4.3 Article

Virtual overdose monitoring services and overdose prevention technologies: Opportunities, limitations, and future directions

Journal

INTERNATIONAL JOURNAL OF DRUG POLICY
Volume 119, Issue -, Pages -

Publisher

ELSEVIER
DOI: 10.1016/j.drugpo.2023.104121

Keywords

Virtual overdose monitoring; Overdose; Opioids; Harm reduction; Public health

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Overdose mortality rates are increasing globally, particularly among individuals who use drugs alone. Current harm reduction strategies have limitations, leading to the emergence of virtual overdose monitoring services and overdose detection technologies as potential solutions to improve access to harm reduction services. This article discusses the limitations of current harm reduction services, the opportunities and challenges of these technologies, and suggests further research and policy development.
Overdose mortality has continued to rise in North America and across the globe in people who use drugs. Current harm reduction strategies such as supervised consumption sites and naloxone kit distribution have been important public health strategies implemented to decrease the harms associated with illicit drug use however have key limitations which prevent their scalability. This is represented in statistics which indicate that the vast majority of overdose mortality occur in individuals who use drugs by themselves. To address this, virtual overdose monitoring services and overdose detection technologies have emerged as an adjunct solution that may help improve access to harm reduction services for those that cannot or choose not to access current in-person services. This article outlines the current limitations of harm reduction services, the opportunities, challenges, and controversies of these technologies and services, and suggests avenues for additional research and policy development.

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