 391 : Pharmacological and Psychosocial Interventions to Treat Opioid Addiction\".\n",
"Sentence number 392 : Clinical Psychology Review.\n",
"Sentence number 393 : 30.2: 155–166.\n",
"\n",
"Sentence number 394 : ^\n",
"Sentence number 395 : Jump up to: a b c d e Dixon, David (May 13, 2017). \"\n",
"Sentence number 396 : Opioid Abuse Treatment and Management: Medical Care\".\n",
"Sentence number 397 : Medscape.\n",
"\n",
"Sentence number 398 : ^\n",
"Sentence number 399 : Jump up to: a b \"WHAT ARE MY TREATMENT OPTIONS?\".\n",
"Sentence number 400 : TURN TO HELP.\n",
"Sentence number 401 : June 11, 2017.\n",
"\n",
"Sentence number 402 : ^\n",
"Sentence number 403 : Jump up to: a b \"My View: New approach needed for opioid epidemic\", Portland Tribune, July 25, 2017\n",
"\n",
"Sentence number 404 : Jump up ^ Buprenorphine, SAMHSA\n",
"\n",
"Sentence number 405 : Jump up ^ \"Heroin Abuse Solutions\".\n",
"Sentence number 406 : Narconon New Life Retreat.\n",
"Sentence number 407 : June 12, 2017.\n",
"\n",
"Sentence number 408 : Jump up ^ \"12 Step Programs for Drug Rehab & Alcohol Treatment\".\n",
"Sentence number 409 : American Addiction Centers.\n",
"Sentence number 410 : June 6, 2017.\n"
]
}
],
"source": [
"idx = 0\n",
"for sentence in parsed_text.sents:\n",
" print('Sentence number', idx, ':', sentence)\n",
" idx += 1"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Note that the above code can be written more concisely using Python's built-in `enumerate` function:"
]
},
{
"cell_type": "code",
"execution_count": 10,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 0 : The opioid epidemic or opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States and Canada in the 2010s.\n",
"Sentence number 1 : Opioids are a diverse class of moderately strong painkillers, including oxycodone (commonly sold under the trade names OxyContin and Percocet), hydrocodone (Vicodin), and a very strong painkiller, fentanyl, which is synthesized to resemble other opiates such as opium-derived morphine and heroin.\n",
"Sentence number 2 : The potency and availability of these substances, despite their high risk of addiction and overdose, have made them popular both as formal medical treatments and as recreational drugs.\n",
"Sentence number 3 : Due to their sedative effects on the part of the brain which regulates breathing, opioids in high doses present the potential for respiratory depression, and may cause respiratory failure and death.[2]\n",
"\n",
"\n",
"Sentence number 4 : According to the U.S. Drug Enforcement Administration, \"overdose deaths, particularly from prescription drugs and heroin, have reached epidemic levels.\"[3]:iii Nearly half of all opioid overdose deaths in 2016 involved prescription opioids.[1]\n",
"Sentence number 5 : From 1999 to 2008, overdose death rates, sales, and substance abuse treatment admissions related to opioid pain relievers all increased substantially.[4]\n",
"Sentence number 6 : By 2015, annual overdose deaths from heroin alone surpassed deaths from both car accidents and guns, with other opioid\n",
"Sentence number 7 : overdose deaths also on the rise.[5\n",
"Sentence number 8 : ]\n",
"\n",
"Drug overdoses have since become the leading cause of death of Americans under 50, with two-thirds of those deaths from opioids.[6]\n",
"Sentence number 9 : In 2016, 62,000 Americans died from overdoses, 19 percent more than in 2015, and had killed more Americans in one year than both the wars in Vietnam and Iraq combined.[7][6]\n",
"Sentence number 10 : By comparison, the figure was 16,000 in 2010, and 4,000 in 1999.\n",
"Sentence number 11 : Figures from June 2017 indicate the problem has worsened.[8][9]\n",
"Sentence number 12 : While death rates varied by state,[10] public health experts estimate that nationwide over 500,000 people could die from the epidemic over the next 10 years.[11]\n",
"\n",
"In March 2017, Larry Hogan, the governor of Maryland, declared a state of emergency to combat the opioid epidemic,[12] and in July 2017 opioid addiction was cited as the \"FDA's biggest crisis.\"[13]\n",
"Sentence number 13 : CDC director Thomas Frieden said that \"America is awash in opioids; urgent action is critical.\"[14]\n",
"Sentence number 14 : The crisis has changed moral, social, and cultural resistance to street drug alternatives such as heroin.[15]\n",
"Sentence number 15 : On August 10, 2017, President Donald Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a \"national emergency.\"[16][17]\n",
"Sentence number 16 : On September 1, Trump nominated as \"drug czar\" Tom Marino, whose election campaign had been financed by pharmaceutical distribution companies that had lobbied for, and profited from, legislation co-sponsored by Marino which protected pharmacies suspected of diverting pills.[18]\n",
"\n",
"Contents [hide] \n",
"1 Background in the United States\n",
"1.1 Main causes\n",
"1.2 Effects\n",
"1.3 Fentanyl\n",
"1.4 History of opiate use in the United States\n",
"1.5 Demographics\n",
"1.6 Outside the U.S.\n",
"2 Countermeasures\n",
"2.1 Federal government\n",
"2.2 State and local governments\n",
"2.3 Prescription drug monitoring\n",
"2.4 \n",
"Sentence number 17 : In the media\n",
"2.5 Solutions for addicts\n",
"2.5.1 \n",
"Sentence number 18 : Naloxone\n",
"2.5.2 \n",
"Sentence number 19 : Methadone\n",
"2.5.3 \n",
"Sentence number 20 : Buprenorphine\n",
"2.5.4 \n",
"Sentence number 21 : Behavioral treatment options\n",
"\n",
"Sentence number 22 : 3 See also\n",
"4 References\n",
"5 External links\n",
"Background in the United States[edit]\n",
"\n",
"Sentence number 23 : Main causes[edit]\n",
"\n",
"Sentence number 24 : What the U.S. Surgeon General calls \"The Opioid Crisis\" likely began with over-prescription of powerful opioid pain relievers in the 1990s, which led to them becoming the most prescribed class of medications in the United States.\n",
"Sentence number 25 : As of 2016 more than 289 million prescriptions were written for opioid drugs per year.[19]:43In the late 1990s, many Americans were diagnosed with chronic pain, estimated to affect around 100 million people or a third of the U.S. population.\n",
"Sentence number 26 : This led to a push by drug companies and the federal government to expand the use of painkilling opioids.[10]\n",
"Sentence number 27 : Between 1991 and 2011, painkiller prescriptions in the U.S. tripled from 76 million to 219 million per year.\n",
"Sentence number 28 : Among the most common opioids prescribed have been oxycodone (\n",
"Sentence number 29 : OxyContin and Percocet) and hydrocodone (Vicodin).\n",
"Sentence number 30 : With the increase in volume, potency of opioids also increased.\n",
"Sentence number 31 : By 2002, one in six drug users were being prescribed drugs more powerful than morphine; by 2012, the ratio had doubled to one-in-three.[10]\n",
"\n",
"Despite the increased use of painkillers, there has been no change in the amount of pain reported in the U.S.[20][19]\n",
"Sentence number 32 : This has led to differing medical opinions, with some noting that there is little evidence that opioids are effective for chronic pain not caused by cancer.[21]\n",
"\n",
"Effects[edit]\n",
"When people continue to use opioids beyond what a doctor prescribes, whether to minimize pain or to enjoy the euphoric feelings, it can mark the beginning stages of an opiate addiction, with a tolerance developing and eventually leading to dependence, when a person relies on the drug to prevent withdrawal symptoms.[22]\n",
"\n",
"\n",
"Sentence number 33 : As the number of opioid prescriptions rose, drug cartels began flooding the U.S. with heroin.\n",
"Sentence number 34 : For many opioid users, heroin was cheaper, more potent, and often easier to acquire than prescription medications.[8]\n",
"Sentence number 35 : According to the CDC, tighter prescription policies by doctors did not necessarily lead to this increased heroin use.[21]\n",
"Sentence number 36 : The main suppliers of heroin to the U.S. have been Mexican transnational criminal organizations.[8]\n",
"Sentence number 37 : From 2005–2009, Mexican heroin production increased by over 600%, from an estimated 8 metric tons in 2005 to 50 metric tons in 2009.[8]\n",
"Sentence number 38 : Between 2010 and 2014, the amount seized at the border more than doubled.[23]\n",
"Sentence number 39 : According to the DEA, smugglers and distributors \"profit primarily by putting drugs on the street and have become crucial to the Mexican cartels.\"[3]:3\n",
"\n",
"\n",
"Opiate self-injection paraphernalia\n",
"\n",
"Sentence number 40 : The opioid epidemic has since emerged as one of the worst drug crises in American history: more than 33,000 people died from overdoses in 2015, nearly equal to the number of deaths from car crashes, with deaths from heroin alone more than from gun homicides.[24]\n",
"Sentence number 41 : It has also left thousands of children suddenly in need of foster care after their parents have died from an overdose.[25]\n",
"\n",
"Fentanyl[edit]\n",
"\n",
"Sentence number 42 : There have always been drug addicts in need of help, but the scale of the present wave of heroin and opioid abuse is unprecedented.\n",
"Sentence number 43 : In Maryland, the first six months of 2015 saw 121 fentanyl deaths.\n",
"Sentence number 44 : In the first six months of 2016, the figure rose to 446.\n",
"\n",
"Sentence number 45 : Christopher Caldwell,\n",
"senior editor The Weekly Standard[15]\n",
"\n",
"Sentence number 46 : Fentanyl, a newer synthetic opioid painkiller, is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin,[15] with only 2 mg becoming a lethal dose.\n",
"Sentence number 47 : It is pure white, odorless and flavorless, with a potency strong enough that police and first responders helping overdose victims have themselves overdosed by simply touching or inhaling a small amount.[26][27][28]\n",
"Sentence number 48 : As a result, the DEA has recommended that officers not field test drugs if fentanyl is suspected, but instead collect and send samples to a laboratory for analysis. \"\n",
"Sentence number 49 : Exposure via inhalation or skin absorption can be deadly,\" they state.[29]\n",
"\n",
"\n",
"Sentence number 50 : Fentanyl-laced heroin has become a big problem for major cities, including Philadelphia, Detroit and Chicago.[30]\n",
"Sentence number 51 : Its use has caused a spike in deaths among users of heroin and prescription painkillers, while becoming easier to obtain and conceal.\n",
"Sentence number 52 : Some arrested or hospitalized users are surprised to find that what they thought was heroin was actually fentanyl.[15]\n",
"Sentence number 53 : According to CDC director Thomas Frieden:\n",
"\n",
"\n",
"Sentence number 54 : As overdose deaths involving heroin more than quadrupled since 2010, what was a slow stream of illicit fentanyl, a synthetic opioid 50 to 100 times stronger than morphine, is now a flood, with the amount of the powerful drug seized by law enforcement increasing dramatically.\n",
"Sentence number 55 : America is awash in opioids; urgent action is critical.[14]\n",
"\n",
"\n",
"Sentence number 56 : According to the Centers for Disease Control and Prevention (CDC), death rates from synthetic opioids, including fentanyl, increased over 72% from 2014 to 2015.[22]\n",
"Sentence number 57 : In addition, the CDC reports that the total deaths from opioid overdoses may be under-counted, since they do not include deaths that are associated with synthetic opioids which are used as pain relievers.\n",
"Sentence number 58 : The CDC presumes[when?] that a large proportion of the increase in deaths is due to illegally-made fentanyl;\n",
"Sentence number 59 : as the statistics on overdose deaths do not distinguish pharmaceutical fentanyl from illegally-made fentanyl, the actual death rate could therefore be much higher than reported.[31]\n",
"\n",
"\n",
"Sentence number 60 : Those taking fentanyl-laced heroin are more likely to overdose because they do not know they also are ingesting the more powerful drug.[32]\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 61 : In March 2017, New Jersey police arrested a person possessing nearly 31 pounds (14 kg) of fentanyl (14 kg would yield 7 million lethal doses).[33][34]\n",
"Sentence number 62 : Among those who died from overdosing on fentanyl was singer Prince.[34][35]\n",
"\n",
"Fentanyl has surpassed heroin as a killer in several locales: in all of 2014 the CDC identified 998 fatal fentanyl overdoses in Ohio, which is the same number of deaths recorded in just the first five months of 2015.[36]\n",
"Sentence number 63 : In Cleveland, a person was caught selling blue fentanyl pills disguised to look like doses of the milder opioid painkiller oxycodone.[36]\n",
"Sentence number 64 : The U.S. attorney for Ohio stated:\n",
"\n",
"One of the truly terrifying things is the pills are pressed and dyed to look like oxycodone.\n",
"Sentence number 65 : If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen.\n",
"Sentence number 66 : Each of those pills is a potential overdose death.[36]\n",
"\n",
"\n",
"Sentence number 67 : In 2016 the medical publication STAT reported that while Mexican cartels are a main source of heroin smuggled into the U.S., Chinese suppliers provide both raw fentanyl and the machinery necessary for its production.[36]\n",
"Sentence number 68 : In British Columbia, police discovered a lab making 100,000 fentanyl pills each month, which they were shipping to Calgary, Alberta.\n",
"Sentence number 69 : 90 people in Calgary overdosed on the drug in 2015.[36]\n",
"Sentence number 70 : In Southern California, a home-operated drug lab with six pill presses was uncovered by federal agents; each machine was capable of producing thousands of pills an hour.[36]\n",
"\n",
"History of opiate use in the United States[edit]\n",
"\n",
"Sentence number 71 : In the early 1900s, as veterans of the First World War were returning home from overseas, there were few options to help relieve pain, and doctors mainly turned to morphine.[37]\n",
"Sentence number 72 : Opiates soon became known as a wonder drug and were prescribed for a wide array of ailments, even for relatively minor treatments such as cough relief.\n",
"Sentence number 73 : Beginning around 1920, however, their addictiveness was recognized and not too long afterwards heroin was made an illegal drug.[37]\n",
"Sentence number 74 : In the Anti-Heroin Act of 1924, the U.S. Congress banned the sale, importation, or manufacture of heroin.\n",
"\n",
"\n",
"Sentence number 75 : Around World War II, doctors used opiates in lieu of surgery.\n",
"Sentence number 76 : This made prescriptions for opiates skyrocket.[37]\n",
"Sentence number 77 : In the 1950s, heroin addiction was known among jazz musicians, but still fairly unknown by average Americans, many of whom saw it as a frightening condition.[15]\n",
"Sentence number 78 : The fear extended into the 1960s and 1970s, although it became common to hear or read about drugs such as marijuana and psychedelics, which were widely used at rock concerts like Woodstock.[15]\n",
"Sentence number 79 : Heroin addiction began to make the news when famous people such as Janis Joplin, John Belushi, Jim Morrison and Lenny Bruce, whom most people did not know were addicted, died from overdoses.\n",
"Sentence number 80 : During and after the Vietnam War, addicted soldiers returned from Vietnam, where heroin was easily bought.\n",
"Sentence number 81 : Heroin addiction grew within low-income housing projects during the same time period.[15]\n",
"Sentence number 82 : In 1971, congressmen released an explosive report on the growing heroin epidemic among U.S. servicemen in Vietnam, finding that ten to fifteen percent were addicted to heroin. \"\n",
"Sentence number 83 : The Nixon White House panicked,\" wrote political editor Christopher Caldwell and declared drug abuse \"public enemy number one\".[38]\n",
"Sentence number 84 : By 1973, there were 1.5 overdose deaths per 100,000 people.[15]\n",
"\n",
"In the 1980s, many medical experts did not believe that opioids were addictive.\n",
"Sentence number 85 : A brief letter published in the New England Journal of Medicine (NEJM) in January 1980, titled \"Addiction Rare in Patients Treated with Narcotics\", was subsequently cited over 600 times to support this position.[39][40]\n",
"Sentence number 86 : A group of researchers in Canada claim that the letter may have originated and contributed to the opioid crisis.[39]\n",
"Sentence number 87 : The NEJM published its rebuttal to the 1980 letter in June 2017, pointing out among other things that the conclusions were based on hospitalized patients only, and not on patients taking the drugs after they were sent home.[41]\n",
"Sentence number 88 : The original author, Dr. Hershel Jick, has said that he never intended for the article to justify widespread opioid use.[39]\n",
"\n",
"In the mid-to-late 1980s the crack epidemic followed widespread cocaine use in American cities.\n",
"Sentence number 89 : The death rate was worse, reaching almost 2 per 100,000.\n",
"Sentence number 90 : In 1982, Vice President George H. W. Bush and his aides began pushing for the involvement of the CIA and the U.S. military in drug interdiction efforts, the so-called War on Drugs.[42]\n",
"Sentence number 91 : By comparison, as of 2016, the present opioid epidemic is killing on average 10.3 people per 100,000.\n",
"Sentence number 92 : In some states it is far worse: over 30 per 100,000 in New Hampshire and over 40 per 100,000 in West Virginia.[15]\n",
"\n",
"Demographics[edit]\n",
"In the U.S., addiction and overdose victims are mostly white and working-class.\n",
