Objective: The fentanyls have emerged as a significant public health threat in North America but much less so in Australia. We sought to identify reasons for this discrepancy and highlight harm reduction approaches that may mitigate a future Australian fentanyl epidemic. Conclusions: Differences in drug use ‘culture’ and a supply of cheap high-quality methamphetamine in Australia may be reasons for the observed difference in fentanyl-related harm. More worryingly, it is possible that Australia is following North American trends and that the fentanyl epidemic is still to come.

中文翻译：

---

芬太尼：对澳大利亚的“未来威胁”？

目标：芬太尼在北美已成为一种重大的公共卫生威胁，但在澳大利亚的影响要小得多。我们试图找出造成这种差异的原因，并强调可能减轻未来澳大利亚芬太尼流行的危害减少方法。结论：澳大利亚吸毒“文化”和廉价优质甲基苯丙胺供应的差异可能是观察到的芬太尼相关危害差异的原因。更令人担忧的是，澳大利亚有可能在追随北美的趋势，芬太尼的流行还在后头。