Drug-Related AIDS/HIV or Hepatitis C

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Chronicle AM: Truckers Oppose Hair Drug Tests, TX Drug Felon Food Stamp Ban Ending, More (8/20/2015)

Asset forfeiture reform is moving in Michigan, Texas is about to end its ban on food stamps for drug felons, Brazil's high court takes up a case that could lead to drug decriminalization, the Teamsters and other labor groups pan hair drug testing, and more.

Truckers and other labor groups are urging the House to reject hair drug testing. (wikimedia/Veronica538)
Marijuana Policy

Ohio Chamber of Commerce Joins Opposition to Legalization Initiative. The Ohio Chamber of Commerce said Wednesday it would "strongly oppose" the ResponsibleOhio legalization initiative and will donate $100,000 to defeat it at the polls. The chamber cited worries over workplace safety. The initiative campaign said it was not surprised, given that chambers of commerce in other states where legalization has been an issue have always opposed it.

Asset Forfeiture

Michigan Asset Forfeiture Reform Package Wins Senate Panel Vote. The Senate Judiciary Committee Wednesday approved a package of bills reforming civil asset forfeiture. House Bills 4499 and 4503-4506 all passed unanimously. Five of the bills increase reporting requirements for law enforcement agencies, while two bills would raise standards in drug and public nuisance forfeiture cases from "a preponderance of evidence" to "clear and convincing evidence." The committee did not vote on House Bill 4508, which would have barred the seizure of vehicles used to purchase less than an ounce of marijuana, after committee lawyers said it would legalize marijuana.

Drug Policy

Texas to End Ban on Food Stamps for Drug Felons. Beginning September 1, Texas becomes the latest state to opt out of a federal ban on food stamps for drug felons that was enacted as part of the 1996 federal welfare reform bill. Many states opted out immediately, and now only a handful maintain the ban. They are Alaska, Georgia, Mississippi, South Carolina, West Virginia and Wyoming.

Drug Testing

Teamsters, Other Unions Urge House to Reject Hair Testing. A coalition of labor groups has sent a letter to House lawmakers dealing with transportation issues asking them to reject a recent Senate proposal to let trucking companies use hair testing for drugs instead of urine testing. The Senate proposal is part of a six-year highway bill. "We urge the Transportation and Infrastructure Committee to reject efforts to allow hair to be used for federal drug tests before the validity and reliability of this testing method can be determined by the Department of Health and Human Services, the groups, including the Teamsters and a branch of the AFL-CIO, wrote. Urine testing, which detects recent drug use, has "proven effective," the groups said. Hair drug testing detects drug use going back months.

Harm Reduction

Third Indiana County Gets Emergency Needle Exchanges. The state health commissioner has declared a public health emergency in Fayette County because of high levels of Hepatitis C infections. That will allow the county to institute needle exchange programs. Similar emergencies were declared earlier this year in Scott and Madison counties.

International

Brazil Supreme Court Considering Case That Could Lead to Drug Decriminalization. On Wednesday, the country's high court began arguing the case of a prison inmate caught with three grams of marijuana and charged with drug possession. Sao Paulo state public defenders are pushing for the conviction to be overturned on the grounds that the charge is unconstitutional because it violated citizens' privacy rights. The judges are continuing to consider the case today, with a ruling expected shortly.

New Canada Poll Has Two-Thirds for Marijuana Decriminalization. A new Ipsos poll has 65% of Canadians favoring decriminalization, with 35% opposed. "Doesn't matter where you live in the country, a majority of every demographic group supports decriminalization," said pollster Sean Simpson. Support was at 39% in 1987 and increased steadily since then.

Chronicle AM: Supreme Court Nixes Roadside Waits for Drug Dogs, DEA Head to Resign, More (4/21/15)

The DEA head is on her way out, the Supreme Court rules on making motorists wait for drug dogs to arrive, Indiana's governor extends an emergency needle exchange, a new report on asset forfeiture abuses in California is out, and more.

The US Supreme Court rules that detaining motorists on the side of the road to wait for drug dogs is illegal. (wikipedia.org)
Marijuana Policy

Washington State Legal Pot Price Declines to $12 a Gram. Pot prices averaged nearly $30 a gram—well above black market prices—when the state's first marijuana retail outlets opened, but that has changed dramatically, according to the State Liquor Control Board. Now, the average retail price of a gram is about $12, as supply expands to meet demand. That's still $336 an ounce, though.

Medical Marijuana

Wyoming Medical Marijuana Initiative Getting Underway. Activists with Wyoming NORML submitted their initiative application with the secretary of state's office Monday. If and when the application is approved, organizers will have until next February to gather 25,673 valid voter signatures to place it on the 2016 general election ballot. A recent poll had support for marijuana at 72% in the Cowboy State.

Asset Forfeiture

New Report Details California Asset Forfeiture Abuses. The Drug Policy Alliance today released a new report, Above the Law: An Investigation of Civil Asset Forfeiture Abuses in California, a multi-year, comprehensive look at asset forfeiture abuses in the state that reveals the troubling extent to which law enforcement agencies have violated state and federal law. The report finds that a handful of LA County cities lead the state in per capita seizures, that some departments rely on asset forfeiture for funding themselves, and that some departments were providing false or incomplete reports to the Justice Department.

Drug Testing

Indiana Welfare Drug Testing Bill Dead. The legislator who unexpectedly proposed adding a welfare drug testing proposal to a social services spending bill has withdrawn it after learning how few people would be tested and how little support there is for it. Rep. Terry Goodin (D-Crawfordsville) said today he would instead seek a study committee to examine how best to fight drug abuse.

Florida Governor Settles on State Employee Drug Testing. Gov. Rick Scott (R) has formally given up on his effort to subject state employees to random, suspicionless drug testing. He reached an agreement Monday with the employees' union that will only allow drug testing in a relative handful of safety-sensitive positions. Of the 1,400 job classifications Scott originally wanted covered, only 267 will be covered.

Harm Reduction

Indiana Governor Extends Emergency Needle Exchange Program. Gov. Mike Pence (R) Monday extended an emergency needle exchange program in Scott County for another 30 days in a bid to get a handle on an injection drug-related HIV outbreak there. The move comes as the legislature heard testimony supporting a bill that would allow similar exchanges elsewhere in the state.

Law Enforcement

DEA Administrator Michele Leonhart Set to Resign. DEA Administrator Michele Leonhart is expected to resign soon, a unnamed "senior administration official" told CBS News this morning. The embattled DEA head has been under fire for years over her leadership of the scandal-ridden agency, but it was her performance at a Capitol Hill hearing last week that sealed her fate. Click on the link to read our feature story on this.

