Dynamic changes in prescription opioids from 2006 to 2017 in Texas - Ighodaro EO, McCall KL, Chung DY, Nichols SD, Piper BJ.
BACKGROUND: The US is experiencing an epidemic of opioid overdoses which may be at least partially due to an over-reliance on opioid analgesics in the treatment of chronic non-cancer pain and subsequent escalation to heroin or illicit fentanyl. As Texas wa... (Source: SafetyLit)
Source: SafetyLit - December 14, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Emergency department study reveals patterns of patients at increased risk for suicide
NIH-funded research examined suicide and overdose risk in the year after an emergency department visit. (Source: National Institutes of Health (NIH) News Releases)
Source: National Institutes of Health (NIH) News Releases - December 13, 2019 Category: American Health Source Type: news

Applying principles of injury and infectious disease control to the opioid mortality epidemic in North America: critical intervention gaps - Fischer B, Pang M, Tyndall M.
North America has been experiencing an acute and unprecedented public health crisis involving excessive and increasing levels of opioid-related overdose mortality. In the present commentary, we examine current interventions (as existent mainly in Canada) t... (Source: SafetyLit)
Source: SafetyLit - December 13, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Problem drinkers have higher 'benzo' use, UCSF-Kaiser Permanente study shows
(University of California - San Francisco) Problem drinkers are more likely than teetotalers and moderate drinkers to take benzodiazepines, a class of sedatives that are among the most commonly prescribed drugs -- and the most abused. When taken by heavier drinkers, benzodiazepines may heighten the risk for overdoses and accidents as well as exacerbate psychiatric conditions. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - December 13, 2019 Category: International Medicine & Public Health Source Type: news

FDA Warns Vivitrol Manufacturer Over Bad Ad FDA Warns Vivitrol Manufacturer Over Bad Ad
The FDA takes issue with a print advertisement for Vivitrol that fails to adequately communicate important health warnings and precautions listed in the product labeling, including vulnerability to opioid overdose.News Alerts (Source: Medscape Psychiatry Headlines)
Source: Medscape Psychiatry Headlines - December 12, 2019 Category: Psychiatry Tags: Psychiatry News Alert Source Type: news

FDA warns company over ad that leaves out information on risk of overdose
Alkermes’s long-acting addiction medication, Vivitrol, leaves some former users more vulnerable to opioid overdoses. The company’s ad should warn them, the FDA says. (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - December 11, 2019 Category: Consumer Health News Authors: Lenny Bernstein Source Type: news

Having Naloxone on Hand Can Save a Life During an Opioid Overdose
Anyone can save a life during an opioid overdose with naloxone, a front-line defense in the opioid crisis. Naloxone is a life-saving drug that quickly reverses the powerful effects of opioids. FDA is working to give more people access to naloxone. (Source: FDA Center for Drug Evaluation and Research - What's New)
Source: FDA Center for Drug Evaluation and Research - What's New - December 11, 2019 Category: Drugs & Pharmacology Authors: FDA Source Type: news

Call for Wide Availability of Opioid Rescue Kits in NYC Call for Wide Availability of Opioid Rescue Kits in NYC
New York City managers of businesses like restaurants, bars, and convenience stores need -- and want -- training to recognize drug overdoses and instruction on how to treat them with naloxone.Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - December 10, 2019 Category: Emergency Medicine Tags: Psychiatry News Source Type: news

One opioid user saving another: the first study of an opioid overdose-reversal and naloxone distribution program addressing hard-to-reach drug scenes in Denmark - Thylstrup B, Hesse M, J ørgensen M, Thiesen H.
BACKGROUND: Overdose education and naloxone distribution programs decrease opioid overdose deaths. However, no studies of such programs have been carried out in Denmark. The aim of this study was to evaluate the feasibility and the effect of a broader "tra... (Source: SafetyLit)
Source: SafetyLit - December 10, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Researchers say 30% of patients taking opioids experience adverse drug interactions
(American Osteopathic Association) A new article outlines common drug-drug interactions that alter how the body metabolizes certain opioids, causing decreased efficacy that ultimately can lead to misuse and overdose. The authors estimate that around 30 percent of patients experience such interactions; however, very few are detected and reported. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 10, 2019 Category: International Medicine & Public Health Source Type: news

