The United States remains tightly in the grasp of an ongoing, and escalating, crisis of deaths caused by opioid overdoses.

With a record-high 109,000 people dying in 2022, it is clear that something new needs to be done to reverse this trend.

Philadelphia is near the epicenter of the crisis. Some of the country’s largest open-air drug markets can be found in the Kensington neighborhood. Heroin, prescription opioids and fentanyl aren’t the only drugs of concern. Xylazine, a powerful non-opioid also known as tranq, has an overwhelming presence on the streets.

We are a group of Scandinavian and American researchers who have studied drug treatment and harm reduction, and we have been watching the situation in Philadelphia from a variety of perspectives.

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