Rising Smoke: Fentanyl’s Alarming New Trend in San Francisco

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Rising Smoke: Fentanyl’s Alarming New Trend in San Francisco
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A study in San Francisco explored the shifting trend from injecting to smoking fentanyl, revealing motivations, techniques, and risks associated with this method. Credit: SciTechDaily.com, finding it driven by fear of overdose and injection difficulties, yet still associated with significant risks.

To deepen understanding, Ciccarone and colleagues applied a qualitative research framework known as rapid ethnography. They interviewed 34 volunteers recruited from syringe service programs in San Francisco, CA, about their beliefs and behaviors around fentanyl smoking. They also captured video and photographic footage of smoking practices, drug samples, and drug use equipment.

Many participants reported that fear of overdose and the challenges of injecting had prompted their transition from injection to smoking. However, some expressed belief that smoking fentanyl still poses high overdose risk—more research is needed to determine whether smoking may be less harmful than injection in relation to overdose risk.The study also highlighted the social nature of smoking fentanyl, with some participants reporting sharing equipment and drugs.

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