Accompanying China’s economic reform and open-door policy in 1978, illicit drug use emerged in the late 1980s, and gradually developed into a serious social problem. Heroin was the dominant illicit drug consumed in the new drug epidemic, and the number of female heroin users has increased rapidly in the country. While heroin use in China is soaring, little is known about women’s heroin use in the context of China’s rapidly changing society. Using intensive interviews with 131 female heroin users, this book explores the careers of female heroin users in China under changing social contexts in the reform era. It investigates the impacts of sociological and individual factors on women’s heroin use in each developing stage of their drug use careers. It also examines the social consequences of women’s heroin use by looking at connections between women’s heroin use and criminality, and the change in women’s social relations after heroin use. Lastly, the book analyzes and ascertains the impact of current narcotics control policies on women’s drug use careers. This groundbreaking book has important policy implications for both China and the international society in the context of increasing global concern about women’s substance abuse.

Addiction to illicit drugs is a pressing social concern across greater China, where there are likely several million drug addicts at present. This research breaks new ground by examining Chinese people’s stories of drug addiction. Chinese Stories of Drug Addiction systematically evaluates how drug addiction is represented and constructed in a series of contemporary life stories and filmic stories from mainland China, Taiwan and Hong Kong. These stories recount experiences leading up to and during drug addiction, as well as experiences during drug rehabilitation and recovery. Through analysis of these contemporary life stories and filmic stories, the book presents a comprehensive picture of how Chinese people from both inside the experience of drug addiction and outside of it make sense of a social practice that is deemed to be highly transgressive in Chinese culture. It employs a blended discourse analytic and narrative analytic approach to show how salient cultural, political and institutional discourses shape these Chinese stories and experiences. Complementing existing humanities research which documents the historical narrative of drug addiction in China at the expense of the contemporary narrative, the book also provides health and allied professionals with a rich insight into how Chinese people from different geographical locations and walks of life make sense of the experience of drug addiction. Moving beyond historical narrative to examine contemporary stories, Chinese Stories of Drug Addiction offers a valuable contribution to the fields of Chinese studies and personal health and wellbeing, as well as being of practical use to health professionals.

Heroin first reached Gejiu, a Chinese city in southern Yunnan known as Tin Capital, in the 1980s. Widespread use of the drug, which for a short period became “easier to buy than vegetables,” coincided with radical changes in the local economy caused by the marketization of the mining industry. More than two decades later, both the heroin epidemic and the mining boom are often discussed as recent history. Middle-aged long-term heroin users, however, complain that they feel stuck in an earlier moment of the country’s rapid reforms, navigating a world that no longer resembles either the tightly knit Maoist work units of their childhood or the disorienting but opportunity-filled chaos of their early careers. Overcoming addiction in Gejiu has become inseparable from broader attempts to reimagine laboring lives in a rapidly shifting social world. Drawing on more than eighteen months of fieldwork, Nicholas Bartlett explores how individuals’ varying experiences of recovery highlight shared challenges of inhabiting China’s contested present.

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

The 2019 World Drug Report will include an updated overview of recent trends on production, trafficking and consumption of key illicit drugs. The Report contains a global overview of the baseline data and estimates on drug demand and supply and provides the reference point for information on the drug situation worldwide.

To this day, the perception persists that China was a civilization defeated by imperialist Britain's most desirable trade commodity, opium—a drug that turned the Chinese into cadaverous addicts in the iron grip of dependence. Britain, in an effort to reverse the damage caused by opium addiction, launched its own version of the "war on drugs," which lasted roughly sixty years, from 1880 to World War II and the beginning of Chinese communism. But, as Narcotic Culture brilliantly shows, the real scandal in Chinese history was not the expansion of the drug trade by Britain in the early nineteenth century, but rather the failure of the British to grasp the consequences of prohibition. In a stunning historical reversal, Frank Dikötter, Lars Laamann, and Zhou Xun tell this different story of the relationship between opium and the Chinese. They reveal that opium actually had few harmful effects on either health or longevity; in fact, it was prepared and appreciated in highly complex rituals with inbuilt constraints preventing excessive use. Opium was even used as a medicinal panacea in China before the availability of aspirin and penicillin. But as a result of the British effort to eradicate opium, the Chinese turned from the relatively benign use of that drug to heroin, morphine, cocaine, and countless other psychoactive substances. Narcotic Culture provides abundant evidence that the transition from a tolerated opium culture to a system of prohibition produced a "cure" that was far worse than the disease. Delving into a history of drugs and their abuses, Narcotic Culture is part revisionist history of imperial and twentieth-century Britain and part sobering portrait of the dangers of prohibition.

The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

In the context of global efforts to control the production, distribution and use of narcotic drugs, China's treatment of the problem provides an important means of understanding the social, political, and economic limits of national and international policies to regulate drug practices. In the nineteenth and early twentieth centuries, China was known for its national addiction to opium, but its drug-eradication campaigns from the 1950s to the 1970s achieved unprecedented success that ultimately transformed China into a "drug-free" society. However, since the economic reforms and open-door policy of the late twentieth century, China is now facing a re-emergence of the production, use and trafficking of narcotic drugs. Employing case studies and a comparative historical approach, and drawing on a variety of data sources including historical records, official crime data only recently made available, and news reports, this book is the first English-language publication to provide such a comprehensive documentation and analysis of the nature of China's legal regulation of controlled substances. The authors also offer theoretical approaches for studying drug regulation, aspects of drug consumption cultures, the socio-political treatment of drugs during various historical periods and ongoing efforts to legislate drug trade, criminalize drug use and manage the drug addict population within national and international contexts.