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USA. Overdoses in older blacks, and overdoses from cocaine, are rising but being ignored

Increasing death rates from opioid overdoses among whites have been widely documented, but less well-known is the increase in cocaine-related overdoses among blacks, as the National Cancer Institute (NCI) reported last week in the Annals of Internal Medicine. Using complete U.S. death certificate data from the Centers for Disease Control and Prevention’s National Center for Health Statistics, Meredith S. Shiels, Ph.D., and colleagues compared data from 2000–2003 with data from 2012–2015. They found that total overdose death rates increased among blacks (6.1 to 9.0 per 100,000 person years), Hispanics (4.2 to 6.0) and whites (5.6 to 15.5). Broken down by age and race, however, increases were most pronounced for older blacks (men over 50 and women over 45). (alcoholismdrugabuseweekly.com, 11.12.2017)


UK. "I wish I still had the luxury of being a parent." (Video)

Powerful interview with Anne-Marie Cockburn - who lost her daughter to ecstasy - on why she wants all drugs legalised. (BBC-Newsnight, 23.03.2017, Video, 02:14)


Todesfälle durch Propofolmissbrauch - Befragung in rechtsmedizinischen Instituten in Deutschland, Österreich und der Schweiz

Maier, C., Iwunna, J., Tsokos, M. et al.

Anaesthesist (2017) 66: 109. doi.org/10.1007/s00101-016-0260-6



Intentional Drug Overdose Involving Pregabalin and Gabapentin: Findings from the National Self-Harm Registry Ireland, 2007-2015.

Daly C, Griffin E, Ashcroft DM, Webb RT, Perry IJ, Arensman E.

Clin Drug Investig. 2017 Dec 20. doi: 10.1007/s40261-017-0616-y.



Opioid, Overdose.

Schiller EY, Mechanic OJ.

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2017 Jun-.
2017 Nov 28.


Understanding Heroin Overdose: A Study of the Acute Respiratory Depressant Effects of Injected Pharmaceutical Heroin.

Jolley CJ, Bell J, Rafferty GF, Moxham J, Strang J (2015)

PLoS ONE 10(10): e0140995. https://doi.org/10.1371/journal.pone.0140995


A cross-national analysis of the association between years of implementation of opioid substitution treatments and drug-related deaths in Europe from 1995 to 2013.

Marotta PL, McCullagh CA.

Eur J Epidemiol. 2017 Dec 12. doi: 10.1007/s10654-017-0342-z.



USA. The opioid crisis is driving down U.S. life expectancy, new data shows

In 2016, the average American’s life expectancy dropped to 78.6 years, the second time in two years the U.S has seen a dip in how long people are expected to live.

And drug overdoses are a big part of the reason why people dying sooner, according to new data released Thursday. (PBS – Public Broadcasting Service, USA, 21.12.2017)


The Value of Early-Warning Carfentanil Deaths in Europe

Helgie Danielsson, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6987/11H30_5_Helgi Danielsson.pptx

Multiple fatalities in the North of England associated with synthetic fentanyl analogue exposure: Detection and quantitation a case series from early 2017.

Hikin L, Smith PR, Ringland E, Hudson S, Morley SR.

Forensic Sci Int. 2018 Jan;282:179-183. doi: 10.1016/j.forsciint.2017.11.036.


Europa. Monitoring hospital emergencies and acute drug toxicity in Europe - Euro-DEN Plus network expands reach by welcoming eight new centres

Data from hospital emergency departments show that every year in Europe thousands of individuals experience drug-related toxicity and other harms, resulting in emergency presentations to hospital (1). Supported by the EU drugs agency (EMCDDA), the European Drug Emergencies Network (Euro-DEN Plus) monitors drug-related emergency presentations across Europe to provide unique insight into acute health harms related to drug use (2). In the course of 2017, the network will be expanding its reach by collecting data from new hospital ‘sentinel’ centres in eight European cities. (EMCDDA, Lissabon  09.03.2017  (Fact sheet No 2/2017))


Effect of ageing and time since first heroin and cocaine use on mortality from external and natural causes in a Spanish cohort of drug users.

Molist G, Brugal MT, Barrio G, Mesías B, Bosque-Prous M, Parés-Badell O, de la Fuente L; Spanish Working Group for the Study of Mortality among Drug Users.

Int J Drug Policy. 2017 Dec 18;53:8-16. doi: 10.1016/j.drugpo.2017.11.011.



USA. Drug Overdose Deaths in the United States, 1999–2016

NCHS Data Brief No. 294, December 2017

Holly Hedegaard, M.D., Margaret Warner, Ph.D., and Arialdi M. Miniño, M.P.H.

Key findings

Data from the National Vital Statistics System, Mortality

In 2016, there were more than 63,600 drug overdose deaths in the United States.

The age-adjusted rate of drug overdose deaths in 2016 (19.8 per 100,000) was 21% higher than the rate in 2015 (16.3).


Housing and overdose: an opportunity for the scale-up of overdose prevention interventions?

Geoff Bardwell, Alexandra B. Collins, Ryan McNeil and Jade Boyd

Harm Reduction Journal 2017, 14:77, doi.org/10.1186/s12954-017-0203-9


Predictors of Mortality within Prison and after Release among Persons Living with HIV in Indonesia.

Culbert GJ, Crawford FW, Murni A, Waluyo A, Bazazi AR, Sahar J, Altice FL.

Res Rep Trop Med. 2017;8:25-35. doi: 10.2147/RRTM.S126131.


Kanada/British Columbia. Drug-vending machine pitched to cut overdose deaths

A vending machine that distributes hydromorphone pills to people with opioid addictions — who will likely crush and inject them — is one idea being explored in a pilot project to curb overdose deaths.

“Right now, we’re asking people to go to an alley to buy drugs that are likely poisoned [with fentanyl],” said project leader Dr. Mark Tyndall from B.C.’s Centre for Disease Control, at the South Island Community Overdose Response Network symposium at Victoria City Hall this past week.

“What I’m proposing is not nearly as crazy. We need to blanket the province with an opportunity to get safer drugs.” (Times Colonist, 19.12.2017)