"Sentence number 93 : Geographically, those living in rural areas of the country have been the hardest hit as a percentage of the national population,[43] Prescription drug abuse has been increasing in teenagers, especially as 12- to 17-year-olds were one-third of all new abusers of prescription drugs in 2006.\n",
"Sentence number 94 : Teens abuse prescription drugs more than any illicit drug except marijuana, more than cocaine, heroin and methamphetamine combined, per the Office of National Drug Control Policy’s 2008 Report Prescription for Danger.\n",
"\n",
"\n",
"Sentence number 95 : In Palm Beach County, Florida, overdose deaths went from 149 in 2012 to 588 in 2016.[44]\n",
"\n",
"In Middletown, Ohio, overdose deaths quadrupled in the 15 years since 2000.[45]\n",
"\n",
"There has been a difference in the number of opioid prescriptions written by doctors in different states.\n",
"Sentence number 96 : In Hawaii, doctors wrote about 52 prescriptions for every 100 people, whereas in Alabama, they wrote almost 143 prescriptions per 100 people.\n",
"Sentence number 97 : Researchers suspect that the variation results from a lack of consensus among doctors in different states about how much pain medication to prescribe.\n",
"Sentence number 98 : A higher rate of prescription drug use does not lead to better health outcomes or patient satisfaction, according to studies.[8]\n",
"\n",
"Outside the U.S.[edit]\n",
"Approximately 80 percent of the global pharmaceutical opioid supply is consumed in the United States.[47]\n",
"\n",
"It has also become a serious problem outside the U.S., mostly among young adults.[48]\n",
"Sentence number 99 : The concern not only relates to the drugs themselves, but to the fact that in many countries doctors are less trained about drug addiction, both about its causes or treatment.[20]\n",
"Sentence number 100 : According to an epidemiologist at Columbia University: \"Once pharmaceuticals start targeting other countries and make people feel like opioids are safe, we might see a spike [in opioid abuse].\n",
"Sentence number 101 : It worked here.\n",
"Sentence number 102 : Why wouldn’t it work elsewhere?\"\n",
"Sentence number 103 : [20]\n",
"Sentence number 104 : The majority of deaths worldwide from overdoses were from either medically prescribed opioids or illegal heroin.\n",
"Sentence number 105 : In Europe, prescription opioids accounted for three-quarters of overdose deaths among those between ages 15 and 39.[48]\n",
"Sentence number 106 : Some worry that the epidemic could become a worldwide pandemic if not curtailed.[20] Prescription drug abuse among teenagers in Canada, Australia, and Europe were at rates comparable to U.S. teenagers.[20]\n",
"Sentence number 107 : In Lebanon and Saudi Arabia, and in parts of China, surveys found that one in ten students had used prescription painkillers for non-medical purposes.\n",
"Sentence number 108 : Similar high rates of non-medical use were found among the young throughout Europe, including Spain and the United Kingdom.[20]\n",
"\n",
"Countermeasures[edit]\n",
"\n",
"\n",
"Sentence number 109 : This section is in a list format that may be better presented using prose.\n",
"Sentence number 110 : You can help by converting this section to prose, if appropriate.\n",
"Sentence number 111 : Editing help is available.\n",
"Sentence number 112 : (August 2017)\n",
"Federal government[edit]\n",
"\n",
"Sentence number 113 : In 2010, the US government began cracking down on pharmacists and doctors who were over-prescribing opioid pain killers.\n",
"Sentence number 114 : The unintended consequence of this was that users turned to cheaper but illegal heroin, a significantly more potent opioid, as a substitute,[10] including addicted patients who were denied opioid prescriptions as doctors tried to cut back painkiller drug abuse.[15] A 2017 survey in Utah of heroin users found about 80 percent started with prescription drugs.[49]\n",
"Sentence number 115 : As a result, by 2015 nationwide deaths from prescription opioids had increased by 15% and for heroin users by 23%.[10][50]\n",
"\n",
"Sentence number 116 : In 2010, the CSA was amended with the Secure and Responsible Drug Disposal Act which allows pharmacies to accept controlled substances from households or long term care facilities in their drug disposal programs or \"take-back\" programs.[51]\n",
"In 2011, the Obama administration released a white paper describing the administration's plan to deal with the crisis.\n",
"Sentence number 117 : Its concerns have been echoed by numerous medical and government advisory groups around the world.[52][53][54]\n",
"\n",
"Sentence number 118 : In 2016, the U.S. Surgeon General listed statistics which describe the extent of the problem.[19]\n",
"In July 2016, President Barack Obama signed into law the Comprehensive Addiction and Recovery Act, which expands opioid addiction treatment with buprenorphine and authorizes millions of dollars in new funding for opioid research and treatment.[55]\n",
"\n",
"Sentence number 119 : In December 2016, the 21st Century Cures Act, which includes $1 billion in state grants to fight the opioid epidemic, was passed by Congress by a wide bipartisan majority (94-5 in the Senate, 392-26 in the House of Representatives),[56] and was signed into law by President Obama.[57]\n",
"\n",
"Sentence number 120 : As of March 2017, President Donald Trump appointed a commission to deal on the epidemic, chaired by Governor Chris Christie of New Jersey.[58][59][60]\n",
"\n",
"Sentence number 121 : In June 2017, the FDA asked the manufacturer to remove its injectable form of oxymorphone (Opana ER) from the US market, because the drug's benefits may no longer outweigh its risks, this being the first time the agency has asked to remove a currently marketed opioid pain medication from sale due to public health consequences of abuse.[61]\n",
"\n",
"Sentence number 122 : In July 2017, FDA commissioner Dr Scott Gottlieb stated that for the first time, pharmacists, nurses, and physicians, would have training made available on appropriate prescribing of opioid medicines, because opioid addiction had become the \"FDA's biggest crisis\".[13]\n",
"\n",
"Sentence number 123 : On August 10, 2017, President Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis\n",
"Sentence number 124 : a \"national emergency.\"[16][17]\n",
"On September 1, 2017, Trump nominated Representative Tom Marino as director of the Office of National Drug Control Policy, or \"drug czar\".[62]\n",
"Sentence number 125 : Pharmaceutical distribution companies had contributed $134,000 to Marino's election campaigns in 2014 and 2016, more than contributions from any other industry.\n",
"Sentence number 126 : Pharmaceutical distibutors had lobbied for legislation which Marino co-sponsored in 2016, the Ensuring Patient Access and Effective Drug Enforcement Act, which made it harder for the DEA to shut down pharmacies suspected of diverting pills.[18]\n",
"State and local governments[edit]\n",
"\n",
"Sentence number 127 : In July 2016, governors of most U.S. states and territories entered into a formal \"Compact to Fight Opioid Addiction.\"\n",
"Sentence number 128 : They agreed that collective action would be needed to end the opioid crisis, and they would coordinate their responses across all levels of government and the private sector, including opioid manufacturers and doctors.[63]\n",
"\n",
"Sentence number 129 : In March 2017, the Governor of Maryland, as an urgent response to the crisis, declared a State of Emergency to combat the rapid increase in overdoses by increasing and speeding up coordination between the state and local jurisdictions.[64][12]\n",
"Sentence number 130 : In 2016, about 2,000 people in the state had died from opioid overdoses.[65]\n",
"In March 2017, Delaware, which has the 12th-highest overdose death rate in the country, introduced bills to both limit doctors' ability to over-prescribe painkillers and improve access to treatment.\n",
"Sentence number 131 : In 2015, 228 people had died from overdose, which increased 35%—to 308—in 2016.[66]\n",
"In March 2017, a similar plan was begun in Michigan, which introduced the Michigan Automated Prescription System (MAPS), allowing doctors to check when and what painkillers have already been prescribed to a patient, and thereby help keep addicts from switching doctors to receive drugs.[67][68]\n",
"\n",
"Sentence number 132 : During the 2017 General Session of the Utah Legislature, Rep. Edward H. Redd and Sen. Todd Weiler proposed amendments to Utah's involuntary commitment statutes by trying to pass H.B. 299 into law which would allow relatives to petition a court to mandate substance- abuse treatment for adults.[69][49]\n",
"\n",
"Sentence number 133 : In Maine, new laws were imposed which capped the maximum daily strength of prescribed opioids and which limited prescriptions to seven days.\n",
"Sentence number 134 : But some doctors were then concerned that patients would turn to using street drugs like heroin to extend their use of painkillers.[15]\n",
"In West Virginia, which leads the nation in overdose deaths per capita, lawsuits seek to declare drug distribution companies a \"public nuisance\" in an effort to place accountability upon the drug industry for the costs associated with the epidemic.[70][71]\n",
"\n",
"Sentence number 135 : In February 2017, officials in Everett, Washington filed a lawsuit against the manufacturer of OxyContin for negligence by allowing drugs to be illegally trafficked to residents and failing to prevent it.\n",
"Sentence number 136 : The city wants the company to pay the costs of handling the crisis.[72]\n",
"Prescription drug monitoring[edit]\n",
"\n",
"Sentence number 137 : In 2016, the CDC published its \"Guideline for Prescribing Opioids for Chronic Pain\", recommending opioids only be used when benefits for pain and function are expected to outweigh risks, and then used at the lowest effective dosage, with avoidance of concurrent opioid and benzodiazepine use whenever possible.[73]\n",
"Sentence number 138 : Silvia Martins, an epidemiologist at Columbia University, has suggested getting out more information about the risks:\n",
"\n",
"The greater “social acceptance” for using these medications (versus illegal substances) and the misconception that they are “safe” may be contributing factors to their misuse.\n",
"Sentence number 139 : Hence, a major target for intervention is the general public, including parents and youth, who must be better informed about the negative consequences of sharing with others medications prescribed for their own ailments.\n",
"Sentence number 140 : Equally important is the improved training of medical practitioners and their staff to better recognize patients at potential risk of developing nonmedical use, and to consider potential alternative treatments as well as closely monitor the medications they dispense to these patients.[48]\n",
"\n",
"As of April 2017, prescription drug monitoring programs (PDMPs) exist in every state.[74]\n",
"Sentence number 141 : A person on opioids for more than three months has a 15-fold (1,500%) greater chance of becoming addicted.[21] PDMPs allow pharmacists and prescribers to access patients’ prescription histories to identify suspicious use.\n",
"Sentence number 142 : However, a survey of US physicians published in 2015 found only 53% of doctors used these programs, while 22% were not aware these programs were available.[75]\n",
"Sentence number 143 : The Centers for Disease Control and Prevention\n",
"Sentence number 144 : (CDC) was tasked with establishing and publishing a new guideline, and was heavily lobbied.[76][77]\n",
"\n",
"\n",
"Sentence number 145 : In the media[edit]\n",
"\n",
"Sentence number 146 : Media coverage has largely focused on law-enforcement solutions to the epidemic, which portray the issue as criminal rather than medical.[78]\n",
"Sentence number 147 : There has been differential reporting on how white suburban or rural addicts of opioids are portrayed compared to black and Hispanic urban addicts, often of heroin, reinforcing stereotypes of drug users and drug-using offenders.[79]\n",
"Sentence number 148 : In newspapers, white addicts' stories are often given more space, allowing for a longer backstory explaining how they became addicted, and what potential they had before using drugs.\n",
"Sentence number 149 : Black and Hispanic addicts are more likely to be dehumanized, portrayed criminally, and mentioned more briefly.[79]\n",
"\n",
"In July 2017, a 400-page report by the National Academy of Science presented plans to reduce the addiction crisis, which it said was killing 91 people each day.[80]\n",
"\n",
"Solutions for addicts[edit]\n",
"\n",
"Sentence number 150 : Main article: Drug abuse treatment\n",
"The opioid epidemic is often discussed in terms of prevention, but helping those who are already addicts is talked about less frequently.[78] Opioid dependence can lead to a number of consequences like contraction of HIV and overdose.\n",
"Sentence number 151 : For addicts who wish to treat their addiction, there are two classes of treatment options available: medical and behavioral.[81]\n",
"Sentence number 152 : Neither is guaranteed to successfully treat opioid addiction.\n",
"Sentence number 153 : Which, or which combination, is most effective varies from person to person.[82]\n",
"Sentence number 154 : These treatments are doctor-prescribed and -regulated, but differ in their treatment mechanism.\n",
"Sentence number 155 : Popular treatments include naloxone, methadone, and buprenorphine, which are more effective when combined with a form of behavioral treatment.[82]\n",
"\n",
"Naloxone[edit]\n",
"\n",
"Sentence number 156 : Naloxone is used mostly as a rescue medication for opioid overdose.\n",
"Sentence number 157 : It is an opioid antagonist, meaning it binds to opioid receptors but does not turn them on.\n",
"Sentence number 158 : It also happens that naloxone binds to opioid receptors more strongly than heroin or any prescription opioids.\n",
"Sentence number 159 : This means that when someone is overdosing on opioids, naloxone can be administered, allowing it to take the place of the opioid drug in the person's receptors, turning them off.\n",
"Sentence number 160 : This blocks the effect of the receptors.\n",
"Sentence number 161 : Naloxone is sometimes administered with other drugs such as buprenorphine, as a way to taper off buprenorphine over time.\n",
"Sentence number 162 : Naloxone binds to some of the receptors, blocking the effectiveness of some receptors in case of relapse.[82]\n",
"\n",
"Methadone[edit]\n",
"\n",
"Sentence number 163 : Methadone has been used for opioid dependence since 1964, and studied the most of the pharmacological treatment options.[83] It is a synthetic long acting opioid, so it can replace multiple heroin uses by being taken once daily.[82]\n",
"Sentence number 164 : It works by binding to the opioid receptors in the brain and spinal cord, activating them, reducing withdrawal symptoms and cravings while suppressing the \"high\" that other opioids can elicit.\n",
"Sentence number 165 : The decrease in withdrawal symptoms and cravings allow the user to slowly taper off the drug in a controlled manner, decreasing the likelihood of relapse.\n",
"Sentence number 166 : It is not accessible to all addicts.\n",
"Sentence number 167 : It is a regulated substance, and requires that each dose be picked up from a methadone clinic daily.\n",
"Sentence number 168 : This can be inconvenient as some patients are unable to travel to a clinic, or avoid the stigma associated with drug addiction.[82]\n",
"\n",
"Buprenorphine[edit]\n",
"Buprenorphine is used similarly to methadone, with some doctors recommending it as the best solution for medication-assisted treatment to help people reduce or quit their use of heroin or other opiates.\n",
"Sentence number 169 : It is claimed to be safer and less regulated than methadone, with month-long prescriptions allowed.\n",
"Sentence number 170 : It is also said to eliminate opiate withdrawal symptoms and cravings in many patients without inducing euphoria.[84]\n",
"\n",
"Unlike methadone treatment, which must be performed in a highly structured clinic, buprenorphine, according to SAMHSA, can be prescribed or dispensed in physician offices.[85]\n",
"Sentence number 171 : Patients can thereby receive a full year of treatment for a fraction of the cost of detox programs.[84]\n",
"\n",
"Behavioral treatment options[edit]\n",
"\n",
"Sentence number 172 : It is less effective to use behavioral treatment without medical treatment during initial detoxification.\n",
"Sentence number 173 : It has similarly been shown that medical treatments tend to get better results when accompanied by behavioral treatment.[81] Popular behavioral treatment options include group or individual therapy, residential treatment centers, and Twelve-step programs such as Narcotics Anonymous.[83]\n",
"Sentence number 174 : Residential treatment centers allow for a 24-hour drug-free environment to decrease the chances of relapse.\n",
"Sentence number 175 : These centers allow addicts to be in supportive environments during the difficult time of detox.[86]\n",
"\n",
"Twelve-step programs are one of the most well-known options.\n",
"Sentence number 176 : The philosophy is that a group of people sharing the same addiction can remain abstinent with the support of and connection to others who empathize and understand.\n",
"Sentence number 177 : There is also a spiritual, though not religious, component to it, with freedom to believe as one chooses.[87]\n",
"\n",
"See also[edit]\n",
"Crack epidemic\n",
"List of deaths from drug overdose and intoxication\n",
"References[edit]\n",
"\n",
"Sentence number 178 : ^ Jump up to: a b Data Overview.\n",
"Sentence number 179 : Drug Overdose.\n",