Supreme Court Says Detaining Motorists to Wait for Drug Dogs to Arrive is Not OK. In a 6-3 decision today, the US Supreme Court held that detaining motorists on the side of the highway to await the arrival of a drug dog violates the Fourth Amendment's proscription against unlawful searches and seizures. Writing for the majority, Justice Ruth Bader Ginsburg noted that police may request drivers licenses, vehicle registrations, proof of insurance, and check for outstanding warrants because all those investigatory actions are aimed at enforcing traffic laws and ensuring that vehicles are operating safely—the ostensible reason for the stops. "A dog sniff, unlike those stock inquiries, lacks the same tie to roadway safety," she said. Prolonging the stop, even for a few minutes, to allow for the arrival of a drug dog was improper, Ginsburg wrote. "A traffic stop becomes unlawful if prolonged beyond the time in fact needed to complete all traffic-based inquiries," Ginsburg said. Click on the link to read our newsbrief and view the ruling itself.

International

Mexicans Capture Gulf Cartel Leader. Mexican authorities confirmed over the weekend that they had captured Jose Tiburcio Hernandez Fuentes, who they described as a Gulf Cartel leader responsible for much of the recent violence in the border city of Reynosa. He was caught despite a shootout between Mexican soldiers and police and around 60 cartel gunmen who tried to rescue him. The Mexicans caught a key Juarez Cartel leader just a day earlier. 

Chronicle AM: CA Poll Has 55% for Legalization, GA MedMJ CBD Bill Passes, DEA Sex Parties, More (3/26/15)

Marijuana and medical marijuana remain hot items at the statehouse, a new report says DEA agents partied with prostitutes paid for by drug traffickers, Indiana's governor okays emergency needle exchanges, and more.

Marijuana Policy

Alaska Marijuana Bill Would Still Treat Pot as Controlled Substance. The state Senate is preparing to vote Friday on the bill to deal with marijuana post-legalization, but it will vote on a version of Senate Bill 30 that keeps marijuana listed as a controlled substance. A Judiciary Committee draft removed marijuana from the list, but the Senate voted as a whole to adopt instead language from the Finance committee that keeps it on the list.

New California Poll Has Support for Legalization at 55%. A new Public Policy Institute of California (PPIC) poll has 55% of Californians supporting marijuana legalization. "Support for legalization is at its highest point since PPIC began asking the question in May 2010," the group noted.

California Blue Ribbon Commission on Marijuana Policy Releases Policy Road Map Today. A group of experts led by Lt. Gov. Gavin Newsom (D) is today unveiling a "progress report" that outlines issues that should be addressed in any legalization initiative going before voters next year. The commission also includes the ACLU, leading academics, law enforcement officials, and activists.

Massachusetts Prosecutors Reject Legalization. State DAs showed little interest in legalizing marijuana at a statehouse hearing Wednesday. "We ought to turn ourselves into Denver, Colorado, where gummy bears are littering the streets that are made of marijuana?" asked Cape and Islands DA Michael O'Keefe in a typical comment from prosecutors. If the legislature doesn't legalize pot this year or next, the state is extremely likely to see one or more initiatives to do so next year.

New Jersey Governor Says Marijuana Tax Revenue is "Blood Money." Gov. Chris Christie (R) used the occasion of the ribbon-cutting event at a drug treatment facility to reiterate his opposition to marijuana legalization. Christie said marijuana is a "gateway drug" and that tax revenues from its sale would amount to "blood money."

ResponsibleOhio Begins Signature Gathering. Signature gathering started Wednesday for the group's marijuana legalization initiative, which is unique and controversial because of its scheme to essentially create a commercial marijuana monopoly with only 10 registered commercial growers. The group needs some 300,000 signatures by July to qualify for this year's ballot.

Medical Marijuana

Federal CBD Bill Filed. Rep. Scott Perry (R-PA) has filed HR 1635, which would amend the Controlled Substances Act to exclude cannabidiol (CDB) and CBD-rich marijuana plants from the definition of marijuana under the act.

Georgia CBD Passes Legislature, Governor Will Sign. The House Wednesday gave final approval to House Bill 1, which would allow patients with eight specified diseases to use CBD cannabis oil. Gov. Nathan Deal (R) said today he will sign the bill.

Hawaii Dispensary Bill Wins Committee Vote. The Senate Public Health and Public Safety committees have approved House Bill 321, which would create dispensaries and production centers in each county in the state. They also amended the bill to speed up the opening of dispensaries, which would now be set for next year.

Iowa Medical Marijuana Bill Wins Committee Vote. The Senate Ways and Means Committee Wednesday approved Senate Study Bill 1243, which would allow patients with a number of specified medical conditions to use medical marijuana -- but not to smoke it.

North Carolina House Committee Kills Medical Marijuana Bill. After an intense hour-long hearing, the House Judiciary Committee voted to kill a medical marijuana bill, House Bill 78. Some supporters of the bill vowed to move to other states, while one Republican foe of the bill, Rep. Dan Arp, complained he was struck in the back by an angry supporter. The man was detained by police, but later released without charges.

Heroin and Opiates

Kentucky Legislature Passes Compromise Heroin Bill. After more than three years of negotiations, the legislature has passed a bill that will allow for needle exchange programs, but also increase sentences for some heroin dealing offenses. Gov. Steve Beshear (D) is expected to sign the bill.

Harm Reduction

Indiana Governor Authorizes Limited Needle Exchange Program to Fight HIV Outbreak. Gov. Mike Pence (R) has declared a public health emergency in Scott County, which has seen 79 new HIV cases since December, all tied to needle sharing among drug users. The move allows him to institute a short-term needle exchange program to attempt to slow the outbreak.

Drug Testing

Arkansas Welfare Drug Testing Bill Wins Committee Vote. The House Committee on Public Health, Welfare and Labor has approved House Bill 1924, which would establish a pilot program to require welfare applicants to undergo screening for drug use and submit to drug tests if deemed "suspicious." The bill now heads for a House floor vote.

Law Enforcement

DEA Agents in Colombia Enjoyed "Sex Parties" Paid for By Drug Traffickers. A new report from the Justice Department's Office of the Inspector General finds that foreign drug trafficking organizations paid for "sex parties" attended by DEA agents, including at least one DEA Supervisory Agent. At least seven overseas agents admitting attending parties with prostitutes, and they were hit with penalties of suspensions ranging from two to10 days. The DEA wasn't especially helpful in preparing the report, the OIG noted.

International

New Zealand Prime Minister Rejects Marijuana Decriminalization. Prime Minister John Key said while campaigning Thursday that he did not support marijuana decriminalization. When accused by a listener of wanting to lock people up, he said, "It's not so much that, I just don't agree with drugs." That prompted Northland candidate Maki Herbert to retort that Key was sending mixed messages. "On the one hand he wants cannabis to remain a crime but he denies wanting to lock people in jail for that crime," she said. "Mr. Key should remember that alcohol is also a drug, one which he admits to using regularly."

The Big Global Drug Policy Stories of 2014 [FEATURE]

2014 was a big year for drug reform, and for a change, the US is pulling things in the right direction. But it some places, it's been business as usual, and in others, things have gone in the wrong direction. Here are our big international stories of the year.

