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April 21, 1989, Vol 261, No. 15 >
ARTICLE | April 21, 1989

Methadone Maintenance Programs in Sweden

Olof Blix, MD, PhD
JAMA. 1989;261(15):2202. doi:10.1001/jama.1989.03420150052034.
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To the Editor. —  I write this letter as the medical director of one of the two methadone maintenance treatment programs currently active and caring for former heroin addicts in Sweden. I was invited to give the keynote address at the opening session of the 5th Annual Northeastern Regional Methadone Maintenance Conference in New York on November 28, 1988. I was deeply concerned when my audience in New York showed me the article in the November 25 issue of JAMA stating that Sweden "has effectively banned it, after closing the country's single program," referring to methadone maintenance treatment.1The facts are that our (then sole) methadone maintenance program in Uppsala, Sweden, was closed temporarily for admittance of new patients from 1979 to 1984, which was disastrous to the 98 heroin addicts on the waiting list: 39 (40%) died during that period (drug-related deaths). Conversely, the patients who had been

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