"Sentence number 180 : CDC Injury Center, Centers for Disease Control and Prevention 2016.\n",
"\n",
"Sentence number 181 : Jump up ^ \"WHO | Information sheet on opioid overdose\".\n",
"Sentence number 182 : www.who.int.\n",
"Sentence number 183 : Retrieved 2017-07-30.\n",
"\n",
"Sentence number 184 : ^\n",
"Sentence number 185 : Jump up to: a b \"2015 National Drug Threat Assessment Summary\", DEA, Oct. 2015\n",
"\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 186 : Jump up ^\n",
"Sentence number 187 : \"CDC – MMWR – MMWR Publications – MMWR Weekly:\n",
"Sentence number 188 : Past Volume (2011)\".\n",
"Sentence number 189 : www.cdc.gov.\n",
"Sentence number 190 : November 4, 2011 / 60(43);1487–1492.\n",
"Sentence number 191 : Retrieved 2017-07-30.\n",
"\n",
"Sentence number 192 : Jump up ^\n",
"Sentence number 193 : \"Drug overdoses now kill more Americans than guns\", CBS News, Dec. 9, 2016\n",
"^ Jump up to: a b \"Drug Deaths in America\n",
"Sentence number 194 : Are Rising Faster Than Ever\n",
"Sentence number 195 : \", New York Times, June 5, 2017\n",
"Jump up ^ \"\n",
"Sentence number 196 : In 2016, drug overdoses likely killed more Americans than the entire wars in Vietnam and Iraq\",\n",
"Sentence number 197 : Vox, July 7, 2017\n",
"^\n",
"Sentence number 198 : Jump up to: a b c d e\n",
"Sentence number 199 : \"How Bad is the Opioid Epidemic?\"\n",
"Sentence number 200 : , PBS, Feb. 23, 2016\n",
"Jump up ^\n",
"Sentence number 201 : \"America’s Addiction to Opioids:\n",
"Sentence number 202 : Heroin and Prescription Drug Abuse\", National Institute on Drug Abuse (NIDA), May 14, 2014\n",
"^ Jump up to: a b c d e \"America’s opioid epidemic is worsening\", the Economist (U.K.) March 6, 2017\n",
"\n",
"Sentence number 203 : Jump up ^\n",
"Sentence number 204 : \"STAT forecast: Opioids could kill nearly 500,000 Americans in the next decade\",\n",
"Sentence number 205 : STAT, June 27, 2017\n",
"^ Jump up to: a b Turque, B. Maryland governor declares state of emergency for opioid crisis, The Washington Post, March 1, 2017\n",
"^ Jump up to: a b \"FDA's Scott Gottlieb: Opioid addiction is FDA's biggest crisis now\"\n",
"Sentence number 206 : , CNBC, July 21, 2017\n",
"^\n",
"Sentence number 207 : Jump up to: a b \"CDC Chief Frieden: How to end America's growing opioid epidemic\"\n",
"Sentence number 208 : , Fox News, Dec. 17, 2016\n",
"^\n",
"Sentence number 209 : Jump up to: a b c d e f g h i j k Caldwell, Christoper. \"\n",
"Sentence number 210 : American Carnage:\n",
"Sentence number 211 : The New Landscape of Opioid Addiction\", First Things, April 2017\n",
"^ Jump up to: a b \"White House opioid commission to Trump: ‘Declare a national emergency’ on drug overdoses\", Washington Post, July 31, 2017\n",
"\n",
"Sentence number 212 : ^\n",
"Sentence number 213 : Jump up to: a b \"Trump says opioid crisis is a national emergency, pledges more money and attention\", Washington Post, August 10, 2017\n",
"^\n",
"Sentence number 214 : Jump up to: a b\n",
"Sentence number 215 : \"Drug Companies Sure Are Cozy\n",
"Sentence number 216 : With Trump’s Pick to Solve the Opioid Crisis\".\n",
"Sentence number 217 : Mother Jones.\n",
"Sentence number 218 : October 13, 2017.\n",
"Sentence number 219 : Retrieved October 13, 2017.\n",
"\n",
"Sentence number 220 : ^\n",
"Sentence number 221 : Jump up to: a b c \"Facing Addiction in America\", U.S. Surgeon General (2016), 413 pp\n",
"^\n",
"Sentence number 222 : Jump up to: a b c d e f\n",
"Sentence number 223 : \"The opioid epidemic could turn into a pandemic if we’re not careful\", Washington Post, Feb. 9, 2017\n",
"^\n",
"Sentence number 224 : Jump up to: a b c\n",
"Sentence number 225 : \"Opioid Prescriptions Fall\n",
"Sentence number 226 : After 2010 Peak, C.D.C. Report Finds\", New York Times, July 6, 2017\n",
"^ Jump up to: a b \"\n",
"Sentence number 227 : Why opioid overdose deaths seem to happen in spurts\n",
"Sentence number 228 : \", CNN, Feb. 8, 2017\n",
"Jump up ^ \"Heroin Production in Mexico and U.S. Policy\",\n",
"Sentence number 229 : Congressional Research Service report, March 3, 2016\n",
"\n",
"Sentence number 230 : Jump up ^ \"\n",
"Sentence number 231 : Heroin deaths surpass gun homicides for the first time, CDC data shows\", Washington Post, Dec. 8, 2016, Retrieved 2017-05-08\n",
"\n",
"Sentence number 232 : Jump up ^ \"\n",
"Sentence number 233 : The Children of the Opioid Crisis\", Wall Street Journal, Dec. 15, 2016\n",
"Jump up ^\n",
"Sentence number 234 : \"Fentanyl Takes a Deadly Toll on Vermont\", VTDigger, June 4, 2017\n",
"\n",
"Sentence number 235 : Jump up ^ \"\n",
"Sentence number 236 : Why fentanyl is deadlier than heroin, in a single photo\", Stat, Sept. 29, 2016\n",
"\n",
"Sentence number 237 : Jump up ^\n",
"Sentence number 238 : \"Fentanyl drug profile\", The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)\n",
"\n",
"Sentence number 239 : Jump up ^ \"Fentanyl: Preventing Occupational Exposure to Emergency Responders\", CDC\n",
"\n",
"Sentence number 240 : Jump up ^\n",
"Sentence number 241 : \"Orlando man pleads guilty to selling heroin mixed with fentanyl\", Orlando.com, March 20, 2017\n",
"\n",
"Sentence number 242 : Jump up ^\n",
"Sentence number 243 : \"Opioid Data Analysis\", Centers for Disease Control and Prevention (CDC), date?\n",
"\n",
"Sentence number 244 : Jump up ^ \"\n",
"Sentence number 245 : Coroner: Franklin County fentanyl deaths hit ‘unprecedented’ rate of one per day\", The Columbus Dispatch, March 16, 2017\n",
"\n",
"Sentence number 246 : Jump up ^\n",
"Sentence number 247 : \"State, feds seize 14 kilos of dangerous opioid fentanyl in N.J.\", NJ.com, March 17, 2017\n",
"\n",
"Sentence number 248 : ^\n",
"Sentence number 249 : Jump up to: a b \"Prince's Autopsy Result Highlights Dangers of Opioid Painkiller Fentanyl\", ABC News, June 2, 2016\n",
"\n",
"Sentence number 250 : Jump up ^ \"\n",
"Sentence number 251 : Documents highlight\n",
"Sentence number 252 : Prince’s struggle with opioid addiction\",\n",
"Sentence number 253 : Seattle Times, April 17, 2017\n",
"^ Jump up to:\n",
"Sentence number 254 : a b c d e f \"‘Truly terrifying’: Chinese suppliers flood US and Canada with deadly fentanyl\", STAT, April 5, 2016\n",
"^ Jump up to: a b c Moghe, Sonia. \"\n",
"Sentence number 255 : Opioids: From 'wonder drug' to abuse epidemic\".\n",
"Sentence number 256 : CNN.\n",
"Sentence number 257 : Retrieved 11 April 2017.\n",
"\n",
"Sentence number 258 : Jump up ^ WGBH educational foundation.\n",
"Sentence number 259 : Interview with Dr. Robert Dupoint.\n",
"Sentence number 260 : PBS.org (February 18, 1970)\n",
"^ Jump up to: a b c \"Opioid crisis: The letter that started it all\".\n",
"Sentence number 261 : bbc.co.uk.\n",
"Sentence number 262 : BBC.\n",
"Sentence number 263 : 3 June 2017.\n",
"Sentence number 264 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 265 : Jump up ^ Jane Porter and Hershel Jick (10 January 1980).\n",
"Sentence number 266 : \"\n",
"Sentence number 267 : Addiction Rare in Patients Treated with Narcotics\".\n",
"Sentence number 268 : nejm.org.\n",
"Sentence number 269 : New England Journal of Medicine.\n",
"Sentence number 270 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 271 : Jump up ^\n",
"Sentence number 272 : \"A 1980 Letter on the Risk of Opioid Addiction\".\n",
"Sentence number 273 : nejm.org.\n",
"Sentence number 274 : New England Journal of Medicine.\n",
"Sentence number 275 : 1 June 2017.\n",
"Sentence number 276 : Retrieved 3 June 2017.\n",
"\n",
"Sentence number 277 : Jump up ^ Scott, Peter Dale; Marshall, Jonathan.\n",
"Sentence number 278 : Cocaine Politics: Drugs, Armies, and the CIA in Central America, Berkeley, CA: University of California Press (1991)\n",
"Sentence number 279 : p. 2\n",
"\n",
"Sentence number 280 : Jump up ^ Sullivan, Andrew.\"The Opioid Epidemic\n",
"Sentence number 281 : Is This Generation’s AIDS Crisis\", New York Magazine, March 16, 2017\n",
"\n",
"Sentence number 282 : Jump up ^\n",
"Sentence number 283 : \"Patient brokering exacerbates opioid crisis in Florida\", South Bend Tribune, April 2, 2017\n",
"Jump up ^\n",
"Sentence number 284 : de La Bruyere, Emily (August 2, 2017).\n",
"Sentence number 285 : \"Middletown, Ohio, a city under siege: \"Everyone I know is on heroin\"\".\n",
"Sentence number 286 : Yahoo.\n",
"\n",
"Sentence number 287 : Jump up ^ \"\n",
"Sentence number 288 : Vital Signs: Variation Among States in Prescribing of Opioid Pain Relievers and Benzodiazepines — United States, 2012\", CDC, July 4, 2014\n",
"\n",
"Sentence number 289 : Jump up ^\n",
"Sentence number 290 : \"Americans consume vast majority of the world's opioids\", Dina Gusovsky, CNBC, 27 Apr 2016\n",
"\n",
"Sentence number 291 : ^\n",
"Sentence number 292 : Jump up to: a b c Silvia S. Martins, Lilian A. Ghandour \"Nonmedical use of prescription drugs in adolescents and young adults: not just a Western phenomenon\", World Psychiatry, Jan. 26, 2017\n",
"^\n",
"Sentence number 293 : Jump up to: a b \"Poll: Many Utahns know people who seek treatment for opioid addiction, but barriers remain\", The Salt Lake Tribune, April 3, 2017\n",
"Jump up ^ \"Overdose Death Rates\", US National Institute on Drug Abuse, January 2017\n",
"Jump up ^\n",
"Sentence number 294 : Secure and Responsible Drug Disposal Act of 2010 Oct. 12, 2010, Government Publishing Office, 4pp\n",
"\n",
"Sentence number 295 : Jump up ^ \"\n",
"Sentence number 296 : Tackling the Opioid Public Health Crisis\", College of Physicians and Surgeons of Ontario, September 8, 2010\n",
"Jump up ^ \"\n",
"Sentence number 297 : First Do No Harm:\n",
"Sentence number 298 : Responding to Canada’s Prescription Drug Crisis\", Canadian Centre on Substance Abuse, March 2013\n",
"Jump up ^ \"\n",
"Sentence number 299 : UK:\n",
"Sentence number 300 : Task Force offers ideas for opioid addiction solutions\".\n",
"Sentence number 301 : Delhidailynews.com.\n",
"Sentence number 302 : 2014-06-11.\n",
"Sentence number 303 : Retrieved 2016-01-07.\n",
"\n",
"Sentence number 304 : Jump up ^ Summary of the Comprehensive Addiction and Recovery Act, American Society of Addiction Medicine.\n",
"\n",
"Sentence number 305 : Jump up\n",
"Sentence number 306 : ^\n",
"Sentence number 307 : Mike DeBonis, Congress passes 21st Century Cures Act, boosting research and easing drug approvals, Washington Post (December 7, 2016).\n",
"\n",
"Sentence number 308 : Jump up ^ Juliet Eilperin & Carolyn Y. Johnson, paying tribute to Biden and bipartisanship, signs 21st Century Cures Act Tuesday, Washington Post (December 13, 2016).\n",
"\n",
"Sentence number 309 : Jump up ^\n",
"Sentence number 310 : \"Opioid Epidemic: Trump to Set Up Commission on Addiction Crisis\", NBC News, March 29, 2017\n",
"\n"
]
},
{
"name": "stdout",
"output_type": "stream",
"text": [
"Sentence number 311 : Jump up ^\n",
"Sentence number 312 : \"It's time to 'Trump' opioid addiction in the United States\",\n",
"Sentence number 313 : The Hill, Feb. 27, 2017\n",
"Jump up ^ \"\n",
"Sentence number 314 : President Trump Hosts an Opioid and Drug Abuse Listening Session\", Real Clear Politics, March 29, 2017\n",
"\n",
"Sentence number 315 : Jump up\n",
"Sentence number 316 : ^\n",
"Sentence number 317 : Commissioner, Office of the. \"\n",
"Sentence number 318 : Press Announcements – FDA requests removal of Opana ER for risks related to abuse\".\n",
"Sentence number 319 : www.fda.gov.\n",
"Sentence number 320 : Retrieved 2017-06-15.\n",
"\n",
"Sentence number 321 : Jump up ^ \"Trump to tap Rep. Tom Marino as 'drug czar'\".\n",
"Sentence number 322 : Politico.\n",
"Sentence number 323 : September 1, 2017.\n",
"Sentence number 324 : Retrieved 13 October 2017.\n",
"\n",
"Sentence number 325 : Jump up ^ \"\n",
"Sentence number 326 : A Compact to Fight Opioid Addiction\", National Governors Assoc., July 13, 2016\n",
"\n",
"Sentence number 327 : Jump up ^ \"Hogan-Rutherford Administration Declares State of Emergency, Announces Major Funding to Combat Heroin and Opioid Crisis in Maryland\", Maryland.gov, March 1, 2017\n",
"\n",
"Sentence number 328 : Jump up ^ \"\n",
"Sentence number 329 : Gov. Hogan Announces Opioid Epidemic State Of Emergency\", CBS Baltimore, March 1, 2017\n",
"\n",
"Sentence number 330 : Jump up ^ \"\n",
"Sentence number 331 : Delaware lawmakers tackle opioid addiction epidemic\", Newsworks, March 23, 2017\n",
"Jump up ^ \"Governor Snyder rolls out plan to fight opioid addiction\", WILX, March 23, 2017\n",
"\n",
"Sentence number 332 : Jump up ^\n",
"Sentence number 333 : \"Snyder: Efforts to stop opioid abuse aren’t working\", Michigan Radio, March 23, 2017\n",
"Jump up ^ \"HB0299\".\n",
"Sentence number 334 : le.utah.gov.\n",
"Sentence number 335 : Retrieved 2017-07-27.\n",
"\n",
"Sentence number 336 : Jump up ^ \"\n",
"Sentence number 337 : Opioid distributors sued by West Virginia counties hit by drug crisis\".\n",
"Sentence number 338 : Washington Post.\n",
"Sentence number 339 : Retrieved 2017-06-27.\n",
"\n",
"Sentence number 340 : Jump up ^ \"Lawyer Behind West Virginia County Lawsuit Against Opioid Distributors\".\n",
"Sentence number 341 : NPR.org.\n",
"Sentence number 342 : Retrieved 2017-06-27.\n",
"\n",
"Sentence number 343 : Jump up ^\n",
"Sentence number 344 : \"U.S. City Sues OxyContin Maker For Contributing To Opioid Crisis\"\n",
"Sentence number 345 : , NPR, Feb. 3, 2017\n",
"Jump up\n",
"Sentence number 346 : ^\n",
"Sentence number 347 : Dowell, Deborah; Haegerich, Tamara; Chou, Roger (March 15, 2016).\n",
"Sentence number 348 : \"CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016\".\n",
"Sentence number 349 : JAMA.\n",
"Sentence number 350 : 315: 1624–45.\n",
"Sentence number 351 : PMID 26977696.\n",
"Sentence number 352 : doi:10.1001/jama.2016.1464.\n",
"Sentence number 353 : Retrieved March 18, 2016.\n",
"\n",
"Sentence number 354 : Jump up ^\n",
"Sentence number 355 : Missouri is final state to pass PDMP program; US News & World Report; April 13, 2017\n",
"Jump up ^ Rutkow Lainie; et al.\n",
"Sentence number 356 : (2015).\n",
"Sentence number 357 : \"Most primary care physicians are aware of prescription drug monitoring programs, but many find the data difficult to access\".\n",
"Sentence number 358 : Health Affairs.\n",
"Sentence number 359 : 34 (3): 484–492.\n",
"Sentence number 360 : doi:10.1377/hlthaff.2014.1085.\n",
"\n",
"Sentence number 361 : Jump up ^ Matthew Perrone, Associated Press. \"\n",
"Sentence number 362 : Painkiller politics: Effort to curb prescribing under fire\".\n",
"Sentence number 363 : The Washington Times.\n",
"Sentence number 364 : Retrieved 2017-06-13.\n",
"\n",
"Sentence number 365 : Jump up ^ Ghorayshi, Azeen. \"\n",
"Sentence number 366 : Missouri Is The Only State\n",
"Sentence number 367 : In The US\n",
"Sentence number 368 : Where Doctors Have No Idea\n",
"Sentence number 369 : What Prescriptions People Are Getting\".\n",
"Sentence number 370 : BuzzFeed.\n",
"Sentence number 371 : Retrieved 11 April 2017.\n",
"\n",
"Sentence number 372 : ^\n",
"Sentence number 373 : Jump up to: a b McGinty, E. \"Criminal Activity or Treatable Health Condition?\n",
"Sentence number 374 : News Media Framing of Opioid Analgesic Abuse in the United States\".\n",
"Sentence number 375 : Psychiatric Services.\n",
"Sentence number 376 : 67: 405–411.\n",
"\n",
"Sentence number 377 : ^\n",
"Sentence number 378 : Jump up to:\n",
"Sentence number 379 : a b Netherland, J. (December 2016).\n",
"Sentence number 380 : \"The War on Drugs\n",
"Sentence number 381 : That Wasn't:\n",
"Sentence number 382 : Wasted Whiteness, \"Dirty Doctors,\" and Race in Media Coverage of Prescription Opioid Misuse\".\n",
"Sentence number 383 : Cult Med Psychiatry.\n",
"Sentence number 384 : 40 (4):\n",
"Sentence number 385 : 664–686.\n",
"\n",
"Sentence number 386 : Jump up ^ \"\n",
"Sentence number 387 : Major Science Report Lays Out a Plan to Tamp\n",
"Sentence number 388 : Down Opioid Crisis\",\n",
"Sentence number 389 : Scientific American, July 13, 2017\n",
"^ Jump up to: a b Veilleux, Jennifer. \"\n",
"Sentence number 390 : A Review of Opioid Dependence Treatment:\n",
"Sentence number 391 : Pharmacological and Psychosocial Interventions to Treat Opioid Addiction\".\n",
"Sentence number 392 : Clinical Psychology Review.\n",
"Sentence number 393 : 30.2: 155–166.\n",
"\n",
"Sentence number 394 : ^\n",
"Sentence number 395 : Jump up to: a b c d e Dixon, David (May 13, 2017). \"\n",
"Sentence number 396 : Opioid Abuse Treatment and Management: Medical Care\".\n",
"Sentence number 397 : Medscape.\n",
"\n",
"Sentence number 398 : ^\n",
"Sentence number 399 : Jump up to: a b \"WHAT ARE MY TREATMENT OPTIONS?\".\n",
"Sentence number 400 : TURN TO HELP.\n",
"Sentence number 401 : June 11, 2017.\n",
"\n",
"Sentence number 402 : ^\n",
"Sentence number 403 : Jump up to: a b \"My View: New approach needed for opioid epidemic\", Portland Tribune, July 25, 2017\n",
"\n",
"Sentence number 404 : Jump up ^ Buprenorphine, SAMHSA\n",
"\n",
"Sentence number 405 : Jump up ^ \"Heroin Abuse Solutions\".\n",
"Sentence number 406 : Narconon New Life Retreat.\n",
"Sentence number 407 : June 12, 2017.\n",
"\n",
"Sentence number 408 : Jump up ^ \"12 Step Programs for Drug Rehab & Alcohol Treatment\".\n",
"Sentence number 409 : American Addiction Centers.\n",
"Sentence number 410 : June 6, 2017.\n"
]
}
],
"source": [
"for idx, sentence in enumerate(parsed_text.sents):\n",
" print('Sentence number', idx, ':', sentence)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Next, we build up a histogram (as a dictionary) from scratch. A key conceptual thing to be aware of is that tokens are represented as fancy objects with many attributes, and in particular, they aren't just something as simple as a string. However, for the purposes of building up the dictionary, we want to convert the tokens to strings."
