Missouri's Fentanyl Problem: The China Connection.
| Autor: | Stoecker WV; MSMA member since 1984, practices at S&A Technologies and The Dermatology Center, Rolla, Missouri, and the Department of Dermatology, University of Missouri-Columbia Health Sciences Center, Columbia, Missouri., Bosworth KT; Departments of Biological Sciences and Psychological Science, Missouri University of Science and Technology, Rolla, Missouri., Rottnek F; Professor and Director of Community Medicine, Department of Family and Community Medicine and Program Director, Addiction Medicine Fellowship at Saint Louis University School of Medicine, St. Louis, Missouri. |
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| Jazyk: | angličtina |
| Zdroj: | Missouri medicine [Mo Med] 2020 Jul-Aug; Vol. 117 (4), pp. 362-369. |
| Abstrakt: | Recently, Missouri has followed an overall upward trend in opioid overdose deaths. In 2018, Missouri was the state with the largest absolute and percentage increase in opioid-related overdose fatality rates per capita over the previous year (18.3% and 3.1/100,000). This increase occurred despite an overall decrease in U.S. opioid-related death rates in the same period. This report identifies illicitly manufactured fentanyl (IMF) (and analogues) as the drug most responsible for this rise in opioid deaths in Missouri, with stimulant overdoses (primarily from methamphetamine) in second place. Within Missouri, we find the areas where opioid deaths are highest: St. Louis and the city's fringe areas, following the national trend for high rates in fringe areas. Based on reports from CDC Wonder data, county medical examiners, law enforcement agencies, and drug addiction prevention agencies, we conclude that IMF and related synthetic opioids arriving from China are primarily responsible for fatal narcotic overdoses in Missouri. Despite the COVID-19 disruption of fentanyl manufacturing and distribution centers in and around Wuhan, China early in the pandemic, preliminary 2020 data from medical examiners' offices show an upswing in opioid deaths, an indicator that Chinese fentanyl producers have restored the supply chain. (Copyright 2020 by the Missouri State Medical Association.) |
| Databáze: | MEDLINE |
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