The Triple Wave Epidemic: Opioid Pills, Heroin and Fentanyl
Course description
The U.S. is currently experiencing a historic and continuously expanding 20+ year drug overdose problem. In this presentation, Dan Ciccarone, MD, MPH, will describe the triple wave of opioid overdoses stemming from the expanding population use of opioid pills, heroin and synthetic opioids, including fentanyls. He will also discuss the epidemiology and geography of the overdose phenomenon, along with the supply and demand drivers of opioid use. And finally, he will touch upon new phenomena, including COVID-19’s impact on the opioid epidemic, the expansion of fentanyls into new geographic areas, as well as co-use of fentanyls and methamphetamine (aka the “fourth wave”).
Learning objectives
At the conclusion of this learning activity, participants will be able to:
- Summarize national data on opioid, heroin and fentanyl overdose
- Discuss the supply and demand forces behind the triple wave
- Identify the impact COVID-19 has had on the opioid epidemic
- Describe the issues related to the increase in use of fentanyl in combination with other substances
Target audience
Physician and clinician policyholders
Disclosure
There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of this activity.
CME information
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Illinois Nurse Practice Act rules deem CME credit provided by approved sponsors as acceptable to fulfill nursing continuing education requirements for licensure. Nurses may claim one contact hour per unit of CME in the state of Illinois.
Additional information
The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and healthcare providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.
Daniel Ciccarone, MD
Justine Miner Professor in Addiction Medicine in the department of Family and Community Medicine at UCSF
Dr. Dan Ciccarone is the Justine Miner Professor in Addiction Medicine in the department of Family and Community Medicine at UCSF. He has been principal or co-investigator on numerous NIH sponsored public health research projects including his current Synthetics in Combination (SYNC) study. He is a recognized international scholar on the medical, public health and public policy dimensions of substance use, risks and consequences. He is Associate Editor for the International Journal of Drug Policy and recently edited an IJDP special issue on the “triple wave crisis” of opioids, heroin and fentanyl in the US. He consults for numerous private and public entities including the ONDCP, CDC and FDA.
Available Credit
- 1.00 AMA PRA Category 1 Credits™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Discount Credit
- 1.00 Participation Credit
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