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The United Kingdom (UK) had the world\u2019s highest rate of opioid consumption in 2019, and opiate-related drug poisoning deaths have increased by 388% since 1993 in England and Wales. This article explores the epidemiological definitions of public health emergencies and epidemics in the context of opioid use, misuse, and mortality in England, to establish whether England is facing an opioid crisis.<\/jats:p>","DOI":"10.1177\/20494637231160684","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T10:39:56Z","timestamp":1677494396000},"page":"320-324","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Is England facing an opioid epidemic?"],"prefix":"10.1177","volume":"17","author":[{"given":"Antonia-Olivia","family":"Roberts","sequence":"first","affiliation":[{"name":"Medical Sciences Division, University of Oxford, Oxford, UK"},{"name":"Green Templeton College, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0244-5620","authenticated-orcid":false,"given":"Georgia C","family":"Richards","sequence":"additional","affiliation":[{"name":"Centre for Evidence-Based Medicine, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"bibr1-20494637231160684","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101198"},{"key":"bibr2-20494637231160684","unstructured":"Breen P, Butt A.Deaths related to drug poisoning in England and Wales: 2021 registrations, 2022, https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/bulletins\/deathsrelatedtodrugpoisoninginenglandandwales\/2021registrations (accessed 31 October 2022)."},{"key":"bibr3-20494637231160684","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-81814-3"},{"key":"bibr4-20494637231160684","doi-asserted-by":"publisher","DOI":"10.1086\/644537"},{"key":"bibr5-20494637231160684","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.086173"},{"key":"bibr6-20494637231160684","unstructured":"World Health Organization. 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