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Drug supply and assurance: a cross-sectional study of drug shortage monitoring varieties in China
BackgroundDrug shortage is a worldwide problem that seriously threatens public health. China released the most comprehensive list of key drug...
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A dynamic management model for sustainable drug supply chain in hospital pharmacies in Iran
BackgroundSustainable supply chain management encompasses the strategic coordination and control of material, information, and financial flows, as...
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Experiences of the changing illicit drug supply among racial and ethnic minoritized people in three US states: a qualitative study
BackgroundAmidst a national surge in overdose deaths among racial and ethnic minoritized people and people who use stimulants (cocaine or...
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Enhancing drug checking services for supply monitoring: perspectives on implementation in syringe service programs in the USA
BackgroundShifts in the US drug supply, including the proliferation of synthetic opioids and emergence of xylazine, have contributed to the worsening...
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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
BackgroundIn March 2020, British Columbia, Canada, introduced prescribed safer supply involving the distribution of pharmaceutical grade alternatives...
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Is fentanyl in everything? Examining the unexpected occurrence of illicit opioids in British Columbia’s drug supply
BackgroundIllicit opioids, including fentanyl, are linked to unprecedented levels of overdose in Canada and elsewhere. The risks associated with...
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Providers’ knowledge and perception of xylazine in the unregulated drug supply: a sequential explanatory mixed-methods study
BackgroundXylazine is increasingly prevalent in the unregulated opioid supply in the United States. Exposure to this adulterant can lead to...
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Safer Opioid Supply programs: Hydromorphone prescribing in Ontario as a harm reduction intervention to combat the drug poisoning crisis
SettingThe crisis of unregulated fentanyl-related overdose deaths presents a significant public health challenge. This article describes the...
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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
BackgroundIn response to the devastating drug toxicity crisis in Canada driven by an unregulated opioid supply predominantly composed of fentanyl and...
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Influence of physician networks on the implementation of pharmaceutical alternatives to a toxic drug supply in British Columbia
BackgroundCharacterizing the diffusion of adopted changes in policy and clinical practice can inform enhanced implementation strategies to ensure...
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Perceived impacts of North Americas first de-medicalized safer supply program
BackgroundThe Drug User Liberation Front led an evaluation of a non-medicalized model of safer supply known as a “Compassion Club.” This club...
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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...
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Barriers and facilitators to safer supply pilot program implementation in Canada: a qualitative assessment of service provider perspectives
BackgroundIn response to the ongoing drug toxicity crisis, driven by fentanyl and its analogues in the unregulated drug supply, Canada has funded...
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Comprehensive substance use services within primary care settings: The Safer Opioid Supply program at London InterCommunity Health Centre
SettingThis paper describes the Safer Opioid Supply (SOS) program, a public health intervention in London, Ontario, in response to the toxic...
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Drug Pricing Stewardship from Mark Cuban’s Cost Plus Generic Drug Program
ImportanceThe exceedingly high US spending per capita on prescription medications is mediated, at least in part, by the inefficiencies of existing...
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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...
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“It wasn’t here, and now it is. It’s everywhere": fentanyl’s rising presence in Oregon’s drug supply
BackgroundIllicit fentanyl has contributed to a drastic increase in overdose drug deaths. While fentanyl has subsumed the drug supply in the...
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The influence of transformations in supply on methamphetamine initiation among people injecting opioids in the United States
BackgroundCo-use of methamphetamine (MA) and opioids (pharmaceutical pills, heroin and fentanyls) has increased in the United States and is...
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Beyond a spec: assessing heterogeneity in the unregulated opioid supply
BackgroundDrug checking services aim to provide compositional information for the illicit drug supply and are being employed in public health...
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Adulterants present in the San Diego county fentanyl supply: a laboratory analysis of seized law enforcement samples
BackgroundThe opioid overdose crisis is one of the worst public health crises ever to face the US and emerging evidence suggests its effects are...