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23 items
  1. Is São Paulo's drug treatment program working?

    21 Enero 2015
    Other news

    Authorities say crack use has dropped 80 percent in São Paulo's notorious "Crackland" district since the implementation of With Open Arms ("De Braços Abertos"), a government-sponsored drug treatment program initiated in January 2014, reported a municipal government office in São Paulo. But there are reasons to doubt the initiative's reported success.

  2. Controversial São Paulo project offers jobs to crack addicts in Cracolândia

    28 Octubre 2014
    Other news

    On a mild winter morning in São Paulo, two dozen people pick up brooms and rubbish bins from a warehouse. They wear blue jumpsuits with a De Braços Abertos (With Open Arms) logo, referring to a controversial new programme for crack cocaine addicts, and set off to sweep streets in the city centre. 

  3. Crack cocaine is king in Brazil: What Sao Paulo is doing about it

    25 Abril 2014
    Other news

    São Paulo's Cracolândia has been here for 15 years. Its population hovered around 1,500. The city recently took over a collection of flophouses around Cracolândia – businesses whose clientele had fled along with most regular commerce in the neighbourhood – and set 400 addicts up in long-term accommodation. They also pitched a big tent on the edge of the fluxo, the shifting mattress camp on the streetcorner where addicts squat, hung up the Braços Abertos (Open Arms) banner and deployed an army of social workers

  4. Cannabis to substitute crack

    Tom Blickman, Amira Armenta
    22 Abril 2013
    Article

    The mayor of Bogota has recently proposed a pilot scheme with crack cocaine addicts to explore the substitution of crack made of cocaine base paste (or bazuco as it is called in Colombia) by marijuana. The substitution treatment plan will include 15 problematic users from the marginalized Bronx area who are already receiving health assistance of the CAMAD operating in that sector of the city. The treatment will last approximately eight months, after which the results will be evaluated.

  5. Cannabis as a substitute for alcohol and other drugs

    • Philippe Lucas, Amanda Reiman, Mitch Earleywine, Stephanie K. McGowan, Megan Oleson, Michael P. Coward, Brian Thomas
    19 Noviembre 2012

    This article examines the subjective impact of medical cannabis on the use of both licit and illicit substances via self-report from 404 medical cannabis patients recruited from four dispensaries in British Columbia, Canada. The aim of this study is to examine a phenomenon called substitution effect, in which the use of one product or substance is influenced by the use or availability of another.

     

  6. Bring back the free crack pipes

    Jeremy Klaszus
    05 Septiembre 2011
    Other news

    When you hear that your government is helping addicts shoot up or smoke crack, it's normal to wonder: how can this possibly be good? Until recently, Alberta Health Services did similar work, distributing free, clean crack pipes to Calgary addicts through the Safeworks Harm Reduction Program. But when local media publicized the existence of the pipe arrangement last month, things went sideways.

     
  7. Free crack cocaine pipes enable the saving of lives

    Louise Gallagher (Director, Public Relations, Volunteer Services, with the Calgary Drop In, Rehab Centre)
    21 Agosto 2011
    Other news

    In 2008, Safeworks, an outreach program of Alberta Health Services, began a harm reduction program aimed at mitigating the effects of sharing crack pipes with other addicts. Through the program, users had the opportunity to obtain a clean pipe. It helped cut down on transmittable diseases and it gave outreach workers an opportunity to build relationships and explore safer options with this at-risk population of crack users. It's disheartening that AHS decided last week to let this program go up in smoke because it became controversial.

  8. crack-sao-paulo

    Free crack pipe service discontinued in Calgary

    19 Agosto 2011
    Other news

    A decision to stop a clean crack-pipe distribution program has disappointed those working to rehabilitate street addicts. Since 2008, Alberta Health Services had been giving out crack-pipe kits as part of the Safeworks program, an effort to reduce transmittable diseases. The kits contained a glass pipe, mouthpiece and cleaning tool and were handed out in an AHS van. More than 14,500 crack pipes were given out as of June 2011.

  9. Cocaine addiction treatments to improve control and reduce harm (CATCH)

    • Mascha Nuijten, Peter Blanken, Wim van den Brink, Vincent Hendriks
    18 Agosto 2011

    Cocaine, particularly in its base form ('crack'), has become one of the drugs of most concern in the Netherlands, being associated with a wide range of medical, psychiatric and social problems for the individual, and with significant public order consequences for society. Available treatment options for cocaine dependent users are limited, and a substantial part of the cocaine dependent population is not reached by the addiction treatment system.

     

  10. crack-smoking-brazil

    Drug users to receive crack pipes as part of pilot project

    02 Agosto 2011
    Other news

    Vancouver health officials will distribute new crack pipes to non-injection drug users this fall as part of a pilot project aimed at engaging crack cocaine smokers and reducing the transmission of disease such as hepatitis C, HIV and even respiratory illnesses. The program, part of Vancouver's harm reduction strategy, is expected to start in October and run for six months to a year. The intent is to connect health care workers with crack cocaine smokers to evaluate how many of the drug users are in the city and what equipment they need to lower their risk of catching diseases. A kit with a clean, unused pipe, mouthpiece, filter and condoms will be handed out to the participants.

