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Preparing for a third wave

Europe Faces a Looming Opioid Crisis: Lessons for America

Europe, despite its proximity to the epicenter of the global opioid crisis, has so far avoided the devastating death toll seen in the United States. While America grapples with a synthetic opioid epidemic ten times deadlier than its European counterpart, the continent now faces a somber portent: a potential third wave of deadly opioid misuse fueled by synthetic substitutes.

Two Waves, and a Third on the Horizon

Experts believe Europe’s history with opioids can be painted in two distinct waves: first, the rise and fall of heroin use, and then a period dominated by its synthetic substitutes. Now, alarms bells are ringing, signaling a possible third wave driven by super-potent synthetic opioids.

A Continent Prepared?

While Europe isn’t immune to the dangers posed by these new synthetic drugs, its social safety net and public health infrastructure may offer some protection.

"Europe was quicker to adopt opioid agonist therapy (using methadone, buprenorphine, and—less frequently—heroin/diamorphine itself to treat opioid use disorders)," the report notes.

This proactive approach, along with widespread harm reduction strategies like overdose prevention centers and drug checking programs, contrasts starkly with the more punitive drug policies prevalent in the United States. The result? Lower rates of drug-related deaths and a different approach to tackling addiction.

What Can America Learn?

The mounting threat of synthetic opioids in Europe presents a harsh reminder that the opioid crisis is a transatlantic problem. However, it also offers a unique opportunity for America to learn from Europe’s experience before the crisis fully takes hold.

The report urges a shift in focus:

  • Prioritize Medical Treatment: Expand access to opioid agonist therapy, a proven method for combating opioid dependence.

  • Invest in Prevention and Harm Reduction: Go beyond enforcement and support public health initiatives that focus on preventing addiction and reducing harm.

Address Root Causes_: Focus on the social determinants of health, such as poverty and homelessness, which often underlie substance abuse.

By embracing a more holistic and compassionate approach, the United States can avoid repeating the tragic mistakes of the past and build a future where addiction is treated as a health issue, not a criminal one.

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The Third Wave: A Call to Action

While Europe may be entering a new chapter in the opioid crisis, it’s not too late to change course.

By learning from Europe’s successes and adapting its strategies, America can

con

front the looming threat of synthetic opioids and safeguard the well-being of its citizens. The time for action is now.

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