Woman's emotional post about brother-in-law's fatal overdose from cocaine and fentanyl goes viral 
Chris Pennington, 35, of Michigan, passed away on June 1 after a fatal overdose from cocaine laced with fentanly. His sister-in-law Nichole Cicotte shared a photo of the family saying goodbye. (Source: the Mail online | Health)
Source: the Mail online | Health - December 9, 2019 Category: Consumer Health News Source Type: news

Researchers receive nearly $5 million to curb opioid cravings
(Penn State) Opioid overdoses take the lives of tens of thousands of Americans annually. Two researchers from Penn State College of Medicine have received nearly $5 million from the National Institutes of Health (NIH) to study whether an already-approved drug can be used to reduce cravings and prevent relapse in those struggling with opioid addiction. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 9, 2019 Category: International Medicine & Public Health Source Type: news

Regional trends in overdose deaths reveal multiple opioid epidemics, according to new study
(Iowa State University) A recently published study shows the United States in the grip of several simultaneously occurring opioid epidemics, rather than just a single crisis. The epidemics came to light after the researchers analyzed county-level data on drug overdose deaths. The study highlights the importance of different policy responses to the epidemics rather than a single set of policies. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 9, 2019 Category: International Medicine & Public Health Source Type: news

Drug deaths are down, but thousands are still overdosing in B.C, coroner says
The number of illicit drug overdose deaths has dropped in British Columbia, but the coroners service says users need to remain cautious about an unpredictable and toxic drug supply. (Source: CBC | Health)
Source: CBC | Health - December 5, 2019 Category: Consumer Health News Tags: News/Canada/British Columbia Source Type: news

Trends in gabapentin and baclofen exposures reported to U.S. poison centers - Reynolds K, Kaufman R, Korenoski A, Fennimore L, Shulman J, Lynch M.
Context: Prescriptions for nonopioid pharmacological therapies such as gabapentin and baclofen have been increasing. While gabapentin and baclofen are less likely than opioids to result in fatal overdose, they are each associated with dependence, mi... (Source: SafetyLit)
Source: SafetyLit - December 5, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Triptan and ergotamine overdoses in the United States: analysis of the National Poison Data System - Robblee JV, Butterfield RJ, Kang AM, Smith JH.
OBJECTIVE: To examine the clinical outcomes of intentional overdoses involving triptans and ergotamines with a retrospective review of the National Poison Data System (NPDS). METHODS: This was a 5-year retrospective cross-sectional study (2014-2018... (Source: SafetyLit)
Source: SafetyLit - December 5, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

The Changing Geography of the Opioid Crisis
Discusses the opioid epidemic in the U.S. and analyzes how death from opioid overdoses has changed geographically over the past few decades. Includes data on opioid overdose mortality rates by county and rurality, describes the differences in type of substances in rural areas versus urban areas. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - December 5, 2019 Category: Rural Health Source Type: news

Updated guidelines for the management of paracetamol poisoning in Australia and New Zealand - Chiew AL, Reith D, Pomerleau A, Wong A, Isoardi KZ, Soderstrom J, Buckley NA.
INTRODUCTION: Paracetamol is a common agent taken in deliberate self-poisoning and in accidental overdose in adults and children. Paracetamol poisoning is the commonest cause of severe acute liver injury. Since the publication of the previous guidelines in... (Source: SafetyLit)
Source: SafetyLit - December 3, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Discontinuing Buprenorphine Too Soon'Life-Threatening'Discontinuing Buprenorphine Too Soon'Life-Threatening '
Premature discontinuation of buprenorphine puts patients at increased risk for overdose, new research suggests.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - December 3, 2019 Category: Internal Medicine Tags: Psychiatry News Source Type: news

Doctor pleads guilty to over-prescribing opioids
A Tennessee doctor who lost five patients to fatal overdoses in 10 months now faces up to 20 years in prison and a $1 million fine (Source: ABC News: Health)
Source: ABC News: Health - December 3, 2019 Category: Consumer Health News Tags: Health Source Type: news

Opioid overdose risk is high after medical treatment ends, study finds
(Columbia University Irving Medical Center) People with opioid addiction face a high risk of overdose after ending treatment, even when treated for 18 months, a Columbia study has found. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - December 2, 2019 Category: International Medicine & Public Health Source Type: news

Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence
Source: National Academies Press (NAP). Published: 12/2019. This 230-page report develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain to help meet the challenge of the opioid overdose epidemic. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 1, 2019 Category: International Medicine & Public Health Source Type: news