Assistant Secretary of State William Brownfield dropped a bombshell in October. (state.gov)
Marijuana Legalization Expands in the US

Two more states and the District of Columbia legalized marijuana at the ballot box this year. That makes four states and DC that have legalized it. The US has historically been the leading enforcer of global drug prohibition, but the actions of voters in American states have seriously undercut the (now former, see below) US position, as well as providing an example to the rest of the world.

The US Signals a New Openness to Drug Reform at the International Level

In a little-heralded, but groundbreaking move, US Assistant Secretary of State William Brownfield, head of the Bureau of International Narcotics and Law Enforcement Affairs ("drugs and thugs"), made it clear that the US is willing to embrace flexibility, up to and including drug legalization in other countries, in the face of rising calls for international drug reform.

Brownfield succinctly laid out the US approach in an October speech: "First, respect the integrity of the existing UN Drug Control Conventions. Second, accept flexible interpretation of those conventions… Third, to tolerate different national drug policies, to accept the fact that some countries will have very strict drug approaches; other countries will legalize entire categories of drugs. All these countries must work together in the international community. We must have some tolerance for those differing policies. And our fourth pillar is agreement and consensus that whatever our approach and policy may be on legalization, decriminalization, de-penalization, we all agree to combat and resist the criminal organizations -- not those who buy, consume, but those who market and traffic the product for economic gain. Respect the conventions; flexible interpretation; tolerance for national policeis; criminal organizations -- that is our mantra."

Calls for an End to Drug Prohibition Increase as the 2016 UNGASS on Drugs Looms

This year saw the pressure for reform of the international drug control regime grow even more intense, and fractures in a now crumbling prohibitionist consensus grew even deeper. The UN Commission on Narcotic Drugs meeting in Vienna in March revealed schisms among countries about future steps on global drug control even as the global drug bureaucrats gave signs of softening in some policy areas, especially around emphasizing public health as opposed to criminalization. The meeting ended with a formal joint ministerial statement agreed to at the last minute after months of contentious wrangling, but one where countries failed to agree on a common approach and where certain fractious issues -- such as the use of the death penalty for drug offenses or even the mention of the term "harm reduction" -- were omitted entirely.

Former UN head Kofi Annan made his drug reform presence felt this year. (un.org)
Countries critical of the global drug policy status quo, particularly from Europe and Latin America, were joined by an ever-stronger civil society presence at the CND. The message of reform grows ever louder and presages an especially contentious next step, the UN General Assembly Special Session (UNGASS) on Drugs, set for 2016.

During the rest of the year, the call for reform from civil society only grew louder. In May, the London School of Economics (LSE) published a Ending the Drug Wars: Report of the LSE Expert Group on the Economics of Drug Policy, signed onto by five Nobel Prize-winning economists, as well as political figures including British Deputy Prime Minister Nick Clegg, Guatemalan Foreign Minister Luis Fernando Carrera Castro, former Polish President Aleksander Kwasniewski, former US Secretary of State George Schultz, and former European Union High Representative for Common Foreign and Security Policy Dr. Javier Solana, among other luminaries.

"It is time to end the 'war on drugs' and massively redirect resources towards effective evidence-based policies underpinned by rigorous economic analysis," the report says forthrightly. "The pursuit of a militarized and enforcement-led global 'war on drugs' strategy has produced enormous negative outcomes and collateral damage. These include mass incarceration in the US, highly repressive policies in Asia, vast corruption and political destabilization in Afghanistan and West Africa, immense violence in Latin America, an HIV epidemic in Russia, an acute global shortage of pain medication and the propagation of systematic human rights abuses around the world."

That was followed in June by the West Africa Commission on Drugs, which was initiated by former UN Secretary-General Kofi Annan of Nigeria, is headed by former Nigerian President Olusegun Obasanjo, and includes other former heads of state as well as a distinguished group of West Africans from the worlds of politics, civil society, health, security and the judiciary. The commission issued a report, Not Just in Transit: Drugs, the State and Society in West Africa, calling for the decriminalization of drug use, treating drug use primarily as a public health issue, and for the region to avoid becoming the next front line in the failed war on drugs.

And then, in September, the Global Commission on Drug Policy, which includes Annan, former presidents Fernando Henrique Cardoso (Brazil), Ernesto Zedillo (Mexico) and Ruth Dreifuss (Switzerland), and others, issued a new report, Taking Control: Pathways to Drug Policies that Work. It boldy called on "governments to decriminalize a variety of illegal drugs and set up regulated drug markets within their own countries."

Uruguay Forges Ahead With Marijuana Legalization

President Jose "Pepe" Mujica may be gone -- his term expired -- but his legacy of legalizing the marijuana trade lives on. There was some doubt as Uruguayans voted on his replacement -- the opposition candidate vowed to roll it back -- but they chose a successor from his same party who will uphold and implement the legal marijuana commerce plan. Uruguay never criminalized pot possession, and now it is the first country to legalize the trade. Implementation should continue apace next year.

Afghanistan Pumps Out More Opium

As the US and NATO declare an end to their Afghan war, Afghanistan is growing and producing as much opium as ever. According to the UN Office on Drugs and Crime (UNODC) Afghanistan Opium Survey 2014, land under poppy cultivation increased 7% this year. UNODC estimated opium production this year at 6,400 tons, up 17% over last year. But while annual production has been at 6,000 tons or more for the past few years, it is not as high as the record year of 2007, when production totaled over 8,000 tons. And this as the US spent $7.6 billion to fight the opium trade since invading in 2001.

And the Golden Triangle Is Back, Too

Opium production increased again in Southeast Asia's Golden Triangle this year, continuing a pattern of growth that has now gone on for at least the past eight years. According to the UN Office on Drugs and Crime (UNODC) Southeast Asia Opium Survey 2014, the region produced 762 tons of opium this year, with the vast majority coming from the Burmese Shan State. While Golden Triangle production accounts for only about 10% of global opium production, Burma is now the world's second largest opium producer, behind Afghanistan.

In Afghan fields, the poppies grow... and grow... and grow. (unodc.org)
Mexican Drug War

It's been the best of times and the worst of times for Mexican President Enrique Pena Nieto and his government's prosecution of its war against the drug cartels. While media attention to the Mexican drug war has declined dramatically since 2012 -- an election year in both the US and Mexico -- the drug war hasn't gone away, and the death toll has plateaued, but not declined. The year started off great for Pena Nieto with the arrest of the heretofore seemingly invincible Chapo Guzman, head of the Sinaloa Cartel. Other major cartel figures have been killed or arrested throughout the year. But things turned sour again this fall when drug gang-connected elected officials in Iguala, Guerrero, sicced local police and the local Guerreros Unidos gang, on busloads of protesting radical teachers' college students, leaving 43 missing and presumed dead. That led to mass protests against lawlessness, official corruption, and impunity across the country.

