Integrating Responses At The Intersection Of Opioid Use Disorder And Infectious Disease Epidemics
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Integrating Responses At The Intersection Of Opioid Use Disorder And Infectious Disease Epidemics
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2018-09-27
Integrating Responses At The Intersection Of Opioid Use Disorder And Infectious Disease Epidemics written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-09-27 with Medical categories.
According to the Centers for Disease Control and Prevention (CDC), 115 Americans die each day from an opioid overdose, which averages one death every 12.5 minutes. Between 1999 and 2016, the number of drug overdoses catapulted by 300 percent, with injection drug use increasing by 93 percent between 2004 and 2014 and opioid-related hospital admissions increasing by 58 percent over the past decade. And an inexorable sequela of the opioid epidemic is the spread of infectious diseases. To address these infectious disease consequences of the opioid crisis, a public workshop titled Integrating Infectious Disease Considerations with Response to the Opioid Epidemic was convened on March 12 and 13, 2018, by the National Academies of Sciences, Engineering, and Medicine. Participants discussed strategies to prevent and treat infections in people who inject drugs, especially ways to work efficiently though the existing public health and medical systems. This publication summarizes the presentations and discussions from the workshop.
Integrating Responses At The Intersection Of Opioid Use Disorder And Infectious Disease Epidemics
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Author :
language : en
Publisher:
Release Date : 2018
Integrating Responses At The Intersection Of Opioid Use Disorder And Infectious Disease Epidemics written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with POLITICAL SCIENCE categories.
"According to the Centers for Disease Control and Prevention (CDC), 115 Americans die each day from an opioid overdose, which averages one death every 12.5 minutes. Between 1999 and 2016, the number of drug overdoses catapulted by 300 percent, with injection drug use increasing by 93 percent between 2004 and 2014 and opioid-related hospital admissions increasing by 58 percent over the past decade. And an inexorable sequela of the opioid epidemic is the spread of infectious diseases. To address these infectious disease consequences of the opioid crisis, a public workshop titled Integrating Infectious Disease Considerations with Response to the Opioid Epidemic was convened on March 12 and 13, 2018, by the National Academies of Sciences, Engineering, and Medicine. Participants discussed strategies to prevent and treat infections in people who inject drugs, especially ways to work efficiently though the existing public health and medical systems. This publication summarizes the presentations and discussions from the workshop"--Publisher's description
Infections In Iv Drug Users An Issue Of Infectious Disease Clinics Of North America E Book
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Author : Carlos Del Rio
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-08-31
Infections In Iv Drug Users An Issue Of Infectious Disease Clinics Of North America E Book written by Carlos Del Rio and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-08-31 with Medical categories.
Together with Consulting Editor, Dr. Helen Bucher, Guest Editors Dr. Carlos Del Rio and Dr. Sandra Springer have put together an important monograph that addresses infections in IV drug users. They have selected top experts to contribute clinical reviews for infectious disease physicians. Articles are devoted to the following topics: Medical and Surgical management of Infectious endocarditis in persons who use drugs; The Microbiology Laboratory and the Opioid epidemic; The Geography of Infectious Diseases Related to the Opioid Epidemic; Soft tissue, bone and joint infections related to illicit drug use; Management of opioid use disorder and infectious disease in the inpatient setting; Outpatient antimicrobial and OUD management in persons who use drugs; Novel approaches to antimicrobials for injection drug use associated infections; HCV treatment and reinfection risk in persons who use drugs on medication treatment for OUD: A systematic review in CJS settings; Treating opioid use disorder and related infectious diseases in the criminal justice system; Harm reduction services to prevent and treat infectious disease in persons who use drugs; Improving the management of patients with chronic opioid therapy in the outpatient setting; The Global Task Force for Chronic Pain in People Living with HIV (PLWH): Developing a research agenda in an emerging field; and Lessons learned from the response to the HIV epidemic that can inform addressing the opioid epidemic. Readers will come away with the clinical information they need to treat and improve outcomes in these patients.
