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    The standard low dose of oral cocaine

    • Teobaldo Llosa
    31 December 1993

    publicationCoca tea has been used for the treatment of cocaine dependence. Two previous reports found that treatment that includes coca tea can be successful in controlling relapse to cocaine dependence. In the current study, coca tea plus counseling was used to treat cocaine dependence in 23 cocaine-addicted coca paste smokers seeking treatment at an outpatient clinic in Lima, Peru.

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  2. publication

    Therapeutic Use of Cannabis by Crack Addicts in Brazil

    • Eliseu Labigalini Jr, Lucio Ribeiro Rodrigues, Dartiu Xavier Da Silveira
    01 October 1999

    This study ensued from clinical observations based on spontaneous accounts by crack abusers undergoing their first psychiatric assessment, where they reported using cannabis in an attempt to ease their own withdrawal symptoms.

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    The impact of heroin prescription on heroin markets in Switzerland

    • Martin Killias, Marcelo F. Aebi
    31 December 1999

    A program of heroin prescription was introduced in Switzerland in 1994. This initially targeted 1,000 heavily dependent heroin users, most of whom were also involved in drug dealing and other forms of crime. It has recently been extended to cover 3,000 users. Evaluation of its impact on users shows large reductions in use of illicit drugs and in drug-related crime.

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    The impact of heroin prescription on heroin markets in Switzerland

    • Martin Killias, Marcelo F. Aebi
    01 January 2000

    A program of heroin prescription was introduced in Switzerland in 1994. This initially targeted 1,000 heavily dependent heroin users, most of whom were also involved in drug dealing and other forms of crime. It has recently been extended to cover 3,000 users. Evaluation of its impact on users shows large reductions in use of illicit drugs and in drug-related crime.

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    Use of Narcotic Drugs in Public Injection Rooms under Public International Law

    07 January 2000

    State-controlled public injection rooms are not expressly referred to in any of the rele­vant international conventions. It is thus necessary to determine, by way of a prelimi­nary factual enquiry, the exact characteristics of such institutions that fall within the ambit of one or more of the conventions. The rather superficial provisions concerning drug addicts stand in stark contrast to the stated primary aims of the conventions, which are formulated in the preambles as pre­venting and combatting abuse of narcotic drugs and psychotropic substances and the public health and social problems which such abuse engenders.

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    Reviewing legal aspects of substitution treatment at international level

    • European Monitoring Centre for Drugs, Drug Addiction (EMCDDA)
    01 August 2000

    Treatment for drug addiction was seen as a measure to reduce drug abuse as early as 1961 when the UN Single Convention was signed. However, the only recognised concept of drug treatment mentioned by the Convention concerned the detoxification of the individual through ‘drug-free treatment’. Therapeutic measures aimed at treating drug addictions through maintenance and related distributions of alternative substances are not expressly mentioned by the UN Conventions of 1961, 1971 and 1988.

  7. coca-leaf-cocaine-maintenance

    Coca leaf chewing as therapy for cocaine maintenance

    • Jorge Hurtado Gumucio
    30 September 2000

    The cocaine base, or “pasta”, may be seen as a type of South American crack. Its obligatory method of administration is smoking. A primary condition of the “pasta” smoker is compulsive drug-search behavior and addiction to cocaine base destroys emotional and mental balance. Socio-economic maladjustment is the norm amongst “pasta” addicts. Since 1984 I have recommended the chewing of the coca leaf, between 100 to 200 grams of coca leaf per week for the treatment of cocaine dependence.

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    Crack Heads and Roots Daughters

    • Melanie Dreher
    01 January 2002

    publicationAn ethnographic study of women and drug use in inner city neighborhoods in Kingston, Jamaica, revealed that cannabis is commonly used in conjunction with crack cocaine to minimize the undesirable effects of crack pipe smoking, specifically paranoia and weight loss.

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    Recent developments regarding drug law and policy in Germany and the European Community

    • Lorenz Böllinger
    21 March 2002

    publicationRecent developments in drug policy can be regarded as taking place in stages based on certain changeable paradigms: the abstinence paradigm, the medicalization paradigm and the acceptance paradigm. For the time being there seems to be a slow transition from the first to the latter, implying that elements of all three are presently active in a diversity of policies and strategies, differing between states and regions of the German federal state and the European Union as well as between different levels of drug policy and drug care.

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    Substitution therapy for amphetamine users

    • James Shearer, John Sherman, Alex Wodak, Ingrid van Beek
    31 May 2002

    publicationThe illicit use of amphetamines continues to be a growing problem in many countries around the world, yet treatment responses remain in need of further development. This is particularly true with regards to pharmacotherapy for amphetamine dependence. In this Harm Reduction Digest four authors who bring together considerable research and clinical experience in this area describe the nature of amphetamine-related problems and consider the role of amphetamine agonists in substitution therapy for amphetamine dependence.

