|Titre :||Global SMART update - Vol. 24. The growing complexity of the opioid crisis|
|Auteurs :||ONUDC / UNODC|
|Type de document :||Rapport|
|Editeur :||Vienna : UNODC, 2020|
|Collection :||Global SMART Updates, num. Vol. 24|
|Format :||16 p. / fig., graph.|
|Discipline :||SAN (Santé publique / Public health)|
Thésaurus GéographiqueINTERNATIONAL ; ETATS-UNIS
Thésaurus TOXIBASEOPIOIDES ; SANTE PUBLIQUE ; FENTANYL ; SURVEILLANCE EPIDEMIOLOGIQUE ; MEDICAMENTS ; DROGUES DE SYNTHESE ; POLITIQUE ; EVOLUTION
The Global SMART Update is designed to provide regular brief reports on emerging patterns and trends of the global synthetic drug situation.
The current opioid crisis is a far-reaching drug and public health policy issue affecting several geographical regions. Despite some progress, the crisis continues both to expand geographically and to deepen in complexity with the emergence of a new generation of new psychoactive substances (NPS) with opioid effects, including substances belonging to chemical structural classes which were not significantly present on illicit drug markets previously. This evolution signals the potential development of similar new substances which may exacerbate the already significant challenges.
|Note de contenu :||
- The multi-faceted opioid crisis - What, why and how?
- Substances with opioid effects are one of the fastest growing groups of NPS.
- The global tragedy of unnecessary pain and suffering - insufficient access to internationally controlled opioids for medical use.
B. INTERNATIONAL AND NATIONAL POLICY RESPONSES TO THE OPIOID CRISIS.
C. THE GROWING COMPLEXITY OF THE OPIOID CRISIS - EMERGENCE OF A NEW GENERATION OF SYNTHETIC OPIOIDS:
- Trends in non-fentanyl related synthetic opioids.
- Failed pharmaceutical opioids: from potential medicines to public health threats.
- Structural similarity does not equate to pharmacological activity - the cases of W-18 and benzylfentanyl.
- Availability of falsified and unlicensed pharmaceutical opioids.
D. RESPONDING TO AN INCREASINGLY COMPLEX OPIOID CRISIS:
- Improving access to opioids for medical use.
- The importance of early warning systems.
- Improving forensic capacities.
- Expanding public-private partnerships.
- Enhancing legislative responses.
- Impact of the COVID-19 pandemic on the evolving opioid crisis.
- Effects on the trafficking and manufacture of synthetic opioids.
- Effects on the use of synthetic opioids.
|Domaine :||Autres substances / Other substances ; Drogues illicites / Illicit drugs|
|Refs biblio. :||152|