]
},
{
"cell_type": "code",
"execution_count": 11,
"metadata": {},
"outputs": [],
"source": [
"histogram = {}\n",
"for token in parsed_text:\n",
" original_token_text = token.orth_ # `token` itself is not a string; `token.orth_` gives the string representation of `token`\n",
" if original_token_text not in histogram: # if the token text is not already a key in the dictionary, create it and set its value to 1\n",
" histogram[original_token_text] = 1\n",
" else: # the token text is already a key in the dictionary so increase its value by 1\n",
" histogram[original_token_text] += 1"
]
},
{
"cell_type": "code",
"execution_count": 12,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
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'followed': 1, 'barriers': 1, 'using': 6, 'biggest': 3, 'rebuttal': 1, 'ages': 1, '1.6': 1, 'coverage': 1, ' ': 20, '3': 9, 'substitute,[10': 1, 'but': 10, '2.5.3': 1, 'percentage': 1, 'depression': 1, 'July': 13, 'now': 3, 'big': 1, 'effective': 5, 'prescribed': 10, 'forecast': 1, 'JAMA': 1, 'Tamara': 1, 'things': 2, 'primary': 1, 'relatively': 1, 'Control': 6, 'fatal': 1, 'well': 2, 'hospitalized': 2, 'solutions': 2, 'epidemic.[70][71': 1, 'For': 3, '2.5': 1, 'Academy': 1, 'CSA': 1, 'several': 1, 'October': 3, 'originated': 1, 'emergency.\"[16][17': 2, 'hardest': 1, 'Volume': 1, 'market': 1, 'street': 3, '500,000': 2, 'home': 2, 'read': 1, 'medication': 4, 'whose': 1, 'commitment': 1, 'deadly': 2, 'ratio': 1, 'section': 2, 'found': 4, 'array': 1, 'lieu': 1, 'Radio': 1, '1.3': 1, 'improve': 1, 'beyond': 1, 'substantially.[4': 1, 'Truly': 1, 'Tackling': 1, 'Injury': 1, 'medications.[8': 1, 'freedom': 1, 'March': 23, 'available.[75': 1, '90': 1, 'outweigh': 2, 'With': 2, 'upon': 1, 'needed': 2, 'Sues': 1, 'main': 2, 'City': 1, 'names': 1, 'Assessment': 1, 'police': 3, 'Rare': 2, 'machine': 1, 'Orlando.com': 1, 'Preventing': 1, 'commonly': 1, 'or': 23, ' ': 1, 'out': 3, 'talked': 1, 'feel': 1, 'either': 1, 'earlier': 2, '2009.[8': 1, 'manufacturer': 2, 'System': 1, 'send': 1, ',': 476, 'relates': 1, 'Dispatch': 1, 'initial': 1, 'claimed': 1, 'parts': 1, '2013': 1, 'brief': 1, 'Times': 4, 'those': 6, 'Misuse': 1, '1973': 1, 'Crisis': 10, '1980s': 2, '24-hour': 1, 'www.who.int': 1, 'Step': 1, 'half': 1, 'many': 7, '16': 2, ';': 11, 'acceptance': 1, 'countries': 2, 'Wall': 1, 'CNN': 2, 'Condition': 1, 'effectiveness': 1, 'original': 1, 'killed': 2, 'Landscape': 1, 'Between': 2, 'DeBonis': 1, 'surpassed': 2, 'tripled': 1, 'Prevention': 4, '91': 1, 'worry': 1, 'Buprenorphine': 3, 'leads': 1, 'Y.': 1, '2016.[44': 1, 'quarters': 1, 'three': 2, '2005–2009': 1, 'Narcotics': 3, 'euphoria.[84': 1, 'transnational': 1, 'How': 2, 'Responsible': 2, 'you': 1, 'multiple': 1, '413': 1, 'concerned': 1, 'receptors': 7, 'a': 110, 'adults': 1, 'Bruyere': 1, '80': 2, 'have': 14, 'touching': 1, 'coordination': 1, 'such': 7, 'struggle': 1, 'Addiction': 15, 'Sen.': 1, 'fact': 1, 'expand': 1, 'availability': 1, 'total': 1, '4pp': 1, 'risk': 2, 'First': 3, '”': 2, 'worldwide': 2, '484–492': 1, 'media': 1, 'guilty': 1, 'While': 1, 'trying': 1, 'Orlando': 1, 'identified': 1, 'Christie': 1, 'millions': 1, 'Unlike': 1, '52': 1, '05': 1, 'making': 1, '94': 1, 'News': 6, 'k': 1, 'bipartisanship': 1, 'highlight': 1, 'tap': 1, 'living': 1, 'bbc.co.uk': 1, 'man': 1, 'Efforts': 1, 'George': 1, 'wrote': 3, 'population,[43': 1, 'Lays': 1, '155–166': 1, 'Mexico': 1, 'had': 12, 'worst': 1, 'variation': 1, 'Chronic': 2, 'hour.[36': 1, 'Treatable': 1, 'Hogan': 3, 'Juliet': 1, 'other': 8, 'local': 3, 'requires': 1, 'closely': 1, 'Down': 1, 'Each': 1, 'discovered': 1, 'strong': 3, 'Retrieved': 17, 'whenever': 1, 'ideas': 1, 'monitor': 1, 'does': 2, 'might': 1, 'place': 2, 'includes': 1, 'Calgary': 2, 'Mother': 1, '1.4': 1, 'end': 2, 'government': 5, 'billion': 1, 'research': 2, 'Occupational': 1, 'no': 2, 'global': 1, 'ten': 2, 'surpass': 1, 'Columbus': 1, 'justify': 1, 'Chou': 1, 'FDA': 7, 'Publishing': 1, 'assisted': 1, 'relievers': 3, 'removal': 1, 'turn': 3, 'Interview': 1, 'Martins': 2, 'treatments': 6, 'most': 7, 'must': 2, 'easing': 1, 'Media': 3, 'terms': 1, 'allowing': 4, 'Treatment': 3, 'Is': 2, 'free': 1, 'Lenny': 1, '1980': 4, 'le.utah.gov': 1, 'History': 2, 'petition': 1, 'sued': 1, 'themselves': 2, 'estimate': 1, 'Jump': 87, 'mixed': 1, 'bought': 1, 'plans': 1, 'slow': 1, 'La': 1, 'counted': 1, 'manufacturers': 1, '‘': 3, '76': 1, 'passes': 1, 'reported.[31': 1, 'highest': 1, 'returned': 1, 'low': 1, 'addicted.[21': 1, 'echoed': 1, 'tighter': 1, 'programs.[51': 1, 'Researchers': 1, '4,000': 1, '2016.[66': 1, 'After': 1, 'environment': 1, 'Getting': 1, 'news': 1, 'Equally': 1, 'suspicious': 1, 'pp': 1, 'never': 1, 'Dupoint': 1, 'combat': 2, 'since': 6, '01': 1, 'some': 7, 'Funding': 1, 'seven': 1, 'uses': 1, 'careful': 1, '33,000': 1, 'medications': 4, 'NBC': 1, 'work': 1, 'cravings': 3, 'Newsworks': 1, 'producing': 1, 'accidents': 1, 'per': 11, 'antagonist': 1, 'structured': 1, 'annual': 1, '2,000': 1, 'heroin': 36, 'State': 7, 'publishing': 1, 'contributions': 1, '2.5.4': 1, 'Overview': 1, 'inconvenient': 1, 'Federal': 2, 'officers': 1, 'Effort': 1, 'reached': 1, 'chance': 1, 'C.D.C.': 1, 'binding': 1, ':': 69, 'Rutkow': 1, 'Whiteness': 1, 'general': 1, 'agreed': 3, \"'\": 8, 'Deborah': 1, 'AIDS': 1, 'Residential': 1, 'recommended': 1, 'before': 1, 'diverting': 2, 'Lake': 1, 'Marshall': 1, 'Framing': 1, 'Compact': 2, 'start': 1, 'risks': 4, 'population': 1, 'adults.[48': 1, 'Distributors': 1, 'up': 89, '4': 5, 'including': 7, 'jurisdictions.[64][12': 1, 'mainly': 1, 'Netherland': 1, 'tribute': 1, 'uncovered': 1, 'rather': 1, 'Service': 1, 'activating': 1, 'ingesting': 1, '2008': 2, '%': 6, 'Canadian': 1, 'Care': 1, 'CBS': 2, 'Opana': 2, 'involved': 1, 'test': 1, 'currently': 1, 'relatives': 1, 'doctors': 15, 'terrifying’': 1, 'synthesized': 1, 'claim': 1, 'presses': 1, 'Outside': 2, 'NPR': 1, 'death': 7, 'wars': 2, '1,500': 1, 'Jones': 1, 'Drug': 20, '400-page': 1, 'TO': 1, 'Maine': 1, 'America': 8, 'analysis': 1, 'amended': 1, 'Death': 1, 'Robert': 1, 'See': 2, 'Lawsuit': 1, 'understand': 1, 'Post': 8, 'than': 23, 'Representatives),[56': 1, 'much': 2, '1971': 1, 'Johnson': 1, 'how': 3, 'arrested': 2, 'Society': 1, 'cost': 1, 'pass': 2, '.': 183, 'Silvia': 2, 'sometimes': 1, 'amendments': 1, 'criminally': 1, 'Criminal': 1, 'Maryland.gov': 1, '1982': 1, 'less': 4, 'disposal': 1, 'country': 4, 'Delaware': 2, 'hydrocodone': 2, 'aware': 2, 'down': 2, 'admissions': 1, 'morphine.[37': 1, 'Heroin': 8, 'deal': 2, 'cities': 2, 'parents': 2, 'suggested': 1, 'potency': 3, 'Painkiller': 2, 'similarly': 2, 'Dr.': 2, 'potential': 5, 'drugs.[67][68': 1, 'cracking': 1, 'Tamp': 1, 'greater': 2, 'governors': 1, 'remove': 2, 'Prescriptions': 2, 'H.': 2, 'Was': 1, 'manner': 1, 'importation': 1, 'far': 1, 'governments[edit': 1, 'heavily': 1, 'November': 1, 'Major': 2, 'unprecedented': 1, 'pledges': 1, 'teenagers': 2, 'Percocet': 2, 'accountability': 1, 'suburban': 1, 'its': 6, 'Surgeon': 3, 'state.[74': 1, 'still': 1, 'primarily': 1, 'Enforcement': 2, 'Act': 9, '39.[48': 1, 'Hence': 1, 'relapse.[82': 1, 'time': 7, 'crises': 1, '14': 4, 'New': 12, 'Science': 2, 'months': 4, 'that': 35, 'epidemic': 19, 'once': 1, 'commissioner': 1, 'find': 2, 'Are': 3, 'surveys': 1, 'developing': 2, 'nejm.org': 2, 'thousands': 2, 'Editing': 1, 'form': 2, 'phenomenon': 1, 'because': 3, 'related': 2, 'nuisance': 1, 'Neither': 1, 'turning': 1, 'increased': 8, 'singer': 1, 'years': 1, 'Lilian': 1, 'Set': 1, 'income': 1, 'moderately': 1, 'Where': 1, '1970s': 1, 'limit': 1, 'Portland': 1, 'day.[80': 1, 'therefore': 1, 'TURN': 1, 'abuse.[15': 1, 'However': 1, '“': 2, 'foundation': 1, 'during': 3, 'what': 5, 'similar': 1, 'accept': 1, 'e': 6, 'painkillers.[15': 1, 'critical.[14': 1, 'condition.[15': 1, 'Comprehensive': 2, 'case': 1, 'doi:10.1377/hlthaff.2014.1085': 1, '07': 4, 'boosting': 1, 'Fight': 2, 'involuntary': 1, '?': 6, 'compared': 1, 'describe': 1, '30': 4, 'suddenly': 1, 'grants': 1, 'February': 2, '2006': 1, 'dangerous': 1, 'John': 1, 'consume': 1, 'relief': 1, 'Which': 1, 'protected': 1, 'Solutions': 3, 'Task': 1, 'therapy': 1, 'Dale': 1, 'replace': 1, 'presented': 2, 'stronger': 1, 'Politics': 2, 'coordinate': 1, 'medical': 11, 'opioids.[10': 1, 'You': 1, 'College': 1, 'cut': 1, 'evidence': 1, 'amount': 3, 'group': 3, 'to': 186, 'Jim': 1, 'necessarily': 1, 'drugs': 17, 'decreasing': 1, 'states': 4, 'hide': 1, 'recreational': 1, 'emergency': 3, 'small': 1, 'Weiler': 1, 'environments': 1, 'States.[47': 1, 'residential': 1, 'Generation': 1, 'Prescription': 9, 'Everyone': 1, 'mostly': 3, 'Fentanyl[edit': 1, 'trade': 1, 'shows': 1, 'flood': 2, 'pushing': 1, 'already': 2, 'cultural': 1, 'j': 1, 'often': 4, 'areas': 1, 'issue': 1, 'British': 1, 'panicked': 1, 'detoxification': 1, 'Geographically': 1, 'elicit': 1, 'beginning': 1, 'reinforcing': 1, 'guaranteed': 1, 'W.': 1, 'clinic': 3, 'whom': 2, 'December': 4, 'always': 1, 'Overdose': 2, 'A': 8, 'these': 5, 'Center': 1, 'without': 2, 'enemy': 1, 'OxyContin': 4, 'blocking': 1, 'Morrison': 1, 'Dowell': 1, 'smuggled': 1, 'returning': 1, 'nurses': 1, 'Crack': 1, 'hit': 3, 'unable': 1, 'comparable': 1, 'Journal': 4, 'Opiate': 1, 'government[edit': 1, 'religious': 1, 'illicit': 2, 'awash': 2, 'who': 8, 'mandate': 1, 'accessible': 1, 'Economist': 1, 'View': 1, 'majority': 3, 'U.K.': 1, 'respiratory': 2, 'Alcohol': 1, 'crisis.\"[13': 1, 'soon': 1, 'self': 1, 'Physicians': 1, 'information': 1, 'Responders': 1, 'marketed': 1, 'Moghe': 1, 'denied': 1, 'Listening': 1, 'links': 1, 'trafficked': 1, '|': 1, 'world.[52][53][54': 1, 'pandemic': 2, 'Publications': 1, 'NEJM': 2, 'laws': 1, 'Despite': 1, 'available': 3, 'Jennifer': 1, 'synthetic': 5, 'bills': 1, 'philosophy': 1, 'Hill': 1, 'enforcement': 2, 'Feb.': 5, 'University': 3, 'Jick': 2, 'Obama': 2, 'Michigan': 3, 'field': 1, 'reaching': 1, 'necessary': 1, 'Substance': 1, 'opiate': 4, '2010': 9, 'which': 26, 'spiritual': 1, '\\n\\n': 39, 'CDC': 17, 'push': 1, 'capped': 1, '149': 1, 'mid': 1, 'afterwards': 1, 'whereas': 1, 'high': 4, 'entered': 1, '16,000': 1, 'Bruce': 1, 'patient': 2, 'period.[15': 1, 'called': 1, 'military': 1, 'substance-': 1, 'nonmedical': 1, 'medicines': 1, 'Poll': 1, '26977696': 1, 'function': 1, 'he': 1, '121': 1, 'wish': 1, 'States[edit': 2, 'private': 1, 'contraction': 1, 'ARE': 1, 'Dr': 1, 'Press': 3, 'would': 7}\n"
]
}
],
"source": [
"print(histogram)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"At this point, recall that we can also convey the information contained by a dictionary in terms of a list of tuples:"
]
},
{
"cell_type": "code",
"execution_count": 13,
"metadata": {},
"outputs": [
{
"data": {
"text/plain": [
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" ('get', 1),\n",
" ('politics', 1),\n",
" ('tons', 2),\n",
" ('number', 6),\n",
" ('President', 7),\n",
" ('Drugs', 3),\n",
" ('2015.[36', 2),\n",
" ('opinions', 1),\n",
" ('Treat', 1),\n",
" ('Responding', 1),\n",
" ('Health', 3),\n",
" ('million', 5),\n",
" ('315', 1),\n",
" ('pure', 1),\n",
" ('wave', 1),\n",
" ('moral', 1),\n",
