Eugenia Oviedo-Joekes, Joan C. March, Manuel Romero, Emilio Perea-Milla
31 December 2009
In 2003, a randomised controlled trial (RCT) comparing injected diacetylmorphine and oral methadone was carried out in Andalusia, Spain. The subsequent follow-up study evaluated the health and drug use status of participants, 2 years after the completion of the trial. This follow-up cohort study was carried out between March and August 2006. Data collected included information on socio-demographics, drug use, health and health-related quality of life. Patients who received HAT showed better outcomes compared with those not on HAT. The results of this study strengthen the evidence showing that HAT can improve and stabilise the health of long-term heroin users with severe comorbidities and high mortality.
Afghanistan remains the world’s largest producer of opium and has an under-reported but growing heroin-use problem. Current drug control policies in Afghanistan are unrealistic, reflecting a need for immediate signs of hope rather than a serious analysis of the underlying causes and an effort to achieve long-term solutions.
This paper examined whether use of crack cocaine has become a risk factor for HIV infection. Smoking of crack cocaine was found to be an independent risk factor for HIV seroconversion among injection drug users. This finding points to the urgent need for evidence-based public health initiatives targeted at people who smoke crack cocaine. Innovative interventions that have the potential to reduce HIV transmission in this population, including the distribution of safer crack kits and medically supervised inhalation rooms, need to be evaluated.
The academic journal Nueva Sociedad recently released an issue to promote the debate in Latin America on drug policy reform. TNI contributed with the paper "Drug policy reform in practice: Experiences with alternatives in Europe and the US".
Marie Longo, Wendy Wickes, Matthew Smout, Sonia Harrison, Sharon Cahill, Jason M. White
18 June 2009
This study tested the impact of a long-acting form of amphetamine as medication to help control dependent use of the closely allied stimulant, methamphetamine. Prescribed usually for the treatment of pathological sleepiness or attention deficit/hyperactivity disorder, effects of the amphetamine tablets prescribed in the study take several hours longer to emerge than normal amphetamine and last three to six hours longer, giving it a 'smoothing' profile similar to methadone for heroin users; non-rapid onset make it less intensely pleasurable, and longer duration suits it to once-daily administration.
The main purpose of this evaluation was to determine to what extent the principal goal of Dutch drug policy has been achieved, as stated in the 1995 Policy Document on Drugs (Drugsnota). This asserts the primacy of protecting public health, and thus gives priority to drugs prevention and to the management of the individual and social risks that arise from drug use.
Peter Reuter (RAND), Franz Trautmann (Trimbos Institute) (eds.)
15 March 2009
This report commissioned by the European Commission, found no evidence that the global drug problem has been reduced during the period from 1998 to 2007 – the primary target of the 1998 UNGASS, which aimed to significantly reduce the global illicit drugs problem by 2008 through international cooperation and measures in the field of drug supply and drug demand reduction. Broadly speaking the situation has improved a little in some of the richer countries, while for others it worsened, and for some of those it worsened sharply and substantially', among which are a few large developing or transitional countries. Given the limitations of the data, a fair judgment is that the problem became somewhat more severe.
As the international community finalises the Political Declaration and work plan that will guide the next ten years of international drug policy, it is inconceivable and indeed unconscionable that support for scientifically proven, evidence-based harm reduction programmes will again be blocked. States must show responsible leadership and act in the best interests of public health and human rights, rather than the narrow and failed language of ‘a drug free world’. This issue is much bigger than ideology, semantics and intergovernmental wordplay. It is about saving lives.
Produced by an Oscar-winning studio for the Global Drug Policy Program of the Open Society Institute, International Drug Policy: Animated Report 2009 highlights some of the disastrous effects of drug policy in recent years and proposes solutions for a way forward.
A decade after governments worldwide pledged to achieve a "drug-free world," there is little evidence that the supply or demand of illicit drugs has been reduced. Instead, aggressive drug control policies have led to increased incarceration for minor offenses, human rights violations, and disease. The book, published by the Open Society Institute (OSI), examines the descent of the global war on drugs into a war on people who use drugs. From Puerto Rico to Phnom Penh, Manipur to Moscow, the scars of this war are carried on the bodies and minds of drug users, their families, and the health and service providers who work with them.
The statement presents the main findings of the Latin American Commission on Drugs and Democracy. Prohibitionist policies based on the eradication of production and on the disruption of drug flows as well as on the criminalization of consumption have not yielded the desired results, concludes . We are further than ever from the announced goal of eradicating drugs. Breaking the taboo, acknowledging the failure of current policies and their consequences is the inescapable prerequisite for the discussion of a new paradigm leading to safer, more efficient and humane drug policies.
IHRA’s HR2 programme released a report entitled ‘Harm Reduction and Human Rights: The Global Response to Drug-Related HIV Epidemics’. The report provides a concise overview of the global situation in terms of drug-related HIV epidemics worldwide, with a particular focus on the regions of Asia, Central and Eastern Europe and Central Asia, the Caribbean, Latin America, the Middle East and North Africa, and Sub Saharan Africa.
A useful overview of UN endorsement of harm reduction measures; the legality of harm reduction services under the Drug Conventions; the obligation in human rights law to ensure access to harm reduction services and the global state of harm reduction, listing 82 countries and territories worldwide that presently support or tolerate harm reduction.
The Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment submits his third report to the Human Rights Council. The Special Rapporteur focuses on the compatibility of the death penalty with the prohibition of cruel, inhuman and degrading punishment discusses a human rights-based approach to drug policies.
Drug control agencies have called the significant decline in opium production in Southeast Asia over the past decade a 'success story'. The latest report of the Transnational Institute (TNI). based on in-depth research in the region, casts serious doubts on this claim noting that Southeast Asia suffers from a variety of 'withdrawal symptoms' that leave little reason for optimism.
Harm-reduction as a policy goal implies targeting directly drug-related harms rather than drug use itself. So far it has been largely a public health sector movement, focused on harms to users, most notably from heroin overdose, injection drug use and club drugs. Harm-reduction has offered fewer solutions to the problems of drug-related crime, violence, corruption or market externalities. However, harm-reduction has potentially much broader application when applied to the entire suite of harms generated by the production, distribution, consumption and control of drugs, not just drug use.