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The mix of stimulants such as cocaine and methamphetamines with fentanyl a synthetic opioid 50 times as powerful as heroin is driving what experts call the opioid epidemics fourth wave. The mixture of stimulants and fentanyl presents powerful challenges to efforts to reduce overdoses because many users of stimulants dont know they are at risk of ingesting opioids, so they dont take overdose precautions

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Global prevention actions need to consider phases of development in nations and areas

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Finding the worms itself is tricky since they blend in so well, but if I see droppings like this, I typically look up a few inches and find a worm