Bureau of Alcohol and Drug Use Prevention, Care, and Treatment, New York City Department of Health and Mental Hygiene, Queens, New York.
J Public Health Manag Pract. 2020 May/Jun;26(3):232-235. doi: 10.1097/PHH.0000000000001014.
Drug seizure data indicate the presence of fentanyl in the cocaine supplies nationally and in New York City (NYC). In NYC, 39% of cocaine-only involved overdose deaths in 2017 also involved fentanyl, suggesting that fentanyl in the cocaine supply is associated with overdose deaths. To raise awareness of fentanyl overdose risk among people who use cocaine, the NYC Department of Health and Mental Hygiene pilot tested an awareness campaign in 23 NYC nightlife venues. Although 87% of venue owners/managers were aware of fentanyl, no participating venues had naloxone on premises prior to the intervention. The campaign's rapid dissemination reached people at potential risk of opioid overdose in a short period of time following the identification of fentanyl in the cocaine supply. Public health authorities in states with high rates of opioid-involved overdose death should consider similar campaigns to deliver overdose prevention education in the context of a drug supply containing fentanyl.
缉毒数据显示，在全国和纽约市（NYC）可卡因供应中均存在芬太尼。在 2017 年，NYC 可卡因吸食过量致死案例中，有 39%涉及芬太尼，表明可卡因供应中的芬太尼与过量死亡有关。为了提高可卡因使用者对芬太尼过量风险的认识，NYC 卫生与心理卫生部在 23 个 NYC 夜生活场所试点开展了一场宣传活动。尽管 87%的场所业主/经理了解芬太尼，但在干预措施实施之前，没有一个参与的场所备有纳洛酮。该活动迅速传播，在可卡因供应中发现芬太尼后，在短时间内接触到了阿片类药物过量风险的人群。在阿片类药物过量死亡发生率较高的州，公共卫生当局应该考虑开展类似的宣传活动，在含有芬太尼的毒品供应背景下开展过量预防教育。
