Opioid crisis in the USA and Canada: how and why did this happen?

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Abstract

In the last few decades, there has been an epidemic increase in opioid use disorder and fatal opioid overdose in the United States and Canada, which allows us to state the presence of an opioid crisis. The opioid epidemic is believed to have begun due to a significantly low threshold for prescribing narcotic analgesics to treat chronic pain. This subsequent tightening of medical opioid dispensation led to the resurgence of the unlawful drug market, which included heroin and fentanyl. The review article provides data from a special commission established with the supporting of Stanford University and The Lancet Journal to understand and overcome the opioid crisis in North America, as well as analyzes other literary sources.

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About the authors

Yury P. Sivolap

RUDN University, Medical Institute

Author for correspondence.
Email: yura-sivolap@yandex.ru
ORCID iD: 0000-0002-4494-149X
SPIN-code: 3586-5225

M.D., D. Sci. (Med.), Prof., Faculty of Continuing Medical Education, Depart. of Psychiatry, Psychotherapy and Psychosomatic Pathology

Russian Federation, Moscow

References

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  4. Hodder SL, Feinberg J, Strathdee SA et al. The opioid crisis and HIV in the USA: Deadly synergies. Lancet. 2021;397(10279):1139–1150. doi: 10.1016/S0140-6736(21) 00391-3.
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  6. Gottschalk M. The opioid crisis: The war on drugs is over. Long live the war on drugs. Ann Rev Criminol. 2023;6:363–398. doi: 10.1146/annurev-criminol-030421-040140.

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