Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.


Alcohol: The Prevention Debate

Alcohol: The Prevention Debate

Author: Marcus Grant

Publisher: Taylor & Francis

Published: 2023-12-01

Total Pages: 189

ISBN-13: 1003819257

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In the early 1980s, emphasis had shifted from the treatment of alcohol problems to their prevention. Yet no clear integrated policy yet existed about how alcohol problems could best be prevented. Many different strategies were put forward as solutions but some were in competition with each other, while some were actually incompatible. Originally published in 1983, what this book does is to draw together a cross section of these different and competing voices so as to give a sense of the quality and direction of the great alcohol debate at the time. After setting into context some of the basic questions to do with the prevention of alcohol problems, the authors knit together and juxtapose short contributions from a very wide variety of experts from around the world. Clinicians, educators, sociologists, advertisers, marketing men, economists, philosophers, geneticists and international civil servants present different points of view on health education, the media, advertising, trade, the law, the environment and on the ethical basis of the debate itself. The authors bravely attempt to pull some general sense out of this profusion of what the way ahead is likely to be. It should be noted that this reissue very much reflects the context of the times in which it was written and that the contributors were participating in a debate where differences of opinion were actively encouraged.


Preventing HIV Transmission

Preventing HIV Transmission

Author: National Research Council and Institute of Medicine

Publisher: National Academies Press

Published: 1995-09-14

Total Pages: 352

ISBN-13: 0309176212

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This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.


The American Disease

The American Disease

Author: David F. Musto

Publisher: Oxford University Press, USA

Published: 1999

Total Pages: 431

ISBN-13: 0195125096

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The American Disease is a classic study of the development of drug laws in the United States. Supporting the theory that Americans' attitudes toward drugs have followed a cyclic pattern of tolerance and restraint, author David F. Musto examines the relationz between public outcry and the creation of prohibitive drug laws from the end of the Civil War up to the present. Originally published in 1973, and then in an expanded edition in 1987, this third edition contains a new chapter and preface that both address the renewed debate on policy and drug legislation from the end of the Reagan administration to the current Clinton administration. Here, Musto thoroughly investigates how our nation has dealt with such issues as the controversies over prevention programs and mandatory minimum sentencing, the catastrophe of the crack epidemic, the fear of a heroin revival, and the continued debate over the legalization of marijuana.


Substance Abuse Prevention

Substance Abuse Prevention

Author: Kar Snehendu

Publisher: Routledge

Published: 2020-06-10

Total Pages: 219

ISBN-13: 1351841505

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In thirteen chapters, twenty-four authors share their analyses, concerns, and conclusions in several domains including the: meaning and dynamics of multiculturalism affecting prevention intervention, relative risks and knowledge gaps across ethnic groups, social trends affecting health risks and substance abuse, lessons learned from substance abuse research and prevention, role of the media, promises and limits of the new public health paradigm for assessment, policy development, assurance of preventive services, and social action and empowerment for prevention in partnership with the public.


Every 25 Seconds

Every 25 Seconds

Author: Tess Borden

Publisher:

Published: 2016

Total Pages: 196

ISBN-13: 9781623134105

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"The report, "Every 25 Seconds: The Human Toll of Criminalizing Drug Use in the United States," finds that enforcement of drug possession laws causes extensive and unjustifiable harm to individuals and communities across the country. The long-term consequences can separate families; exclude people from job opportunities, welfare assistance, public housing, and voting; and expose them to discrimination and stigma for a lifetime. While more people are arrested for simple drug possession in the US than for any other crime, mainstream discussions of criminal justice reform rarely question whether drug use should be criminalized at all"--Publisher's description.