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The number of employees who tested positive for prescription opioid use declined 17 percent from 2016 to 2017, according to data from Quest Diagnostics. (AP Photo/Toby Talbot, File)

The number of U.S. workers who tested positive for cocaine and methamphetamine use skyrocketed last year, while fewer employees are using prescription opioids, according to data released by Quest Diagnostics.

According to an analysis of more than 10 million drug tests, 4.2 percent of workers who were screened for drug use in the United States last year tested positive. The rate remains unchanged since 2016, but it still remains significantly higher than in 2012, when 3.5 percent of employees tested positive for drugs.

“Not only have declines appeared to have bottomed out, but also in some drug classes and areas of the country, drug positivity rates are increasing,” said Barry Sample, senior director of science and technology at Quest Diagnostics.

Positive testing for methamphetamine has skyrocketed in the South and Midwest in the past five years. Between 2013 and 2017, positive drug tests for methamphetamine increased by 167 percent in the region that includes Illinois, Indiana, Michigan, Ohio and Wisconsin and 160 percent in Alabama, Kentucky, Mississippi and Tennessee. Rates were also high in the Northeast and South Atlantic regions.

There also has been a surge in positive tests for cocaine. In Nebraska, there was a 91 percent increase in positive cocaine tests from 2016 to 2017, and an 88 percent increase in Idaho.

“I think there is a lot of underlying stress in the whole situation on the island,” said Dr. Miguel Fiol, an associate professor of neurology who is leading the group.

With so many residents leaving for the mainland, Fiol pointed out, students have seen their friends uprooted and many schools are closing. While mental health advocates have called attention to the number of adults seeking help from suicide hotlines, children feel the stress, too, professionals know.

“Children don’t say ‘I am anxious,’ or ‘I am depressed,’?” Fiol said. “Kids may not express it. Some do, but a lot of them don’t.”

Torres said teachers and administrators have encouraged students to talk in school about the strain, but many choose not to, pretending that life has returned to normal.

Torres got help by discussing it with a psychologist, she said, and she believes her classmates could benefit from talking more about it, too.

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