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US Opioid Crisis: “The Plague of Our Generation”

In the beginning there were supposedly harmless pain pills – but in the meantime tens of thousands of people from the working and middle classes are addicted in the USA. The nationwide opioid crisis is now coming to justice.

By Verena Bünten, ARD Studio Washington

The little Aunna is only three weeks old, a petite baby – and on withdrawal. Just like her mother Kelinda, addicted to drugs since her teenage years and full of good intentions that everything will change now. They both live in Lily’s Place, a facility in Huntington where a tiny newborn struggles with withdrawal in each room. Most of them have to face this difficult start without their mothers. Here they are kept and looked after by specially trained volunteers, so-called “cuddlers”.

In the United States, a baby is born every 15 minutes under the influence of addiction, which often overwhelms the drug-addicted mother, but also the hospital. “Some of these babies cry a lot, some want to be held tightly in the arm, others no touch at all,” explains Sandy, former nurse and now “cuddler”. “We are trying to bring some hold to your stormy life.”

The parent generation often fails

Andrianna Riling was once such a baby on withdrawal. The 11-year-old grows up with her two brothers from birth with the grandparents who are responsible for three teenagers at the age of 70. Not a special case in West Virginia: The actual generation of parents often drops out – because of drug addiction, which began with supposedly harmless pain relievers.

“At the time, eight parents died of opioids in the kindergarten group,” says grandmother Beverly Riling, whose son first took pills because of back pain and never got rid of them. Like most, he switched to heroin at some point.

On behalf of their orphaned grandchildren, Riling is now suing for the major opioid trial in Cleveland, Ohio, where pharmaceutical companies are expected to face their responsibilities. “Manufacturers said these drugs were completely safe, but they must have known about the risk of addiction,” said lawyer Booth Goodwin. He also considers the wholesalers complicit: “In West Virginia, small towns were flooded with millions of pills, so massive warning signals were ignored.”

Riling says in tears that it is not about money, but about justice: “As a police secretary, so many parents asked me to help them with their drug – addicted children. But I could not even save my own son this process gives us the chance to maybe be able to help other children. “

Opioid crisis in the United States

In the United States, tens of thousands of people have become addicted to opioid pain relievers. Later they mostly switched to heroin and fentanyl. The national emergency was declared in the USA in 2017: 47,000 people died there from opioids, the equivalent of 130 per day.

On October 21, a model civil lawsuit against several pharmaceutical companies and wholesalers begins in Cleveland, Ohio, in which more than 2000 lawsuits are bundled. The companies are accused of deliberately obscuring the addiction risk of the pain pills and of aggressively marketing the drugs for profit.

The complaining cities, municipalities and states hope for high sums of compensation to get the crisis under control. The plaintiffs estimate the follow-up costs of the epidemic will be $ 453 billion in the coming decade. Various manufacturers have already made settlements to avoid legal proceedings.


According to the US Department of Health, 80 percent of heroin addicts in America have become addicted to opioid painkillers. The opioid crisis is changing entire communities: Little Huntington has meanwhile become the capital of the overdose dead who collapsed in all public places. That is why there is a very special first aid course in the local health department almost every day: ordinary people learn to carry the antidote naloxone with them – and to save lives in the event of an emergency with a ready-to-use injection.

Daily struggle against tragedy

“It can happen anywhere: at the gas station, in the library,” says participant Eli Bone, a prospective nurse. “Maybe you are the only one who is there on time and can help someone.”

The doctor Michael Kilkenny fights against the drug tragedy in his city every day, traumatized and brave at the same time. “This is the plague of our generation, at most comparable to the pandemic flu of 1918,” said the medical director of the Health Department in Huntington.

“Children have had bad times, whole families have to heal. It will be decades before we are a healthy community again,” says the city’s top doctor, almost in tears. And says goodbye with a warning: “Something like this must never happen anywhere again. The pain reliever manufacturers are looking for new markets!”

The first reported on this topic on October 16, 2019 at 7:43 a.m. in the ARD morning magazine and tagesschau24 at 11 a.m.




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