Moving away from piecemeal trends: The need for multiple data sources in drug use trend analyses

Palamar, Joseph J.

doi:10.1111/dar.13263

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Although not captured in the review period, surveillance models for NPS use can also include a range of internet sources, such as social media activity, online drug markets, and drug discussion forums, which have been shown to assist in early and real-time identification of NPS [43,44]. Finally, given the limitations associated with individual indicators of drug use, availability, and associated harms, the harmonization of multiple data sources can help present a more complete picture of both prospective and retrospective NPS trends [45]. Drug monitoring systems such as the National Drug Early Warning System in the United States [46] and the EMCDDA [6] provide examples of how multiple indicators can be incorporated to monitor new and emerging drug trends to better inform public health responses.…”

Section: Discussionmentioning

confidence: 99%

Public health surveillance of new psychoactive substances: recent developments

Fitzgerald,

Cottler,

Palamar

2024

Current Opinion in Psychiatry

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Purpose of review New psychoactive substances (NPS) continue to emerge globally and present a threat to public health. This article summarizes the most recent literature on approaches for monitoring NPS use and adverse events related to use. Recent findings A variety of approaches have recently been employed for surveillance of NPS use and associated harms, including the use of toxicology testing of patients in emergency departments, surveys of sentinel populations, drug checking and syringe services programs, wastewater-based epidemiology, and retrospective analyses of clinical samples and toxicology reports. These studies cover a range of time periods and NPS examined across numerous countries. Summary Areas of particular interest for future research include the use of data from drug checking services to inform surveillance efforts of the illicit drug supply and the development of methods for wastewater-based monitoring of NPS. Studies that combine self-report data with toxicology testing in particular are important for capturing unintentional or unknown exposure to NPS including fentanyls and drugs like xylazine. Given the limitations associated with individual indicators of drug use and associated harms, the harmonization of multiple data sources can help present a more complete picture of both trends involving NPS to better inform public health responses.

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Section: Discussionmentioning

confidence: 99%

Public health surveillance of new psychoactive substances: recent developments

Fitzgerald,

Cottler,

Palamar

2024

Current Opinion in Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Intentional triangulation of multiple surveillance systems is critical for monitoring the evolving opioid and drug crisis. 33 , 34 , 35 The city of Tempe, Arizona, a potential model, monitors multiple opioid types and other biomarkers and makes results publicly available on a weekly basis at subcity geographic resolution. 36…”

Section: Discussionmentioning

confidence: 99%