" ('WHAT', 1),\n",
" ('full', 1),\n",
" ('according', 2),\n",
" ('surprised', 1),\n",
" ('Sept.', 1),\n",
" ('associated', 3),\n",
" ('patients.[48', 1),\n",
" ('chronic', 2),\n",
" ('cited', 2),\n",
" ('[', 3),\n",
" ('among', 9),\n",
" ('Real', 1),\n",
" ('medical.[78', 1),\n",
" ('-', 62),\n",
" ('differing', 1),\n",
" ('very', 1),\n",
" ('pill', 1),\n",
" ('long', 4),\n",
" ('EMCDDA', 1),\n",
" ('brain', 2),\n",
" ('There', 4),\n",
" ('policies', 1),\n",
" ('crucial', 1),\n",
" ('whether', 1),\n",
" ('\\n', 152),\n",
" ('sent', 1),\n",
" ('II', 1),\n",
" ('Jan.', 1),\n",
" ('Sure', 1),\n",
" ('misuse', 1),\n",
" ('easier', 2),\n",
" ('laced', 2),\n",
" ('Public', 1),\n",
" ('UK', 1),\n",
" ('different', 2),\n",
" ('offices.[85', 1),\n",
" ('frequently.[78', 1),\n",
" ('profited', 1),\n",
" ('pharmacists', 3),\n",
" ('National', 7),\n",
" ('six', 4),\n",
" ('Vital', 1),\n",
" ('classes', 1),\n",
" ('County', 3),\n",
" ('446', 1),\n",
" ('Marino', 6),\n",
" ('Franklin', 1),\n",
" ('American', 6),\n",
" ('Missouri', 2),\n",
" ('Porter', 1),\n",
" ('presumes[when', 1),\n",
" ('causes[edit', 1),\n",
" ('Sonia', 1),\n",
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" ('Most', 1),\n",
" ('Methadone', 2),\n",
" ('Medicine', 4),\n",
" ('tried', 1),\n",
" ('diverse', 1),\n",
" ('1924', 1),\n",
" ('Gov.', 1),\n",
" ('34', 1),\n",
" ('23%.[10][50', 1),\n",
" ('deaths', 27),\n",
" ('unintended', 1),\n",
" ('BuzzFeed', 1),\n",
" ('contributed', 2),\n",
" ('spike', 2),\n",
" ('noting', 1),\n",
" ('programs.[84', 1),\n",
" ('13', 9),\n",
" ('year.[19]:43In', 1),\n",
" ('fifteen', 1),\n",
" ('rescue', 1),\n",
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" ('paraphernalia', 1),\n",
" ('tend', 1),\n",
" ('prescription', 20),\n",
" ('scale', 1),\n",
" ('Medscape', 1),\n",
" ('Twelve', 2),\n",
" ('nominated', 2),\n",
" ('crisis.[72', 1),\n",
" ('throughout', 1),\n",
" ('addicts[edit', 1),\n",
" ('treatment', 19),\n",
" ('NPR.org', 1),\n",
" ('says', 1),\n",
" ('Dangers', 1),\n",
" ('1', 9),\n",
" ('titled', 1),\n",
" ('S.', 1),\n",
" ('Yahoo', 1),\n",
" ('Past', 1),\n",
" ('drug.[37', 1),\n",
" ('Anonymous.[83', 1),\n",
" ('and', 142),\n",
" ('2', 7),\n",
" ('289', 1),\n",
" ('eliminate', 1),\n",
" ('studies.[8', 1),\n",
" ('year', 3),\n",
" ('pain', 12),\n",
" ('Apr', 1),\n",
" ('recognize', 1),\n",
" ('efforts', 1),\n",
" ('abuse.[61', 1),\n",
" ('profit', 1),\n",
" ('alternatives', 1),\n",
" ('12th', 1),\n",
" ('oxymorphone', 1),\n",
" ('Guideline', 2),\n",
" ('black', 1),\n",
" ('his', 3),\n",
" ('governor', 2),\n",
" ('Rutherford', 1),\n",
" ('15', 6),\n",
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" ('died', 7),\n",
" ('Ohio', 4),\n",
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" ('g', 1),\n",
" ('Highlights', 1),\n",
" ('relapse', 2),\n",
" ('tackle', 1),\n",
" ('author', 1),\n",
" ('few', 3),\n",
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" ('2000.[45', 1),\n",
" ('inhaling', 1),\n",
" ('Prince', 2),\n",
" ('mechanism', 1),\n",
" ('From', 3),\n",
" ('Perrone', 1),\n",
" ('chances', 1),\n",
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" ('user', 1),\n",
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" ('began', 5),\n",
" ('9', 2),\n",
" ('olds', 1),\n",
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" ('Scott', 3),\n",
" ('spurts', 1),\n",
" ('means', 1),\n",
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" ('options', 5),\n",
" ('lawmakers', 1),\n",
" ('Virginia', 3),\n",
" ('homicides', 1),\n",
" ('speeding', 1),\n",
" ('care', 3),\n",
" ('lawsuit', 1),\n",
" ('Documents', 1),\n",
" ('abstinent', 1),\n",
" ('data', 2),\n",
" ('Facing', 1),\n",
" ('every', 2),\n",
" ('Hawaii', 1),\n",
" ('home.[41', 1),\n",
" ('My', 1),\n",
" ('next', 2),\n",
" ('plan', 3),\n",
" ('overdose', 25),\n",
" ('mentioned', 1),\n",
" ('injectable', 1),\n",
" ('guns', 2),\n",
" ('intoxication', 1),\n",
" ('Office', 4),\n",
" ('allowed', 1),\n",
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" ('January', 3),\n",
" ('Contents', 1),\n",
" ('prescribe', 2),\n",
" ('naloxone', 3),\n",
" ('Plan', 1),\n",
" ('TREATMENT', 1),\n",
" ('entire', 1),\n",
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" ('Harm', 1),\n",
" ('article', 2),\n",
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" ('bipartisan', 1),\n",
" ('injection', 1),\n",
" ('accompanied', 1),\n",
" ('differ', 1),\n",
" ('Idea', 1),\n",
" ('’s', 7),\n",
" ('Declare', 1),\n",
" ('South', 1),\n",
" ('cause', 2),\n",
" ('spinal', 1),\n",
" ('decrease', 2),\n",
" ('Street', 1),\n",
" ('rural', 2),\n",
" ('picked', 1),\n",
" ('Services', 1),\n",
" ('indicate', 1),\n",
" ('dramatically', 1),\n",
" ('Hosts', 1),\n",
" ('percent', 4),\n",
" ('milder', 1),\n",
" ('identify', 1),\n",
" ('same', 3),\n",
" ('Hampshire', 1),\n",
" ('differential', 1),\n",
" ('authorizes', 1),\n",
" ('Lebanon', 1),\n",
" ('Rehab', 1),\n",
" ('after', 3),\n",
" ('effort', 1),\n",
" ('thirds', 1),\n",
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" ('addiction.[82', 1),\n",
" ('purposes', 1),\n",
" ('subsequently', 1),\n",
" ('caused', 2),\n",
" ('Maker', 1),\n",
" ('attention', 1),\n",
" ('Threat', 1),\n",
" ('doctor', 2),\n",
" ('actually', 1),\n",
" ('2.1', 1),\n",
" ('stop', 1),\n",
" ('Life', 1),\n",
" ('been', 13),\n",
" ('behavioral.[81', 1),\n",
" ('safer', 1),\n",
" ('2015', 10),\n",
" ('affect', 1),\n",
" ('Relievers', 1),\n",
" ('Chinese', 2),\n",
" ('patients', 7),\n",
" ('1991', 2),\n",
" ('problem', 3),\n",
" ('dosage', 1),\n",
" ('resemble', 1),\n",
" ('both', 6),\n",
" ('Columbia', 3),\n",
" ('varied', 1),\n",
" ('www.fda.gov', 1),\n",
" ('so', 2),\n",
" ('Middletown', 2),\n",
" ('physician', 1),\n",
" ('suspected', 3),\n",
" ('Declares', 1),\n",
" ('projects', 1),\n",
" ('pounds', 1),\n",
" ('Among', 3),\n",
" ('Emergency', 4),\n",
" ('like', 6),\n",
" ('Dependence', 1),\n",
" ('behavioral', 4),\n",
" ('satisfaction', 1),\n",
" ('appointed', 1),\n",
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" ('WGBH', 1),\n",
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" ('General', 4),\n",
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" ('allow', 5),\n",
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" ('someone', 1),\n",
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" ('addicted', 5),\n",
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" ('not', 20),\n",
" ('converting', 1),\n",
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" ('d', 6),\n",
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" ('Commission', 3),\n",
" ('8', 4),\n",
" ('Opioids', 6),\n",
" ('contributing', 1),\n",
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" ('at', 7),\n",
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" ('users', 8),\n",
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" ('withdrawal', 4),\n",
" ('waiting', 1),\n",
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" ('Azeen', 1),\n",
" ('cancer.[21', 1),\n",
" ('published', 4),\n",
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" ('PBS', 1),\n",
" ('results', 2),\n",
" ('campaigns', 1),\n",
" ('www.cdc.gov', 1),\n",
" ('Epidemic', 4),\n",
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" ('Sullivan', 1),\n",
" ('physicians', 3),\n",
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" ('became', 3),\n",
" ('concurrent', 1),\n",
" ('soldiers', 1),\n",
" ('Popular', 2),\n",
" ('access', 3),\n",
" ('breathing', 1),\n",
" ('laboratory', 1),\n",
" ('terrifying', 1),\n",
" ('when', 7),\n",
" ('enough', 1),\n",
" ('however', 1),\n",
" ('emerged', 1),\n",
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" ('McGinty', 1),\n",
" ('painkilling', 1),\n",
" ('Black', 1),\n",
" ('drug.[32', 1),\n",
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" ('consequences', 3),\n",
" ('U.S.', 20),\n",
" ('explosive', 1),\n",
" ('Legislature', 1),\n",
" ('filed', 1),\n",
" ('STAT', 4),\n",
" ('causes', 2),\n",
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" ('wants', 1),\n",
" ('67', 1),\n",
" ('It', 15),\n",
" ('industry', 2),\n",
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" ('significantly', 1),\n",
" ('pills', 5),\n",
" ('production', 1),\n",
" ('Fall', 1),\n",
" ('negative', 1),\n",
" ('Turque', 1),\n",
" ('empathize', 1),\n",
" ('ailments', 2),\n",
" ('receive', 2),\n",
" ('dispensed', 1),\n",
" ('alone', 2),\n",
" ('Trump', 12),\n",
" ('large', 1),\n",
" ('392', 1),\n",
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" ('Philadelphia', 1),\n",
" ('change', 1),\n",
" ('Europe', 3),\n",
" ('young', 3),\n",
" ('WILX', 1),\n",
" ...]"
]
},
"execution_count": 13,
"metadata": {},
"output_type": "execute_result"
}
],
"source": [
"list(histogram.items())"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Working with a dictionary (rather than a list of tuples) can be beneficial when we want fast access to, in this case, the specific raw count for a word of interest. For example, if we wanted to know how many times the word \"opioid\" appears, we can write `histogram['opioid']`, whereas if we only had the list of tuples, we would have to do a for loop over the list to find where the word `opioid` appears before we can output its count."
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Representing the tokens and their counts in terms of a list of tuples is useful if we want to sort the tokens by their raw counts in decreasing order. We do this next:"
]
},
{
"cell_type": "code",
"execution_count": 14,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
", : 476\n",
"the : 224\n",
"\" : 188\n",
"to : 186\n",
". : 183\n",
"\n",
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": : 69\n",
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{
"name": "stdout",
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}
],
"source": [
"from operator import itemgetter\n",
"\n",
"sorted_token_count_pairs = sorted(histogram.items(),\n",
" reverse=True,\n",
" key=itemgetter(1))\n",
"# Some notes:\n",
"# - reverse=True tells Python to sort in reverse order, so largest to smallest rather than smallest to largest\n",
"# - itemgetter(1) says that we should sort by the 1-st entry of each tuple (recall that Python starts counting\n",
"# from the 0th entry); here the tuples are of the form (token, raw count)\n",
"# - if you're familiar with the Python `lambda` function for creating anonymous functions, `itemgetter(1)` is\n",
"# the same as `lambda x: x[1]`\n",
"\n",
"for token, count in sorted_token_count_pairs:\n",
" print(token, \":\", count)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"You should see that the most frequently occurring tokens are punctuation or words that should be stopwords. We will look at how to remove these shortly."
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"A more concise way to write the code to build up the histogram is to use Python's `Counter` object. A `Counter` object is a fancier dictionary that lets you not have to explicitly account for keys that are not already in the counter. In particular, missing keys are assumed to have count 0."