  11. Uptake, benefits of and barriers to safer crack use kit (SCUK) distribution programmes in Victoria, Canada

    • Andrew Ivsins, Eric Roth, Nadine Nakamura, Mel Krajden, Benedikt Fischer
    30 Junio 2011

    Crack use is prevalent amongst street drug users in Canadian cities, and associated with severe drug use, health and social problems. Whilst few targeted interventions are available for crack use, the common use and sharing of hazardous makeshift paraphernalia are a key concern, as these risks may be associated with oral injury and blood-borne virus (BBV) transmission amongst users. Recently, distribution programmes of so-called 'safer crack use kits' (SCUKs) have been initiated in select Canadian cities, primarily to reduce the use of unsafe materials and paraphernalia sharing amongst crack users. This study explored uptake and benefits of, barriers to, and possible improvements to two recently implemented SCUK distribution programme in Victoria, Canada.

     

  12. crack-smoking-brazil

    Do crack smoking practices change with the introduction of safer crack kits?

    • Leslie A. Malchy, Vicky Bungay, Joy L. Johnson, Jane Buxton
    30 Abril 2011

    Crack smoking has increased in Vancouver despite the harms associated with its use. Many people who smoke crack share their equipment, thereby increasing their risk for infectious disease. This project explored the effects of outreach distribution of "safer crack kits" on smoking practices. While kit distribution made safer use items more accessible, its impact on safer use practice was limited. Our findings highlight the need for targeted distribution of safer use items. Future research should explore the dynamics of unsafe crack smoking practices and ways to leverage safer use messaging.

     

  13. crack-smoking-rio

    Do crack smoking practices change with the introduction of safer crack kits?

    • Leslie A. Malchy, Vicky Bungay, Joy L. Johnson, Jane Buxton
    30 Abril 2011

    Crack smoking has increased in Vancouver despite the harms associated with its use. Many people who smoke crack share their equipment, thereby increasing their risk for infectious disease. This project explored the effects of outreach distribution of "safer crack kits" on smoking practices. While kit distribution made safer use items more accessible, its impact on safer use practice was limited. Our findings highlight the need for targeted distribution of safer use items. Future research should explore the dynamics of unsafe crack smoking practices and ways to leverage safer use messaging.

     

  14. canada-pot-flag

    The Safer Crack Use Program

    01 Junio 2010

    This fact sheet explains the Safer Crack Use Program of the Public Health Department of Toronto (Canada). In Toronto, a range of community-based, government and institutional agencies deliver harm reduction services. As with other harm reduction measures, there is no evidence that the distribution of safer crack use kits encourages drug use. Only people who are already using crack cocaine participate in the Safer Crack Use Program.

     

  15. Smoking of crack cocaine as a risk factor for HIV infection among people who use injection drugs

    • Kora DeBeck et. al.
    27 Octubre 2009

    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.

     

  16. Distributing safer crack use kits in Canada

    01 Septiembre 2008

    A number of public health departments and community organizations in Canada distribute safer crack use kits to people who use crack cocaine. The kits typically include mouthpieces, glass stems and screens, as well as condoms and referral information for other health and support services. This document outlines why such health programs are needed and answers a number of legal questions related to the distribution of safer crack use kits.

     

  17. Characterization of the crack cocaine culture in the city of São Paulo: a controlled pattern of use

    • Lúcio Garcia de Oliveira, Solange Aparecida Nappo
    01 Julio 2008

    In the city of São Paulo, the culture of crack use has undergone considerable changes over these 11 years since it was first described. The sociodemographic profile of the users is practically the same and most use is still compulsive, with significant physical, moral and social impairment among them. Sole use of crack has overwhelmingly been replaced by associations between crack and other drugs, thus characterizing users in the city of São Paulo as multiple drug users.

     

  18. Cocaine paste and cannabis in the field of mental health in Chile

    Ingrid Tartakowsky López
    26 Febrero 2007
    Article

    Clinical observations and scientific evidence - The use of some drugs in Chile remains silenced in official discourses, making it important to clinically observe the various ways those drugs requiring more attention appear, and which are not seen as a priority in mental health. Specifically, this is the case with cocaine paste, widely used by people living in poverty.

  19. 'Paco' Under Scrutiny

    • Transnational Institute (TNI)
    01 Octubre 2006

    Based on two studies carried out in the cities of Buenos Aires and Montevideo, this report examines the origin, characteristics and impact of the explosive increase in cocaine base paste in urban areas. It also highlights the variety of products consumed in these cities and the substance known as crack that is consumed in Brazilian cities. The Brazilian experience with this consumption could serve as an example and a lesson for the Southern Cone.

     

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    Crack Heads and Roots Daughters

    • Melanie Dreher
    01 Enero 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.

    application-pdfDownload the document (PDF)

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