Opium Crisis

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Pain Management and the Opioid Epidemic

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Confessions of an English Opium-Eater

Author : Thomas de Quincey
Publisher : Gottfried & Fritz
ISBN 13 :
Total Pages : 110 pages
Book Rating : 4./5 ( download)

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Book Synopsis Confessions of an English Opium-Eater by : Thomas de Quincey

Download or read book Confessions of an English Opium-Eater written by Thomas de Quincey and published by Gottfried & Fritz. This book was released on 2015-06-24 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: A book about opium usage and the effects of addiction on the authors life.

Opium

Author : John H. Halpern
Publisher : Hachette Books
ISBN 13 : 0316417653
Total Pages : 331 pages
Book Rating : 4.3/5 (164 download)

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Book Synopsis Opium by : John H. Halpern

Download or read book Opium written by John H. Halpern and published by Hachette Books. This book was released on 2019-08-13 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a psychiatrist on the frontlines of addiction medicine and an expert on the history of drug use comes the "authoritative, engaging, and accessible" history of the flower that helped to build (Booklist) -- and now threatens -- modern society. Opioid addiction is fast becoming the most deadly crisis in American history. In 2018, it claimed nearly fifty thousand lives -- more than gunshots and car crashes combined, and almost as many Americans as were killed in the entire Vietnam War. But even as the overdose crisis ravages our nation -- straining our prison system, dividing families, and defying virtually every legislative solution to treat it -- few understand how it came to be. Opium tells the "fascinating" (Lit Hub) and at times harrowing tale of how we arrived at today's crisis, "mak[ing] timely and startling connections among painkillers, politics, finance, and society" (Laurence Bergreen). The story begins with the discovery of poppy artifacts in ancient Mesopotamia, and goes on to explore how Greek physicians and obscure chemists discovered opium's effects and refined its power, how colonial empires marketed it around the world, and eventually how international drug companies developed a range of powerful synthetic opioids that led to an epidemic of addiction. Throughout, Dr. John Halpern and David Blistein reveal the fascinating role that opium has played in building our modern world, from trade networks to medical protocols to drug enforcement policies. Most importantly, they disentangle how crucial misjudgments, patterns of greed, and racial stereotypes served to transform one of nature's most effective painkillers into a source of unspeakable pain -- and how, using the insights of history, state-of-the-art science, and a compassionate approach to the illness of addiction, we can overcome today's overdose epidemic. This urgent and masterfully woven narrative tells an epic story of how one beautiful flower became the fascination of leaders, tycoons, and nations through the centuries and in their hands exposed the fragility of our civilization. An NPR Best Book of the Year"A landmark project." -- Dr. Andrew Weil"Engrossing and highly readable." -- Sam Quinones"An astonishing journey through time and space." -- Julie Holland, MD"The most important, provocative, and challenging book I've read in a long time." -- Laurence Bergreen

Britain's China Policy and the Opium Crisis

Author : Glenn Melancon
Publisher : Routledge
ISBN 13 : 1351954733
Total Pages : 248 pages
Book Rating : 4.3/5 (519 download)

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Book Synopsis Britain's China Policy and the Opium Crisis by : Glenn Melancon

Download or read book Britain's China Policy and the Opium Crisis written by Glenn Melancon and published by Routledge. This book was released on 2017-07-28 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first Opium War (1840-42) was a defining moment in Anglo-Chinese relations, and since the 1840s the histories of its origins have tended to have been straightforward narratives, which suggest that the British Cabinet turned to its military to protect opium sales and to force open the China trade. Whilst the monetary aspects of the war cannot be ignored, this book argues that economic interests should not overshadow another important aspect of British foreign policy - honour and shame. The Palmerston's government recognised that failure to act with honour generated public outrage in the form of petitions to parliament and loss of votes, and as a result was at pains to take such considerations into account when making policy. Accordingly, British Cabinet officials worried less about the danger to economic interests than the threat to their honour and the possible loss of power in Parliament. The decision to wage a drug war, however, made the government vulnerable to charges of immorality, creating the need to justify the war by claiming it was acting to protect British national honour.

Dreamland (YA edition)

Author : Sam Quinones
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1547601418
Total Pages : 225 pages
Book Rating : 4.5/5 (476 download)

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Book Synopsis Dreamland (YA edition) by : Sam Quinones

Download or read book Dreamland (YA edition) written by Sam Quinones and published by Bloomsbury Publishing USA. This book was released on 2019-07-16 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: As an adult book, Sam Quinones's Dreamland took the world by storm, winning the NBCC Award for General Nonfiction and hitting at least a dozen Best Book of the Year lists. Now, adapted for the first time for a young adult audience, this compelling reporting explains the roots of the current opiate crisis. In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America. How that happened is the riveting story of Dreamland. Quinones explains how the rise of the prescription drug OxyContin, a miraculous and extremely addictive painkiller pushed by pharmaceutical companies, paralleled the massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel. Introducing a memorable cast of characters--pharmaceutical pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, teens, and parents--Dreamland is a revelatory account of the massive threat facing America and its heartland.