]
},
{
"cell_type": "code",
"execution_count": 15,
"metadata": {},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
", : 476\n",
"the : 224\n",
"\" : 188\n",
"to : 186\n",
". : 183\n",
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" : 152\n",
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"] : 143\n",
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": : 69\n",
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"- : 62\n",
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"\n",
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"; : 11\n",
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"' : 8\n",
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"? : 6\n",
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"letter : 4\n",
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"less : 4\n",
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"[ : 3\n",
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"f : 3\n",
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"off : 3\n",
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"any : 3\n",
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"York : 3\n",
"Prescribing : 3\n",
"Utah : 3\n",
"prescribing : 3\n",
"include : 3\n",
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"present : 3\n",
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"Main : 3\n",
"health : 3\n",
"known : 3\n",
"Governor : 3\n",
"7 : 3\n",
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"non : 3\n",
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"around : 3\n",
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"mandate : 1\n",
"accessible : 1\n",
"Economist : 1\n",
"View : 1\n",
"U.K. : 1\n",
"Alcohol : 1\n",
"crisis.\"[13 : 1\n",
"soon : 1\n",
"self : 1\n",
"Physicians : 1\n",
"information : 1\n",
"Responders : 1\n",
"marketed : 1\n",
"Moghe : 1\n",
"denied : 1\n",
"Listening : 1\n",
"links : 1\n",
"trafficked : 1\n",
"| : 1\n",
"world.[52][53][54 : 1\n",
"Publications : 1\n",
"laws : 1\n",
"Despite : 1\n",
"Jennifer : 1\n",
"bills : 1\n",
"philosophy : 1\n",
"Hill : 1\n",
"field : 1\n",
"reaching : 1\n",
"necessary : 1\n",
"Substance : 1\n",
"spiritual : 1\n",
"push : 1\n",
"capped : 1\n",
"149 : 1\n",
"mid : 1\n",
"afterwards : 1\n",
"whereas : 1\n",
"entered : 1\n",
"16,000 : 1\n",
"Bruce : 1\n",
"period.[15 : 1\n",
"called : 1\n",
"military : 1\n",
"substance- : 1\n",
"nonmedical : 1\n",
"medicines : 1\n",
"Poll : 1\n",
"26977696 : 1\n",
"function : 1\n",
"he : 1\n",
"121 : 1\n",
"wish : 1\n",
"private : 1\n",
"contraction : 1\n",
"ARE : 1\n",
"Dr : 1\n"
]
}
],
"source": [
"from collections import Counter\n",
"\n",
"histogram = Counter()\n",
"for token in parsed_text:\n",
" original_token_text = token.orth_\n",
" histogram[original_token_text] += 1\n",
" # note: a shorter way to write the line above is: histogram[original_token_text] += 1\n",
"\n",
"# same sorting code as before\n",
"from operator import itemgetter\n",
"sorted_token_count_pairs = sorted(histogram.items(),\n",
" reverse=True,\n",
" key=itemgetter(1))\n",
"for token, count in sorted_token_count_pairs:\n",
" print(token, \":\", count)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Now we build a histogram using only tokens that are not stop words, not punctuation, and not spaces. Moreover, what we actually add to the histogram is the lemma of a token and not the token itself."
]
},
{
"cell_type": "code",
"execution_count": 16,
"metadata": {
"scrolled": false
},
"outputs": [
{
"name": "stdout",
"output_type": "stream",
"text": [
"opioid : 122\n",
"jump : 87\n",
"drug : 82\n",
"-pron- : 82\n",
"2017 : 78\n",
"^ : 44\n",
"heroin : 44\n",
"prescription : 39\n",
"addiction : 36\n",
"2016 : 35\n",
"death : 35\n",
"use : 33\n",
"overdose : 31\n",
"fentanyl : 30\n",
"treatment : 29\n",
"b : 27\n",
"crisis : 25\n",
"march : 23\n",
"epidemic : 23\n",
"- : 20\n",
"abuse : 20\n",
"u.s. : 20\n",
"state : 19\n",
"doctor : 19\n",
"people : 18\n",
"cdc : 17\n",
"new : 17\n",
"'s : 16\n",
"retrieved : 15\n",
"pain : 15\n",
"increase : 15\n",
"june : 15\n",
"addict : 14\n",
"painkiller : 13\n",
"report : 13\n",
"july : 13\n",
"united : 12\n",
"medical : 12\n",
"trump : 12\n",
"national : 12\n",
"allow : 11\n",
"patient : 11\n",
"c : 11\n",
"prescribe : 11\n",
"include : 11\n",
"time : 11\n",
"overdos : 11\n",
"2015 : 10\n",
"washington : 10\n",
"rate : 10\n",
"act : 9\n",
"13 : 9\n",
"user : 9\n",
"1 : 9\n",
"april : 9\n",
"declare : 9\n",
"lead : 9\n",
"help : 9\n",
"3 : 9\n",
"states : 9\n",
"opiate : 9\n",
"2010 : 9\n",
"americans : 8\n",
"control : 8\n",
"find : 8\n",
"know : 8\n",
"america : 8\n",
"program : 8\n",
"december : 8\n",
"die : 8\n",
"buprenorphine : 8\n",
"medication : 8\n",
"post : 8\n",
"accord : 8\n",
"2 : 7\n",
"’s : 7\n",
"government : 7\n",
"high : 7\n",
"methadone : 7\n",
"war : 7\n",
"fda : 7\n",
"naloxone : 7\n",
"receptor : 7\n",
"president : 7\n",
"2014 : 7\n",
"risk : 7\n",
"turn : 7\n",
"news : 7\n",
"begin : 7\n",
"february : 7\n",
"emergency : 7\n",
"american : 7\n",
"white : 7\n",
"number : 6\n",
"million : 6\n",
"pill : 6\n",
"governor : 6\n",
"like : 6\n",
"public : 6\n",
"person : 6\n",
"pharmaceutical : 6\n",
"behavioral : 6\n",
"27 : 6\n",
"100,000 : 6\n",
"kill : 6\n",
"law : 6\n",
"option : 6\n",
"d : 6\n",
"15 : 6\n",
"substance : 6\n",
"month : 6\n",
"health : 6\n",
"effective : 6\n",
"marino : 6\n",
"1980 : 6\n",
"% : 6\n",
"country : 6\n",
"long : 5\n",
"company : 5\n",
"plan : 5\n",
"stat : 5\n",
"commission : 5\n",
"50 : 5\n",
"synthetic : 5\n",
"world : 5\n",
"august : 5\n",
"10 : 5\n",
"september : 5\n",
"letter : 5\n",
"maryland : 5\n",
"vietnam : 5\n",
"write : 5\n",
"06 : 5\n",
"prescribing : 5\n",
"present : 5\n",
"canada : 5\n",
"100 : 5\n",
"prevention : 5\n",
"medicine : 5\n",
"result : 5\n",
"main : 5\n",
"publish : 5\n",
"october : 5\n",
"press : 5\n",
"treat : 5\n",
"general : 5\n",
"4 : 5\n",
"potential : 5\n",
"centers : 5\n",
"city : 5\n",
"big : 4\n",
"chronic : 4\n",
"nearly : 4\n",
"year : 4\n",
"major : 4\n",
"care : 4\n",
"solution : 4\n",
"cause : 4\n",
"percent : 4\n",
"effort : 4\n",
"dea : 4\n",
"illegal : 4\n",
"mexican : 4\n",
"consequence : 4\n",
"history : 4\n",
"morphine : 4\n",
"fight : 4\n",
"powerful : 4\n",
"oxycontin : 4\n",
"class : 4\n",
"disease : 4\n",
"bad : 4\n",
"8 : 4\n",
"ohio : 4\n",
"potent : 4\n",
"federal : 4\n",
"need : 4\n",
"office : 4\n",
"access : 4\n",
"journal : 4\n",
"sign : 4\n",
"county : 4\n",
"oxycodone : 4\n",
"suspect : 4\n",
"2011 : 4\n",
"policy : 4\n",
"11 : 4\n",
"likely : 4\n",
"withdrawal : 4\n",
"west : 4\n",
"physician : 4\n",
"times : 4\n",
"monitoring : 4\n",
"5 : 4\n",
"street : 4\n",
"deadly : 4\n",
"january : 4\n",
"strong : 4\n",
"gun : 4\n",
"dependence : 4\n",
"pass : 4\n",
"release : 4\n",
"23 : 4\n",
"14 : 4\n",
"work : 4\n",
"administration : 4\n",
"07 : 4\n",
"bind : 4\n",
"30 : 4\n",
"group : 4\n",
"contribute : 4\n",
"enforcement : 4\n",
"center : 4\n",
"happen : 3\n",
"pharmacist : 3\n",
"decrease : 3\n",
"century : 3\n",
"lawsuit : 3\n",
"scott : 3\n",
"data : 3\n",
"patients : 3\n",
"problem : 3\n",
"recommend : 3\n",
"sell : 3\n",
"virginia : 3\n",
"hogan : 3\n",
"director : 3\n",
"17 : 3\n",
"york : 3\n",
"action : 3\n",
"manufacturer : 3\n",
"supplier : 3\n",
"england : 3\n",
"pharmacy : 3\n",
"caldwell : 3\n",
"& : 3\n",
"sale : 3\n",
"crack : 3\n",
"surgeon : 3\n",
"step : 3\n",
"reliever : 3\n",
"f : 3\n",
"symptom : 3\n",
"12 : 3\n",
"reduce : 3\n",
"congress : 3\n",
"urgent : 3\n",
"associate : 3\n",
"distribution : 3\n",
"criminal : 3\n",
"better : 3\n",
"columbia : 3\n",
"popular : 3\n",
"craving : 3\n",
"narcotics : 3\n",
"europe : 3\n",
"young : 3\n",
"prevent : 3\n",
"29 : 3\n",
"portray : 3\n",
"hit : 3\n",
"survey : 3\n",
"guideline : 3\n",
"list : 3\n",
"cocaine : 3\n",
"frieden : 3\n",
"7 : 3\n",
"safe : 3\n",
"non : 3\n",
"rise : 3\n",
"cures : 3\n",
"2012 : 3\n",
"illegally : 3\n",
"21st : 3\n",
"utah : 3\n",
"cost : 3\n",
"prescribed : 3\n",
"michigan : 3\n",
"pdmp : 3\n",
"relate : 3\n",
"agree : 3\n",
"6 : 3\n",
"local : 3\n",
"research : 3\n",
"surpass : 3\n",
"estimate : 3\n",
"mmwr : 3\n",
"tribune : 3\n",
"university : 3\n",
"combat : 3\n",
"' : 3\n",
"figure : 3\n",
"house : 3\n",
"start : 3\n",
"disposal : 3\n",
"potency : 3\n",
"opioids : 3\n",
"e : 3\n",
"police : 3\n",
"good : 3\n",
"outside : 3\n",
"flood : 3\n",
"clinic : 3\n",
"seize : 3\n",
"grow : 3\n",
"majority : 3\n",
"available : 3\n",
"tom : 3\n",
"2015.[36 : 2\n",
"victim : 2\n",
"science : 2\n",
"brain : 2\n",
"misuse : 2\n",
"laced : 2\n",
"different : 2\n",
"ailment : 2\n",
"spike : 2\n",
"arrest : 2\n",
"develop : 2\n",
"distributor : 2\n",
"recognize : 2\n",
"profit : 2\n",
"black : 2\n",
"dr. : 2\n",
"relapse : 2\n",
"tackle : 2\n",
"car : 2\n",
"9 : 2\n",
"lobby : 2\n",
"responsible : 2\n",
"response : 2\n",
"article : 2\n",
"differ : 2\n",
"effect : 2\n",
"identify : 2\n",
"california : 2\n",
"easy : 2\n",
"administer : 2\n",
"support : 2\n",
"claim : 2\n",
"rare : 2\n",
"formal : 2\n",
"sponsor : 2\n",
"chinese : 2\n",
"$ : 2\n",
"26 : 2\n",
"comparison : 2\n",
"share : 2\n",
"concern : 2\n",
"session : 2\n",
"rep. : 2\n",
"thing : 2\n",
"believe : 2\n",
"background : 2\n",
"seek : 2\n",
"appropriate : 2\n",
"volume : 2\n",
"remain : 2\n",
"nationwide : 2\n",
"daily : 2\n",
"information : 2\n",
"lethal : 2\n",
"jick : 2\n",
"prose : 2\n",
"iraq : 2\n",
"weekly : 2\n",
"summary : 2\n",
"average : 2\n",
"thousand : 2\n",
"states[edit : 2\n",
"remove : 2\n",
"18 : 2\n",
"pharmacological : 2\n",
"donald : 2\n",
"40 : 2\n",
"vicodin : 2\n",
"samhsa : 2\n",
"killer : 2\n",
"20 : 2\n",
"prescriptions : 2\n",
"try : 2\n",
"return : 2\n",
"widespread : 2\n",
"cite : 2\n",
"legislation : 2\n",
"difficult : 2\n",
"medium : 2\n",
"compact : 2\n",
"epidemiologist : 2\n",
"respiratory : 2\n",
"nejm : 2\n",
"training : 2\n",
"funding : 2\n",
"quadruple : 2\n",
"h. : 2\n",
"truly : 2\n",
"metric : 2\n",
"dose : 2\n",
"lab : 2\n",
"hospitalize : 2\n",
"er : 2\n",
"missouri : 2\n",
"idea : 2\n",
"late : 2\n",
"percocet : 2\n",
"addicted : 2\n",
"introduce : 2\n",
"look : 2\n",
"campaign : 2\n",
"parent : 2\n",
"review : 2\n",
"coverage : 2\n",
"block : 2\n",
"exposure : 2\n",
"middletown : 2\n",
"1970 : 2\n",
"low : 2\n",
"industry : 2\n",
"hispanic : 2\n",
"task : 2\n",
"production : 2\n",
"receive : 2\n",
"nominate : 2\n",
"change : 2\n",
"consume : 2\n",
"wide : 2\n",
"describe : 2\n",
"ask : 2\n",
"600 : 2\n",
"day : 2\n",
"pills.[18 : 2\n",
"social : 2\n",
"pay : 2\n",
"target : 2\n",
"taper : 2\n",
"psychiatry : 2\n",
"calgary : 2\n",
"centre : 2\n",
"cnn : 2\n",
"extend : 2\n",
"cartel : 2\n",
"co : 2\n",
"marijuana : 2\n",
"week : 2\n",
"ton : 2\n",
"31 : 2\n",
"retrieve : 2\n",
"residential : 2\n",
"wonder : 2\n",
"1990 : 2\n",
"1999 : 2\n",
"delaware : 2\n",
"1.5 : 2\n",
"recovery : 2\n",
"florida : 2\n",
"despite : 2\n",
"kg : 2\n",
"dispense : 2\n",
"rural : 2\n",
"election : 2\n",
"politics : 2\n",
"divert : 2\n",
"solutions : 2\n",
"emergency.\"[16][17 : 2\n",
"market : 2\n",
"500,000 : 2\n",
"home : 2\n",
"section : 2\n",
"cia : 2\n",
"outweigh : 2\n",
"earlier : 2\n",
"send : 2\n",
"opana : 2\n",
"16 : 2\n",
"prince : 2\n",
"regulated : 2\n",
"thomas : 2\n",
"80 : 2\n",
"expand : 2\n",
"worldwide : 2\n",
"media : 2\n",
"cbs : 2\n",
"editor : 2\n",
"expert : 2\n",
"variation : 2\n",
"1991 : 2\n",
"czar : 2\n",
"announce : 2\n",
"combine : 2\n",
"place : 2\n",
"statistic : 2\n",
"end : 2\n",
"mean : 2\n",
"christopher : 2\n",
"pick : 2\n",
"hershel : 2\n",
"comprehensive : 2\n",
"environment : 2\n",
"silvia : 2\n",
"chance : 2\n",
"snyder : 2\n",
"2008 : 2\n",
"analysis : 2\n",
"institute : 2\n",
"secure : 2\n",
"researcher : 2\n",
"hydrocodone : 2\n",
"obama : 2\n",
"deal : 2\n",
"similarly : 2\n",
"alternative : 2\n",
"rapid : 2\n",
"commissioner : 2\n",
"nejm.org : 2\n",
"form : 2\n",
"limit : 2\n",
"teenager : 2\n",
"similar : 2\n",
"term : 2\n",
"martins : 2\n",
"gottlieb : 2\n",
"great : 2\n",
"reach : 2\n",
"cnbc : 2\n",
"cheap : 2\n",
"common : 2\n",
"benefit : 2\n",
"illicit : 2\n",
"awash : 2\n",
"pandemic : 2\n",
"aware : 2\n",
"push : 2\n",
"nonmedical : 2\n",
"dos : 2\n",
"depression : 1\n",
"bruce : 1\n",
"pure : 1\n",
"perform : 1\n",
"wave : 1\n",
"moral : 1\n",
"surprised : 1\n",
"abstinent : 1\n",
"crucial : 1\n",
"poll : 1\n",
"spurt : 1\n",
"offices.[85 : 1\n",
"frequently.[78 : 1\n",
"interdiction : 1\n",
"view : 1\n",
"approximately : 1\n",
"446 : 1\n",
"congressional : 1\n",
"regulate : 1\n",
"presumes[when : 1\n",
"causes[edit : 1\n",
"orlando : 1\n",
"g : 1\n",
"diverse : 1\n",
"1924 : 1\n",
"juliet : 1\n",
"23%.[10][50 : 1\n",
"deaths : 1\n",
"unintended : 1\n",
"switch : 1\n",
"abuser : 1\n",
"u.k. : 1\n",
"senate : 1\n",
"biden : 1\n",
"accident : 1\n",
"teenagers.[20 : 1\n",
"real : 1\n",
"paraphernalia : 1\n",
"services : 1\n",
"scale : 1\n",
"crisis.[72 : 1\n",
"addicts[edit : 1\n",
"new jersey : 1\n",
"occupational : 1\n",
"bruyere : 1\n",
"drug.[37 : 1\n",
"homicides.[24 : 1\n",
"289 : 1\n",
"affairs : 1\n",
"studies.[8 : 1\n",
"vtdigger : 1\n",
"count : 1\n",
"abuse.[61 : 1\n",
"states.[47 : 1\n",
"12th : 1\n",
"53 : 1\n",
"crisis.[39 : 1\n",
"project : 1\n",
"chair : 1\n",
"southern : 1\n",
"lake : 1\n",
"induce : 1\n",
"author : 1\n",
"2000.[45 : 1\n",
"jonathan : 1\n",
"ingest : 1\n",
"expect : 1\n",
"ship : 1\n",
"easily : 1\n",
"symptoms.[22 : 1\n",
"jones : 1\n",
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"decade : 1\n",
"rescue : 1\n",
"appoint : 1\n",
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"live : 1\n",
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"compare : 1\n",
"mexico : 1\n",
"bipartisan : 1\n",
"injection : 1\n",
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"actually : 1\n",
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"porter : 1\n",
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"point : 1\n",
"mother : 1\n",
"touch : 1\n",
"lenny : 1\n",
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"court : 1\n",
