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‘Shooting Galleries’ Take Aim at Illicit Drug Market

Location: 
United Kingdom
Lately, a few British politicians have revived the idea of dispensing taxpayer-funded heroin. Spurred by successful trials in the U.K. and elsewhere in Europe, the idea that governments can reduce both addiction and street crime — and maybe bleed black markets dry — by managing drug distribution has gained momentum. "It is time to replace our failed war on drugs with a strict system of legal regulation," a British MP named Bob Ainsworth said at the end of last year. "We must take the trade away from organized criminals and hand it to the control of doctors and pharmacists."
Publication/Source: 
Miller-McCune (CA)
URL: 
http://www.miller-mccune.com/legal-affairs/shooting-galleries-take-aim-at-illicit-drug-market-27940/

Scottish Liberal Democrats Back Prescription Heroin

Scottish Liberal Democrats at their party conference in Perth voted Saturday to make campaigning for heroin maintenance treatment part of their party platform. Heroin users should not be fined or imprisoned, but should be given the drug through the National Health Service, party members agreed.

Tavish Scott's Lib Dems want "heroin on the NHS." (Image via Wikimedia)
The Liberal Democrats are an opposition party in Scotland, holding 16 of 129 Scottish Parliament seats, 11 of 59 Scottish seats in the British Parliament, and one of six Scottish seats in the European Parliament. They are fourth of five major political parties, behind the National Party, Labor, and the Conservatives, but ahead of the Scottish Greens. They are led by Tavish Scott.

The Lib Dems argued that both society and heroin users would benefit from prescribing the drug. Overdose and tainted drug deaths would decline, and addicts would not have to turn to crime or prostitution to feed their habits, they said.

"For drug offenders, fines and jail time simply don't work. In fact a fine will make it much more likely for a drug user to turn to a life of crime to fuel their habit," said Callum Leslie, a candidate for Mid Fife and Glenrothes. "Instead, the Liberal Democrats want to see a much greater use of Drug Treatment and Testing Orders (DTTOs) and Community Service Orders (CSOs). The evidence shows that these methods work. Offenders are forced to pay back the community they harmed and have a chance to get drug free for good. Controlled diamorphine [heroin] treatment is a method that works where other methods have failed. It stops offenders getting street heroin, which can be fatal and turns offenders to further crime to fund their habit."

"There is a great cost to society, and the public purse, if offenders are just abandoned to a cycle of crime and prison," said Alex Cole-Hamilton, Liberal Democrat candidate for Edinburgh Central. "DTTOs and CSOs are measures that would save public money by keeping drug abusers out of jail. Drug offenders should not be treated the same as murderers. We should work to treat the problem of drug abuse, not lock addicts away and condemn them to a life of crime."

United Kingdom

Copenhagen Safe Injection Site Set to Open

A private safe injection site for heroin users is set to open in Copenhagen this week despite warnings from police and over the objections of neighbors. The harm reduction operation will be located in the city's Vesterbro district near Central Station. It will be the first in Denmark.

Copenhagen's Vesterbro district (Image via Wikimedia)
Police said they did not oppose the site's opening, but would shut it down if they find people using drugs there. "The room is not illegal per se, but possession of narcotics is illegal," Copenhagen Police spokesman Arne Wissing told the Copenhagen Post.  "We have no intention to sit passively and witness criminal acts, so if we see people in possession of illegal drugs, we will certainly act."

But safe injection site organizer Michael Lodberg Olsen said there was nothing illegal about it. "If that's the case, then they could just as well have shut down all of Vesterbro 30 years ago," he said, referring to needle exchange programs that have operated there for decades. "A report from the UN states that handing out clean needles to drug abusers is the same as establishing an injection room," he said.

Safe injection sites are already operating in Australia, Canada, Germany, Luxembourg, the Netherlands, Norway, and Spain. There are no safe injection sites in the US, although there has been talk about establishing one in San Francisco.

Copenhagen
Denmark

How Afghan Poppy Eradication Efforts Are Helping the World's Largest Heroin Dealers

Location: 
Afghanistan
It has long been known inside Afghanistan that heroin dealers in high positions benefit from the United States and Afghan governments' counternarcotics policies. Now the American public can get a glimpse. US embassy cables published recently by WikiLeaks expose the insider opinion that Afghan officials are using poppy eradication teams to weed out the competitors of major traffickers with whom they are linked.
Publication/Source: 
Truthout (CA)
URL: 
http://www.truth-out.org/how-afghan-poppy-eradication-efforts-are-helping-worlds-largest-heroin-dealers67175

Heroin Drought Causing Problems in England

A scarcity of heroin in England is leading to a growing number of drug overdoses and poisonings as users ingest dope cut with other substances by dealers trying to stretch supplies, The Guardian reported this week. Scene watchers there are calling it the worst drought in years.

Are you sure that's heroin? Be careful out there, especially in England
The drought is being blamed not on seizures by law enforcement agencies, but on a fungus that has blighted the Afghan opium poppy crop, reducing the size of this year's poppy crop by half. Afghanistan accounts for more than 90% of the world's opium production and likely 100% of the British heroin supply.

"There is a very significant heroin shortage across the UK at the moment," said Gary Cross, head of drug policy for the non-profit group Release.  "It has been going on for some time now, but the last two months have seen stockpiles exhausted."

"I've never known anything like it in 30 years," wrote one long-time heroin user on an on-line forum discussing the shortage.

As dealers and users scramble to grapple with the shortage, users are turning up at hospitals after ingesting adulterated heroin or, in some cases, fake heroin consisting of a powerful sedative, caffeine, and paracetamol, a bulking agent. Some have passed out after smoking or ingesting, while others have reported vomiting, amnesia, and flu-like symptoms.

