The death toll from anthrax-tainted heroin in Europe has risen to 10 as

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This position is responsible for providing an array of mobile-based harm reduction services including individual and group counseling to people living with and at risk for HIV/AIDS, rapid HIV testi

In a scathing 93-page report released today, the international human rights group

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In a scathing 93-page report released today, the international human rights group Human Rights Watch (HRW) accused Cambodian drug detention centers of torturing and raping detainees, imprisoning children and the mentally ill, and illegally detaining and imprisoning drug users. The centers are beyond reform and should be closed, the group said.

"Individuals in these centers are not being treated or rehabilitated, they are being illegally detained and often tortured," said Joseph Amon, director of the Health and Human Rights division at HRW. "These centers do not need to be revamped or modified; they need to be shut down."

The report cited detailed testimonies from detainees who were raped by center staff, beaten with electric cables, shocked with cattle prods, and forced to give blood. It also found that drug users were "cured" of their conditions by being forced to undergo rigorous military-style drills to sweat the drugs out of their systems.

"[After arrest] the police search my body, they take my money, they also keep my drugs...They say, ‘If you don't have money, why don't you go for a walk with me?...[The police] drove me to a guest house.... How can you refuse to give him sex? You must do it. There were two officers. [I had sex with] each one time. After that they let me go home," said Minea, a woman in her mid-20's who uses drugs, explaining how she was raped by two police officers

"[A staff member] would use the cable to beat people...On each whip the person's skin would come off and stick on the cable," said M'noh, age 16, describing whippings he witnessed in the Social Affairs "Youth Rehabilitation Center" in Choam Chao. The title of the HRW report is "Skin on the Cable."

More than 2,300 people were detained in Cambodia's 11 drug detention centers in 2008. That is 40% more than in 2007.

"The government of Cambodia must stop the torture occurring in these centers" said Amon. "Drug dependency can be addressed through expanded voluntary, community-based, outpatient treatment that respects human rights and is consistent with international standards."

Cambodian officials from the National Authority for Combatting Drugs, the Interior Ministry, the National Police, and the Social Welfare Ministry all declined to comment when queried by the Associated Press. But Cambodian Brig. Gen. Roth Srieng, commander of the military police in Banteay Meanchy province, denied torture at his center, while adding that some detainees were forced to stand in the sun or "walk like monkeys" as punishment for trying to escape.

Children as young as 10, prostitutes, beggars, the homeless, and the mentally ill are frequently detained and taken to the drug detention centers, the report found. About one-quarter of those detained were minors. Most were not told why they were being detained. The report also said police sometimes demanded sexual favors or money for release and told some detainees they would not be beaten or could leave early if they donated blood.

The report relied on testimony from 74 people, most of them drug users, who had been detained between February and July 2009.

European heroin users are on high alert as the death toll rises from heroin tainted with anthrax.

Harm reduction in New York City came under attack last weekend when the tabloid New York Post ran an article titled

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I wonder if any of the researchers saw this coming:

The vaccine, called TA-CD, shows promise but could also be dangerous; some of the addicts participating in a study of the vaccine started doing massive amounts of cocaine in hopes of overcoming its effects, according to Thomas R. Kosten, the lead researcher on the study, which was published in the Archives of General Psychiatry in October.
…
Nobody overdosed, but some of them had 10 times more cocaine coursing through their systems than researchers had encountered before, according to Kosten. He said some of the addicts reported to researchers that they had gone broke buying cocaine from multiple drug dealers, hoping to find a variety that would get them high. [Washington Post]

Whoa, that's doesn't sound like any fun at all. I assume the researchers told these people not to bother increasing their dose. Stories like this are the reason I'm skeptical of drugs that block receptors for other drugs.

Pete Guither has a great post mocking the bizarre, yet common, observation that the drug problem would go away if everyone stopped taking drugs.

This is like saying "If everyone stopped having sex, we could eliminate STDs, abortions, and unwanted pregnancies." True, but absurd — not even worthy of a science fiction short story.

Indeed, anyone who complains that everybody should just stop taking drugs is basically admitting that they have no remotely reasonable ideas for dealing with the problems that result from drug use. We, on the other hand, have lots of ideas about that. And unlike the ridiculous strategy of trying to end all drug use, our plan for ending the drug war instead seems to be looking more realistic every day.

In the Chronicle's review of the top international drug policy stories of the year last w

As 2009 prepares to become history, we look back at the past year's domestic drug policy developments.

In the Chronicle's review of the top international drug policy stories of the year last week, the slow spread of heroin maintenance was in the mix. This week, its back in the news, with word that a new Canadian heroin maintenance study in Vancouver is about to get underway.

The Study to Assess Longer-term Opioid Medication Effectiveness (SALOME) will choose a Downtown Eastside location next month and begin taking applications from potential participants in February, according to a Tuesday press release from the Inner Change Foundation, which, along with the Canadian Institutes of Health Research, is funding the trial. With selection of participants supposed to last only three weeks, that means SALOME could be underway by March.

SALOME will enroll 322 hard-core heroin addicts—they must have been using at least five years and failed other treatments, including methadone maintenance—in a year-long, two-phase study. During the first phase, half will be given injectable heroin (diacetylmorphine) and half will be given injectable Dilaudid® (hydromorphone). In the second phase, half of the participants will be switched to oral versions of the drug they are using.

The comparison of heroin and Dilaudid® was inspired by unanticipated results from SALOME's forerunner, NAOMI (the North American Opiate Medication Study), which began in Vancouver in 2005 and produced positive results in research reviews last year. In NAOMI, researchers found that participants could not differentiate between heroin and Dilaudid®. The comparison of success rate among injection and oral administration users was inspired by hopes of reducing rates of injection heroin use.

SALOME was also supposed to take place in Montreal, but Quebec provincial authorities effectively killed it there by refusing to fund it. SALOME researchers have announced that it will now proceed in Vancouver alone.

With an estimated 5,000 heroin addicts in the Downtown Eastside and a municipal government that has officially embraced the progressive four pillars approach--prevention, treatment, harm reduction, and law enforcement—to problematic drug use, Vancouver is most receptive to such ground-breaking research. It is also the home of Insite, North America's only safe injection site.

The NAOMI and SALOME projects are the only heroin maintenance programs to take place in North America. Ongoing or pilot heroin maintenance programs are underway in Britain, Denmark, Germany, the Netherlands, Spain, and Switzerland.

(Please read our top ten US domestic drug policy stories review too!)

A town hall-style seminar will explore a variety of perspectives on the future of heroin assisted treatment (HAT) as a cutting edge intervention in the United States.

US House and Senate negotiators in conference committee approved the finishing touches on the Fiscal Year 2010 budget Tuesday night, and they included a number of early Christmas presents for diffe