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    Flexibility of treaty provisions

    • UNODC Legal Affairs Section
    30 September 2002

    In a confidential and authoritative memorandum to the INCB, UNODC legal experts argue that most harm reduction measures are in fact acceptable under the conventions. According to the Legal Affairs Section "it could easily be argued that the Guiding Principles of Drug Demand Reduction provide a clear mandate for the institution of harm reduction policies that, respecting cultural and gender differences, provide for a more supportive environment for drug users."

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  12. The Erratic Crusade of the INCB

    27 February 2003

    In the Report of the International Narcotics Control Board for 2002 that was released on February 26, the president of the Board, Dr. Philip O. Emafo from Nigeria, launches a strong attack against groups that advocate legalisation or decriminalisation of drug offences.

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    Drug Consumption Rooms

    01 April 2003

    The first drug consumption room for opiate-dependent persons in Germany was opened in Frankfort on the Main in December 1994. In March 2003 there were 19 drug consumption rooms in the Federal Republic of Germany: These institutions provide several hundred drug injecting places; they are used every day by several thousand addicts several times a day.

     

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    Evaluation of the work of drug consumption rooms in the Federal Republic of Germany

    01 July 2003

    publicationBesides the classic approaches (drug counselling centres, therapy for substance abuse) there exist reform and pilot projects to develop alternative ways of helping. These are intended for longtime drug users who have undergone several therapies unsuccessfully or could not be reached by existing resources. Amongst those alternative services is the treatment with substitution therapy as well as the establishment of drug consumption rooms.

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    HIV/AIDS and Drugs Misuse in Russia

    • William E Butler
    01 September 2003

    hivaids-russiaThis report breaks new ground in the HIV/AIDS prevention literature by reviewing harm reduction initiatives and programmes in the context of Russian and international law. The intention is to guide the reader through the complexities of the laws governing HIV and drug misuse and to determine the various legal difficulties relating to these initiatives. The policy options that appear to be available to address them and to allow harm reduction programmes to become an integral part of Russia’s response to its HIV/AIDS epidemic are set out. With the intensification of the “harm reduction versus drug supply/demand reduction” debate there is a need to ensure that policy makers have a thorough understanding of the concept of harm reduction, related terminology and relevant aspects of the law.

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    European report on drug consumption rooms

    • Dagmar Hedrich
    01 February 2004

    publicationDrug consumption rooms have been established in several countries, where confirmed drug users are allowed to consume their drugs in hygienic conditions and without fear of arrest. These facilities, which mostly operate in big cities, emerged because of serious health and public order problems associated with drug use, especially drug injecting in public places. In 2004, there were about 60 consumption rooms in 36 European cities and two pilot projects of medically supervised injecting centres in Australia and Canada.

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    Measures to reduce harm

    • International Narcotics Control Board
    01 March 2004

    publicationThe conventions do not contain, refer to or define “harm reduction”. The three conventions refer to measures against drug abuse. Article 38 of the 1961 Convention refers to the need for a State to take measures for the prevention of drug abuse and for the early identification, treatment, aftercare, rehabilitation and social reintegration of drug abusers. Article 14 of the 1988 Convention requires parties to adopt appropriate measures aimed at eliminating or reducing illicit demand for narcotic drugs and psychotropic substances, with a view to reducing human suffering. The ultimate aim of the conventions is to reduce harm.

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  18. Displacement of Canada’s largest public illicit drug market in response to a police crackdown

    • Evan Wood, Patricia M. Spittal, Will Small, Thomas Kerr, Kathy Li, Robert S. Hogg, Mark W. Tyndall, Julio S.G. Montaner, Martin T. Schechter
    10 May 2004

    Law enforcement is often used in an effort to reduce the social, community and health-related harms of illicit drug use by injection drug users (IDUs). There are, however, few data on the benefits of such enforcement or on the potential harms. A large-scale police “crackdown” to control illicit drug use in Vancouver’s Downtown Eastside provided us with an opportunity to evaluate the effect.

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  19. The UN and Harm Reduction - Revisited

    • Martin Jelsma
    01 April 2005
    The US pressure on the UNODC to withdraw support from needle exchange and other harm reduction approaches backfired at the 48th session of the CND in March 2005. Delegates from around the globe stood up to defend the overwhelming evidence that harm reduction measures are effective against the spread of HIV/AIDS. In this briefing TNI analyses the proceedings and results of the CND meeting in Vienna in March 2005, and outlines several options for follow-up and recommends next steps to take.

     

  20. The United Nations and Harm Reduction - Revisited

    01 April 2005

    In this briefing the Transnational Institute (TNI) analyses the proceedings and results of the CND meeting in Vienna, 7-11 March 2005, outlines several options for follow-up and recommends next steps to take.

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