Lancet Report on opioid use

In 2010, opioid use and dependence made the largest contribution to morbidity and mortality from illicit drug use,1 contributing to premature death from drug overdose and suicide, and in those who inject these drugs, infection with HIV and other blood-borne viruses. Dependence also produced considerable disability.1 Afghanistan has a tradition of opium smoking, and has long been a major source of illegal opiates for eastern and western Europe.2, 3 In the past decade, Afghans have also reportedly begun to inject heroin and use pharmaceutical opioids.4 These developments have been attributed to increased heroin availability, civil disruption from insurgency, and the crowding of displaced Afghans into urban areas where heroin and pharmaceutical opioids are readily available.5
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