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Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids
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 di...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213671/ https://www.ncbi.nlm.nih.gov/pubmed/37250077 http://dx.doi.org/10.3389/fpubh.2023.1158479 |
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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. |
author_facet | 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. |
author_sort | Cibulsky, Susan M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10213671 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102136712023-05-27 Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids 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. Front Public Health Public Health 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. Frontiers Media S.A. 2023-05-12 /pmc/articles/PMC10213671/ /pubmed/37250077 http://dx.doi.org/10.3389/fpubh.2023.1158479 Text en Copyright © 2023 Cibulsky, Wille, Funk, Sokolowski, Gagnon, Lafontaine, Brevett, Jabbour, Cox, Russell, Jett, Thomas and Nelson. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health 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. Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title | Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title_full | Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title_fullStr | Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title_full_unstemmed | Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title_short | Public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
title_sort | public health and medical preparedness for mass casualties from the deliberate release of synthetic opioids |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213671/ https://www.ncbi.nlm.nih.gov/pubmed/37250077 http://dx.doi.org/10.3389/fpubh.2023.1158479 |
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