Now Part of Russia, Crimea Rolls Back Harm Reduction Measures

Whatever one thinks of the Russian annexation of the Crimean peninsula from Ukraine, it's been bad news for Crimean drug users. While Ukraine has embraced a harm reduction approach to hard drug use, Russia rejects such an approach and has some of the most repressive drug laws in the world. And it moved quickly in Crimea, banning the use of methadone almost immediately, which the International HIV/AIDS Alliance called "a disaster for health, human rights and the HIV epidemic in the region." By June, with more than 800 people cut off from access to opiate maintenance, activists were reporting 20 deaths among drug users and that many others had fled to Kiev, while those that remained were turning to street drugs. Things have only gotten worse, and Ukraine shares somes of the responsibility for using the opiate maintenance programs as a political weapon against Crimea. Now, only does the ban on opiate maintenance remain, but drug users face assaults in the streets, as well as stays in jail. And the only "treatment" offered is Russian-style "psychiatric treatment."

Fighting Stigmatization of Drug Users in Denver [FEATURE]

In many ways, ours is harsh, moralistic, and punitive society. One need only look at our world-leading incarceration rate to see the evidence. We like to punish wrongdoers, and our conception of wrongdoers often includes those who are doing no direct wrong to others, but who are doing things of which we don't approve.

We label those people of whom we don't approve. When it comes to drugs and drug use, the labels are all too familiar: Heroin users are "fucking junkies;" alcohol abusers are "worthless drunks;" cocaine smokers are "crack heads;" stimulant users are "tweakers;" people with prescription drug habits are "pill poppers." The disdain and the labeling even extends to the use of drugs on the cusp of mainstream acceptance. Marijuana users are "stoners" or "pot heads" or "couch potatoes."

Such labeling -- or stigmatizing -- defines those people as different, not like us, capital-O Other. It dehumanizes the targeted population. And that makes it more socially and politically feasible to define them as threats to the rest of us and take harsh actions against them. It's a pattern that we've seen repeatedly in the drug panics that sweep the nation on a regular basis. Drug users are likened to disease vectors or dangerous vermin that must be repressed, eradicated, wiped out to protect the rest of us.

(It is interesting in this regard to ponder the response to the most recent wave of opiate addiction, where, for the first time, users are being seen as "our sons and daughters," not debauched decadents or scary people of color who live in inner cities. Yes, the impulse to punish still exists, but it is now attenuated, if not superseded, by calls for access to treatment.)

Never mind that such attitudes can be counterproductive. Criminalizing and punishing injection drug use has not, for example, slowed the spread of blood-borne infectious diseases such as HIV and hepatitis C. To the contrary, it has only contributed to the spread of those diseases. Likewise, criminalizing drug possession does not prevent drug overdoses, but it may well prevent an overdose victim's friends or acquaintances from seeking life-saving medical attention for him.

A recent survey from the National Council on Alcoholism and Drug Dependence reinforces the view that we tend to stigmatize drug users as morally decrepit. That survey found that Americans are significantly more likely to have negative attitudes about drug addiction and addicts than about mental illness.

Only one out of five said they would be willing to work closely on the job with a person addicted to drugs (as compared to 62% for mental illness), and nearly two-thirds said employers should be able to deny a job to someone with an addiction issue (as compared to 25% for mental illness). And 43% said drug addicts should be denied health insurance benefits available to the public at large.

"While drug addiction and mental illness are both chronic, treatable health conditions, the American public is more likely to think of addiction as a moral failing than a medical condition," said study leader Colleen L. Barry, Ph.D. of the Johns Hopkins Bloomberg School of Public Health. "In recent years, it has become more socially acceptable to talk publicly about one's struggles with mental illness. But with addiction, the feeling is that the addict is a bad or weak person, especially because much drug use is illegal."

"The more shame associated with drug addiction, the less likely we as a community will be in a position to change attitudes and get people the help they need," study coauthor Beth McGinty, Ph.D. said in a news release. "If you can educate the public that these are treatable conditions, we will see higher levels of support for policy changes that benefit people with mental illness and drug addiction."

As the survey suggests, the process of stigmatization is an impediment to smart, evidence-based approaches to dealing with problematic drug use. Now, the Denver-based Harm Reduction Action Center is trying to do something about it.

In the last few days, it has rolled out a new anti-stigmatization campaign featuring the faces of injection drug users, the locations where they overdosed or suffered other bad consequences, and their individual stories in brief.

"My name is Alan," says a middle-aged man with a brushy mustache. "I overdosed on heroin. Right there in that parking lot in that picture. I know the risks of doing heroin, but drug dependency is strong."

The second part of Alan's message is repeated with each drug user pictured: "There are 11,500 injection drug users like me in Metro Denver. 73% of us carry Hepatitis C. 14% of us have HIV. The transmission of bloodborne diseases and drug overdoses are nearly 100% preventable. Support the Harm Reduction Action Center. Learn more about how our public health strategies keep you, and the people you know, safe."

"My name is Andrew," says a dreadlocked and pierced young man whose image is coupled with a photo of an empty apartment. "After a decade living as a homeless youth, the most traumatic thing that happened to me didn't happen to me at all. It happened to my best friend Val. She died of a heroin overdose. Right here in this picture. She was my friend. She was someone's daughter. Sobriety has taught me a lot about the thin line that separates us all. Val was someone you knew. She probably served you coffee. She probably even greeted you with a friendly smile."

"My name is Joanna," says a woman whose image is paired with a photo of a car parked beneath a highway overpass. "When I was diagnosed with lymphoma, I was prescribed a heavy dose of pain killers. Cancer hurts, but with treatment, it went away. My dependency on opioids did not. Two years later, this is where I live; in a car, under the interstate. I did not choose to get cancer. I did not choose to get dependent on opioids."

The images and the messages are strong and direct. That's the idea, explained HRAC executive director Lisa Raville.

"This campaign is about bringing awareness of our work in the community, focusing on the common sense approach championed by harm reduction," she said. "Stigma, of course, is one of the biggest stumbling blocks, preventing otherwise reasonable conversation on the matter of communicable diseases and accidental overdoses. This campaign sets the scene that harm reduction is a valid and evidence-based approach to public health. Access to clean syringes, proper syringe disposal, and naloxone are key components to a comprehensive public health strategy that curbs the spread of HIV, HVC, and reduces the rate of otherwise fatal overdoses."

It's a message directed at the general public even more than drug users themselves, Raville said.

"One of the fundamental problems faced by health care advocates working with injection drug users is a generalized, public perception that the issue is isolated to people and places outside of the normal social sphere. Generally speaking, our tendency is to dissociate our ordinary experiences -- the people we know and the places we go -- from things that we consider dangerous, dark, or forbidden," she said.

