Fentanyl shock: The changing geography of overdose in the United States.


Harvard University, Department of Government, 1737 Cambridge St, Cambridge, MA 02138, United States. Electronic address: [Email]


Rapid increases in drug overdose deaths in the United States since 2014 have been highly regionally stratified, with the largest increases occurring in the eastern and northeastern states. By contrast, many western states saw overdose deaths plateau. This paper shows how the differential influx of fentanyl and fentanyl analogues in the drug supply has reshaped the geography and demography of the overdose crisis in the United States.


Fentanyl,Opioid epidemic,Overdose,Supply shock,

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