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The OxyContin epidemic and crime panic in rural Kentucky

During the late 1990s in the United States, rural Kentucky (and rural pockets of nearby states) witnessed the emergence of a new pharmaceutical drug of abuse. The powerful oxycodone OxyContin, first manufactured in 1996 and designed for time-release pain relief, found a ready population in rural hamlets and mountain communities. Intended for patients in pain associated with terminal disease, it became a drug of abuse as it was overprescribed and trafficked within newly developed black markets. This paper-describes the take off of this new drug of abuse, its antecedents, its effects on rural communities, and coordinated efforts at containing it. Following the trends in use and abuse, this ...

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