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应对阿片类药物泛滥:巴尔的摩的经验与教训。

Combatting the opioid epidemic: Baltimore's experience and lessons learned.

机构信息

Baltimore City Health Department, 1001 E Fayette Street, Baltimore, MD, USA.

Harvard Medical School, 25 Shattuck Street, Boston, MD, USA.

出版信息

J Public Health (Oxf). 2018 Jun 1;40(2):e107-e111. doi: 10.1093/pubmed/fdx093.

DOI:10.1093/pubmed/fdx093
PMID:28985362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6927887/
Abstract

In the midst of a national opioid crisis, Baltimore City witnessed 393 deaths from drug and alcohol overdose in 2015. With an estimated 25 000 residents who are addicted to heroin or other opioids, Baltimore has been profoundly affected by the opioid epidemic. Other resources have commented on federal, state-based, and provider responses to the opioid crisis. This article examines what may be done at the city level based on the experiences of the Baltimore City Health Department. Local jurisdictions must play a critical role in addressing the U.S. opioid crisis through public health coalitions, overdose prevention, treatment expansion, and anti-stigma education.

摘要

在全国阿片类药物危机中,巴尔的摩市 2015 年有 393 人死于药物和酒精过量。估计有 25000 名居民对海洛因或其他类阿片成瘾,巴尔的摩深受阿片类药物流行的影响。其他资源评论了联邦、州和提供者对阿片类药物危机的反应。本文根据巴尔的摩市卫生局的经验,探讨了在市级层面可以采取的措施。地方司法管辖区必须通过公共卫生联盟、预防过量用药、扩大治疗和消除污名化教育,在解决美国阿片类药物危机方面发挥关键作用。

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Opioid overdose prevention and naloxone rescue kits: what we know and what we don't know.阿片类药物过量预防及纳洛酮急救包:我们所知道的与我们所不知道的
Addict Sci Clin Pract. 2017 Jan 7;12(1):4. doi: 10.1186/s13722-016-0068-3.
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The Rising Price of Naloxone - Risks to Efforts to Stem Overdose Deaths.纳洛酮价格上涨——对遏制过量用药死亡努力的风险。
N Engl J Med. 2016 Dec 8;375(23):2213-2215. doi: 10.1056/NEJMp1609578.
3
Surgeon General's Report on Alcohol, Drugs, and Health.美国卫生局局长关于酒精、毒品与健康的报告。
JAMA. 2017 Jan 10;317(2):133-134. doi: 10.1001/jama.2016.18215.
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CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.美国 2016 年慢性疼痛阿片类药物处方指南。
MMWR Recomm Rep. 2016 Mar 18;65(1):1-49. doi: 10.15585/mmwr.rr6501e1.
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Deaths: Final Data for 2013.死亡情况:2013年最终数据。
Natl Vital Stat Rep. 2016 Feb 16;64(2):1-119.
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Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014.药物和阿片类药物过量死亡人数增加 - 美国,2000-2014 年。
MMWR Morb Mortal Wkly Rep. 2016 Jan 1;64(50-51):1378-82. doi: 10.15585/mmwr.mm6450a3.
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