"talk : 1\n",
"terrifying’ : 1\n",
"72 : 1\n",
"delhidailynews.com : 1\n",
"combined.[7][6 : 1\n",
"jersey : 1\n",
"proportion : 1\n",
"armies : 1\n",
"aids : 1\n",
"death.[2 : 1\n",
"use.[21 : 1\n",
"naloxone[edit : 1\n",
"al : 1\n",
"detox : 1\n",
"minor : 1\n",
"hear : 1\n",
"external : 1\n",
"john : 1\n",
"c.d.c. : 1\n",
"highly : 1\n",
"yield : 1\n",
"lobbied.[76][77 : 1\n",
"people.[15 : 1\n",
"youth : 1\n",
"doctors.[63 : 1\n",
"1971 : 1\n",
"bush : 1\n",
"continue : 1\n",
"medical.[78 : 1\n",
"pbs.org : 1\n",
"urban : 1\n",
"exacerbate : 1\n",
"34 : 1\n",
"reinforce : 1\n",
"panic : 1\n",
"strength : 1\n",
"enter : 1\n",
"distinguish : 1\n",
"buprenorphine[edit : 1\n",
"backstory : 1\n",
"state.[29 : 1\n",
"tap : 1\n",
"purpose : 1\n",
"boost : 1\n",
"combination : 1\n",
"service : 1\n",
"sue : 1\n",
"fear : 1\n",
"dowell : 1\n",
"30.2 : 1\n",
"consider : 1\n",
"outcome : 1\n",
"important : 1\n",
"foster : 1\n",
"nixon : 1\n",
"2015.[22 : 1\n",
"cough : 1\n",
"treatment.[81 : 1\n",
"acting : 1\n",
"date : 1\n",
"chief : 1\n",
"effects[edit : 1\n",
"stage : 1\n",
"intend : 1\n",
"options.[83 : 1\n",
"note : 1\n",
"supply : 1\n",
"retreat : 1\n",
"system : 1\n",
"joplin : 1\n",
"doses).[33][34 : 1\n",
"force : 1\n",
"discuss : 1\n",
"medically : 1\n",
"lainie : 1\n",
"oxycodone.[36 : 1\n",
"three.[10 : 1\n",
"conclusion : 1\n",
"17-year : 1\n",
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]
}
],
"source": [
"from collections import Counter\n",
"\n",
"histogram_with_some_filtering = Counter()\n",
"\n",
"for token in parsed_text:\n",
" lemma = token.lemma_.lower()\n",
" if not (nlp.vocab[lemma].is_stop or token.pos_ == 'PUNCT' or token.pos_ == 'SPACE'):\n",
" histogram_with_some_filtering[lemma] += 1\n",
" \n",
"from operator import itemgetter\n",
"sorted_lemma_count_pairs = sorted(histogram_with_some_filtering.items(),\n",
" reverse=True,\n",
" key=itemgetter(1))\n",
"for lemma, count in sorted_lemma_count_pairs:\n",
" print(lemma, \":\", count)"
]
},
{
"cell_type": "markdown",
"metadata": {},
"source": [
"Finally, we plot the top 20 most frequently occurring lemmas:"
]
},
{
"cell_type": "code",
"execution_count": 17,
"metadata": {},
"outputs": [
{
"data": {
"text/plain": [
"Text(0, 0.5, 'Raw count')"
]
},
"execution_count": 17,
"metadata": {},
"output_type": "execute_result"
},
{
"data": {
"image/png": 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\n",
"text/plain": [
"<Figure size 576x396 with 1 Axes>"
]
},
"metadata": {
"image/png": {
"height": 377,
"width": 498
}
},
"output_type": "display_data"
}
],
"source": [
"%matplotlib inline\n",
"import matplotlib.pyplot as plt\n",
"plt.style.use('seaborn') # prettier plots (for example, use 'ggplot' instead of 'seaborn' for plots like in R)\n",
"%config InlineBackend.figure_format = 'retina' # if you use a Mac with Retina display\n",
"\n",
"num_top_lemmas_to_plot = 20\n",
"top_lemmas = [lemma for lemma, count in sorted_lemma_count_pairs[:num_top_lemmas_to_plot]]\n",
"top_counts = [count for lemma, count in sorted_lemma_count_pairs[:num_top_lemmas_to_plot]]\n",
"plt.bar(range(num_top_lemmas_to_plot), top_counts)\n",
"plt.xticks(range(num_top_lemmas_to_plot), top_lemmas, rotation=45)\n",
"plt.xlabel('Lemma')\n",
"plt.ylabel('Raw count')"
]
}
],
"metadata": {
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The opioid epidemic or opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States and Canada in the 2010s. Opioids are a diverse class of moderately strong painkillers, including oxycodone (commonly sold under the trade names OxyContin and Percocet), hydrocodone (Vicodin), and a very strong painkiller, fentanyl, which is synthesized to resemble other opiates such as opium-derived morphine and heroin. The potency and availability of these substances, despite their high risk of addiction and overdose, have made them popular both as formal medical treatments and as recreational drugs. Due to their sedative effects on the part of the brain which regulates breathing, opioids in high doses present the potential for respiratory depression, and may cause respiratory failure and death.[2]
According to the U.S. Drug Enforcement Administration, "overdose deaths, particularly from prescription drugs and heroin, have reached epidemic levels."[3]:iii Nearly half of all opioid overdose deaths in 2016 involved prescription opioids.[1] From 1999 to 2008, overdose death rates, sales, and substance abuse treatment admissions related to opioid pain relievers all increased substantially.[4] By 2015, annual overdose deaths from heroin alone surpassed deaths from both car accidents and guns, with other opioid overdose deaths also on the rise.[5]
Drug overdoses have since become the leading cause of death of Americans under 50, with two-thirds of those deaths from opioids.[6] In 2016, 62,000 Americans died from overdoses, 19 percent more than in 2015, and had killed more Americans in one year than both the wars in Vietnam and Iraq combined.[7][6] By comparison, the figure was 16,000 in 2010, and 4,000 in 1999. Figures from June 2017 indicate the problem has worsened.[8][9] While death rates varied by state,[10] public health experts estimate that nationwide over 500,000 people could die from the epidemic over the next 10 years.[11]
In March 2017, Larry Hogan, the governor of Maryland, declared a state of emergency to combat the opioid epidemic,[12] and in July 2017 opioid addiction was cited as the "FDA's biggest crisis."[13] CDC director Thomas Frieden said that "America is awash in opioids; urgent action is critical."[14] The crisis has changed moral, social, and cultural resistance to street drug alternatives such as heroin.[15] On August 10, 2017, President Donald Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a "national emergency."[16][17] On September 1, Trump nominated as "drug czar" Tom Marino, whose election campaign had been financed by pharmaceutical distribution companies that had lobbied for, and profited from, legislation co-sponsored by Marino which protected pharmacies suspected of diverting pills.[18]
Contents [hide]
1 Background in the United States
1.1 Main causes
1.2 Effects
1.3 Fentanyl
1.4 History of opiate use in the United States
1.5 Demographics
1.6 Outside the U.S.
2 Countermeasures
2.1 Federal government
2.2 State and local governments
2.3 Prescription drug monitoring
2.4 In the media
2.5 Solutions for addicts
2.5.1 Naloxone
2.5.2 Methadone
2.5.3 Buprenorphine
2.5.4 Behavioral treatment options
3 See also
4 References
5 External links
Background in the United States[edit]
Main causes[edit]
What the U.S. Surgeon General calls "The Opioid Crisis" likely began with over-prescription of powerful opioid pain relievers in the 1990s, which led to them becoming the most prescribed class of medications in the United States. As of 2016 more than 289 million prescriptions were written for opioid drugs per year.[19]:43In the late 1990s, many Americans were diagnosed with chronic pain, estimated to affect around 100 million people or a third of the U.S. population. This led to a push by drug companies and the federal government to expand the use of painkilling opioids.[10] Between 1991 and 2011, painkiller prescriptions in the U.S. tripled from 76 million to 219 million per year. Among the most common opioids prescribed have been oxycodone (OxyContin and Percocet) and hydrocodone (Vicodin). With the increase in volume, potency of opioids also increased. By 2002, one in six drug users were being prescribed drugs more powerful than morphine; by 2012, the ratio had doubled to one-in-three.[10]
Despite the increased use of painkillers, there has been no change in the amount of pain reported in the U.S.[20][19] This has led to differing medical opinions, with some noting that there is little evidence that opioids are effective for chronic pain not caused by cancer.[21]
Effects[edit]
When people continue to use opioids beyond what a doctor prescribes, whether to minimize pain or to enjoy the euphoric feelings, it can mark the beginning stages of an opiate addiction, with a tolerance developing and eventually leading to dependence, when a person relies on the drug to prevent withdrawal symptoms.[22]
As the number of opioid prescriptions rose, drug cartels began flooding the U.S. with heroin. For many opioid users, heroin was cheaper, more potent, and often easier to acquire than prescription medications.[8] According to the CDC, tighter prescription policies by doctors did not necessarily lead to this increased heroin use.[21] The main suppliers of heroin to the U.S. have been Mexican transnational criminal organizations.[8] From 2005–2009, Mexican heroin production increased by over 600%, from an estimated 8 metric tons in 2005 to 50 metric tons in 2009.[8] Between 2010 and 2014, the amount seized at the border more than doubled.[23] According to the DEA, smugglers and distributors "profit primarily by putting drugs on the street and have become crucial to the Mexican cartels."[3]:3
Opiate self-injection paraphernalia
The opioid epidemic has since emerged as one of the worst drug crises in American history: more than 33,000 people died from overdoses in 2015, nearly equal to the number of deaths from car crashes, with deaths from heroin alone more than from gun homicides.[24] It has also left thousands of children suddenly in need of foster care after their parents have died from an overdose.[25]
Fentanyl[edit]
There have always been drug addicts in need of help, but the scale of the present wave of heroin and opioid abuse is unprecedented. In Maryland, the first six months of 2015 saw 121 fentanyl deaths. In the first six months of 2016, the figure rose to 446.
Christopher Caldwell,
senior editor The Weekly Standard[15]
Fentanyl, a newer synthetic opioid painkiller, is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin,[15] with only 2 mg becoming a lethal dose. It is pure white, odorless and flavorless, with a potency strong enough that police and first responders helping overdose victims have themselves overdosed by simply touching or inhaling a small amount.[26][27][28] As a result, the DEA has recommended that officers not field test drugs if fentanyl is suspected, but instead collect and send samples to a laboratory for analysis. "Exposure via inhalation or skin absorption can be deadly," they state.[29]
Fentanyl-laced heroin has become a big problem for major cities, including Philadelphia, Detroit and Chicago.[30] Its use has caused a spike in deaths among users of heroin and prescription painkillers, while becoming easier to obtain and conceal. Some arrested or hospitalized users are surprised to find that what they thought was heroin was actually fentanyl.[15] According to CDC director Thomas Frieden:
As overdose deaths involving heroin more than quadrupled since 2010, what was a slow stream of illicit fentanyl, a synthetic opioid 50 to 100 times stronger than morphine, is now a flood, with the amount of the powerful drug seized by law enforcement increasing dramatically. America is awash in opioids; urgent action is critical.[14]
According to the Centers for Disease Control and Prevention (CDC), death rates from synthetic opioids, including fentanyl, increased over 72% from 2014 to 2015.[22] In addition, the CDC reports that the total deaths from opioid overdoses may be under-counted, since they do not include deaths that are associated with synthetic opioids which are used as pain relievers. The CDC presumes[when?] that a large proportion of the increase in deaths is due to illegally-made fentanyl; as the statistics on overdose deaths do not distinguish pharmaceutical fentanyl from illegally-made fentanyl, the actual death rate could therefore be much higher than reported.[31]
Those taking fentanyl-laced heroin are more likely to overdose because they do not know they also are ingesting the more powerful drug.[32] In March 2017, New Jersey police arrested a person possessing nearly 31 pounds (14 kg) of fentanyl (14 kg would yield 7 million lethal doses).[33][34] Among those who died from overdosing on fentanyl was singer Prince.[34][35]
Fentanyl has surpassed heroin as a killer in several locales: in all of 2014 the CDC identified 998 fatal fentanyl overdoses in Ohio, which is the same number of deaths recorded in just the first five months of 2015.[36] In Cleveland, a person was caught selling blue fentanyl pills disguised to look like doses of the milder opioid painkiller oxycodone.[36] The U.S. attorney for Ohio stated:
One of the truly terrifying things is the pills are pressed and dyed to look like oxycodone. If you are using oxycodone and take fentanyl not knowing it is fentanyl, that is an overdose waiting to happen. Each of those pills is a potential overdose death.[36]
In 2016 the medical publication STAT reported that while Mexican cartels are a main source of heroin smuggled into the U.S., Chinese suppliers provide both raw fentanyl and the machinery necessary for its production.[36] In British Columbia, police discovered a lab making 100,000 fentanyl pills each month, which they were shipping to Calgary, Alberta. 90 people in Calgary overdosed on the drug in 2015.[36] In Southern California, a home-operated drug lab with six pill presses was uncovered by federal agents; each machine was capable of producing thousands of pills an hour.[36]
History of opiate use in the United States[edit]
In the early 1900s, as veterans of the First World War were returning home from overseas, there were few options to help relieve pain, and doctors mainly turned to morphine.[37] Opiates soon became known as a wonder drug and were prescribed for a wide array of ailments, even for relatively minor treatments such as cough relief. Beginning around 1920, however, their addictiveness was recognized and not too long afterwards heroin was made an illegal drug.[37] In the Anti-Heroin Act of 1924, the U.S. Congress banned the sale, importation, or manufacture of heroin.