Empire of Pain

Author : Patrick Radden Keefe
Publisher : Anchor
ISBN 13 : 038554569X
Total Pages : 574 pages
Book Rating : 4.3/5 (855 download)

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Book Synopsis Empire of Pain by : Patrick Radden Keefe

Download or read book Empire of Pain written by Patrick Radden Keefe and published by Anchor. This book was released on 2021-04-13 with total page 574 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK OF THE YEAR • A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and bestselling author of Say Nothing. "A real-life version of the HBO series Succession with a lethal sting in its tail…a masterful work of narrative reportage.” – Laura Miller, Slate The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, but the source of the family fortune was vague—until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. It follows the family’s early success with Valium to the much more potent OxyContin, marketed with a ruthless technique of co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. A masterpiece of narrative reporting, Empire of Pain is a ferociously compelling portrait of America’s second Gilded Age, a study of impunity among the super-elite and a relentless investigation of the naked greed that built one of the world’s great fortunes.

The Opium Wars

Author : W Travis Hanes III, Ph.D.
Publisher : Sourcebooks, Inc.
ISBN 13 : 1402252056
Total Pages : 349 pages
Book Rating : 4.4/5 (22 download)

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Book Synopsis The Opium Wars by : W Travis Hanes III, Ph.D.

Download or read book The Opium Wars written by W Travis Hanes III, Ph.D. and published by Sourcebooks, Inc.. This book was released on 2004-02-01 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fascinating look at the other side of the Opium Wars In this tragic and powerful story, the two Opium Wars of 1839–1842 and 1856–1860 between Britain and China are recounted for the first time through the eyes of the Chinese as well as the Imperial West. Opium entered China during the Middle Ages when Arab traders brought it into China for medicinal purposes. As it took hold as a recreational drug, opium wrought havoc on Chinese society. By the early nineteenth century, 90 percent of the Emperor's court and the majority of the army were opium addicts. Britain was also a nation addicted—to tea, grown in China, and paid for with profits made from the opium trade. When China tried to ban the use of the drug and bar its Western smugglers from it gates, England decided to fight to keep open China's ports for its importation. England, the superpower of its time, managed to do so in two wars, resulting in a drug-induced devastation of the Chinese people that would last 150 years. In this page-turning, dramatic and colorful history, The Opium Wars responds to past, biased Western accounts by representing the neglected Chinese version of the story and showing how the wars stand as one of the monumental clashes between the cultures of East and West. "A fine popular account."—Publishers Weekly "Their account of the causes, military campaigns and tragic effects of these wars is absorbing, frequently macabre and deeply unsettling."—Booklist

AIDS, Opium, Diamonds, and Empire

Author : Nancy Turner Banks
Publisher : iUniverse
ISBN 13 : 1450201717
Total Pages : 486 pages
Book Rating : 4.4/5 (52 download)

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Book Synopsis AIDS, Opium, Diamonds, and Empire by : Nancy Turner Banks

Download or read book AIDS, Opium, Diamonds, and Empire written by Nancy Turner Banks and published by iUniverse. This book was released on 2010-05 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is a mistake to think that wars only concern armies involved in active engagement. Nothing is farther from the truth. The real forces of evil wage a financial war. The dark princes of debt finance have gained leverage over every important social, economic, and political institution-including the health care delivery system. In AIDS, Opium, Diamonds, and Empire, author Nancy Turner Banks draws the connections between free market strategies, the destruction of national sovereignty by the process of globalization, and AIDS as one of the health consequences of a neo-Darwinian philosophy. Through meticulous research, Banks found a medicalpharmaceutical- industrial complex that was taken over one hundred years ago by the titans of financial capitalism. Their aim was to create profit, not to conquer disease. This book of social history points to a cauldron of historical events that contributed to the HIV/AIDS crisis. AIDS, Opium, Diamonds, and Empire tells the dramatic story of a financial ideology that is damaging to everything that it means to be human. It is the story of profits over people. In the end, it is the story of hope and how we can regain our sanity and our health in a world gone mad.

