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  1. Article
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    Drug supply and assurance: a cross-sectional study of drug shortage monitoring varieties in China

    Background

    Drug shortage is a worldwide problem that seriously threatens public health. China released the most comprehensive list of key drug...

    Yipeng Lan, Xiaofeng Lin, ... Zhe Huang in BMC Public Health
    30 July 2024 Open access
  2. Article
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    A dynamic management model for sustainable drug supply chain in hospital pharmacies in Iran

    Background

    Sustainable supply chain management encompasses the strategic coordination and control of material, information, and financial flows, as...

    Elham Shahbahrami, Rohollah Kalhor, ... Mehrdad Kiani in BMC Health Services Research
    09 October 2024 Open access
  3. Article
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    Experiences of the changing illicit drug supply among racial and ethnic minoritized people in three US states: a qualitative study

    Background

    Amidst a national surge in overdose deaths among racial and ethnic minoritized people and people who use stimulants (cocaine or...

    Brendan Saloner, Olivia K. Sugarman, ... Sachini Bandara in Harm Reduction Journal
    20 November 2024 Open access
  4. Article
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    Enhancing drug checking services for supply monitoring: perspectives on implementation in syringe service programs in the USA

    Background

    Shifts in the US drug supply, including the proliferation of synthetic opioids and emergence of xylazine, have contributed to the worsening...

    Kyle J. Moon, Heather D. Whitehead, ... Saira Nawaz in Harm Reduction Journal
    13 January 2024 Open access
  5. Article
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    Access and barriers to safer supply prescribing during a toxic drug emergency: a mixed methods study of implementation in British Columbia, Canada

    Background

    In March 2020, British Columbia, Canada, introduced prescribed safer supply involving the distribution of pharmaceutical grade alternatives...

    Karen A. Urbanoski, Thea van Roode, ... Bernadette Pauly in Substance Abuse Treatment, Prevention, and Policy
    16 September 2024 Open access
  6. Article
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    Is fentanyl in everything? Examining the unexpected occurrence of illicit opioids in British Columbia’s drug supply

    Background

    Illicit opioids, including fentanyl, are linked to unprecedented levels of overdose in Canada and elsewhere. The risks associated with...

    Bruce Wallace, Irene Shkolnikov, ... Dennis Hore in Harm Reduction Journal
    10 March 2025 Open access
  7. Article
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    Providers’ knowledge and perception of xylazine in the unregulated drug supply: a sequential explanatory mixed-methods study

    Background

    Xylazine is increasingly prevalent in the unregulated opioid supply in the United States. Exposure to this adulterant can lead to...

    Katherine Hill, Rebecca Minahan-Rowley, ... Kimberly L. Sue in Harm Reduction Journal
    16 August 2024 Open access
  8. Article
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    Safer Opioid Supply programs: Hydromorphone prescribing in Ontario as a harm reduction intervention to combat the drug poisoning crisis

    Setting

    The crisis of unregulated fentanyl-related overdose deaths presents a significant public health challenge. This article describes the...

    Rose A. Schmidt, Adrian Guta, ... Carol Strike in Canadian Journal of Public Health
    10 December 2024 Open access
  9. Article
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    “If it wasn’t for them, I don’t think I would be here”: experiences of the first year of a safer supply program during the dual public health emergencies of COVID-19 and the drug toxicity crisis

    Background

    In response to the devastating drug toxicity crisis in Canada driven by an unregulated opioid supply predominantly composed of fentanyl and...

    Gillian Kolla, Bernie Pauly, ... Karen Urbanoski in Harm Reduction Journal
    07 June 2024 Open access
  10. Article
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    Influence of physician networks on the implementation of pharmaceutical alternatives to a toxic drug supply in British Columbia

    Background

    Characterizing the diffusion of adopted changes in policy and clinical practice can inform enhanced implementation strategies to ensure...

