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Pilot Study on Risk Perceptions and Knowledge of Fentanyl Exposure Among New York State First Responders

Published online by Cambridge University Press:  01 October 2019

Eric Persaud*
Affiliation:
John Jay College of Criminal Justice (CUNY), New York, New York SUNY Downstate Medical Center, Brooklyn, New York
Charles R. Jennings
Affiliation:
John Jay College of Criminal Justice (CUNY), New York, New York
*
Correspondence and reprint requests to Eric Persaud, Department of Environmental and Occupational Health Sciences, SUNY‐Downstate School of Public Health, 450 Clarkson Avenue, Brooklyn, NY 11203 (e-mail: [email protected]).

Abstract

Objectives:

The present opioid epidemic and abuse of fentanyl in the United States has led to an increased risk of exposure to first responders. Law enforcement, fire, and emergency medical services are receiving misinformation on fentanyl health and safety risks and this has led to miscommunication. Understanding the risk perceptions and knowledge of first responders regarding fentanyl can help identify training gaps.

Methods:

A 15-item 6-point Likert scale online questionnaire was developed and distributed to firefighters, police officers, and emergency medical technicians, regarding perceptions of fentanyl exposure, and additional questions concerning knowledge. The online questionnaire was sent to 15 associations of national and New York State first responders with 3 associations acknowledging and distributing the survey.

Results:

Of the 247 participants, 187 served New York State; 92 worked in law enforcement; and the other 95 worked in either fire, emergency medical service, or both. New York State first responders generally agreed with expert risk perceptions and knowledge of fentanyl exposure in the pilot study. Items pertaining to using hand sanitizer, selecting glove type, and dermal exposure to fentanyl had lower agreement with expert beliefs.

Conclusions:

Risk perceptions and knowledge could be used to evaluate fentanyl response training among first responders.

Type
Brief Report
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Stanley, TH. The fentanyl story. J Pain. 2014;15(12):1215-1226. doi: 10.1016/j.jpain.2014.08.010 CrossRefGoogle ScholarPubMed
Jannetto, PJ, Helander, A, Garg, U, et al. The fentanyl epidemic and evolution of fentanyl analogs in the United States and the European Union. Clin Chem. 2019;65(2):242-253. doi: 10.1373/clinchem.2017.281626 CrossRefGoogle ScholarPubMed
Scholl, L, Seth, P, Kariisa, M, et al. Drug and opioid-involved overdose deaths — United States, 2013–2017. MMWR Morb Mortal Wkly Rep. 2019;67(51-52):1419-1427. doi: 10.15585/mmwr.mm675152e1 Google Scholar
New York State Department of Health. New York State Opioid Annual Data Report 2018. New York State Department of Health. https://www.health.ny.gov/statistics/opioid/data/pdf/nys_opioid_annual_report_2018.pdf. Accessed June 13, 2019.Google Scholar
Colon-Berezin, C, Nolan, ML, Blachman-Forshay, J, et al. Overdose deaths involving fentanyl and fentanyl analogs — New York City, 2000–2017. MMWR Morb Mortal Wkly Rep. 2019;68(2):37-40. doi: 10.15585/mmwr.mm6802a3 CrossRefGoogle ScholarPubMed
Howard, J, Hornsby-Myers, J. Fentanyls and the safety of first responders: science and recommendations. Am J Ind Med. 2018;61(8):633-639. doi: 10.1002/ajim.22874 CrossRefGoogle Scholar
Drug Enforcement Administration. DEA Issues Nationwide Alert on Fentanyl as Threat to Health and Public Safety. Drug Enforcement Administration. https://www.dea.gov/press-releases/2015/03/18/dea-issues-nationwide-alert-fentanyl-threat-health-and-public-safety. Published March 2015. Accessed June 13, 2019.Google Scholar
Hornsby-Myers, J, Headley, T, Dowell, C. Illicit drugs, including fentanyl: preventing occupational exposure to emergency responders [video]. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. https://www.cdc.gov/niosh/docs/video/2019-126/default.html. Published March 2019. Accessed June 13, 2019.Google Scholar
Moss, MJ, Warrick, BJ, Nelson, LS, et al. ACMT and AACT Position Statement: preventing occupational fentanyl and fentanyl analog exposure to emergency responders. J Med Toxicol. 2017;13(4):347-351. doi: 10.1007/s13181-017-0628-2 CrossRefGoogle ScholarPubMed
The Editorial Board. Fear, Loathing and Fentanyl Exposure. The New York Times. April 4, 2019. https://www.nytimes.com/2019/04/04/opinion/fentanyl-opioids-exposure.html. Accessed June 13, 2019.Google Scholar