Medications For Opioid Use Disorder Save Lives
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-05-16
Medications For Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-05-16 with Medical categories.
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Opioids And Population Health
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Author : Sean J. Haley
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2021
Opioids And Population Health written by Sean J. Haley and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Education categories.
"Opioids and Population Health: A Primer, will help senior undergraduate and graduate students to: 1. Describe theories of addiction. 2. Demonstrate the differences between substance abuse prevention, intervention, and treatment. 3. Explain the United States' historical response to opioids. 4. Discuss the differential scope and burden of the current opioid and heroin epidemic on communities and populations. 5. Explain the various sectors, government agencies, and institutions that address addiction generally and the opioid/heroin epidemic specifically. 6. Describe the effectiveness of policy, legal, and regulatory approaches currently in use to address the epidemic. 7. Consider recommendations for sustainable policy and systems changes that are needed to change the opioid addiction trajectory and reduce the epidemic. The text is written through an interdisciplinary approach using the fields of public health, addiction health services research, and implementation science. The authors' experiences with direct client services, city, county, and state governments, managing non-profits, and evaluating treatment interventions speaks to their ability to address issues related to the epidemic thoroughly and critically"--
Pain Management And The Opioid Epidemic
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2017-10-28
Pain Management And The Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-28 with Medical categories.
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.
Opportunities To Improve Opioid Use Disorder And Infectious Disease Services
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-04-30
Opportunities To Improve Opioid Use Disorder And Infectious Disease Services written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-04-30 with Medical categories.
Opioid use and infectious diseases are intertwined epidemics. Despite the fact that the United States is more than two decades into the opioid crisis - the cause of tens of thousands of deaths every year on its own - the health system has not sufficiently addressed the morbidity and mortality of drug use coupled with infectious diseases. This is at least in part due to traditional models of substance use disorder care wherein substance use disorder treatment is delivered independently of other medical care, thereby inhibiting the delivery of comprehensive care. As a result, the United States is experiencing a drastic increase in infectious diseases that spread with drug use. Opportunities to Improve Opioid Use Disorder and Infectious Disease Services examines current efforts to integrate care and describes barriers, such as inadequate workforce and training; lack of data integration and sharing; and stigma among people who use drugs and have also been diagnosed with an infectious disease. The conclusions and recommendations of this report will help to promote patient-centered, integrated programs to address this dual epidemic.
War On All Fronts
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Author : Nicholas G. Evans
language : en
Publisher: MIT Press
Release Date : 2023-05-16
War On All Fronts written by Nicholas G. Evans and has been published by MIT Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-05-16 with Political Science categories.
An argument for the centrality of rights in health security, and how to apply ethical principles to protecting those rights during public health crises. In recent years, efforts to respond to infectious diseases have been described in terms of national and global security, leading to the formation of the field of “health security.” In War on All Fronts, Nicholas G. Evans provides a novel theory of just health security and its relation to the practice of conventional public health. Using COVID-19 as a jumping-off point to examine wider issues, including how the US thinks about and prepares for pandemics, Evans shows the flaws in using the “war metaphor" and how any serious understanding of health security must square with human rights—even when a disease poses a threat to national security. Evans asks what ethical principles justify declaring, and taking action during, a public health emergency such as the ongoing COVID-19 pandemic. The relevant principles, he argues, parallel those of the ethics of armed conflict. Just war theory, properly understood, begins with pacifism and a commitment to the right not to be killed and then steps back to ask under what limited conditions it is permissible to kill. In a similar way, a just health security must also begin with the idea that public health should hold human rights sacrosanct and then ask under what limited conditions other concerns might prevail. Evans’s overall goal is to formulate a guide to action, particularly as the world deals with the fallout of the COVID-19 pandemic. Turning to the transition from war back to peace in public health, he looks at reparation, rebuilding, and the accountability of actors during the crisis.
Medications For Opioid Use Disorder Save Lives
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-06-16
Medications For Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-16 with Medical categories.
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
America S Health Care Safety Net
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2000-08-04
America S Health Care Safety Net written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-08-04 with Medical categories.
America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.