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Losing the uphill battle? Emergent harm reduction interventions and barriers during the opioid overdose crisis in Canada

机译:失去了上海战斗? 加拿大阿片类药物过量危机期间的紧急伤害减少干预措施和障碍

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摘要

Canada continues to experience an escalating opioid overdose crisis that has claimed more than 8000 lives in the country since 2016. The presence of the synthetic opioid fentanyl and its analogues is a central contributor to the increases in preventable opioid-related deaths. However, a number of converging social-structural factors (e.g., the continued criminalisation of drug use, political changes) and political barriers are also complicating and contributing to the current crisis. We briefly outline four harm reduction interventions (i.e., injectable opioid agonist treatment, naloxone distribution programs, overdose prevention sites, and drug checking services) as emerging and rapidly expanding responses to this crisis in Canada. These examples of innovation and expansion are encouraging but also occurring at the same time that the opioid overdose crisis shows few signs of abating. To truly address the crisis, Canada needs political environments at all government levels that are responsive and foster harm reduction innovation and drug policy experimentation.
机译:加拿大继续在自2016年以来,在该国仍然升级的阿片类药物过量危机。合成阿片类芬太尼和其类似物的存在是可预防的阿片类药物相关死亡的增加的中央因素。然而,一些会聚社会结构因素(例如,持续的药物使用,政治变革)和政治壁垒也使目前的危机变得复杂和贡献。我们简要概述了四种伤害减少干预(即,可注射的阿片类药剂治疗,纳洛酮分布计划,过量预防遗址和药物检查服务)作为对加拿大危机的新兴和迅速扩大的反应。这些创新和扩张的例子是令人鼓舞的,但同时也发生了阿片类药物过量危机的同时显示了少数人的迹象。为了真正解决危机,加拿大需要在所有政府层面都需要政治环境,这是响应性和促进减少伤害创新和药物政策实验。

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