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. 1982 Nov;72(11):1251–1256. doi: 10.2105/ajph.72.11.1251

Recent trends in fatal poisoning by opiates in the United States.

J S Samkoff, S P Baker
PMCID: PMC1650412  PMID: 7125028

Abstract

Deaths in the United States classified as unintentional poisoning by drugs and medicaments fell from 14.7 per million population in 1975 to 8.8 in 1978, a 40 per cent decrease. Seventy-three per cent of this drop attributable to a reduction in deaths coded to opiates and intravenous narcotism. These two categories accounted for 38 per cent of all unintentional drug deaths in 1975 but only 15 per cent in 1978. There was no simultaneous increase in other drug-related deaths, including suicides, to account for the reduction in deaths coded to opiates. The highest mortality rates and the greatest variation in mortality during 1970-78 occurred in 20-29 year old non-White males. Racial and sex differences in opiate poisoning mortality, notable early in the decade, were greatly reduced by 1978 due to a relatively larger decline in mortality of males and non-Whites. Time trends in mortality from opiate poisoning appear to coincide with variations in the amount of heroin smuggled into the country.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander M. Surveillance of heroin-related deaths in Atlanta, 1971 to 1973. JAMA. 1974 Aug 5;229(6):677–678. [PubMed] [Google Scholar]
  2. Alexander M. Surveillance of heroin-related deaths in Atlanta, 1971 to 1973. JAMA. 1974 Aug 5;229(6):677–678. [PubMed] [Google Scholar]
  3. Baker S. P. Childhood injuries: the community approach to prevention. J Public Health Policy. 1981 Sep;2(3):235–246. [PubMed] [Google Scholar]
  4. Cherubin C., McCusker J., Baden M., Kavaler F., Amsel Z. Epidemiology of death in narcotic addicts. Am J Epidemiol. 1972 Jul;96(1):11–22. doi: 10.1093/oxfordjournals.aje.a121428. [DOI] [PubMed] [Google Scholar]
  5. Greene M. H., Luke J. L., Dupont R. L. Opiate "overdose" deaths in the District of Columbia. I. Heroin-related fatalities. Med Ann Dist Columbia. 1974 Apr;43(4):175–181. [PubMed] [Google Scholar]
  6. Greene M. H., Nightingale S. L., DuPont R. L. Evolving patterns of drug abuse. Ann Intern Med. 1975 Sep;83(3):402–411. doi: 10.7326/0003-4819-83-3-402. [DOI] [PubMed] [Google Scholar]
  7. Hewitt D., Milner J. Drug-related deaths in the United States--first decade of an epidemic. Health Serv Rep. 1974 May-Jun;89(3):211–218. [PMC free article] [PubMed] [Google Scholar]
  8. Marr J. S., Cherubin C. E., Sapira J. Medical indices of narcotics addiction. Rise and fall in New York City, 1963-1977. N Y State J Med. 1979 Apr;79(5):727–730. [PubMed] [Google Scholar]
  9. McGuire F. L., Birch H., Gottschalk L. A., Heiser J. F., Dinovo E. C. A comparison of suicide and non-suicide deaths involving psychotropic drugs in four major U.S. cities. Am J Public Health. 1976 Nov;66(11):1058–1061. doi: 10.2105/ajph.66.11.1058. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Wetli C. V., Davis J. H., Blackbourne B. D. Narcotic addiction in Dade County, Florida. An analysis of 100 consecutive autopsies. Arch Pathol. 1972 Apr;93(4):330–343. [PubMed] [Google Scholar]
  11. Wilson E. F., Fisher R. S. Death from narcotics use. Baltimore city, 1963 through 1968. Md State Med J. 1969 Oct;18(10):49–52. [PubMed] [Google Scholar]
  12. Zimney E. L., Luke J. L. Narcotic-related deaths in the District of Columbia: 1971-1979. J Forensic Sci. 1981 Jul;26(3):462–469. [PubMed] [Google Scholar]

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