Applying principles of injury and infectious disease control to the opioid mortality epidemic in North America: critical intervention gaps.
injury prevention
interventions
mortality
opioids
public health
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
23 11 2020
23 11 2020
Historique:
received:
12
03
2019
revised:
13
08
2019
accepted:
02
11
2019
pubmed:
12
12
2019
medline:
29
6
2021
entrez:
12
12
2019
Statut:
ppublish
Résumé
North America has been experiencing an acute and unprecedented public health crisis involving excessive and increasing levels of opioid-related overdose mortality. In the present commentary, we examine current interventions (as existent mainly in Canada) to date and compare them against established intervention frameworks and practices in other areas of public health, specifically injury and infectious disease control. We observe that current interventions focusing on opioid drug safety or exposure-specifically those that focus on distinctly potent and toxic opioid products driving major increases in overdose mortality-may be considered the equivalent of 'agent-' or 'vector'-based interventions. Such interventions have been largely neglected in favor of 'host' (e.g., drug user-oriented) or 'environmental' measures among strategies to reduce opioid-related overdose, likely contributing to the limited efficacy of current measures. We explore potential reasons, implications and remedies for these gaps in the overall public health strategy employed towards improved interventions to reduce opioid-related health harms.
Identifiants
pubmed: 31822889
pii: 5671801
doi: 10.1093/pubmed/fdz162
pmc: PMC7685850
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
848-852Subventions
Organisme : CIHR
ID : SMN-139150
Pays : Canada
Organisme : CIHR
ID : SAF-94814
Pays : Canada
Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health.
Références
CMAJ. 2008 Mar 11;178(6):715-22
pubmed: 18332386
Int J Drug Policy. 2012 Mar;23(2):94-102
pubmed: 21996165
Lancet. 2011 Apr 23;377(9775):1429-37
pubmed: 21497898
Lancet Public Health. 2018 May;3(5):e218-e225
pubmed: 29678561
Am J Public Health. 2014 Aug;104(8):e32-42
pubmed: 24922138
Infect Dis Poverty. 2014 Jul 31;3:21
pubmed: 25110585
Environ Health Perspect. 2012 Mar;120(3):385-92
pubmed: 22113877
Am J Prev Med. 2005 Aug;29(2):126-30
pubmed: 16005809
Drug Alcohol Depend. 2014 Dec 1;145:48-68
pubmed: 25456324
Int J Drug Policy. 2017 Aug;46:107-111
pubmed: 28735776
JAMA. 2014 Apr 9;311(14):1393-4
pubmed: 24577059
Can Fam Physician. 2014 Sep;60(9):826-32
pubmed: 25217680
MMWR Morb Mortal Wkly Rep. 2016 Jan 01;64(50-51):1378-82
pubmed: 26720857
Health Promot Chronic Dis Prev Can. 2018 Jun;38(6):248-251
pubmed: 29911821
Yale J Biol Med. 2015 Sep 03;88(3):235-45
pubmed: 26339206
Drug Alcohol Depend. 2018 Aug 1;189:76-79
pubmed: 29886367
Annu Rev Public Health. 2015 Mar 18;36:559-74
pubmed: 25581144
Harv Rev Psychiatry. 2015 Mar-Apr;23(2):63-75
pubmed: 25747920
Emerg Infect Dis. 2005 Apr;11(4):603-9
pubmed: 15829201
Drug Alcohol Rev. 2018 Apr;37 Suppl 1:S199-S202
pubmed: 28334467
Addiction. 2005 Apr;100(4):447-58
pubmed: 15784059
Lancet. 2012 Dec 15;380(9859):2197-223
pubmed: 23245608
N Engl J Med. 2007 Sep 6;357(10):1018-27
pubmed: 17804846
Int J Nurs Stud. 2011 Oct;48(10):1244-57
pubmed: 21481390
BMJ. 2002 May 11;324(7346):1142-5
pubmed: 12003889
Drug Alcohol Depend. 2018 Sep 1;190:242-245
pubmed: 30064061
MMWR Morb Mortal Wkly Rep. 2017 Jul 07;66(26):697-704
pubmed: 28683056
Drug Alcohol Depend. 2016 Apr 1;161:1-8
pubmed: 26832931
CMAJ. 2016 Dec 6;188(17-18):1240-1244
pubmed: 27821465
N Engl J Med. 2016 Jul 28;375(4):357-68
pubmed: 27464203
JAMA Psychiatry. 2016 May 1;73(5):447-55
pubmed: 27049826
J Subst Abuse Treat. 2015 Oct;57:30-5
pubmed: 26014916
Drug Alcohol Depend. 2017 Feb 01;171:107-116
pubmed: 28068563
Cochrane Database Syst Rev. 2014 Feb 06;(2):CD002207
pubmed: 24500948
Public Health Rep. 1980 Sep-Oct;95(5):411-21
pubmed: 7422807
N Engl J Med. 2004 Jun 3;350(23):2352-61
pubmed: 15175437
Int J Environ Res Public Health. 2014 Aug 11;11(8):8123-36
pubmed: 25116634
MMWR Morb Mortal Wkly Rep. 2016 Aug 26;65(33):837-43
pubmed: 27560775
Qual Health Res. 2012 Jun;22(6):810-24
pubmed: 22232295
BMJ. 2013 Jan 30;346:f174
pubmed: 23372174