No fewer than six randomised controlled trials – in Switzerland, the Netherlands, Germany, Spain, Canada, and England – concluded that heroin assisted treatment is more effective than conventional treatments in a subgroup of heroin users.
In its report on the methamphetamine market, the Australian Crime Commission identified ice as the illicit drug posing the highest risk to Australia. Perhaps it’s time to establish a safe place for ice users along the lines of the heroin injecting centre: a place where users can be monitored, where adverse physical and mental reactions to the drug can be professionally dealt with.
In 2008, Harm Reduction International released the Global State of Harm Reduction, a report that mapped responses to drug-related HIV and hepatitis C epidemics around the world for the first time.(1) The data gathered for the report provided a critical baseline against which progress could be measured in terms of the international, regional and national recognition of harm reduction in policy and practice. Since then, the biennial report has become a key publication for researchers, policymakers, civil society organisations and advocates, mapping harm reduction policy adoption and programme implementation globally.
Prime Minister Stephen Harper’s statement about the failures of Canada's drug policy is mostly on point. It’s just the last bit he gets wrong: “I think what everyone believes and agrees with, and to be frank myself, is that the current approach is not working, but it is not clear what we should do.” He’s wrong, because we know what we should do: Supervised injection sites; prescription heroin; medical cannabis dispensaries; crack pipe distribution; drug testing kits; Naloxone for reversing opioid overdose.
Under pressure from the Lib Dems, the Home Office commissioned a report looking at the international evidence on the impact of legislation on drug use. Theresa May, the home secretary, made no secret of the fact that she had no enthusiasm for the project, and when it was published in October, with Baker taking the lead in publicising it, Conservative ministers signalled that they would ignore it. Baker revealed that the original draft had contained policy recommendations that, on May’s orders, had been removed prior to publication.
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.
If you’ve ever had surgery, you owe a debt to heroin-assisted therapy, and not because you were probably doped up on morphine in post-op. Rather, it’s because of William Halsted. Appointed the first chief of surgery of Johns Hopkins in 1889, the man now known as “the father of surgery” proceeded to revolutionize the craft during his more than 30-year career. Mr. Halsted introduced the use of surgical gloves and complete sterility, performed the first radical mastectomy and developed new stomach and intestinal surgeries. And one more thing: During his entire time at Johns Hopkins, Mr. Halsted injected himself with morphine on a daily basis.
The face of heroin use in America has changed utterly. Forty or fifty years ago heroin addicts were overwhelmingly male, disproportionately black, and very young. Most came from poor inner-city neighbourhoods. These days, the average user looks different. More than half are women, and 90% are white. The drug has crept into the suburbs and the middle classes. And although users are still mainly young, the age of initiation has risen: most first-timers are in their mid-20s. The spread of heroin to a new market of relatively affluent, suburban whites has allowed the drug to make a comeback, after decades of decline.
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.
William Patey, British ambassador to Afghanistan from 2010-2012
25 June 2014
When Tony Blair deployed British troops in Afghanistan, ending the illicit production and supply of opium was cited as a key objective. In 2001 the prime minister linked heroin use in the UK with opium cultivation in Afghanistan. Yet after 10 years of effort with tens of thousands of troops in the country, and having spent billions trying to reduce poppy cultivation, Afghans are growing more opium than ever before. For the sake of both Afghans and British citizens, politicians must take responsibility for the failings of global prohibition, and take control of the drug trade through legal regulation.
Vor zehn Jahren startete in Frankfurt der Modellversuch, Heroin an schwerkranke Junkies abzugeben. Nun diskutieren Stadtparlamentarier über die Verteilung von Cannabis. Durch eine kontrollierte Abgabe von Cannabis könnten die "verheerenden Folgen" des illegalen Marktes eingedämmt werden. Man könnte einen "wirklichen Verbraucherschutz" einführen und Personen mit problematischen Konsummustern gezielt ansprechen. "Es geht darum, den im Moment ungezügelten Schwarzmarkt zu kontrollieren." (Mehr dazu: Cannabis auf dem Prüfstand)
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.
Staff at Copenhagen’s first legal drug injection room have saved 30 lives since it opened last autumn, according to metroXpress newspaper.The deputy mayor for social affairs, Mikkel Warming (Enhedslisten), contends that the success of the injection room should be expanded across the city. The deputy mayor, however, is not likely to get the Konservative party to support the move. Konservative's legal spokesperson, Tom Behnke would rather introduce prescription heroin and increase efforts to rehabilitate addicts.
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.
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.
Kasia Malinowska-Sempruch, director of Open Society Foundations Global Drug Policy Program
16 August 2012
It’s sad that drug policy reform must always be wrapped tragedy but alas – in the context of drugs – crisis has historically been the mother of invention. It was in the face of thousands of overdoses and the highest HIV prevalence in Western Europe that Switzerland introduced effective heroin-prescription programmes, safe injection facilities, needle and syringe-exchange programmes and low-threshold methadone services.
The global war on drugs is driving the HIV pandemic among people who use drugs and their sexual partners. Throughout the world, research has consistently shown that repressive drug law enforcement practices force drug users away from public health services and into hidden environments where HIV risk becomes markedly elevated. Mass incarceration of nonviolent drug offenders also plays a major role in spreading the pandemic. Today, there are an estimated 33 million people worldwide living with HIV – and injection drug use accounts for one-third of new HIV infections outside of sub-Saharan Africa.