"This 'heroin drought' appears to be serious and geographically widespread," said Neil Hunt, director of research at KCA, a nationwide community drug treatment service. "Street heroin is in a complete and utter muddle at the moment, and users are collapsing unexpectedly. We need to standardize information about what's out there.

"If people use this intravenously, perhaps on top of alcohol and methadone [the prescribed substitute drug for heroin], it is extremely risky," said Dr. John Ramsey, who runs a drug database at St. George's Medical School in London. "We have had many reports of people overdosing. It's really important that accident and emergency departments understand that they may not be dealing with a 'normal' heroin overdose when people are brought in," he said.

Harm reduction drug agencies are aware of the problem and working to address it. Several of them held an urgent meeting last week to discuss setting up an online warning system to give users notice about contaminated or adulterated drugs.

London
United Kingdom

Alcohol More Harmful Than Heroin or Crack, British Study Finds

A study published Monday in the Lancet assessed the harms of various substances and found that alcohol caused more harm in the United Kingdom than heroin or crack cocaine. The study was done by the Independent Scientific Committee on Drugs, which is headed by Professor David Nutt.

drug harm comparison chart, from the Lancet study
Until this time last year, Nutt was head of the governmental Advisory Council on the Misuse of Drugs, but he was fired for criticizing the then Labor government as basing its decision to reclassify marijuana on politics rather than science. He also offended government sensibilities by saying that riding horses was more dangerous than taking ecstasy. After his firing, he and other scientists formed the Independent Scientific Committee on Drugs.

The study, Drug Harms in the UK: A Multicriteria Decision Analysis, assessed the relative harms of different legal and illegal drugs to drug users and to society and concluded that "alcohol was the most harmful drug (overall harm score 72), with heroin (55) and crack (54) in second and third places."

It also demonstrated that Britain's drug classification scheme bears little relation to the harms caused by the various substances it regulates or fails to regulate. Alcohol, ranked most harmful in the study, is not a controlled substance, but cannabis (20 points) is Class B, the second most serious drug schedule. LSD (7 points) is a Class A drug, the most serious drug schedule, while tobacco (26 points) is not a controlled substance.

"Our findings lend support to previous work in the UK and the Netherlands, confirming that the present drug classification systems have little relation to the evidence of harm," the authors said.

A group of experts looked at drug-specific mortality, drug-related mortality, drug-specific damage, drug-related damage, drug-specific impairment of mental functioning, drug-related impairment of mental functioning, loss of tangibles, loss of relationships, injury, crime, environmental damage, family adversities, international damage, economic cost, and harm to the community and assessed weighted values for each to arrive at a final figure.

"The weighting process is necessarily based on judgement, so it is best done by a group of experts working to consensus," Nutt and his coauthors said. "Extensive sensitivity analyses on the weights showed that this model is very stable; large changes, or combinations of modest changes, are needed to drive substantial shifts in the overall rankings of the drugs."

Science-based drug policy, anybody?

United Kingdom

FDA Appoves Drug to Treat Heroin, Morphine Addiction

The Food and Drug Administration has approved an injectable drug designed to treat people addicted to opiates who have undergone detoxification treatment. Vivitrol, made by Massachusetts drug maker Alkermes, is a so-called extended-release formulation of the drug naltrexone that is injected once a month into the muscle, according to an FDA statement. The drug works to block opioid receptors in the brain.
Publication/Source: 
All Headline News (FL)
URL: 
http://www.allheadlinenews.com/articles/7020200536?FDA%20Appoves%20Drug%20To%20Treat%20Heroin,%20Morphine%20Addiction

Cambodia Opens First Methadone Clinic

The Cambodian Ministry of Health has opened a clinic where people addicted to opiates, primarily heroin, can be administered methadone. The move is a significant departure in a country in which "drug treatment" has typically meant imprisonment, forced labor, and unproven herbal treatments.

Royal Palace, Cambodia (wikimedia.org)
The opening of the clinic is the culmination of years of quiet effort by harm reduction organizations, the BBC reported. Two of those groups, which run outreach programs for drug users, will identify candidates for treatment.

The program is strictly voluntary. Participants will be taken to the clinic for a needs assessment in line with international standards. The clinic is inside a public hospital and run by the Ministry of Health with support from the UN's World Health Organization.

While harm reductionists and public health workers are pleased with the government's new approach, they said more steps need to be taken to shut down the existing, punitive drug treatment centers. But the government says it has no plans to do so.

Read an expose of existing Cambodian drug treatment centers here.

Cambodia

British, Canadian Troops Smuggling Afghan Heroin: Report

Location: 
Afghanistan
Military police in Afghanistan are investigating whether British and Canadian soldiers may have smuggled heroin out of the war-torn country.
Publication/Source: 
CTV Television Network (Canada)
URL: 
http://www.ctv.ca/CTVNews/World/20100912/afghanistan-heroin-smuggling-allegations-100912/

Commentator: Why Do Pols, Society Ignore Failure Of Drug War? (Opinion)

Location: 
United Kingdom
Last year, Professor Neil McKeganey of the University of Glasgow, one of the most respected academics in Britain, established that the authorities seize just 1% of the heroin that enters Scotland in any one year. But where are the headlines about this utter failure? Documentary filmmaker Angus Macqueen thinks he knows the answer -- our drug policies have been hijacked by the emotive rhetoric of moralists.
Publication/Source: 
The Crime Report (NY)
URL: 
http://thecrimereport.org/2010/08/03/commentator-why-do-pols-society-ignore-failed-drug-war/

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