"In the arena of injection drug use, the consequence of this mode of thinking has been historically devastating," she continued. "Instead of crafting public policy that works to minimize the harm caused by addiction, our trajectory tends towards amplifying consequences for anyone that wanders outside of the wire and into these foreign spaces. Rather than treating addiction as a disease, we treat it as something that is volitional and deserving of its consequences. Accordingly, our policies view the contraction of blood-borne pathogens and the risk of overdose as deterrents to the act of injecting drugs."

That cold-blooded attitude may make some people feel better about themselves and their policy prescriptions, but it hasn't proven useful in reducing deaths, disease, or other harms resulting from injection drug use. Instead, it tends to increase them.

"These 'consequences,' of course, have little impact on rates of addiction," Raville argued. "They do, however, all but ensure the continued spread of HIV and hepatitis C. Moreover, possession and distribution of naloxone, a drug that counters the effects of otherwise fatal opiate overdoses, remains criminal in many areas throughout the world."

At bottom, the campaign is not just about drug users but about better public health.

"As our campaign points out, when we drive things underground, we make them truly dangerous," Raville said. "Harm reduction is predicated on the fact that people use drugs. Those who inject drugs are among the most insular and at-risk for contracting HIV, HCV or dying of an overdose. Like a stone that falls in the water, these acute health-related events have ripples which touch all of us, regardless of whether or not we use drugs. HIV infects those who inject the same as those who do not; the best way to prevent its spread is to prevent its spread across all populations of people, not just those deemed more socially 'worthy.' By facing stigma head-on and by humanizing the people in our community who we serve, the Harm Reduction Action Center hopes to normalize the issue and bring the conversation about drug use and healthcare to a more practical level. As a public health agency that serves people who inject, we could get so much more done in our community without stigma."

Denver, CO
United States

Chronicle AM -- July 25, 2014

Wichita looks set to vote on decriminalization this fall, Rand Paul (busy, busy) files a federal asset forfeiture reform bill, drug users finally get a voice at the International AIDS Conference, and more. Let's get to it:

https://stopthedrugwar.org/files/KFC_logo2.jpg
Marijuana Policy

Wichita Decriminalization Initiative Campaign Turns in Twice the Necessary Signatures. Organizers of a decriminalization initiative signature-gathering campaign yesterday turned in 5,800 signatures to get the initiative on the November ballot. Kansas for Change needs 2,928 valid voter signatures to qualify. They turned in the signatures at 4:20pm.

Five People Ticketed for Marijuana Possession in First Week of DC Decriminalization Law. DC police have cited five people for marijuana possession in the week since the DC decrim law went into effect. Four of the five citations came in predominantly black areas of the city east of the Anacostia River. Last year, before decrim, police made about 11 marijuana possession arrests a day.

Poll: California Latinos Strongly Oppose Deportation for Marijuana Possession. A new poll from Latino Decisions and Presente.org finds that nearly two-thirds (64%) of California Latinos strongly oppose deporting non-citizens for marijuana possession. Marijuana possession is the fourth most common criminal offense leading to deportation, according to a 2012-2013 study by the Transactional Records Access Clearinghouse (TRAC) at Syracuse University.

Asset Forfeiture

Rand Paul Files Asset Forfeiture Reform Bill. Sen. Rand Paul (R-KY) has filed a bill to reform federal asset forfeiture laws. Yesterday, he introduced the FAIR (Fifth Amendment Integrity Restoration) ACT, Senate Bill 2644, which would require the government to prove with clear and convincing evidence that the property it wishes to forfeit is connected with a crime. The FAIR Act would also require that state law enforcement agencies abide by state law when seizing property. It would also remove the profit incentive for forfeiture by redirecting forfeitures assets from the Attorney General's Asset Forfeiture Fund to the Treasury's General Fund.

International

Drug Users Get a Voice at Global AIDS Conference. For the first time, a group of drug users has been allowed space at the International AIDS Conference, taking place this year in Melbourne, Australia. The International Network of People Who Use Drugs (INPUD) had a booth at the conference and also held a movie premiere event at the conference for the film, "We are Drug Users."

British National Survey Finds Slight Overall Increase in Drug Use. The number of drug users in Britain increased by 0.7% last year, according to the 2013 to 2014 Crime Survey for England and Wales. Some 8.8% of adults used drugs in the past year; 6.6% used marijuana. Cocaine was the second most commonly used drug, at 2.4%.

Guatemalan President Still Mulling Marijuana Legalization. President Otto Pérez Molina said in an interview in Washington yesterday that he hadn't ruled out the possibility of legalizing marijuana. "Right now we have a commission that's following what's been happening in Uruguay, Portugal, Holland, Colorado, and the state of Washington," he said. "I expect to receive the studies, analysis and recommendations at the end of the year and from there we will make the decisions that would best fit our country." Pérez Molina will be hosting an international conference on drug policy in Guatemala in September. [Editor's Note: We are not aware of any conference in Guatemala this fall. It's not clear if Perez Molina misspoke or the Washington Post misheard. There is a V Conferencia latinoamerica sobre la politica de drogas set for Costa Rica in September.]

WOLA Releases Analysis of Ecuador Drug Policy Trends and Contradictions. The Washington Office on Latin America (WOLA) has published "Reforma y contradicciones en la politica de drogas de Ecuador." The report identified advances and blockages in Ecuador's path to a more progressive drug policy. Click on the link to read it in Spanish or use your translate button or wait a few days for WOLA's English version to read it in English.

Chronicle AM -- July 21, 2014

The World Health Organization calls for drug decriminalization (and more), international drug reform and harm reduction groups warn of an AIDS prevention crisis, marijuana policy is popping up in some Republican primaries, and more. Let's get to it:

Times are changing when marijuana legalization becomes an issue in Republican primaries. (wikimedia.org)
Marijuana Policy

MPP Urges Votes for Bob Barr in Georgia Republican Congressional Primary Tomorrow. The Marijuana Policy Project is calling on its Georgia supporters to get out and vote for Republican congressional candidate Bob Barr in the primary tomorrow in the state's 11th congressional district. Barr made a reputation in the 1990s as an arch-drug warrior, but has since become a staunch supporter of drug policy reform and civil liberties.

Kansas GOP Gubernatorial Candidate Challenges Incumbent With Platform That Includes Legalizing Marijuana. Gov. Sam Brownback (R) is facing a long-shot challenge from Jennifer Winn, a small businesswoman whose son is facing a murder charge over a marijuana deal gone bad. She says she entered the race out of anger over that, and her platform includes legalizing marijuana and industrial hemp, as well as a broader call for drug policy reform. Her race is being watched as a sign of how damaged the state GOP is after years of Brownback's ultraconservative social and economic policies.

Washington State Rang Up $1.2 Million in Marijuana Sales in First Week. Only a handful of stores were actually open and supplies were limited, but the first week of legal marijuana sales in Washington still generated more than $1.2 million in sales, according to the state Liquor Control Board. It also generated $318,043 in taxes collected so far.

