{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T03:53:47Z","timestamp":1770609227501,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN\u201094814"],"award-info":[{"award-number":["FRN\u201094814"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Canada has been experiencing a prolonged public health\u2010crisis of high rates of overdose deaths caused by exceptionally potent\/toxic, illicit opioid use. While many key features of this drug death epidemic are well\u2010documented, several idiosyncratic aspects with relevance for public health\u2010oriented interventions are not adequately recognised. These include: (i) the discrepant opioid patterns pan\u2010Canada, with large majorities of opioid deaths caused by illicit fentanyl drugs in Western, but not Eastern regions where prescription\u2010type opioid prevail; (ii) the environments of overdose deaths, where vast majorities occur in \u2018residential\u2019 or other shelter\u2010type settings, presenting barriers for emergency interventions rather than health protection; and (iii) shifting drug use modes, where now majorities of overdose deaths are associated with drug \u2018inhalation\u2019 (instead of \u2018injection\u2019) in contexts of potent\/toxic drug supply. We briefly describe these factors and related implications for intervention programming towards an improved response to the drug death\u2010crisis.<\/jats:p>","DOI":"10.1111\/dar.13796","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T05:38:01Z","timestamp":1702618681000},"page":"562-566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Three noteworthy idiosyncrasies related to Canada's opioid\u2010death crisis, and implications for public health\u2010oriented interventions"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2186-4030","authenticated-orcid":false,"given":"Benedikt","family":"Fischer","sequence":"first","affiliation":[{"name":"Research &amp; Graduate Studies University of the Fraser Valley  Abbotsford Canada"},{"name":"Centre for Applied Research in Mental Health and Addiction, Faculty of Health Sciences Simon Fraser University  Vancouver Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto Canada"},{"name":"Department of Psychiatry Federal University of Sao Paulo  S\u00e3o Paulo Brazil"},{"name":"School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1046-4066","authenticated-orcid":false,"given":"Tessa","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence &amp; Impact, Faculty of Health Sciences McMaster University  Hamilton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8474-508X","authenticated-orcid":false,"given":"Didier","family":"Jutras\u2010Aswad","sequence":"additional","affiliation":[{"name":"Research Centre Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al  Montreal Canada"},{"name":"Department of Psychiatry and Addictology, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"e_1_2_8_2_1","article-title":"The continuous opioid death crisis in Canada: changing characteristics and implications for path options forward","volume":"19","author":"Fischer B","year":"2023","journal-title":"Lancet Reg Health Am"},{"key":"e_1_2_8_3_1","unstructured":"Government of Canada.Health Infobase\u2014Opioid\u2010 and stimulant\u2010related harms. 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