Opium and the Limits of Empire

Author : David Anthony Bello
Publisher : Harvard University Press
ISBN 13 :
Total Pages : 408 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Opium and the Limits of Empire by : David Anthony Bello

Download or read book Opium and the Limits of Empire written by David Anthony Bello and published by Harvard University Press. This book was released on 2005 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the Chinese opium crisis from the perspective of Qing prohibition efforts. The author argues that opium prohibition, and not the opium wars, was genuinely imperial in scale and is hence much more representative of the actual drug problem faced by Qing administrators.

Medications for Opioid Use Disorder Save Lives

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

The Opium Empire

Author : John M. Jennings
Publisher : Praeger
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis The Opium Empire by : John M. Jennings

Download or read book The Opium Empire written by John M. Jennings and published by Praeger. This book was released on 1997-04-22 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The International Military Tribunal for the Far East (IMTFE) found Japan guilty of deliberately promoting drug abuse as a weapon to further its imperialistic aims in Asia. This study provides the historical context behind the IMTFE's findings from the annexation of Taiwan in 1895 to the end of World War II. Given the extent to which drug use permeated the politics, economy, and culture of Asia, it was inevitable that Japan's rise as an imperial power would lead to contact with, and increasing involvement in, the opium and narcotics trade. This study argues that the nature of that involvement should be understood not simply in terms of a conspiracy to drug the people of Asia into submission, but rather as indicative of the general twists and turns of Japanese imperialism. Thus, opium and narcotics emerge not so much as a weapon of, but rather as a metaphor for, Japanese imperialism in Asia.

Imperial Twilight

Author : Stephen R. Platt
Publisher : Vintage
ISBN 13 : 0307961745
Total Pages : 609 pages
Book Rating : 4.3/5 (79 download)

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Book Synopsis Imperial Twilight by : Stephen R. Platt

Download or read book Imperial Twilight written by Stephen R. Platt and published by Vintage. This book was released on 2018-05-15 with total page 609 pages. Available in PDF, EPUB and Kindle. Book excerpt: As China reclaims its position as a world power, Imperial Twilight looks back to tell the story of the country’s last age of ascendance and how it came to an end in the nineteenth-century Opium War. As one of the most potent turning points in the country’s modern history, the Opium War has since come to stand for everything that today’s China seeks to put behind it. In this dramatic, epic story, award-winning historian Stephen Platt sheds new light on the early attempts by Western traders and missionaries to “open” China even as China’s imperial rulers were struggling to manage their country’s decline and Confucian scholars grappled with how to use foreign trade to China’s advantage. The book paints an enduring portrait of an immensely profitable—and mostly peaceful—meeting of civilizations that was destined to be shattered by one of the most shockingly unjust wars in the annals of imperial history. Brimming with a fascinating cast of British, Chinese, and American characters, this riveting narrative of relations between China and the West has important implications for today’s uncertain and ever-changing political climate.

Milk of Paradise

Author : Lucy Inglis
Publisher : Simon and Schuster
ISBN 13 : 1643130951
Total Pages : 401 pages
Book Rating : 4.6/5 (431 download)

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Book Synopsis Milk of Paradise by : Lucy Inglis

Download or read book Milk of Paradise written by Lucy Inglis and published by Simon and Schuster. This book was released on 2019-02-05 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: Poppy tears, opium, heroin, fentanyl: humankind has been in thrall to the “Milk of Paradise” for millennia. The latex of papaver somniferum is a bringer of sleep, of pleasurable lethargy, of relief from pain—and hugely addictive. A commodity without rival, it is renewable, easy to extract, transport, and refine, and subject to an insatiable global demand. No other substance in the world is as simple to produce or as profitable. It is the basis of a gargantuan industry built upon a shady underworld, but ultimately it is an agricultural product that lives many lives before it reaches the branded blister packet, the intravenous drip, or the scorched and filthy spoon. Many of us will end our lives dependent on it. In Milk of Paradise, acclaimed cultural historian Lucy Inglis takes readers on an epic journey from ancient Mesopotamia to modern America and Afghanistan, from Sanskrit to pop, from poppy tears to smack, from morphine to today’s synthetic opiates. It is a tale of addiction, trade, crime, sex, war, literature, medicine, and, above all, money. And, as this ambitious, wide-ranging, and compelling account vividly shows, the history of opium is our history and it speaks to us of who we are.

American Overdose

Author : Chris McGreal
Publisher : PublicAffairs
ISBN 13 : 1541773772
Total Pages : 346 pages
Book Rating : 4.5/5 (417 download)

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Book Synopsis American Overdose by : Chris McGreal

Download or read book American Overdose written by Chris McGreal and published by PublicAffairs. This book was released on 2018-11-13 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive portrait of a uniquely American epidemic -- devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers -- resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.

