TY - CHAP M1 - Book, Section TI - Injection Drug Users A1 - Grosheider, Thomas A1 - Shepherd, Suzanne M. A2 - Tintinalli, Judith E. A2 - Stapczynski, J. Stephan A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Cline, David M. Y1 - 2016 N1 - T2 - Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e AB - Illicit drug use is a major health issue globally. It is estimated that in 2011 between 167 and 315 million people worldwide used illicit substances.1 In 2012, an estimated 23.9 million Americans ≥12 years of age used an illicit drug within the previous month, and of these, 669,000 used heroin, nearly triple the prevalence in 2008.2 Between 2006 and 2011, heroin-related ED visits increased from 189,780 to 258,482, with the majority of visits made by men (69%) and patients age 35 to 44 years.2 More recently, ED visits due to severe overdoses have been precipitated by drug distributor substitution of the synthetic opiate fentanyl for heroin as a "super high."3 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1121519606 ER -