São Paulo’s Cracolândia was Brazil’s first and is still its biggest. It is home to 2,000 addicts. But most Brazilian cities now have similar districts. Recent studies put the country’s crack-using population at 1m-1.2m, the world’s largest. Some city governments have used strong-arm tactics against the crack epidemic—with little effect other than to fill prisons, which have more than twice as many inmates as a decade ago.
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.