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The effect of a reduction in heroin supply on fatal and non-fatal drug overdoses in New South Wales, Australia
(Effet d'une réduction de l'offre d'héroïne sur les overdoses fatales et non-fatales dans le New South Wales, Australie)
Auteur(s) :
DEGENHARDT, L. J. ;
CONROY E. ;
GILMOUR, S. ;
HALL, W. D.
Année
2005
Page(s) :
20-23
Langue(s) :
Anglais
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
DIFFUSION DES PRODUITS
;
HEROINE
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
SURDOSE
;
MORTALITE
;
JEUNE
;
FACTEUR DE RISQUE
Thésaurus géographique
AUSTRALIE
Note générale :
Medical Journal of Australia, 2005, 182, (1), 20-23
Résumé :
OBJECTIVE: To examine the impact of a sudden and dramatic decrease in heroin availability, concomitant with increases in price and decreases in purity, on fatal and non-fatal drug overdoses in New South Wales, Australia. DESIGN AND SETTING: Time-series analysis was conducted where possible on data on overdoses collected from NSW hospital emergency departments, the NSW Ambulance Service, and all suspected drug-related deaths referred to the NSW Coroner's court. MAIN OUTCOME MEASURES: The number of suspected drug-related deaths where heroin and other drugs were mentioned; ambulance calls to suspected opioid overdoses; and emergency department admissions for overdoses on heroin and other drugs. RESULTS: Both fatal and non-fatal heroin overdoses decreased significantly after heroin supply reduced; the reductions were greater among younger age groups than older age groups. There were no clear increases in non-fatal overdoses with cocaine, methamphetamines or benzodiazepines recorded at hospital emergency departments after the reduction in heroin supply. Data on drug-related deaths suggested that heroin use was the predominant driver of drug-related deaths in NSW, and that when heroin supply was reduced overdose deaths were more likely to involve a wider combination of drugs. CONCLUSION: A reduction in heroin supply reduced heroin-related deaths, and did not result in a concomitant increase, to the same degree, in deaths relating to other drugs. Younger people were more affected by the reduction in supply. (Author' s abstract)
Affiliation :
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052.
Australie. Australia.
Australie. Australia.
Cote :
A02016