The fentanyl epidemic in Estonia: opportunities for a comprehensive public health response - Uusk üla A, Jarlais DD, Vorobjov S.
Jo Kimber and colleagues have announced a public health crisis in response to the record number of drug-related overdoses in Scotland, England, and Wales. Illicitly manufactured fentanyl emerged in Estonia in 2003, and, within a year, replaced heroin a... (Source: SafetyLit)
Source: SafetyLit - November 30, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Comparing the predictive capability of self-report and medically-verified non-fatal overdose in adults released from prison: a prospective data linkage study - Keen C, Kinner SA, Borschmann R, Young JT.
BACKGROUND: Self-reported non-fatal overdose (NFOD) is a predictor of future overdose and is often used to target overdose prevention for people released from prison. However, the level of agreement between self-reported and medically-verified NFOD history... (Source: SafetyLit)
Source: SafetyLit - November 30, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Trends of intentional drug overdose among youth: a population-based cohort study - Gilley M, Sivilotti MLA, Juurlink DN, Macdonald E, Yao Z, Finkelstein Y.
Background: Intentional overdose is the commonest form of self-harm in adolescents globally. We explored temporal trends in intentional overdose among youth.Methods: Using multiple linked healthcare databases, we conducted a population-based ... (Source: SafetyLit)
Source: SafetyLit - November 28, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Non-fatal drug overdose after release from prison: a prospective data linkage study - Keen C, Young JT, Borschmann R, Kinner SA.
BACKGROUND: Adults released from prison are at increased risk of poor health outcomes and preventable mortality, including from overdose. Non-fatal overdose (NFOD) is a strong predictor of future overdose and associated with considerable morbidity. This st... (Source: SafetyLit)
Source: SafetyLit - November 28, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Avoid benzodiazepines in people treated for opioid dependence
Combination linked to a greater risk of overdose death than for those using opioid agonist treatment alone Related items fromOnMedica Health-focused line on drugs misuse would save lives and money GPs need more time to treat complex needs Fund specialist dementia training to improve care and save money Clinicians need better options if we are to stop over-medication Experts urge radical action on mental health crises (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 26, 2019 Category: UK Health Source Type: news

US Life Expectancy Down, Deaths Among Young Largely to Blame US Life Expectancy Down, Deaths Among Young Largely to Blame
Deaths among young and middle-aged adults are responsible for the decrease; many deaths resulted from drug overdoses, suicides, and organ system diseases.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 26, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Europe and UK are spiralling towards a drugs overdose epidemic, study warns
Experts say the influx of the opiate, as well as a surge in the number of copycat drugs like fentanyl, could trigger an explosion in the number of overdoses across Europe. (Source: the Mail online | Health)
Source: the Mail online | Health - November 26, 2019 Category: Consumer Health News Source Type: news

Doctors should avoid co-prescribing benzodiazepines to opioid dependent patients due to increase in overdose death
Doctors should avoid co-prescribing benzodiazepines to opioid dependent patients who are being treated with methadone or buprenorphine, also known as opioid agonist treatment (OAT), due to a three-fold increase in risk of overdose death, according to a study led by researchers at the University of Bristol. (Source: University of Bristol news)
Source: University of Bristol news - November 26, 2019 Category: Universities & Medical Training Tags: Health, International, Research; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences, Faculty of Health Sciences, Bristol Medical School; Press Release Source Type: news

US life expectancy is still on the decline. Here's why
Life expectancy at birth -- the average length of time that you are expected to live -- continues to drop for Americans, a new study finds. Drug overdoses, suicides, alcohol-related illnesses and obesity are largely to blame. (Source: CNN.com - Health)
Source: CNN.com - Health - November 26, 2019 Category: Consumer Health News Source Type: news

Overdose, suicide rates fuel life expectancy drops for working age Americans
An analysis of U.S. life expectancy finds risk for death among adults under age 65 is increasing due to opioid drug overdose and suicide, among other causes -- which experts point out is not happening in other countries. (Source: Health News - UPI.com)
Source: Health News - UPI.com - November 26, 2019 Category: Consumer Health News Source Type: news

