Without the syringes, however, the injectable formulation of the medication is useless. In Canada and the United States, kits containing the medication and syringes to inject it have been distributed to tens of thousands of people at risk of overdose in an effort to provide witnesses with a tool to intervene and save lives. Naloxone (also known by its trade name, Narcan ®) is a medication given to a person who is overdosing in order to reverse opioid-induced respiratory depression. Drawing attention to the functions and consequences of urban legends can help frame public health communication in a way that responds to needs without reinforcing prejudices, with application beyond naloxone to the other urban legends that continue to emerge in response to this crisis.įrontline emergency responders have alerted the public to a disturbing new trend in the opioid overdose crisis: people are using the syringes in naloxone kits to inject drugs instead of to treat overdoses. Our field has a duty to speak out in favour of evidence-based programs that support the health of people who use drugs, but the optimal communication strategies are not always clear. We suggest that these stories have met a public need to feel a sense of safety in uncertain times, but function to reinforce societal views of people who use drugs as undeserving of support and resources. This article analyzes one set of media accounts – stories of misuse of naloxone, an opioid overdose antidote distributed to people who use drugs – through the lens of social science scholarship on urban legends. As the overdose crisis in North America continues to deepen, public health leaders find themselves responding to sensational media stories, many of which carry forms and themes that mark them as urban legends.
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