Evidence map›Paper›PMID 31822889›Full record

ArticleJournal of public health (Oxford, England)2020

Applying principles of injury and infectious disease control to the opioid mortality epidemic in North America: critical intervention gaps.

Benedikt Fischer, Michelle Pang, Mark Tyndall

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Benedikt FischerFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Michelle PangCentre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.
Mark TyndallBritish Columbia Centre for Disease Control (BCCDC), Vancouver, BC, Canada.

Funding

CIHR SAF-94814CIHR SMN-139150
6 · The paper itself

Abstract

North America has been experiencing an acute and unprecedented public health crisis involving excessive and increasing levels of opioid-related overdose mortality. In the present commentary, we examine current interventions (as existent mainly in Canada) to date and compare them against established intervention frameworks and practices in other areas of public health, specifically injury and infectious disease control. We observe that current interventions focusing on opioid drug safety or exposure-specifically those that focus on distinctly potent and toxic opioid products driving major increases in overdose mortality-may be considered the equivalent of 'agent-' or 'vector'-based interventions. Such interventions have been largely neglected in favor of 'host' (e.g., drug user-oriented) or 'environmental' measures among strategies to reduce opioid-related overdose, likely contributing to the limited efficacy of current measures. We explore potential reasons, implications and remedies for these gaps in the overall public health strategy employed towards improved interventions to reduce opioid-related health harms.

Indexed as

Communicable DiseasesEpidemicsOpioid-Related DisordersAnalgesics, OpioidCanadaHumansNorth AmericaAnalgesics, Opioidinjury preventioninterventionsmortalityopioidspublic health

Identifiers

PMID31822889
PMCPMC7685850

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.