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3 results

  • 5 - Current Data and Worldwide Opioid Misuse Statistics

  • from Part II - Recognizing That a Problem Exists
  • Ethan O. Bryson, Icahn School of Medicine at Mount Sinai, New York, Christine E. Boxhorn, Medical College of Wisconsin, Milwaukee
  • Book:
    The Opioid Epidemic
    Published online:
    07 October 2023
    Print publication:
    12 October 2023, pp 49-59

  • Summary

    The amount of people worldwide who regularly used opioids in 2021 is staggering, and if something is not done to change the course of this epidemic, the numbers will continue to increase year over year, just as they have done over the last decade. Roughly 275 million people globally report having used drugs of any kind in the past year, an increase of almost 50 million people over the past ten years. While some of this increase was due to the 10% rise in global population over the same period, this alone cannot account for the entirety of the 22% rise in global drug use. Health-care systems around the world are being stretched beyond their capabilities to manage a population this large, and the number of people with opioid use disorder is projected to continue to increase in size over the next decade. The effects of the opioid epidemic on healthcare systems are particularly devastating in poorer and middle-income countries with less robust resources. Over the past decade the number of individuals with opioid use disorder has increased by almost 9 million, an increase of over 33%, and now affects 0.7% of the current global population.

The Opioid Epidemic
  • Origins, Current State and Potential Solutions
  • Ethan O. Bryson, Christine E. Boxhorn
  • Published online:
    07 October 2023
    Print publication:
    12 October 2023
  • Opioid misuse is now a worldwide epidemic and major public health issue with widespread implications. This fascinating book provides a collection of compelling arguments on how the course of the opioid epidemic can be changed. It offers an overview of the historical origins of opioid addiction, a summary of the current state of the worldwide epidemic and an examination of the likelihood of success for current and proposed solutions. Specific chapters focus on why some people are affected by addiction, the effect of policy and regulations, changing trends in opioid use, detoxification, the financial cost of addiction treatment, and proactive measures to prevent addiction. Drawing upon both past and current academic research as well as personal accounts, ideas and concepts are presented in a clear and accessible narrative. This book is a convenient single source of information for healthcare professionals, students and individuals personally affected by opioid addiction.

  • Fatal drug poisonings in an industrial region of the Far North of Russia

  • A. Novikov, A. Gil
  • Journal:
    European Psychiatry / Volume 65 / Issue S1 / June 2022
    Published online by Cambridge University Press:
    01 September 2022, p. S369
    • Article
      • You have access
      • Open access
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  • Introduction

    Drug poisonings is a continuous public health problem in Russia and worldwide.

    Objectives

    The objective of the study was to provide characteristics of lethal drug poisonings in a northern Russian region.

    Methods

    The data on deaths from drug poisoning that occurred between 2018 and September 2021, systematically collected by the Regional Center on the Organization of the Narcological and Psychiatric service of the Khanty-Mansi Autonomous Okrug of Russia, was analyzed.

    Results

    Among 220 cases of fatal drug poisoning the overwhelming majority (90.4%) occurred among males. The number of cases increased annually from 27 in 2018 to 71 in 2020. The average age of death increased from 33.6 years in 2018 to 38.2 years in 2021. Over two thirds of deceased (70.9%) had complete secondary or vocational secondary level of education, almost one third (30.0%) were skilled workers, and slightly less than half (44.1%) were unemployed. The most common causes of death were methadone poisoning (34.5%), poisoning with other opioids (21.8%), other synthetic drugs (17.3%), other unspecified drugs (11.8%), and psychostimulants (10.0%). Alcohol intoxication was identified as a concomitant cause of death in every fourth case (26.0%), of which 98% were among males. Most often, alcohol was present in the blood at a concentration of 120 mg/ml and above. Every fourth deceased (23.6%) was registered with narcology health service for drug addiction.

    Conclusions

    Fatal poisonings with narcotic drugs and psychotropic substances is a growing public health problem in a northern industrial region of Russia, which affects predominantly working-age males and requires comprehensive multisectoral response.

    Disclosure

    No significant relationships.