On Opium

Author : Carlyn Zwarenstein
Publisher :
ISBN 13 : 9781773101811
Total Pages : 0 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis On Opium by : Carlyn Zwarenstein

Download or read book On Opium written by Carlyn Zwarenstein and published by . This book was released on 2021-09-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A groundbreaking meditation on pain, painkillers, and dependence from a prescription opioid user. Her writing has been described as "measured," "sensuous," and "compelling." In 2016, Carlyn Zwarenstein's short narrative on pain made the Globe and Mail'sTop 100 Books. Now, she returns with a seductive dive into opioids and the nature of dependence. North Americans are the world's most prolific users of opioid painkillers. In On Opium, Zwarenstein describes her own use of opioid-inspired medicines to cope with a painful disease. Evoking both Thomas De Quincey and Frida Kahlo, she travels from the decadence of recreational drug use in past eras to the misery and privation of the overdose crisis today. Speaking with users of prescribed morphine, illicit fentanyl, and smoked opium, Zwarenstein investigates uncomfortable questions about why people use substances and when substance use becomes addiction. And she exposes causes of drug-related harms: the debilitating effects of poverty, isolation, and trauma; the role of race, class, and gender in addressing pain; and a system of prohibition that has converted age-old medicines into taboo substances. Through all of this, Zwarenstein finds hope. Drawing on solidarity between illicit drug users and people in pain; in a wise understanding of what humans need to be well; and in radical drug policies like legalization and safe supply, she lays out a vision of a world where suffering is no longer lauded, and opioids are no longer demonized.

Opium

Author : Martin Booth
Publisher : St. Martin's Griffin
ISBN 13 : 1466853972
Total Pages : 397 pages
Book Rating : 4.4/5 (668 download)

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Book Synopsis Opium by : Martin Booth

Download or read book Opium written by Martin Booth and published by St. Martin's Griffin. This book was released on 2013-09-24 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Known to mankind since prehistoric times, opium is arguably the oldest and most widely used narcotic. Opium: A History traces the drug's astounding impact on world culture--from its religious use by prehistoric peoples to its influence on the imaginations of the Romantic writers; from the earliest medical science to the Sino-British opium wars. And, in the present day, as the addict population rises and penetrates every walk of life, Opium shows how the international multibillion-dollar heroin industry operates with terrifying efficiency and forms an integral part of the world's money markets. In this first full-length history of opium, acclaimed author Martin Booth uncovers the multifaceted nature of this remarkable narcotic and the bittersweet effects of a simple poppy with a deadly legacy.

Fentanyl, Inc.

Author : Ben Westhoff
Publisher : Atlantic Monthly Press
ISBN 13 : 080214795X
Total Pages : 365 pages
Book Rating : 4.8/5 (21 download)

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Book Synopsis Fentanyl, Inc. by : Ben Westhoff

Download or read book Fentanyl, Inc. written by Ben Westhoff and published by Atlantic Monthly Press. This book was released on 2019-09-03 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: A four-year investigation into the world of synthetic drugs—from black market factories to users & dealers to harm reduction activists—and what it revealed. A deeply human story, Fentanyl, Inc. is the first deep-dive investigation of a hazardous and illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding government agencies that are challenged to combat it. “A whole new crop of chemicals is radically changing the recreational drug landscape,” writes Ben Westhoff. “These are known as Novel Psychoactive Substances (NPS) and they include replacements for known drugs like heroin, cocaine, ecstasy, and marijuana. They are synthetic, made in a laboratory, and are much more potent than traditional drugs” —and all-too-often tragically lethal. Drugs like fentanyl, K2, and Spice—and those with arcane acronyms like 25i-NBOMe—were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs’ effects impossible to predict. Westhoff has infiltrated this shadowy world. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Westhoff visits the shady factories in China from which these drugs emanate, providing startling and original reporting on how China’s vast chemical industry operates, and how the Chinese government subsidizes it. Poignantly, he chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the United States and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many. “Timely and agonizing. . . . An impressive work of investigative journalism.” —USA Today “Westhoff explores the many-tentacled world of illicit opioids, from the streets of East St. Louis to Chinese pharmaceutical companies, from music festivals deep in the Michigan woods to sanctioned ‘shooting up rooms’ in Barcelona, in this frank, insightful, and occasionally searing exposé. . . . Westhoff’s well-reported and researched work will likely open eyes, slow knee-jerk responses, and start much needed conversations.” —Publishers Weekly “Our 25 Favorite Books of 2019” —St. Louis Post-Dispatch “Best Books of 2019” —Buzzfeed “Best Nonfiction of 2019” —Kirkus Reviews “50 Best Books of 2019” —Daily Telegraph “Best Nonfiction Books of 2019” —Tyler Cowen “Best Books of 2019” —Yahoo Finance