Suicides and overdoses among factors fueling drop in U.S. life expectancy
New health data confirm a 3-year drop in Americans' life expectancy, bucking a trend of rising longevity in other wealthy nations. (Source: L.A. Times - Health)
Source: L.A. Times - Health - November 26, 2019 Category: Consumer Health News Authors: Melissa Healy Source Type: news

Suicides and overdoses among factors fueling drop in U.S. life expectancy
New health data confirm a 3-year drop in Americans' life expectancy, bucking a trend of rising longevity in other wealthy nations. (Source: Los Angeles Times - Science)
Source: Los Angeles Times - Science - November 26, 2019 Category: Science Authors: Melissa Healy Source Type: news

People who qualify for Medicare due to disability account for most opioid-related deaths
(University of Texas Medical Branch at Galveston) New findings from The University of Texas Medical Branch at Galveston found that Medicare beneficiaries who qualify because of a disability are a growing group of patients hospitalized for opioid or heroin overdose and account for 25 percent of deaths from prescription opioid overdose each year. Previous research shows that not many of these patients make use of opioid treatment programs. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - November 26, 2019 Category: International Medicine & Public Health Source Type: news

FDA Rejects High-Dose Naloxone Shot for Opioid Overdose FDA Rejects High-Dose Naloxone Shot for Opioid Overdose
The FDA has nixed approval of a new drug application for Adamis Pharmaceuticals'high-dose naloxone injection for the treatment of opioid overdose, citing a need for more data.Medscape Medical News (Source: Medscape Psychiatry Headlines)
Source: Medscape Psychiatry Headlines - November 25, 2019 Category: Psychiatry Tags: Psychiatry News Source Type: news

Opioid Monitoring Moving Crisis to Black Market Opioid Monitoring Moving Crisis to Black Market
Since prescription monitoring became mandatory in many states, overdose deaths have paradoxically increased as patients find new sources for illicit drugs before they undergo treatment for addiction.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 25, 2019 Category: Consumer Health News Tags: Emergency Medicine News Source Type: news

Adamis shares slump as FDA declines to approve opioid overdose treatment
Adamis Pharmaceuticals Corp said on Monday the U.S. Food and Drug Administration declined to approve its opioid overdose treatment, Zimhi, sending its shares plunging 56%. (Source: Reuters: Health)
Source: Reuters: Health - November 25, 2019 Category: Consumer Health News Tags: healthNews Source Type: news

People, places, and stigma: a qualitative study exploring the overdose risk environment in rural Kentucky - Fadanelli M, Cloud DH, Ibragimov U, Ballard AM, Prood N, Young AM, Cooper HLF.
BACKGROUND: Though overdose rates have been increasing in US rural areas for two decades, little is known about the rural risk environment for overdoses. This qualitative study explored the risk environment for overdoses among young adults in Eastern Kentu... (Source: SafetyLit)
Source: SafetyLit - November 25, 2019 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Incidence and predictors of drug overdoses among a cohort of >10,000 patients treated for substance use disorder - Thylstrup B, Seid AK, Tjagvad C, Hesse M.
This study assessed the incidence and predictors of non-fatal and fatal drug overdoses among patients with an opioid use, treated for drug use disorders (DUD) at pub... (Source: SafetyLit)
Source: SafetyLit - November 25, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

The role of mathematical modelling in aiding public health policy decision-making: a case study of the BC opioid overdose emergency - Irvine MA, McGowan R, Hammond K, Davison C, Coombs D, Gilbert M.
The province of British Columbia is currently experiencing the highest rate of apparent opioid-related deaths within Canada. This dramatic increase in overdose deaths has been primarily driven by the increase of fentanyl and fentanyl-analogues within the u... (Source: SafetyLit)
Source: SafetyLit - November 25, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Trudeau appears open to safe opioid supply proposal in Vancouver, mayor says
Vancouver Mayor Kennedy Stewart said Prime Minister Justin Trudeau appeared open to a proposal from the municipality to provide millions in funding for a safe supply of opioids to reduce overdose deaths. (Source: CBC | Health)
Source: CBC | Health - November 21, 2019 Category: Consumer Health News Tags: News/Canada/British Columbia Source Type: news

