Fischer Benedikt, Lee Angelica, Vojtila Lenka
Schools of Population Health and Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road, Grafton, Auckland, New Zealand.
Department of Psychiatry, University of Toronto, 250 College Street, Toronto, Ontario, Canada.
Public Health Pract (Oxf). 2020 May 26;1:100016. doi: 10.1016/j.puhip.2020.100016. eCollection 2020 Nov.
•Canada experiences excessive opioid mortality, mainly from toxic opioid exposure.•Many interventions have been implemented, but are limited in reach and impact.•'Safer opioid distribution' (SOD) is a crucial preventive measure for overdose.•SOD needs to be implemented for a large, 'at-risk' opioid user population.•Other community-based public health interventions may guide SOD organization.
•加拿大存在过量阿片类药物致死情况,主要源于接触有毒阿片类药物。
•已实施多项干预措施,但覆盖范围和影响有限。
•“更安全的阿片类药物分发”(SOD)是预防过量用药的关键措施。
•需要针对大量“高危”阿片类药物使用者群体实施SOD。
•其他基于社区的公共卫生干预措施可能为SOD的组织工作提供指导。