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Tracking the cocaine epidemic: the drug abuse warning network

Article Abstract:

Accurate data are essential to policy making in the field of drug abuse. Not surprisingly, there are flaws in existing databases, reflecting the difficulty of gathering information on illegal activity in widely divergent groups. The annual National Household Survey indicated that casual use of cocaine peaked in 1986, while the High School Senior Survey placed peak use among this group in 1989. The Drug Abuse Warning Network (DAWN) provides information about trends in drug-related deaths in communities with high levels of drug abuse. Mortality data are an incomplete measure and provide little information about drug-related illness and the social consequences of drug abuse, such as crime, drug-exposed newborns and accidents. Other measures include Drug Use Forecasting, which collects data on drug use among arrestees, studies of drug use among high school dropouts, and the Community Epidemiology Working Group, which identifies new drug problems. In spite of data collection problems, DAWN accurately traced cocaine use prior to 1975. Even so, public officials still failed to understand the scope of the problem, concentrating on heroin and marijuana until the mid-1980s. To avoid further mistakes, data sources must be improved, and policy makers will have to learn to use them appropriately. (Consumer Summary produced by Reliance Medical Information, Inc.)

Author: Kleber, Herbert D.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1991
Editorial, Usage, Evaluation, Demographic aspects, Surveys, Cocaine abuse, Databases, Drug Abuse Warning Network

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Anesthesia-assisted vs buprenorphine- or clonidine-assisted heroin detoxification and naltrexone induction

Article Abstract:

A study is conducted to determine how anesthesia-assisted detoxification with rapid antagonist induction for heroin dependence is compared with 2 alternative detoxification and antagonist induction methods. The data do not support the use of general anesthesia for heroin detoxification and rapid opioid antagonist induction.

Author: Kleber, Herbert D., Collins, Eric D., Whittington, Robert A., Heitler, Nicole E.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2005
United States, Care and treatment, Heroin habit, Detoxification (Substance abuse treatment)

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Anesthesia-assisted vs buprenorphine- or clonidine-assisted heroin detoxification and naltrexone induction

Article Abstract:

A study is conducted to determine how anesthesia-assisted detoxification with rapid antagonist induction for heroin dependence is compared with 2 alternative detoxification and antagonist induction methods. The data do not support the use of general anesthesia for heroin detoxification and rapid opioid antagonist induction.

Author: Kleber, Herbert D., Collins, Eric D., Whittington, Robert A., Heitler, Nicole E.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2005
Anesthesia, Buprenorphine, Detoxification therapy (Alternative medicine)

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