Neighborhood matters for fentanyl-involved overdose deaths
(Columbia University's Mailman School of Public Health) Fentanyl overdoses cluster geographically more than non-fentanyl overdoses, according to a Columbia study, and are concentrated in resource deprived neighborhoods over and above what data show for opioid and polydrug overdoses. This is one of few studies to examine the local geographic distribution of drug overdoses and associated neighborhood-level risk factors. The researchers examined geographic trends in the distribution of fentanyl-involved overdose deaths in Cook County, Ill, the second most populous county in the US. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 21, 2019 Category: International Medicine & Public Health Source Type: news

Differences in incidence and risks of suicide attempt and suicidal drug overdose between patients with epilepsy with and without comorbid depression - Lin CY, Harnod T, Lin CL, Shen WC, Kao CH.
Objective: To determine the differences in the incidences and risks of suicide attempt (SA) and suicidal drug overdose (SDO) between patients with epilepsy with and without comorbid depression by using data from Taiwan's National Health Insurance Re... (Source: SafetyLit)
Source: SafetyLit - November 19, 2019 Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news

These are the Colorado pharmacies that received the most opioids from suppliers
Rates of opioid-related deaths in Colorado are climbing. There were 578 overdose deaths in 2017, the most recent year that has data available, according to the National Institute on Drug Abuse. Ten years prior, that number was closer to 400. While Colorado has a rate of 10 deaths per 100,000 persons, lower than the national rate of 14.6 deaths per 100 ,000 persons, deaths related to heroin, synthetic opioids and prescription opioids are all on the rise in the state. In 2017 there were 300 deaths… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 19, 2019 Category: Pharmaceuticals Authors: Jensen Werley Source Type: news

Future of Evidence-Based Guidelines in EMS (Emergency Medical Services): Revising the EMS Education Standards
Source: National Highway Traffic Safety Administration, Office of Emergency Medical Services (EMS). Published: 11/19/2019. This 54-minute webinar features leaders involved in efforts to create pre-hospital evidence-based guidelines (EBG) and model protocols for the emergency medical services (EMS) administration of naloxone. Speakers' topics are Management of Suspected Opioid Overdose With Naloxone by EMS Personnel: A Systematic Review; The Naloxone Evidence-Based Guideline; and Facilitating EMS Evidence-Based Guideline Projects: A Pathway to the Future. (Video or Multimedia) (Source: Disaster Lit: Resource Guide for Disa...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - November 19, 2019 Category: International Medicine & Public Health Source Type: news

Racial differences in overdose events and polydrug detection in Indianapolis, Indiana - Ray B, Lowder E, Bailey K, Huynh P, Benton R, Watson D.
BACKGROUND: We examine racial disparities in drug overdose death rates by analyzing trends in fatal and nonfatal overdose outcomes in a large metropolitan area (Indianapolis, Indiana). METHODS: Death certificate and toxicology records for accidenta... (Source: SafetyLit)
Source: SafetyLit - November 19, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Oregon launches initiative to help equip workplaces with overdose drug
The Oregon Health Authority on Monday announced the launch of Reverse Overdose Oregon, which connects employers to training and tools to recognize when someone is overdosing on opioids and to administer naloxone, an overdose reversal medication. “Most workplaces are already equipped with fire extinguishers and AEDs,” said OHA Chief Medical Director Dr. Dana Hargunani. “We hope this pilot project will inspire more employers to build life-saving naloxone into the way they prepare for emergencies… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 18, 2019 Category: Pharmaceuticals Authors: Elizabeth Hayes Source Type: news

Oregon launches initiative to help equip workplaces with overdose drug
The Oregon Health Authority on Monday announced the launch of Reverse Overdose Oregon, which connects employers to training and tools to recognize when someone is overdosing on opioids and to administer naloxone, an overdose reversal medication. “Most workplaces are already equipped with fire extinguishers and AEDs,” said OHA Chief Medical Director Dr. Dana Hargunani. “We hope this pilot project will inspire more employers to build life-saving naloxone into the way they prepare for emergencies… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 18, 2019 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Opioid epidemic in the United States: empirical trends, and a literature review of social determinants and epidemiological, pain management, and treatment patterns - Singh GK, Kim IE, Girmay M, Perry C, Daus GP, Vedamuthu IP, De Los Reyes AA, Ramey CT, Martin EK, Allender M.
OBJECTIVES: Dramatic increases in opioid and drug overdose mortality have occurred in the United States (US) over the past two decades. To address this national public health crisis and identify gaps in the literature, we analyzed recent empirical trends i... (Source: SafetyLit)
Source: SafetyLit - November 18, 2019 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news