Around World War II, doctors used opiates in lieu of surgery. This made prescriptions for opiates skyrocket.[37] In the 1950s, heroin addiction was known among jazz musicians, but still fairly unknown by average Americans, many of whom saw it as a frightening condition.[15] The fear extended into the 1960s and 1970s, although it became common to hear or read about drugs such as marijuana and psychedelics, which were widely used at rock concerts like Woodstock.[15] Heroin addiction began to make the news when famous people such as Janis Joplin, John Belushi, Jim Morrison and Lenny Bruce, whom most people did not know were addicted, died from overdoses. During and after the Vietnam War, addicted soldiers returned from Vietnam, where heroin was easily bought. Heroin addiction grew within low-income housing projects during the same time period.[15] In 1971, congressmen released an explosive report on the growing heroin epidemic among U.S. servicemen in Vietnam, finding that ten to fifteen percent were addicted to heroin. "The Nixon White House panicked," wrote political editor Christopher Caldwell and declared drug abuse "public enemy number one".[38] By 1973, there were 1.5 overdose deaths per 100,000 people.[15]
In the 1980s, many medical experts did not believe that opioids were addictive. A brief letter published in the New England Journal of Medicine (NEJM) in January 1980, titled "Addiction Rare in Patients Treated with Narcotics", was subsequently cited over 600 times to support this position.[39][40] A group of researchers in Canada claim that the letter may have originated and contributed to the opioid crisis.[39] The NEJM published its rebuttal to the 1980 letter in June 2017, pointing out among other things that the conclusions were based on hospitalized patients only, and not on patients taking the drugs after they were sent home.[41] The original author, Dr. Hershel Jick, has said that he never intended for the article to justify widespread opioid use.[39]
In the mid-to-late 1980s the crack epidemic followed widespread cocaine use in American cities. The death rate was worse, reaching almost 2 per 100,000. In 1982, Vice President George H. W. Bush and his aides began pushing for the involvement of the CIA and the U.S. military in drug interdiction efforts, the so-called War on Drugs.[42] By comparison, as of 2016, the present opioid epidemic is killing on average 10.3 people per 100,000. In some states it is far worse: over 30 per 100,000 in New Hampshire and over 40 per 100,000 in West Virginia.[15]
Demographics[edit]
In the U.S., addiction and overdose victims are mostly white and working-class. Geographically, those living in rural areas of the country have been the hardest hit as a percentage of the national population,[43] Prescription drug abuse has been increasing in teenagers, especially as 12- to 17-year-olds were one-third of all new abusers of prescription drugs in 2006. Teens abuse prescription drugs more than any illicit drug except marijuana, more than cocaine, heroin and methamphetamine combined, per the Office of National Drug Control Policy’s 2008 Report Prescription for Danger.
In Palm Beach County, Florida, overdose deaths went from 149 in 2012 to 588 in 2016.[44]
In Middletown, Ohio, overdose deaths quadrupled in the 15 years since 2000.[45]
There has been a difference in the number of opioid prescriptions written by doctors in different states. In Hawaii, doctors wrote about 52 prescriptions for every 100 people, whereas in Alabama, they wrote almost 143 prescriptions per 100 people. Researchers suspect that the variation results from a lack of consensus among doctors in different states about how much pain medication to prescribe. A higher rate of prescription drug use does not lead to better health outcomes or patient satisfaction, according to studies.[8]
Outside the U.S.[edit]
Approximately 80 percent of the global pharmaceutical opioid supply is consumed in the United States.[47]
It has also become a serious problem outside the U.S., mostly among young adults.[48] The concern not only relates to the drugs themselves, but to the fact that in many countries doctors are less trained about drug addiction, both about its causes or treatment.[20] According to an epidemiologist at Columbia University: "Once pharmaceuticals start targeting other countries and make people feel like opioids are safe, we might see a spike [in opioid abuse]. It worked here. Why wouldn’t it work elsewhere?" [20] The majority of deaths worldwide from overdoses were from either medically prescribed opioids or illegal heroin. In Europe, prescription opioids accounted for three-quarters of overdose deaths among those between ages 15 and 39.[48] Some worry that the epidemic could become a worldwide pandemic if not curtailed.[20] Prescription drug abuse among teenagers in Canada, Australia, and Europe were at rates comparable to U.S. teenagers.[20] In Lebanon and Saudi Arabia, and in parts of China, surveys found that one in ten students had used prescription painkillers for non-medical purposes. Similar high rates of non-medical use were found among the young throughout Europe, including Spain and the United Kingdom.[20]
Countermeasures[edit]
This section is in a list format that may be better presented using prose. You can help by converting this section to prose, if appropriate. Editing help is available. (August 2017)
Federal government[edit]
In 2010, the US government began cracking down on pharmacists and doctors who were over-prescribing opioid pain killers. The unintended consequence of this was that users turned to cheaper but illegal heroin, a significantly more potent opioid, as a substitute,[10] including addicted patients who were denied opioid prescriptions as doctors tried to cut back painkiller drug abuse.[15] A 2017 survey in Utah of heroin users found about 80 percent started with prescription drugs.[49] As a result, by 2015 nationwide deaths from prescription opioids had increased by 15% and for heroin users by 23%.[10][50]
In 2010, the CSA was amended with the Secure and Responsible Drug Disposal Act which allows pharmacies to accept controlled substances from households or long term care facilities in their drug disposal programs or "take-back" programs.[51]
In 2011, the Obama administration released a white paper describing the administration's plan to deal with the crisis. Its concerns have been echoed by numerous medical and government advisory groups around the world.[52][53][54]
In 2016, the U.S. Surgeon General listed statistics which describe the extent of the problem.[19]
In July 2016, President Barack Obama signed into law the Comprehensive Addiction and Recovery Act, which expands opioid addiction treatment with buprenorphine and authorizes millions of dollars in new funding for opioid research and treatment.[55]
In December 2016, the 21st Century Cures Act, which includes $1 billion in state grants to fight the opioid epidemic, was passed by Congress by a wide bipartisan majority (94-5 in the Senate, 392-26 in the House of Representatives),[56] and was signed into law by President Obama.[57]
As of March 2017, President Donald Trump appointed a commission to deal on the epidemic, chaired by Governor Chris Christie of New Jersey.[58][59][60]
In June 2017, the FDA asked the manufacturer to remove its injectable form of oxymorphone (Opana ER) from the US market, because the drug's benefits may no longer outweigh its risks, this being the first time the agency has asked to remove a currently marketed opioid pain medication from sale due to public health consequences of abuse.[61]
In July 2017, FDA commissioner Dr Scott Gottlieb stated that for the first time, pharmacists, nurses, and physicians, would have training made available on appropriate prescribing of opioid medicines, because opioid addiction had become the "FDA's biggest crisis".[13]
On August 10, 2017, President Trump agreed with his Commission's report released few weeks earlier and declared the country's opioid crisis a "national emergency."[16][17]
On September 1, 2017, Trump nominated Representative Tom Marino as director of the Office of National Drug Control Policy, or "drug czar".[62] Pharmaceutical distribution companies had contributed $134,000 to Marino's election campaigns in 2014 and 2016, more than contributions from any other industry. Pharmaceutical distibutors had lobbied for legislation which Marino co-sponsored in 2016, the Ensuring Patient Access and Effective Drug Enforcement Act, which made it harder for the DEA to shut down pharmacies suspected of diverting pills.[18]
State and local governments[edit]
In July 2016, governors of most U.S. states and territories entered into a formal "Compact to Fight Opioid Addiction." They agreed that collective action would be needed to end the opioid crisis, and they would coordinate their responses across all levels of government and the private sector, including opioid manufacturers and doctors.[63]
In March 2017, the Governor of Maryland, as an urgent response to the crisis, declared a State of Emergency to combat the rapid increase in overdoses by increasing and speeding up coordination between the state and local jurisdictions.[64][12] In 2016, about 2,000 people in the state had died from opioid overdoses.[65]
In March 2017, Delaware, which has the 12th-highest overdose death rate in the country, introduced bills to both limit doctors' ability to over-prescribe painkillers and improve access to treatment. In 2015, 228 people had died from overdose, which increased 35%—to 308—in 2016.[66]
In March 2017, a similar plan was begun in Michigan, which introduced the Michigan Automated Prescription System (MAPS), allowing doctors to check when and what painkillers have already been prescribed to a patient, and thereby help keep addicts from switching doctors to receive drugs.[67][68]
During the 2017 General Session of the Utah Legislature, Rep. Edward H. Redd and Sen. Todd Weiler proposed amendments to Utah's involuntary commitment statutes by trying to pass H.B. 299 into law which would allow relatives to petition a court to mandate substance- abuse treatment for adults.[69][49]
In Maine, new laws were imposed which capped the maximum daily strength of prescribed opioids and which limited prescriptions to seven days. But some doctors were then concerned that patients would turn to using street drugs like heroin to extend their use of painkillers.[15]
In West Virginia, which leads the nation in overdose deaths per capita, lawsuits seek to declare drug distribution companies a "public nuisance" in an effort to place accountability upon the drug industry for the costs associated with the epidemic.[70][71]
In February 2017, officials in Everett, Washington filed a lawsuit against the manufacturer of OxyContin for negligence by allowing drugs to be illegally trafficked to residents and failing to prevent it. The city wants the company to pay the costs of handling the crisis.[72]
Prescription drug monitoring[edit]
In 2016, the CDC published its "Guideline for Prescribing Opioids for Chronic Pain", recommending opioids only be used when benefits for pain and function are expected to outweigh risks, and then used at the lowest effective dosage, with avoidance of concurrent opioid and benzodiazepine use whenever possible.[73] Silvia Martins, an epidemiologist at Columbia University, has suggested getting out more information about the risks:
The greater “social acceptance” for using these medications (versus illegal substances) and the misconception that they are “safe” may be contributing factors to their misuse. Hence, a major target for intervention is the general public, including parents and youth, who must be better informed about the negative consequences of sharing with others medications prescribed for their own ailments. Equally important is the improved training of medical practitioners and their staff to better recognize patients at potential risk of developing nonmedical use, and to consider potential alternative treatments as well as closely monitor the medications they dispense to these patients.[48]
As of April 2017, prescription drug monitoring programs (PDMPs) exist in every state.[74] A person on opioids for more than three months has a 15-fold (1,500%) greater chance of becoming addicted.[21] PDMPs allow pharmacists and prescribers to access patients’ prescription histories to identify suspicious use. However, a survey of US physicians published in 2015 found only 53% of doctors used these programs, while 22% were not aware these programs were available.[75] The Centers for Disease Control and Prevention (CDC) was tasked with establishing and publishing a new guideline, and was heavily lobbied.[76][77]
In the media[edit]
Media coverage has largely focused on law-enforcement solutions to the epidemic, which portray the issue as criminal rather than medical.[78] There has been differential reporting on how white suburban or rural addicts of opioids are portrayed compared to black and Hispanic urban addicts, often of heroin, reinforcing stereotypes of drug users and drug-using offenders.[79] In newspapers, white addicts' stories are often given more space, allowing for a longer backstory explaining how they became addicted, and what potential they had before using drugs. Black and Hispanic addicts are more likely to be dehumanized, portrayed criminally, and mentioned more briefly.[79]
In July 2017, a 400-page report by the National Academy of Science presented plans to reduce the addiction crisis, which it said was killing 91 people each day.[80]
Solutions for addicts[edit]
Main article: Drug abuse treatment
The opioid epidemic is often discussed in terms of prevention, but helping those who are already addicts is talked about less frequently.[78] Opioid dependence can lead to a number of consequences like contraction of HIV and overdose. For addicts who wish to treat their addiction, there are two classes of treatment options available: medical and behavioral.[81] Neither is guaranteed to successfully treat opioid addiction. Which, or which combination, is most effective varies from person to person.[82] These treatments are doctor-prescribed and -regulated, but differ in their treatment mechanism. Popular treatments include naloxone, methadone, and buprenorphine, which are more effective when combined with a form of behavioral treatment.[82]
Naloxone[edit]
Naloxone is used mostly as a rescue medication for opioid overdose. It is an opioid antagonist, meaning it binds to opioid receptors but does not turn them on. It also happens that naloxone binds to opioid receptors more strongly than heroin or any prescription opioids. This means that when someone is overdosing on opioids, naloxone can be administered, allowing it to take the place of the opioid drug in the person's receptors, turning them off. This blocks the effect of the receptors. Naloxone is sometimes administered with other drugs such as buprenorphine, as a way to taper off buprenorphine over time. Naloxone binds to some of the receptors, blocking the effectiveness of some receptors in case of relapse.[82]
Methadone[edit]
Methadone has been used for opioid dependence since 1964, and studied the most of the pharmacological treatment options.[83] It is a synthetic long acting opioid, so it can replace multiple heroin uses by being taken once daily.[82] It works by binding to the opioid receptors in the brain and spinal cord, activating them, reducing withdrawal symptoms and cravings while suppressing the "high" that other opioids can elicit. The decrease in withdrawal symptoms and cravings allow the user to slowly taper off the drug in a controlled manner, decreasing the likelihood of relapse. It is not accessible to all addicts. It is a regulated substance, and requires that each dose be picked up from a methadone clinic daily. This can be inconvenient as some patients are unable to travel to a clinic, or avoid the stigma associated with drug addiction.[82]
Buprenorphine[edit]
Buprenorphine is used similarly to methadone, with some doctors recommending it as the best solution for medication-assisted treatment to help people reduce or quit their use of heroin or other opiates. It is claimed to be safer and less regulated than methadone, with month-long prescriptions allowed. It is also said to eliminate opiate withdrawal symptoms and cravings in many patients without inducing euphoria.[84]
Unlike methadone treatment, which must be performed in a highly structured clinic, buprenorphine, according to SAMHSA, can be prescribed or dispensed in physician offices.[85] Patients can thereby receive a full year of treatment for a fraction of the cost of detox programs.[84]
Behavioral treatment options[edit]
It is less effective to use behavioral treatment without medical treatment during initial detoxification. It has similarly been shown that medical treatments tend to get better results when accompanied by behavioral treatment.[81] Popular behavioral treatment options include group or individual therapy, residential treatment centers, and Twelve-step programs such as Narcotics Anonymous.[83] Residential treatment centers allow for a 24-hour drug-free environment to decrease the chances of relapse. These centers allow addicts to be in supportive environments during the difficult time of detox.[86]
Twelve-step programs are one of the most well-known options. The philosophy is that a group of people sharing the same addiction can remain abstinent with the support of and connection to others who empathize and understand. There is also a spiritual, though not religious, component to it, with freedom to believe as one chooses.[87]
See also[edit]
Crack epidemic
List of deaths from drug overdose and intoxication
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Jump up ^ Summary of the Comprehensive Addiction and Recovery Act, American Society of Addiction Medicine.
Jump up ^ Mike DeBonis, Congress passes 21st Century Cures Act, boosting research and easing drug approvals, Washington Post (December 7, 2016).
Jump up ^ Juliet Eilperin & Carolyn Y. Johnson, paying tribute to Biden and bipartisanship, signs 21st Century Cures Act Tuesday, Washington Post (December 13, 2016).
Jump up ^ "Opioid Epidemic: Trump to Set Up Commission on Addiction Crisis", NBC News, March 29, 2017
Jump up ^ "It's time to 'Trump' opioid addiction in the United States", The Hill, Feb. 27, 2017
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Jump up ^ "Gov. Hogan Announces Opioid Epidemic State Of Emergency", CBS Baltimore, March 1, 2017
Jump up ^ "Delaware lawmakers tackle opioid addiction epidemic", Newsworks, March 23, 2017
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Jump up ^ Missouri is final state to pass PDMP program; US News & World Report; April 13, 2017
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Jump up ^ Matthew Perrone, Associated Press. "Painkiller politics: Effort to curb prescribing under fire". The Washington Times. Retrieved 2017-06-13.
Jump up ^ Ghorayshi, Azeen. "Missouri Is The Only State In The US Where Doctors Have No Idea What Prescriptions People Are Getting". BuzzFeed. Retrieved 11 April 2017.
^ Jump up to: a b McGinty, E. "Criminal Activity or Treatable Health Condition? News Media Framing of Opioid Analgesic Abuse in the United States". Psychiatric Services. 67: 405–411.
^ Jump up to: a b Netherland, J. (December 2016). "The War on Drugs That Wasn't: Wasted Whiteness, "Dirty Doctors," and Race in Media Coverage of Prescription Opioid Misuse". Cult Med Psychiatry. 40 (4): 664–686.
Jump up ^ "Major Science Report Lays Out a Plan to Tamp Down Opioid Crisis", Scientific American, July 13, 2017
^ Jump up to: a b Veilleux, Jennifer. "A Review of Opioid Dependence Treatment: Pharmacological and Psychosocial Interventions to Treat Opioid Addiction". Clinical Psychology Review. 30.2: 155–166.
^ Jump up to: a b c d e Dixon, David (May 13, 2017). "Opioid Abuse Treatment and Management: Medical Care". Medscape.
^ Jump up to: a b "WHAT ARE MY TREATMENT OPTIONS?". TURN TO HELP. June 11, 2017.
^ Jump up to: a b "My View: New approach needed for opioid epidemic", Portland Tribune, July 25, 2017
Jump up ^ Buprenorphine, SAMHSA
Jump up ^ "Heroin Abuse Solutions". Narconon New Life Retreat. June 12, 2017.
Jump up ^ "12 Step Programs for Drug Rehab & Alcohol Treatment". American Addiction Centers. June 6, 2017.
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