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Official websites use. Share sensitive information only on official, secure websites. Correspondence should be sent to Marcus A. In , an Australian television reporter asked science fiction writer Arthur C. Clarke what the year might be like for his young son. It has transformed our routines of buying and selling goods and services, displacing brick-and-mortar stores, and rendering the suburban mall a near anachronism. Like virtually all commercial venues in human history, the Internet also has become a means to buy and sell contraband—namely, drugs. The rise of online pharmacies advertising controlled substances to the public without a prescription termed illicit online pharmacies was documented in a series of reports from the early s. However, the reality was quite different, with many orders never arriving or yielding tablets containing entirely different ingredients from those expected. Recognizing the threat to public health and safety, law enforcement agencies have engaged in large-scale operations to shut down illicit online pharmacies. Coordinated by INTERPOL and now involving more than countries globally, Operation Pangea is an annual campaign to seize illicit and counterfeit pills and take down illicit online pharmacy Web sites. Since that time, the volume of illicit and counterfeit pills seized has only grown. However, despite such enforcement activities, illicit online pharmacies persist. From these tweets, the investigators then reviewed those linking to external Web sites and found seven unique Web sites offering opioid analgesics for sale without a prescription. Previous studies relied on manual review of links from Internet search engines, an extremely time-consuming and imprecise method. Years of enforcement activity have forced illicit online pharmacies to find new ways of advertising, so big data analytics approaches such as this one are valuable. More broadly, the study by Mackey et al. Several natural extensions of the work by Mackey et al. In a prominent example, Lazer et al. Although their approach was appealing, the numerous search terms examined likely yielded spurious correlations, and the volume of search terms was subject to external forces such as media attention. Twitter presents some similar challenges because the types of people using it and their modes of expression are constantly changing. The findings by Mackey et al. Currently, because enforcement activities have targeted illicit online pharmacies, the market has adapted, namely, through cryptomarkets. Cryptomarkets are online venues for the purchase of drugs and other contraband protected by technology allowing for anonymous communication e. These markets often have fully developed systems of customer feedback and dispute resolution. Although illicit online pharmacies traded in pharmaceuticals, cryptomarkets offer access to a broader range of drugs, including cannabis products, 3,4-methylenedioxymethamphetamine MDMA , cocaine, and amphetamines. What do cryptomarkets mean for the future of drug use? In a recent review, Aldridge et al. However, cryptomarkets may provide benefits as well, with preliminary evidence suggesting a higher purity of cryptomarket-obtained drugs relative to those obtained offline possibly resulting from pressure on sellers to sell high-purity products because systems can track and report customer feedback. Given that people will continue to buy drugs, cryptomarkets may offer several personal and public health advantages over offline purchases. When faced with an emerging venue for illicit drug sales, our impulse is to focus on law enforcement. Indeed, there have been large-scale operations against cryptomarkets, but data suggest that effects are only temporary. Whereas physical drug markets are typically hidden, making it difficult to intervene at the point of sale, digital drug markets are often open and broadly accessible to the public. What if we could harness these venues to promote health? Interventions could potentially broadcast health-oriented messages or even connect soon-to-be customers with resources such as harm reduction advice or services or even substance use disorder treatment. Some of this work is already ongoing; for example, in , a Spanish nongovernmental organization implemented a drug content and purity testing service aimed at people using cryptomarkets. Historically, the proportion of people obtaining drugs via the Internet has been small, but it will almost certainly grow. We are only beginning to understand the hazards and benefits of this shift. Online drug commerce and social media offer unprecedented opportunities to understand and quantify drug markets as well as the behavior and social networks of people who use drugs. Analytic techniques like the one described by Mackey et al. As a library, NLM provides access to scientific literature. Raina M. Find articles by Marcus A Bachhuber. Find articles by Raina M Merchant. Accepted Sep 9; Issue date Dec. See also Mackey et al. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel.
Buying Drugs Online in the Age of Social Media
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