The Evolving Regulatory Landscape for Fentanyl: China, India, and Global Drug Governance

Int J Environ Res Public Health. 2022 Feb 12;19(4):2074. doi: 10.3390/ijerph19042074.

Abstract

The rise of the synthetic opioid epidemic has time and time again brought criticism on China and India, the world's two main producers of fentanyl and its chemical precursors. In the past few years, the two countries have attempted to strengthen regulations over fentanyl production and distribution, though its effects on global drug governance remain under scrutiny. This study used qualitative and comparative methods to investigate the current regulatory landscape for fentanyl, including its efficiency and potential loopholes in China and India. It concludes that although both China and India are actively and significantly attempting to step away from the global fentanyl supply chain, these efforts remain ineffective due to institutional loopholes, namely inadequate legislation and fragmented regulatory structures. From insights gained on global drug governance, we recommend a binding international convention concentrated on controlling fentanyl and its related substances, with further bilateral and multilateral cooperation among states as necessary complementation.

Keywords: China; India; fentanyl; global drug governance; opioid epidemic; public health; regulation; rule of law.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid
  • China / epidemiology
  • Epidemics*
  • Fentanyl*
  • India / epidemiology

Substances

  • Analgesics, Opioid
  • Fentanyl