Pain-relief shortage in poorer countries ‘due to stigma of US opioids crisis’

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Pain-relief shortage in poorer countries ‘due to stigma of US opioids crisis’
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Palliative doctors call for relaxation of laws to redress huge unmet need for drugs among majority of world’s population

study found that Haiti received an annual average of just 5mg of morphine-equivalent opioids for each patient requiring palliative care – 0.8% of what is needed – compared with the US, which received 55,000mg for each patient, more than 3,000% of the required amount.

, which effectively criminalised production and supply even in medical contexts, led hospitals and pharmacies to stop stocking opioids. The result, he said, was that India’s use of opioids dropped from 600kg a year in 1985 to 17kg in 1997.The human toll of non-communicable diseases is huge and rising. These illnesses end the lives of approximately 41 million of the 56 million people who die every year – and three quarters of them are in the developing world.

In low-income countries NCDs – typically slow and debilitating illnesses – are seeing a fraction of the money needed being invested or donated. Attention remains focused on the threats from communicable diseases, yet cancer death rates have long sped past the death toll from malaria, TB and HIV/Aids combined.

That has resulted in more aggressive chemotherapy treatment, Rodin said, even at stages when it is unlikely to work and when the body struggles to handle it.

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