Factually! with Adam Conover

Why Fentanyl is Suddenly Everywhere with Dr. Nabarun Dasgupta

Jan 3, 2024

Adam Conover speaks with Dr. Nabarun Dasgupta about the complex history of fentanyl and the opioid crisis. They discuss the misconceptions surrounding the epidemic, challenges of addiction, regional differences in fentanyl contamination, and the power of consumer pushback. Also explored are the historical connections and cultural significance of drugs, as well as successful interventions in reducing overdose death rates.

01:10:56

Episode guests

Nabarun Dasgupta

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Episode notes

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Quick takeaways

Fentanyl has a long history, dating back almost a century, contrary to popular belief.

Regional differences in fentanyl levels highlight the importance of tailored prevention and intervention strategies.

There is a growing acceptance and exploration of psychedelics for potential therapeutic benefits, necessitating nuanced conversations around regulation and safety.

Deep dives

The Pervasive Issue of the Opioid Epidemic

The opioid epidemic and drug use in America are discussed. The podcast highlights the misconceptions surrounding the opioid crisis and the role of fentanyl. Contrary to popular belief, fentanyl is not a new drug; it has been around for almost a century. The market shifted to fentanyl after crackdowns on other opioids, leading to cartels trafficking the drug. The podcast emphasizes the need for a better understanding of the complexity of the opioid crisis and solutions for the current issues.

Introduction

3min

Unveiling the Complexities of the Opioid Epidemic

12min

The Complex Nature of Addiction and the Opioid Epidemic

6min

Challenges and Concerns of Drug Legalization

6min

Regional Differences in Fentanyl Contamination

18min

The Impact of Overdose in Appalachia and the Connection to Wilkes County

2min

Historical Connections and Cultural Significance

24min

The Power of Consumer Pushback and Respecting Drug User Agency

3min

While the rise of fentanyl may seem like it emerged out of nowhere, it has a long and complicated history dating back hundred years. The pharmaceutical industry, the illegal drug trade, and government response all have roles in the ongoing epidemic of overdoses. This week, Adam speaks with Dr. Nabarun Dasgupta, an epidemiologist and street drug scientist at the UNC Injury Prevention Research Center, to explore why the opioid crisis is so frequently misunderstood and the multi-faceted approach required to mitigate the dangers of fentanyl.

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