Showing posts with label opioid crisis. Show all posts
Showing posts with label opioid crisis. Show all posts

The Future of Fentanyl and other Synthetic Opioids

"Deaths involving synthetic opioids in the United States increased from roughly 3,000 in 2013 to more than 30,000 in 2018. In fact, synthetic opioids like fentanyl are now involved in twice as many deaths as heroin. This book offers a systematic assessment of the past, present, and possible futures of synthetic opioids in the United States. It is rooted in secondary data analysis, literature reviews, international case studies, and key informant interviews. The goal is to provide decisionmakers, researchers, media outlets, and the public with insights intended to improve their understanding of the synthetic opioid problem and how to respond to it.

The authors conclude that (1) fentanyl and other synthetic opioids are becoming dominant in some parts of the United States and Canada, but remain less common in other parts of these countries; (2) a confluence of factors, including the dissemination of simplified and novel synthesis methods and increasing e-commerce, helps explain the surge in synthetic opioids; (3) much can be learned from other countries' experiences with synthetic opioids; (4) supplier decisions, not user demand, drive the transition to fentanyl; (5) fentanyl's spread is episodically fast and has ratchet-like persistence; (6) synthetic opioids drive up deaths rather than the number of users; (7) problems with synthetic opioids are likely to worsen before they improve, and states west of the Mississippi River must remain vigilant; (8) improving surveillance and monitoring is crucial; and (9) limiting policy responses to existing approaches seems unlikely to reverse this tide."

Read on...

Link to Full Report
 
Project Inclusion: Confronting Anti-Homeless & Anti-Substance User Stigma in British Columbia
"By centring and amplifying the voices and experiences of people most affected by BC’s homelessness crisis and drug policy crisis, Project Inclusion identifies the legal, policy-related, and other structural barriers that must be addressed in order to meaningfully prevent opioid-related deaths and other health and safety harms, particularly among people who are experiencing homelessness and people in deep poverty who use substances.

Project Inclusion is the culmination of over a year of research by Pivot Legal Society lawyers and researchers, who travelled to ten communities across BC’s five regional health authorities. Working from the perspective that people are experts in their own lives and hold powerful visions for change, the Pivot team interviewed people about their experiences of homelessness, with accessing harm reduction and health care services, with the criminal justice system, and with accessing services such as income assistance, shelters, and hospitals."


One in Five Young American Adults Felled by Opioids: Study
"One in five deaths among adults aged 25-34 is due to opioid-related causes, according to a study published this month in JAMA Network Open, an online journal published by the Journal of the American Medical Association (JAMA).

Currently, the chance of dying in the US due to an opioid overdose is higher than that of dying in an accident, but the burden falls heaviest on young adults, the study found in a 15-year analysis of US mortality numbers through 2016."

Link to Study
 
The Labor Force and Output Consequences of the Opioid Crisis
"This study examines the labor market and economic consequences of the opioid crisis. While previous studies have estimated economic costs of the opioid epidemic, none has taken into account the most significant way opioid dependency is likely impacting the U.S. economy: its impact on labor force participation. This study measures the direct cost on the economy of opioids leading workers out of the labor force. Specifically, it estimates the number of workers who are absent from the labor force due to opioids, the loss of hours at work, and the resulting decline in real output."