Despite Philadelphia City Council's Decriminalization Vote, Marijuana Possession Arrests Continue. Last month, the city council voted to decriminalize possession of up to an ounce, but Mayor Michael Nutter opposes the bill, and Police Chief Charles Ramsey vowed to continue marijuana possession arrests. He's lived up to his word. Since the bill was passed, 246 people have been arrested for pot possession, 140 of them charged only with pot possession. Of the 124 people charged with additional crimes, the vast majority were only drug charges. Mayor Nutter has until September to act on the decriminalization bill. He can sign it, veto it, or do nothing, in which case it becomes law without his signature.

Medical Marijuana

Illinois Governor Signs Bill to Expand Access to Medical Marijuana. Gov. Pat Quinn (D) yesterday signed into law a bill that will expand the state's medical marijuana program by allowing people with seizure disorders to use it and by allowing minors to participate in it with parental consent. The measure is Senate Bill 2636.

New Mexico Backs Off on Medical Marijuana Program Changes. The state Department of Health announced last Thursday that it will not move forward with proposed rule changes that included limiting the number of plants patients could grow and requiring criminal background checks for patient growers. The department said there will likely be another hearing for public comments before new rules are finalized this fall.

Psychedelics

Memorial Event for Sasha Shulgin in Berkeley Next Month. The psychonauts at Erowid are hosting a memorial and community gathering in Berkeley next month to honor the memory of Dr. Alexander "Sasha" Shulgin, the legendary scientist of psychedelics who died early last month. Please RSVP if you are planning to attend; click on the link to do so.

Drug Policy

World Health Organization Calls for Drug Decriminalization, Broad Drug Policy Reforms. In a report on HIV treatment and prevention released earlier this month, the World Health Organization quietly called for drug decriminalization, needle exchanges, and opiate substitution therapy. The WHO's positions are based on concerns for public health and human rights.

Drug Testing

Mississippi Public Hearing on Welfare Drug Test Law Tomorrow. The Department of Human Services is holding a hearing tomorrow in Jackson to hear public comment on a new welfare drug testing law that was supposed to have gone into effect July 1. It was delayed to allow for a public hearing. The law is opposed by the ACLU and racial and social justice activists. Click on the link for time and location details.

Harm Reduction

Drug Reform and AIDS Groups Warn of "Global Crisis" in HIV Prevention Funding, Especially for Injection Drug Users. As the 20th International AIDS Conference gets underway in Melbourne, Australia, three drug reform, harm reduction, and AIDS groups have issued a report, The Funding Crisis for Harm Reduction, warning that because of donor fatigue, changing government policies, and an over-reliance on drug law enforcement, the goal of an "AIDS-free generation" risks slipping away. The three groups are Harm Reduction International, the International Drug Policy Consortium, and the International HIV/AIDS Alliance.

Law Enforcement

In Forsythe County, North Carolina, Majority of SWAT Deployments are For Drug Raids. SWAT teams were designed to be used in extreme situations -- hostage-taking events, terrorist attacks, and the like -- but have been subject to mission creep over the years. Forsythe County is one example. In an in-depth report, the Winston-Salem Journal found that the Forsythe County SWAT team had been deployed 12 times in the past year and the Winston-Salem Police SWAT team had been deployed 40 days in the past year "mostly to execute search warrants for drugs."

International

Report on Illicit Drug Corridors Between Bolivia and Peru Published. In a report based on on-the-scene investigation, the Bolivian NGO Puente Investigacion y Enlace (PIE), led by former human rights ombudsman Godo Reinicke, has studied the drug and precursor chemical networks straddling the Peru-Bolivia border. Read the report, Corredores ilicitos entre Boliva-Peru, ¿Rutas escondidas y extrañas? in Spanish, or click on your translate button.

(This article was published by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also shares the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

The 2014 National Drug Control Strategy: Baby Steps in the Right Direction [FEATURE]

The White House Office of National Drug Control Policy (ONDCP -- the drug czar's office) released its 2014 National Drug Control Strategy Wednesday. While in general, it is remarkable for its similarities to drug control strategies going back more than a decade, it does include some signals suggesting that the Obama administration is ready for a shift in emphasis in the drug war -- from a criminal justice approach to a more public health-oriented approach.

But even that rhetorical positioning is somewhat undercut by the strategy's continuing commitment to the criminalization of drug users and the people who supply them, as well as particular policy prescriptions, such as its support for expansion of drug courts -- the use of the criminal justice system to enforce therapeutic health goals like abstinence from drug use, as opposed to measures that don't involve criminal justice intervention.

The 2014 strategy also continues the roughly 3:2 funding ratio between law enforcement and treatment and prevention spending that has marked federal anti-drug spending since at least the Clinton administration in the 1990s. And it does so somewhat deceptively.

"In support of this Strategy," ONDCP wrote in a press release, "the President has requested $25.5 billion in Fiscal Year 2015. Federal funding for public health programs that address substance use has increased every year, and the portion of the Nation's drug budget spent on drug treatment and prevention efforts -- 43% -- has grown to its highest level in over 12 years. The $10.9 billion request for treatment and prevention is now nearly 20% higher than the $9.2 billion requested for Federally-funded domestic drug law enforcement and incarceration."

What the press release doesn't mention when claiming that treatment and prevention spending now exceeds spending on law enforcement is that it did not include figures for drug interdiction and international spending on the law enforcement side of the ledger. The White House's proposed federal drug budget for 2015, however, shows that those drug prohibition-enforcement costs add up to another $5.4 billion, or $14.6 billion for enforcing drug prohibition versus $10.9 billion for treatment and prevention.

The strategy does, however, provide a sharper focus than in the past on reducing the harms associated with drug use, such as overdoses and the spread of HIV/AIDS, hepatitis C, and other blood-borne diseases. It calls for greater access to the opiate overdose reversal drug naloxone and supports needle exchange and state laws that provide limited immunity from prosecution for people suffering overdoses and the people who seek help for them -- the so-called 911 Good Samaritan laws. The strategy also sets a five-year goal for reducing overdose deaths, something drug reform advocates had been seeking.

The strategy also acknowledges the need to reduce mandatory minimum drug sentencing and recognizes that the US has the world's largest prison population, but in absolute terms and per capita. And, implicitly acknowledging that Americans increasingly see the war on drugs as a failed policy, the 2014 strategy has adjusted its rhetoric to emphasize public health over the drug war.

Acting ONDCP head or "drug czar" Michael Botticelli (ONDCP)
But, despite polls now consistently showing majority support for marijuana legalization, and despite the reality of legal marijuana in two states, with two more and the District of Columbia likely to embrace it later this year, the 2014 strategy appears not only wedded to marijuana prohibition, but even disturbed that Americans now think pot is safer than booze.

That puts ONDCP at odds not only with the American public, but with the president. In an interview published in January by the New Yorker, Obama said marijuana is less dangerous than alcohol "in terms of its impact on the individual consumer."

Noting that about three-quarters of a million people are arrested on marijuana charges each year, and nearly nine out of ten of those for simple possession, the Marijuana Policy Project (MPP) pronounced itself unimpressed with the new national drug strategy.

