Not mentioned in the article: The Scottish heroin epidemic started in Edinburgh, the more prosperous of Scotland's two largest cities. This was largely due to the presence of MacFarlan Smith, which was at one point the world's largest producer of pharmaceutical opiates. That initial cohort of heroin users in the 1980s predominantly used drugs that were diverted from the legitimate pharmaceutical supply rather than sm…
> The majority of overdose deaths in Scotland involved multiple drugs; for reasons that are not entirely clear, Scottish addicts are particularly prone to concurrently use opiates, benzodiazepines and alcohol in an indiscriminate manner. I don't believe this is specific to Scotland. My layperson understanding is that heroin is relatively safe in the sense that most opioid deaths fall into one of the following categor…
https://www.ons.gov.uk/peoplepopulationandcommunity/birthsde...