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Philadelphia’s Hidden Crisis

Polysubstance Use is Driving Overdose Deaths

Bibliographic Data

ID21645198
AuthorsKevan Shah (0009-0004-4876-2044, Cooper Medical School of Rowan University, corresponding author), Suhanee Mitragotri (0009-0007-7316-6879, Harvard College, Harvard University)
Year2025
Volume60
Issue10
Pages1569-1570
Publication date2025-08-24
Open AccessYes
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2506140
PMID40380821
OpenAlexW4410455468
LanguageEN
References cited1

This commentary analyzes findings from recent research revealing Philadelphia's overdose crisis as a complex polysubstance epidemic with significant racial disparities. Nearly two-thirds of overdose deaths in Philadelphia involved multiple substances, with non-Hispanic Black residents disproportionately affected by non-opioid and polysubstance overdoses compared to white residents. The piece examines the troubling connection between prescription medications and overdose deaths, with over one-third of decedents having filled prescriptions for controlled substances in the year before death. Based on these findings, the commentary proposes several public health strategies including expanded harm reduction resources, enhanced prescription monitoring, and wastewater surveillance to address the multifaceted nature of Philadelphia's overdose epidemic

Drug overdose · Environmental health · Medical emergency · Poison control · Polysubstance dependence · Psychiatry · Substance abuse · Suicide prevention · Alcohol Consumption and Health Effects · Medicine · Psychology · Substance Abuse Treatment and Outcomes

  • Demographic Characteristics and Prescription Drug Histories of Unintentional Overdose Decedents in Philadelphia, PA

    Jewell C L Johnson, Dana C Higgins et al.•Substance Use & Misuse•2025

Highly citedNo

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