    Megan Kurz, Brenda Carolina Guerra-Alejos, ... Bohdan Nosyk in Implementation Science
    06 January 2024 Open access
  11. Article
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    Perceived impacts of North Americas first de-medicalized safer supply program

    Background

    The Drug User Liberation Front led an evaluation of a non-medicalized model of safer supply known as a “Compassion Club.” This club...

    Jeremy Kalicum, Eris Nyx, ... Thomas Kerr in Substance Abuse Treatment, Prevention, and Policy
    10 March 2025 Open access
  12. Article
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    How we understand fully the supply, demand, and harm reduction in drugs policy in Vietnam?

    Since the 1990s, Vietnam has begun prioritising preventing and combating drug-related crimes (supply reduction) and rehabilitating drug users (demand...

    Hai Thanh Luong in Harm Reduction Journal
    20 November 2024 Open access
  13. Article
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    Barriers and facilitators to safer supply pilot program implementation in Canada: a qualitative assessment of service provider perspectives

    Background

    In response to the ongoing drug toxicity crisis, driven by fentanyl and its analogues in the unregulated drug supply, Canada has funded...

    Frishta Nafeh, Lucas Martignetti, ... Mohammad Karamouzian in Harm Reduction Journal
    28 April 2025 Open access
  14. Article
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    Comprehensive substance use services within primary care settings: The Safer Opioid Supply program at London InterCommunity Health Centre

    Setting

    This paper describes the Safer Opioid Supply (SOS) program, a public health intervention in London, Ontario, in response to the toxic...

    Kaitlin Fajber, Andrea Sereda, ... Gillian Kolla in Canadian Journal of Public Health
    12 March 2025 Open access
  15. Article

    Drug Pricing Stewardship from Mark Cuban’s Cost Plus Generic Drug Program

    Importance

    The exceedingly high US spending per capita on prescription medications is mediated, at least in part, by the inefficiencies of existing...

    Snigdha Gulati, Mohak Gupta, ... Divyansh Agarwal in PharmacoEconomics
    21 August 2024
  16. Article

    Harm reduction, treatment, and prevention—essential pillars to Canada’s response to the drug poisoning crisis

    Canada’s toxic drug crisis continues to worsen in the country’s urban centres, with the unregulated drug supply becoming more deadly and causing...

    Patricia Daly, Eileen de Villa, ... Jason Tockman in Canadian Journal of Public Health
    31 March 2025
  17. Article
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    “It wasn’t here, and now it is. It’s everywhere": fentanyl’s rising presence in Oregon’s drug supply

    Background

    Illicit fentanyl has contributed to a drastic increase in overdose drug deaths. While fentanyl has subsumed the drug supply in the...

    Sarah S. Shin, Kate LaForge, ... P. Todd Korthuis in Harm Reduction Journal
    11 July 2022 Open access
  18. Article
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    The influence of transformations in supply on methamphetamine initiation among people injecting opioids in the United States

    Background

    Co-use of methamphetamine (MA) and opioids (pharmaceutical pills, heroin and fentanyls) has increased in the United States and is...

    Sarah Mars, Jeff Ondocsin, ... Daniel Ciccarone in Harm Reduction Journal
    05 March 2024 Open access
  19. Article
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    Beyond a spec: assessing heterogeneity in the unregulated opioid supply

    Background

    Drug checking services aim to provide compositional information for the illicit drug supply and are being employed in public health...

    Lea Gozdzialski, Rebecca Louw, ... Dennis Hore in Harm Reduction Journal
    15 March 2024 Open access
  20. Article
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    Adulterants present in the San Diego county fentanyl supply: a laboratory analysis of seized law enforcement samples

    Background

    The opioid overdose crisis is one of the worst public health crises ever to face the US and emerging evidence suggests its effects are...

    Henrik Galust, Justin A. Seltzer, ... Jennifer Harmon in BMC Public Health
    29 March 2024 Open access
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