Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids
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Published:2023-05-12
Issue:
Volume:11
Page:
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ISSN:2296-2565
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Container-title:Frontiers in Public Health
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language:
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Short-container-title:Front. Public Health
Author:
Cibulsky Susan M.,Wille Timo,Funk Renée,Sokolowski Danny,Gagnon Christine,Lafontaine Marc,Brevett Carol,Jabbour Rabih,Cox Jessica,Russell David R.,Jett David A.,Thomas Jerry D.,Nelson Lewis S.
Abstract
The large amounts of opioids and the emergence of increasingly potent illicitly manufactured synthetic opioids circulating in the unregulated drug supply in North America and Europe are fueling not only the ongoing public health crisis of overdose deaths but also raise the risk of another type of disaster: deliberate opioid release with the intention to cause mass harm. Synthetic opioids are highly potent, rapidly acting, can cause fatal ventilatory depression, are widely available, and have the potential to be disseminated for mass exposure, for example, if effectively formulated, via inhalation or ingestion. As in many other chemical incidents, the health consequences of a deliberate release of synthetic opioid would manifest quickly, within minutes. Such an incident is unlikely, but the consequences could be grave. Awareness of the risk of this type of incident and preparedness to respond are required to save lives and reduce illness. Coordinated planning across the entire local community emergency response system is also critical. The ability to rapidly recognize the opioid toxidrome, education on personal protective actions, and training in medical management of individuals experiencing an opioid overdose are key components of preparedness for an opioid mass casualty incident.
Publisher
Frontiers Media SA
Subject
Public Health, Environmental and Occupational Health
Reference77 articles.
1. 2020 National Drug Threat Assessment (2021). 2020 National Drug Threat Assessment (NDTA)
2. New psychoactive substances: 25 years of early warning and response in Europe (europa.eu)New Psychoactive Substances: 25 Years of Early Warning and Response in Europe: An Update from the EU Early Warning System2022
3. Opioid and Stimulant-related Harms in Canada2022
4. Threat potential of pharmaceutical based agents;Heslop;Intell Natl Secur.,2020
5. 1998
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