Today's fentanyl crisis: Prohibition's Iron Law, revisited
Today's fentanyl crisis: Prohibition's Iron Law, revisited
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DOI：
10.1016/j.drugpo.2017.05.050
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发表时间：
2017-08-01
影响因子：
4.4
通讯作者：
Davis, Corey S.
中科院分区：
文献类型：
--
作者：
Beletsky, Leo;Davis, Corey S.
十多年来，美国的阿片类药物危机已经从处方药驱动转变为由海洛因和越来越多的芬太尼推动的危机。借鉴全国禁酒时代的历史教训，突出了供应方干预对非法药物市场动态的意外但可预测的影响。根据《禁止铁律》，中断和禁止非法药物供应的努力产生了经济和后勤压力，有利于更紧凑的替代品。只有通过以证据为基础的减少危害和减少需求政策，承认健康的结构性决定因素，才能遏制这种向日益强效的非法药物发展的医源性进展。(C)2017爱思唯尔B.V.保留所有权利。
More than a decade in the making, America's opioid crisis has morphed from being driven by prescription drugs to one fuelled by heroin and, increasingly, fentanyl. Drawing on historical lessons of the era of National Alcohol Prohibition highlights the unintended, but predictable impact of supply-side interventions on the dynamics of illicit drug markets. Under the Iron Law of Prohibition, efforts to interrupt and suppress the illicit drug supply produce economic and logistical pressures favouring evermore compact substitutes. This, iatrogenic progression towards increasingly potent illicit drugs can be curtailed only through evidence-based harm reduction and demand reduction policies that acknowledge the structural determinants of health. (C) 2017 Elsevier B.V. All rights reserved.