Dan Ciccarone's guest appearances

Dan Ciccarone

RoS: Review of Systems

PSYCHOACTIVE

Tim Ferriss

Michael Pollan

Adam Strauss

Eddy Portnoy

Rick Doblin

Paul Stamets

Andrew Weil

Hamilton Morris

Carl Hart

Matt Johnson

Sam Quinones

Keith Stroup

James Forman Jr

Elisabeth Rosenthal

Maia Szalavitz

OwlTail

More people died last year from a drug overdose than from gun shootings, motor vehicle accidents, drownings and AIDS combined! Few people bring greater research and insight to this issue than Dan Ciccarone, a physician and professor at the University of California, San Francisco (UCSF), who has studied illicit drug markets, communities and consumers for two decades. We talked about the role of prescription opioids and street heroin, why the fentanyls are so deadly, and why COVID made the problem worse. I asked him why overdoses increasingly involve stimulant drugs like cocaine and methamphetamine, why fatal overdose rates vary so greatly around the country, and why so few other countries are suffering similar problems. And we talked about what needs to be done, including lessons from abroad, to dramatically cut the number of people dying this way.Listen to this episode and let me know what you think. Our number is 1-833-779-2460. Our email is psychoactive@protozoa.com. Or tweet at me, @ethannadelmann.  Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.

More people died last year from a drug overdose than from gun shootings, motor vehicle accidents, drownings and AIDS combined! Few people bring greater research and insight to this issue than Dan Ciccarone, a physician and professor at the University of California, San Francisco (UCSF), who has studied illicit drug markets, communities and consumers for two decades. We talked about the role of prescription opioids and street heroin, why the fentanyls are so deadly, and why COVID made the problem worse. I asked him why overdoses increasingly involve stimulant drugs like cocaine and methamphetamine, why fatal overdose rates vary so greatly around the country, and why so few other countries are suffering similar problems. And we talked about what needs to be done, including lessons from abroad, to dramatically cut the number of people dying this way.Listen to this episode and let me know what you think. Our number is 1-833-779-2460. Our email is <a href="mailto:psychoactive@protozoa.com">psychoactive@protozoa.com</a>. Or tweet at me, <a href="https://cms.megaphone.fm/organizations/a56e69ec-efda-11e7-bbd7-c3a8c0f9b6e6/podcasts/8f00f692-d9d9-11eb-8a43-13a16e409290/episodes/ce44115a-e4f0-11eb-a896-a7ade02f3f25/www.twitter.com/@ethannadelmann" rel="nofollow" target="_blank">@ethannadelmann</a>. Learn more about your ad-choices at <a href="https://www.iheartpodcastnetwork.com" rel="nofollow" target="_blank">https://www.iheartpodcastnetwork.com</a>See <a href="https://omnystudio.com/listener" rel="nofollow" target="_blank">omnystudio.com/listener</a> for privacy information.

Dan Ciccarone on Why So Many People are Dying of Overdoses

The opioid epidemic is the greatest public health crisis of our time. It is estimated that about 64,000 people died of opioid overdoses in 2016 – more than died in the Vietnam war or in 1 year at the height of the AIDs epidemic. Dan Ciccarone, our guest this week, and a Professor at UCSF School of Medicine, has spent his career trying to improve our understanding of substance use disorders and their health consequences. He and his collaborators look at this question both up-close, through ethnographic research in the community, and hours and hours of interviews with people who use injection drugs, and also by stepping back and sifting through huge datasets, looking at the larger epidemiologic and economic forces shaping the epidemic. He has spent years studying heroin specifically, and is currently the PI of the Heroin in Transitions study, which continues this vital work. We talk specifically about a study led by one of his collaborators, Dr. Sarah Mars, “Every ‘Never’ I Ever Said Came True”: Transitions from opioid pills to heroin injecting; his group’s study of trends in hospitalizations and what that tells us about the epidemic in a 2013 Plos One publication, Intertwined Epidemics: National Demographic Trends in Hospitalizations for Heroin- and Opioid-Related Overdoses, 1993–2009. We also discuss his recent look at some of the larger factors influencing the epidemic with collaborators Nabarun Dasgupta and Leo Belitsky in Opioid Crisis: No Easy Fix to Its Social and Economic Determinants. You can find more information about the book Dr. Ciccarone mentioned, Dreamland by Sam Quinones, here. And you can find the American Society for Addiction Medicine’s waiver training here. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @RoSpodcast and leave us a message on our facebook page at www.facebook.com/reviewofsystems. Or, you can email me at audreyATrospod.org. We’d love to hear from you, and thanks for listening.

The opioid epidemic is the greatest public health crisis of our time. It is estimated that about 64,000 people died of opioid overdoses in 2016 – more than died in the Vietnam war or in 1 year at the height of the AIDs epidemic. Dan Ciccarone, our guest this week, and a Professor at UCSF School of Medicine, has spent his career trying to improve our understanding of substance use disorders and their health consequences. He and his collaborators look at this question both up-close, through ethnographic research in the community, and hours and hours of interviews with people who use injection drugs, and also by stepping back and sifting through huge datasets, looking at the larger epidemiologic and economic forces shaping the epidemic. He has spent years studying heroin specifically, and is currently the PI of the Heroin in Transitions study, which continues this vital work. We talk specifically about a study led by one of his collaborators, Dr. Sarah Mars, “Every ‘Never’ I Ever Said Came True”: Transitions from opioid pills to heroin injecting; his group’s study of trends in hospitalizations and what that tells us about the epidemic in a 2013 Plos One publication, Intertwined Epidemics: National Demographic Trends in Hospitalizations for Heroin- and Opioid-Related Overdoses, 1993–2009. We also discuss his recent look at some of the larger factors influencing the epidemic with collaborators Nabarun Dasgupta and Leo Belitsky in Opioid Crisis: No Easy Fix to Its Social and Economic Determinants. You can find more information about the book Dr. Ciccarone mentioned, Dreamland by Sam Quinones, here. And you can find the American Society for Addiction Medicine’s waiver training here. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @RoSpodcast and leave us a message on our facebook page at <a href="http://www.facebook.com/reviewofsystems" rel="nofollow" target="_blank">www.facebook.com/reviewofsystems</a>. Or, you can email me at <a href="http://audreyATrospod.org" rel="nofollow" target="_blank">audreyATrospod.org</a>. We’d love to hear from you, and thanks for listening.

Understanding the Opioid Epidemic with Dan Ciccarone