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Papers on “opioid epidemic overdose harm reduction”

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  1. Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015

    Rose Anne Rudd, Puja Seth, Felicita David, et al. · 2016 · MMWR Morbidity and Mortality Weekly Report · 2,195 cites

    The U.S. opioid epidemic is continuing, and drug overdose deaths nearly tripled during 1999-2014. Among 47,055 drug overdose deaths that occurred in 2014 in the United States, 28,647 (60.9%) involved an opioid (1). Illicit opioids are contributing to the increase in opioid overdose deaths (2,3). In an effort to target prevention strategies to address the rapidly changing epidemic, CDC examined overall drug overdose death rates during 2010-2015 and opioid overdose death rates during 2014-2015 by subcategories (natural/semisynthetic opioids, methadone, heroin, and synthetic opioids other than methadone).* Rates were stratified by demographics, region, and by 28 states with high quality reporti

  2. The triple wave epidemic: Supply and demand drivers of the US opioid overdose crisis

    Daniel Ciccarone · 2019 · International Journal of Drug Policy · 677 cites

    The US mortality rate has gone up three years in a row from 2014 to 2017 (Murphy, Xu, Kochanek, & Arias, 2016, 2018; National Center for Health Statistics, 2017). Correspondingly, life expectancy at birth has declined; the first triple year decline since World War One and the devastating influenza pandemic one hundred years ago (Tejada Vera B, 2017). Most of the top ten causes of death are declining year over year; however, the third leading cause of death, unintentional injuries, has climbed in rate and rank since 2014 (Murphy et al., 2016). Driving this are deaths due to drug poisoning which exceeded 70,000 in 2017 (Hedegaard H, 2018). Annual deaths due to drug overdoses now exceed those f

  3. Reducing Fatal Opioid Overdose: Prevention, Treatment and Harm Reduction Strategies.

    Kathryn F. Hawk, Federico E. Vaca, Gail D’Onofrio · 2015 · PubMed · 202 cites

    The opioid overdose epidemic is a major threat to the public's health, resulting in the development and implementation of a variety of strategies to reduce fatal overdose. Many strategies are focused on primary prevention and increased access to effective treatment, although the past decade has seen an exponential increase in harm reduction initiatives. To maximize identification of opportunities for intervention, initiatives focusing on prevention, access to effective treatment, and harm reduction are examined independently, although considerable overlap exists. Particular attention is given to harm reduction approaches, as increased public and political will have facilitated widespread imp

  4. Drug use, homelessness and health: responding to the opioid overdose crisis with housing and harm reduction services

    Katrina Milaney, Jenna Passi, Lisa Zaretsky, et al. · 2021 · Harm Reduction Journal · 57 cites

    BACKGROUND: Canada is in the midst of an opioid overdose crisis and Alberta has one of the highest opioid use rates across the country. Populations made vulnerable through structural inequities who also use opioids, such as those who are unstably housed, are at an increased risk of experiencing harms associated with opioid use. The main purpose of this study was to explore if there was an association between unstable housing and hospital use for people who use opioids. METHODS: Analysis utilized self-reported data from the Alberta Health and Drug Use Survey which surveyed 813 Albertans in three cities. Hospital use was modeled using a logistic regression with our primary variable of interest

  5. Opioid overdose crises during the COVID-19 pandemic: implication of health disparities

    Ishika Patel, Lauren A. Walter, Li Li · 2021 · Harm Reduction Journal · 45 cites

    Background: Recent data suggest a disproportionate impact of opioid overdoses on Black Americans. The study aims to describe emergency department (ED) visits at a Southern, urban ED pertaining to opioid overdose and associated health disparities. Methods: Patients presenting to the ED at the University of Alabama at Birmingham Hospital with opioid overdoses from January 1 to October 31, 2019, and from January 1 to October 31, 2020, were identified from electronic medical records. Results: The total number of opioid overdose visits increased 9.7% (556 to 611) between January and October 2020 compared with 2019. Among patients who presented with opioid overdose, the mean ages were 50.3 years a

  6. Opioids on Trial: A Systematic Review of Interventions for the Treatment and Prevention of Opioid Overdose

    Anees Bahji, Neeraj Bajaj · 2018 · The Canadian Journal of Addiction · 30 cites

    ABSTRACT Background: Canada is in the midst of an opioid epidemic. In 2016, there were more than 2800 apparent opioid-related deaths. Although improved access to naloxone has saved countless lives, it is unclear if there are other effective pharmacological or nonpharmacological interventions for the treatment and prevention of opioid overdose. In this systematic review, we aim to synthesize published findings on such interventions. Methods: We searched 5 electronic databases for randomized controlled studies using either pharmacological or nonpharmacological interventions to treat or prevent opioid overdose, and subsequently extracted and synthesized data from appropriate studies. Results: T

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