The drug czar's office is still tone deaf when it comes to marijuana policy. It appears to be addicted to marijuana prohibition. Why stay the course when the current policy has utterly failed to accomplish its goals?" asked MPP communications director Mason Tvert.

"The strategy even goes so far as to lament the public's growing recognition that marijuana is not as harmful as we were once led to believe. President Obama finally acknowledged the fact that marijuana is less harmful than alcohol, yet his administration is going to maintain a policy of punishing adults who make the safer choice," Tvert continued. "Most Americans think marijuana should be made legal, and even the Justice Department has acknowledged that regulating marijuana could be a better approach than prohibition. Legalizing and regulating marijuana is not a panacea, but it is sound policy."

The Drug Policy Alliance (DPA), with a wider policy remit than MPP, had a nuanced response to the release of the drug strategy. It was critical of some aspects of the strategy, but had kind words for others.

"The administration says drug use is a health issue but then advocates for policies that put people in the criminal justice system," said Bill Piper, DPA national affairs director. "Until the drug czar says it is time to stop arresting people for drug use, he is not treating drug use as a health issue no matter what he says. I know of no other health issue in which people are thrown in jail if they don't get better."

Still, said Piper, the drug czar's office deserves some credit for addressing serious issues associated with drug use under prohibition.

"Director Botticelli should be applauded for taking strong steps to reduce drug overdose fatalities and the spread of HIV/AIDS, hepatitis C and other infectious diseases," he said. "His leadership on these issues, and his work overall to reduce the stigma associated with substance misuse, are encouraging."

But when it comes to marijuana policy, DPA found itself pretty much on the same page as MPP.

"The Administration continues to keep its head in the sand when it comes to marijuana law reform," said Piper. "Hundreds of thousands of Americans are being arrested each year for nothing more than possessing small amounts of marijuana for personal use. Once arrested they can be discriminated against in employment and housing for life. The administration can't ignore the destructive impact of mass arrests forever."

Washington, DC
United States

What To Do About the Drug Trade in West Africa? [FEATURE]

Over the past decade, West Africa has emerged as an increasingly important player in the global illicit drug trade. Although the region has historically not been a drug producing one -- with the important exception of marijuana -- it has become a platform for predominantly Latin American drug traffickers moving their illicit commodities toward lucrative European and Middle Eastern markets. The cocaine traffic alone is worth more than a billion dollars a year, according to a 2013 report from the UN Office on Drugs and Crime (UNODC).

children walking from home to school in Bamako, Mali (JoeyTranchinaPhotography©2014 Sète, France)
And the trade is becoming more complex. Now, it's not only cocaine flowing through the region, but heroin destined mainly for Western Europe and methamphetamines being manufactured there and exported to Asia and South Africa, that same UNODC report found.

The region -- stretching along the African coast from Nigeria to the east to Senegal on the west, and extending deep into the Sahara Desert in countries such as Mali and Niger -- is plagued by weak states and corrupt governments, making it attractive to criminals of all sorts, who thrive in lawless lands. And it's not just criminals. The region is also home to various bands of Islamist militants, some of whom are involved in the drug trade.

Now, a commission of prominent West Africans is calling for fundamental changes in drug policies in the region. Last week, the West Africa Commission on Drugs, issued a report, Not Just in Transit: Drugs, the State and Society in West Africa, calling for the decriminalization of drug use, treating drug use primarily as a public health issue, and for the region to avoid becoming the next front line in the failed war on drugs.

The commission is impressive. It was initiated by former UN Secretary-General Kofi Annan of Nigeria and headed by former Nigerian President Olusegun Obasanjo, and includes other former heads of state as well as a distinguished group of West Africans from the worlds of politics, civil society, health, security and the judiciary.

And so is its very existence. It marks the entrance of West African civil society into the international debate on drug policy in which calls for fundamental drug reform have gained increasing momentum in recent years. In 2008, former Latin American heads of state and other luminaries formed the Latin American Commission on Drugs and Democracy, and in 2011, Annan and other world luminaries and former heads of state came together to form the Global Commission on Drug Policy. Now, West Africa adds its voice to the chorus calling for change.

"We call on West African governments to reform drug laws and policies and decriminalize low-level and non-violent drug offenses," said Obasanjo upon the report's release last week. "West Africa is no longer just a transit zone for drugs arriving from South America and ending up in Europe but has become a significant zone of consumption and production. The glaring absence of treatment facilities for drug users fuels the spread of disease and exposes an entire generation, users and non-users alike, to growing public health risks."

"Most governments' reaction to simply criminalize drug use without thinking about prevention or access to treatment has not just led to overcrowded jails, but also worsened health and social problems," added Kofi Annan.

West Africa
"We need the active support and involvement of civil society and of the international community," said commission member Edem Kodjo. "South America, where most of the drugs smuggled to West Africa come from, and Europe, which is the main consumer market, must take the lead to deal with both production and consumption at home. We cannot solve this problem alone; governments and civil society have to come together in West Africa to help prevent the drug problem from getting completely out of hand."

The report won kudos from American drug reformer Ethan Nadelmann, head of the Drug Policy Alliance.

"First Europe, then the Americas, now Africa," he said. "Drug policy reform is truly becoming a global movement, with Kofi Annan and Olusegun Obasango providing the sort of bold leadership that we've also seen in Latin America. Maybe, just maybe, West Africa will be spared the fate of other parts of the world where prohibition-related crime, violence and corruption spiraled out of control."

But some analysts, while welcoming the report, suggested that it did not get at the heart of the problem in West Africa.

"The report focuses on public health, and that's great, but I'm not sure that's the issue," said Vanda Felbab-Brown, a senior fellow with the Center for 21st Century Security and Intelligence in the Foreign Policy program at the Brookings Institution who has published extensively on West Africa. "Nor are there generally large prison populations due to the arrests of low-level drug offenders. There is increasing drug use, and many addicts don't have access to public health. That, however is not because they were arrested, but because Africa in general doesn't have access to public health," she pointed out.

"In some senses, the commission report is preventative -- it warns of policies that would be counterproductive -- but it is not going to solve West Africa's problems," Felbab-Brown continued. "And the harm reduction approaches that dominate the discourse in Europe and the US are not really apropos for West African public health issues. The increasing focus of the international community is interdiction, but that accounts for only a small fraction of the total traffic, and the report doesn't deal with what kind of alternate law enforcement there should be, or who should be targeted."

But others thought the criminal justice and public health emphasis in the report were a step down the right path.

"The report's message about alternatives to criminalization for use and minor offenses is important in criminal justice terms -- to discourage the horrible over-representation of minor drug offenders in prisons in the region -- but also as a reminder that there are no such alternatives unless the health and social sectors develop those alternatives," said Joan Csete, deputy director of the Open Society Foundation's Global Drug Policy Program.

