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1689 items
  1. Thumbnail Amapola, opio y heroína

    Poppies, opium, and heroin: Production in Colombia and Mexico

    • Guillermo Andrés Ospina, Jorge Hernández Tinajero, Martin Jelsma
    16 April 2018
    Report

    Poppy cultivation in Mexico and Colombia is part of a local economy geared almost exclusively toward the illegal market abroad: it is driven by demand for heroin, primarily in the United States.

  2. New heroin-assisted treatment

    • John Strang, Teodora Groshkova, Nicola Metrebian
    31 March 2012

    The prescription of substitution drugs, such as methadone and buprenorphine, has become a mainstream, first-line treatment for opioid dependence, with around 700 000 of Europe’s 1.3 million problem opioid users receiving substitution treatment today. But a small minority of entrenched opioid users repeatedly fails to respond to interventions of this kind. Findings from international trials now suggest that the supervised use of medicinal heroin can be an effective second-line treatment for this small, and previously unresponsive, group. In this latest EMCDDA Insights report, experts describe the development as ‘an important clinical step forward’. 

    Download the report (PDF)

  3. Heroin Assisted Treatment

    • Christopher Hallam
    15 July 2010

    This briefing paper explores the question of Heroin Assisted Treatment (HAT), examines the growing body of evidence emerging from its clinical use in addiction therapies, and makes recommendations for policy makers.

     

  4. Norway contemplating Heroin Assisted Treatment

    Christopher Hallam
    13 August 2010
    Article

    The recent report of the Stoltenberg Committee, set up by the Norwegian Health Minister to review the country’s drug situation, included a recommendation to begin offering Heroin Assisted Treatment (HAT) to the most marginalised users. The government, while supporting the introduction of new harm reduction measures, is still considering whether to follow the recommendation.

  5. The Andalusian trial on heroin-assisted treatment

    • 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.

     

  6. EMCDDA report presents latest evidence on heroin-assisted treatment for hard-to-treat opioid users

    18 April 2012
    Other news

    A small population of chronic heroin users, once thought to be ‘untreatable’, is now benefiting from a novel type of therapy using medicinal heroin as the substitution drug. In a new report out today from the EU drugs agency (EMCDDA), experts describe the development as ‘an important clinical step forward’. The report, New heroin-assisted treatment, provides the first state-of-the-art overview of research on the subject, examining the latest evidence and clinical experience in this area in Europe and internationally.

  7. publication

    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.

  8. publication

    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.

  9. heroin_syringe

    Norway mulls decriminalising heroin smoking

    28 February 2013
    Other news

    The Norwegian government it wants to decriminalise the inhalation of heroin, a method considered less dangerous than injecting it, to reduce the number of overdoses in the country. The move would make smoking heroin an offense on par with injecting, which is illegal in Norway but tolerated. Oslo's municipality operates a site where heroin addicts can inject drugs under safer, more hygienic circumstances.

  10. Drugs policy in Canada: Local heroin

    05 December 2014
    Other news

    Some European countries prescribe heroin for the most severe cases of addiction. Patients taking heroin are less likely to use illicit drugs and drop out of treatment than those who use methadone, a substitute. Vancouver’s eagerness to follow is not surprising. It has long had Canada’s most liberal drug policies, and it has a big problem. Addicts congregate in Downtown Eastside, two derelict blocks right next to tourist attractions and the financial district. In the late 1990s the city had the highest rate of HIV infection outside sub-Saharan Africa.

  11. Vancouver addicts soon to receive prescription heroin

    21 November 2014
    Other news

    In a North American first, heroin addicts in Vancouver will soon receive prescription heroin outside of a clinical trial. Doctors at the Providence Crosstown Clinic received shipment of the drug this week for 26 former trial participants and will begin administering the drugs next week. In all, 120 severely addicted people have received authorization from Health Canada to receive the drugs; the rest are expected to get them soon. This development comes after more than a year of battles between Vancouver doctors and federal Health Minister Rona Ambrose.

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  13. Thumbnail

    European Official Development Assistance to the Philippines

    • Joel Rocamora
    20 October 1992
    Book
    The studies in this book focus mainly on the period of the Corazon Aquino presidency. It was this period that European Overseas Development Assistance to the Philippines begun to increase significantly.
  14. Germany's Official Development Assistance in Land Policy

    • Roman Herre
    27 September 2009

    The German government's involvement in land policy is reflected through its support for technical land administration and management in more than 20 countries, while the engagement in redistributive land policies like land reform is almost non-existent.

  15. Heroin returns to Golden Triangle

    02 June 2014
    In the media

    Poppy cultivation has rapidly expanded in the Myanmar and Laos parts of the Golden Triangle, to feed new demands for heroin, chiefly in China, according to a report released Monday.
    "After a decade of decline, Southeast Asia is now once again a major opium growing region," it claims.

  16. Thumbnail

    Aanbod drugs en heroïne verdubbeld

    30 June 2008
    In the media
  17. ‘Federal dealer’ on 20 years of heroin scheme

    13 February 2014
    Other news

    The abject drug misery that held sway at Zurich’s Platzspitz park, known popularly as “Needle Park”, spurred Switzerland in 1993 to opt for a pragmatic drug policy of distributing medically controlled heroin to therapy-resistant addicts. In the mid-1990s, the project to provide opiate-assisted treatment for hardcore addicts was formally evaluated and the results appeared promising. The addicts were doing better in terms of health and social issues, and drug-related crime had decreased.

  18. Heroin addicts launch Charter challenge to prescription ban

    12 November 2013
    Other news

    Five people severely addicted to heroin are launching a constitutional challenge to the federal government’s ban on the prescription version of the drug. Health Canada’s special access program (SAP) had recently approved applications from B.C. doctors to give diacetylmorphine (heroin) treatment to about 20 patients who were completing their participation in a Vancouver-based clinical trial. But federal Health Minister Rona Ambrose immediately denounced her own department’s approvals. (See also: Legal challenge to heroin prescription ban will draw on Insite case)

  19. heroin_syringe

    Decriminalise heroin and cocaine says Belfast drugs worker

    14 February 2013
    Other news

    One of Northern Ireland's most senior drugs workers has said that class A drugs like heroin should be decriminalised, regulated and made available on prescription. "I think the impact of decriminalising, of regulating, of taking this activity out of the hands of organised crime, is the way to improve our society right now," said Michael Foley, the head of the Belfast Trust's Drug Outreach Team.

  20. Voters agree heroin scheme, but throw out dope

    30 November 2008
    Other news

    The Swiss look set to approve the government's drugs policy, including the prescription of heroin to addicts, but will reject a plan to decriminalise cannabis. More than two-thirds of voters approved a plan to enshrine the government's four-pillar drugs policy in law. The official drugs strategy is based on prevention, harm reduction, therapy and repression. It was devised in response to the open drugs scene in Zurich and other Swiss cities during the 1990s.

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