爱沙尼亚的尼塔疫情:第一份报告
Katri Abel-Ollo1, Mailis Tõnisson2,3, Peep Rausberg4
1Drugs and Addictions Department, National Institute for Health Development, Tallinn, Estonia.
European journal of public health
|September 24, 2025
概括
自2022年以来,爱沙尼亚的尼塔合成阿片类药物使用量急剧增加,使药物死亡人数翻了一番. 这场公共卫生危机需要更多关于尼塔的影响和后果的数据.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 爱沙尼亚面临着越来越大的公共卫生挑战,原因是新型合成阿片类药物被称为尼塔.
- 自2022年以来,尼塔的出现显著影响了美国的毒品市场.
研究的目的:
- 为了记录爱沙尼亚尼塔疫情的时间表和范围.
- 检查与尼塔使用相关的流行率,健康后果和用户体验.
主要方法:
- 综合行政统计,监督数据和政府文档 (2015-2024) 的多方面的方法.
- 专注于健康后果 (2019-2024年),补充了对尼塔使用者的定性访谈.
- 对注射器残留物和药物扣押数据的分析,以确认患病率.
主要成果:
- 爱沙尼亚与毒品有关的死亡人数自2022年以来翻了一番,到2023年将超过100例.
- 从2022年开始,尼塔的患病率显著增加,由残留物和扣押数据证实.
- 用户报告说,尼塔比芬太尼更强,作用更短,减少危害的服务需求增加.
结论:
- 爱沙尼亚的尼塔疫情对公众健康构成严重威胁.
- 迫切需要基于证据的关于尼塔使用和后果的信息,以告知有效的干预措施.
- 加强减少危害的战略和用户教育对于应对这种新出现的危机至关重要.
相关概念视频
Preparation of 1° Amines: Azide Synthesis
Direct alkylation of ammonia produces polyalkylated amines, along with a quaternary ammonium salt. To exclusively prepare primary amines, the azide synthesis method can be used.
Azide ions act as good nucleophiles and react with unhindered alkyl halides to form alkyl azides. Alkyl azides do not participate in further nucleophilic substitution reactions, thereby eliminating the chances of polyalkylated products. Alkyl azides are reduced by hydride-based reducing agents, like lithium aluminum...
Azide ions act as good nucleophiles and react with unhindered alkyl halides to form alkyl azides. Alkyl azides do not participate in further nucleophilic substitution reactions, thereby eliminating the chances of polyalkylated products. Alkyl azides are reduced by hydride-based reducing agents, like lithium aluminum...
1° Amines to Diazonium or Aryldiazonium Salts: Diazotization with NaNO2 Overview
Nitrous acid and nitric acids are two types of acids containing nitrogen, among which nitrous acid is weaker than nitric acid. Nitrous acid with a pKa value of 3.37 ionizes in water to give a nitrite ion and the hydronium ion.
The nitrous acid is unstable. Hence, it is formed in situ from a solution of sodium nitrite and cold aqueous acids such as hydrochloric or sulfuric acid. In an acidic solution, the –OH group of nitrous acid undergoes protonation to give oxonium ion, followed by water loss...
The nitrous acid is unstable. Hence, it is formed in situ from a solution of sodium nitrite and cold aqueous acids such as hydrochloric or sulfuric acid. In an acidic solution, the –OH group of nitrous acid undergoes protonation to give oxonium ion, followed by water loss...
2° Amines to N-Nitrosamines: Reaction with NaNO2
Secondary amines react with nitrous acid to form N-nitrosamines, as depicted in Figure 1. Nitrous acid, a weak and unstable acid, is formed in situ from an aqueous solution of sodium nitrite and strong acids, such as hydrochloric acid or sulfuric acid, in cold conditions. In the presence of an acid, the nitrous acid gets protonated. The subsequent loss of water results in the formation of the electrophile known as nitrosonium ion.
Physical Properties of Amines
Amines with low molecular weight are usually gaseous at room temperature, while those with high molecular weight are liquid or solids in nature. Usually, low molecular weight amines have a rotten fish-like smell. Diamines typically have a pungent smell. For instance, cadaverine and putrescine, depicted in Figure 1, are two molecules responsible for decaying tissue.
1° Amines to Diazonium or Aryldiazonium Salts: Diazotization with NaNO2 Mechanism
Nitrous acid is a relatively weak and unstable acid prepared in situ by the reaction of sodium nitrite and cold, dilute hydrochloric acid. In an acidic solution, the nitrous acid undergoes protonation when it loses water to form a nitrosonium ion—an electrophile. Nitrous acid reacts with primary amines to give diazonium salts. The reaction is called diazotization of primary amines.
Nitrosation of Enols
The nitrosation reaction is one of the methods of preparing 1,2-diketones. The enol tautomer of the starting ketone reacts with sodium nitrite in hydrochloric acid, generating the 1,2-diketone after hydrolysis.