"Health ministries need to be as important around the drug policymaking table as the police, which is far from the case in most of Africa today," she added. "Services for treatment of drug dependence in the region are absent or of appalling quality. Improving health and social support for people with drug dependence is a key to drug policy reform in West Africa."

And Felbab-Brown agreed that while measures like drug prevention and treatment wouldn't solve the region's problems, they would still be helpful.

"We're already seeing quite a bit of heroin in the region, and we are seeing increasing use," she said. "These are cheap and prevalent commodities, the traffickers partake in kind, and user communities are being established. In a sense, developing strategies to prevent use, get treatment, and prevent the spread of HIV and Hepatitis C is useful because there are more and more users."

drug, security, and insurgency analyst Vanda Felbab-Brown (brookings.edu)
But for Felbab-Brown, the key problem for West Africa is its weak and corrupt states.

"The big trafficking issues are around the intersection of very poor, very weak, very corrupt, and often very fragile states with state participation in various forms of criminality," she said. "Drugs are just another commodity to be exploited by elites for personal enrichment. Elites are already stealing money from oil, timber, and diamonds, and now there is another resource to exploit for personal enrichment and advancement," she argued.

"One narrative has it that drug trafficking has caused fragility and instability, but I think trafficking compounded the problems; it didn't create them," Felbab-Brown continued. "There is a systematic deficiency of good governance. Many of these states have functioned for decades like mafia bazaars, and the trafficking just augments other rents. There are rotten governments, miserable institutions, and poor leadership around all commodities, not just drugs."

"The states are not monolithic," Csete noted. "Some have high-level corruption, some are aggressive in trying to fight money-laundering and other elements of organized criminal networks, some rely heavily on traditional interdiction methods. Some of these countries have relatively strong democratic systems and relatively strong economic growth; some have governance institutions that are less strong."

The state of the states in West Africa influenced the commission and its recommendations, Csete said.

"Legalization of drugs -- production, sale, consumption -- was not judged to be politically feasible or necessarily desirable by the commission," she explained. "I think the commissioners generally perceive that generally these countries do not yet have a political climate favorable to debate on progressive changes in drug policy. The whole idea of the commission and its report is to open those debates -- high-profile people from the region saying things that sitting officials do not find it politically easy to say."

"These are newer post-colonial states," Felbab-Brown noted. "Are we having unreasonable expectations? Is this like Europe in the 13th Century, or is that some of these countries are doomed to exist in perpetual misgovernance?"

While there may be concern in Western capitals about the specter of West African drug trafficking, many West Africans have other, more pressing, drug policy concerns.

In its 2013 report, the UNODC noted that the importation of fake pharmaceutical drugs from South and Southeast Asia into the region was a problem. Joey Tranchina, a longtime drug policy observer who has recently spent time in Mali, agrees.

"Having traversed Mali from Bamako to Mopti, except for the usual oblique indigenous references to smoking weed, the only personal experience I have with drug crime is counterfeit pharmaceuticals from India, China, and Russia," he said. "They're sold cheap in the streets to people who can't afford regular meds and they take the place of real pharmaceuticals, especially malaria and HIV drugs. These drug scams are killing people in Mali," he said.

"Most people in West Africa don't see drug trafficking as that much of a problem," said Felbab-Brown. "If it's mostly going to Westerners, they say so what? For them it is a mechanism to make money, and those drug traffickers frequently become politicians. They are able to create and reconstitute patronage networks around drug trafficking, just as they were once able to get elected with money from blood diamonds."

It seems that, to the degree that drug use and drug trafficking are West African problems, they are problems inextricably interwoven with the broader issues of weak, fragile, and corrupt states that are unable or unwilling to deliver the goods for their citizens. The West Africa Commission on Drugs has pointed a way toward some solutions and avoiding some failed policies already discredited elsewhere, but it seems clear that that is just the beginning.

Crisis Looms for Addicts as Russia Bans Methadone in Crimea

Things are about to get harder for opiate users in Crimea, the former Ukrainian province now annexed by Russia. While Ukraine has embraced a harm reduction approach to hard drug use, Russia rejects such an approach and has some of the most repressive drug laws in the world.

Oberleitungsbusbahnhof in Simferopol (user Cmapm via Wikimedia)
Russia does not support efficient programs for preventing HIV and Hepatitis C among its drug using population, and harm reduction measures like needle exchanges and opiate substitution therapy (OST), of which methadone maintenance is a subset, are illegal.

Now, the concrete consequences of Crimea's reincorporation into the ample bosom of Mother Russia are coming home for drug users there. On Wednesday, Russian "drug czar" Viktor Ivanov -- one of 31 allies of Pres. Vladimir Putin sanctioned by the US government this month -- announced that Russia will ban the use of methadone in Crimea. That comes after vows a week before that he would move away from harm reduction practices in general in Crimea.

"Methadone is not a cure," Ivanov claimed. "Practically all methadone supplies in Ukraine were circulating on the secondary market and distributed as a narcotic drug in the absence of proper control. As a result, it spread to the shadow market and traded there at much higher prices. It became a source of criminal incomes," he said.

Whatever Ivanov says, cutting off methadone for an estimated 800 patients will be a disaster, the International HIV/AIDS Alliance warned. And the threat of a broader rejection of harm reduction measures puts an estimated 14,000 Crimean injection drug users at risk.

"When the supply of these medicines is interrupted or stopped, a medical emergency will ensue as hundreds of OST patients go into withdrawal, which will inevitably lead to a drastic increase in both acute illness as well as increases in injecting as people seek to self-medicate," said the alliance's Ukraine director, Andriy Klepikov.

"Any interruption to harm reduction programming is a disaster for health, human rights and the HIV epidemic in the region and we urge the authorities in Crimea to step in and ensure that critical supply chains are not disrupted and lives not put at risk as a result of territorial politicking," Klepikov added.

Ukraine has practiced methadone maintenance (or OST) therapy in Crimea since 2005. Patients in Simferopol, Sevastopol, Yalta, Eupatoria, Feodosia, Kerch and other cities receive daily treatment at local healthcare facilities.

The AIDS alliance is not the only group raising the alarm. The International Network of People who Use Drugs (INPUD) has issued an urgent appeal to UN rapporteurs on the Crimea "calling upon you all to issue a public statement making clear the imminent risk that this population faces of losing access to essential medicines, we are requesting that you raise the issue with the Russian government urging them not to close down the currently running opiate substitution programs; and we are calling upon you to raise the issue with utmost urgency with the Human Rights Council with a view to ensuring continued access to the programs."

When it comes to drug policy and harm reduction, Crimea would seem to be worse off as part of Russia than as part of Ukraine. As the AIDS alliance's Klepikov put it:

"The Russian Federation has extremely repressive drug laws and its punitive approach to people who use drugs means that it now experiences one of the highest rates of new HIV infections in the world. Injecting drug users represent nearly 80% of all HIV cases in the country."

Russia

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