ResearchPublications

Correspondence.

Based on experiences in Estonia, we would recommend large-scale implementation of evidence-based programmes in areas with high fentanyl use, including distribution of naloxone to reverse opioid overdoses; syringe service programmes to provide for safer injecting and linkage to other services since over half of people who report injecting mainly fentanyl have HIV; opiate substitution treatment, with minimal restrictions on patients so they might be integrated into community life; and community programmes such as Break the Cycle to reduce initiation into injecting drug use.