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Current Addiction Reports

, Volume 5, Issue 4, pp 428–453 | Cite as

The Opioid Epidemic in Africa and Its Impact

  • Ann E. KurthEmail author
  • Peter Cherutich
  • Rosabelle Conover
  • Nok Chhun
  • R. Douglas Bruce
  • Barrot H. Lambdin
Opioids (D Fiellin and J Donroe, Section Editors)
  • 104 Downloads
Part of the following topical collections:
  1. Topical Collection on Opioids

Abstract

Purpose of Review

Opioid use disorder (OUD) is a global phenomenon and is on the rise in Africa, denoting a shift from historical patterns of drug transport to internal consumption. In contrast, opioids for clinical pain management in Africa remain among the least available globally. This region also has the highest HIV and HCV disease burden, and the greatest shortages of health workers and addiction treatment. We undertook a systematic review of the literature to describe opioid use in Africa and how it is being addressed.

Recent Findings

A total of 84 articles from 2000 to 2018 were identified. Descriptions of country-specific populations and patterns of opioid misuse were common. A smaller number of articles described interventions to address OUD.

Summary

OUD occurs in sub-Saharan Africa, with attendant clinical and social costs. Evidence-based policies and health system resources are needed to promote OUD prevention and management and infectious disease transmission reduction.

Keywords

Addiction Opioid use disorder Africa HIV HCV Opioid agonist treatment People who inject drugs Health workforce 

Notes

Acknowledgments

We thank the colleagues engaged in opioid work and remediation in Africa.

Author’s Contributions

AEK wrote the first draft, RC conducted the literature review, and all authors contributed to writing, editing, and responsibility for the final manuscript.

Funding

This project was supported in part by award number R01MH085577 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.

Compliance with Ethical Standards

Conflict of Interests

The authors declare that they have no competing interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Ann E. Kurth
    • 1
    Email author
  • Peter Cherutich
    • 2
  • Rosabelle Conover
    • 1
  • Nok Chhun
    • 1
  • R. Douglas Bruce
    • 3
    • 4
  • Barrot H. Lambdin
    • 5
  1. 1.Yale University School of NursingOrangeUSA
  2. 2.Ministry of HealthNairobiKenya
  3. 3.Cornell Scott-Hill Health CenterNew HavenUSA
  4. 4.Yale University School of MedicineNew HavenUSA
  5. 5.RTI InternationalResearch Triangle ParkUSA

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