       Document 0431
 DOCN  M9550431
 TI    Opiates: are there under-utilized and unexplored areas of prevention?
 DT    9505
 AU    Strang J; National Addiction Centre, London, UK.
 SO    Addiction. 1994 Nov;89(11):1511-6. Unique Identifier : AIDSLINE
       MED/95144016
 AB    This paper explores the varied and potentially conflicting goals of
       preventive measures as applied to opiate use. These goals relate both to
       the overall extent of opiate use and the amount of harm arising from
       this drug use. Prevention involves the control both of the supply side
       and the demand for opiates. Particular targets may include sharing
       equipment, injecting, progression to more harmful routes of
       administration, prevention of development of dependence, harmful
       sequelae of opiate use and co-morbidity. There may be a place for
       manipulating the black market for opiates to channel users in directions
       that achieve particular prevention goals, and being more selective about
       targeting particular groups of users at particular times. It is the role
       of scientists to quantify the dimensions of harm and the likely impact
       on these dimensions of particular interventions. It is then up to
       elected representatives to determine the priorities.
 DE    Comorbidity  Drug and Narcotic Control/*LEGISLATION & JURISPRUD  Great
       Britain  Health Priorities/LEGISLATION & JURISPRUD  Human  HIV
       Infections/PREVENTION & CONTROL/TRANSMISSION  Narcotic
       Dependence/*PREVENTION & CONTROL/REHABILITATION  Narcotics/ADVERSE
       EFFECTS/*SUPPLY & DISTRIBUTION  Risk Factors  Substance Abuse,
       Intravenous/*PREVENTION & CONTROL/REHABILITATION  JOURNAL ARTICLE
       REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

