An approach known as drug-market intervention (DMI) was first used in High Point, North Carolina, in 2004 and since then has been tried in more than 30 cities and counties. It is the brainchild of David Kennedy, a criminologist at John Jay College in New York, who thinks that “the most troubled communities can survive the public-health and family issues that come with even the highest levels of addiction. They can’t survive the community impact that comes with overt drug markets”—by which he means markets that draw outsiders to the neighbourhood. Once these are entrenched, a range of problems follow: not just drug use and sales, but open prostitution, muggings, robberies, declining property values, and the loss of businesses and safe public spaces.
This note provides an overview of human rights and international law concerns raised by the 2011 Annual Report of the International Narcotics Control Board. These include questionable legal reasoning by the Board; the absence of broader human rights norms; problematic statements on specific issues; unqualified comments and support for policies despite human rights risks; and stigmatising language unbecoming a UN entity. These are patterns that are evident in previous Annual Reports.
President Mauricio Funes of El Salvador denied that his government had rewarded his country's two largest street gangs for striking a truce credited with a dramatic drop in the staggering national homicide rate. Funes said his administration had not negotiated with the gangsters. He did say that the government responded to news of the truce by transferring 30 gang leaders to lower-security jails so they could order their underlings to stop attacking each other.
Evan Wood, Moira McKinnon, Robert Strang, Perry R. Kendall
28 မတ်လ 2012
The use of illegal drugs remains a serious threat to community health. However, despite the substantial social costs attributable to illegal drugs, a well-described discordance between scientific evidence and policy exists in this area, such that most resources go to drug law enforcement activities that have not been well evaluated. When the Office of the Auditor General of Canada last reviewed the country’s drug strategy, in 2001, it estimated that of the $454 million spent annually on efforts to control illicit drugs, $426 million (93.8%) was devoted to law enforcement.
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’.