Skip to main content
| Hans-Günter Meyer-Thompson | International

USA. The “Fourth Wave” – The Rise of Stimulants and the Evolution of Polysubstance Use in America’s Fentanyl Crisis

USA. The “Fourth Wave” – The Rise of Stimulants and the Evolution of Polysubstance Use in America’s Fentanyl Crisis

The 6th volume of our Signals Report centers on current drug use trends during the “Fourth Wave” of America’s overdose epidemic, in which stimulants are increasingly co-involved in fentanyl overdose deaths. We analyzed urine drug test results from more than 4 million patients across the 11 years since fentanyl first emerged as a major driver of overdose in the U.S. to illustrate the changing nature of polysubstance use among people who use fentanyl. (Millennium Health, USA, Februar 2024)

https://www.millenniumhealth.com/signalsreport/