The Triple Wave Epidemic¶
Ciccarone, D. (2019). The Triple Wave Epidemic: Supply and Demand Drivers of the US Opioid Overdose Crisis. International Journal of Drug Policy, 71, 183-188.
Cited by¶
1 citation across 1 artifact.
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Primes¶
- Risk Migration
- In public health and drug policy, interdicting one substance shifts use to substitutes, often more harmful, as suppression of one opioid drove heroin and then fentanyl.
This sourceTraces the sequential displacement from prescription opioids to heroin to fentanyl as supply-side suppression shifted use to more lethal substitutes.
Supported in partVerified against the work's full text
Ciccarone says restricting pills may have pushed some users to heroin and onward to fentanyl, but hedges it and does not state a general substitution rule for interdiction.
“Downward pressure on opioid prescribing may be driving a portion of the at-risk population from opioid pill misuse to heroin, thus exposing them to the even more dangerous family of fentanyls.”
- In public health and drug policy, interdicting one substance shifts use to substitutes, often more harmful, as suppression of one opioid drove heroin and then fentanyl.
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