Here is a comprehensive look at the opiate crisis from the formulation of heroin in 1898 to the impact of heroin and fentanyl addiction in Appalachia. Focusing on the crisis in three states—Virginia, West Virginia, and Maryland—allows the author to explore the personal and family impacts of addiction in those areas, although the crisis is paralleled across the United States. The resulting tale includes the aggressive marketing of Oxycodone by Perdue Pharma; the overprescription of pain meds by greedy physicians; the dealing and distribution of heroin laced with fentanyl to those injured on the job, athletes, and students; and overdose deaths, which are occurring at a record pace. This is a big story well told, clearly narrated by the author. The many characters and episodes are interwoven and blur somewhat in the audio format. Those serious about learning about the crisis will need a print copy with its copious source notes.
VERDICT Recommended for adult nonfiction collections. ["Macy's use of current research by various experts makes clear how complex the opioid problem is, but the strength of this narrative comes from the people in the day-to-day battle": LJ 4/15/18 review of the Little, Brown hc.]
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