Overdoses

Narcan Maker Blocked OTC Sales to Boost Profits, AZ Weed Workers Strike, More... (9/18/23)

by psmith, September 18, 2023, 04:49pm

A proposed California initiative would warn fentanyl dealers they could be charged with murder in the event of an overdose death, clashes kill four Colombian soldiers ahead of scheduled peace talks with leftist rebels, and more.

Did profits matter more than lives for Emergent BioSolutions? (Creative Commons)

Marijuana Policy

Arizona Pot Workers On Strike Against Curaleaf. Workers at Curaleaf's Dispensary Midtown in Phoenix voted more than a year ago to unionize and seek a labor agreement with the company, but that has not happened yet. Instead Curaleaf has refused to begin union negotiations and fired worker Christian Tallabas for his union activity, so on Friday the United Food and Commercial Workers Local 99 led a day-long Unfair Labor Practices strike.

"It really grinds my gears how we have corporate from Curaleaf standing right behind this window," said Tallabas at a rally in front of the dispensary. "I personally think it is really disgusting and you should see the look on their faces. "We deserve to know what percentage of our tips we make when our customer service is making this company millions of dollars," he said.

"Not only do we not have a contract despite it being over a year, but there's so many different labor violations already on the books that the National Labor Relations Board has found that Curaleaf is responsible for," said Curaleaf employee Nick Fredrickson.

Joining the UFCW and Curaleaf workers at the rally were representatives of the American Federation of Labor and the Congress of Industrial Organizations.

Opiates and Opioids

California Initiative Would Warn Fentanyl Dealers They Could Be Charged with Murder. Organized by parents who have lost children to drug overdoses, an initiative that would warn fentanyl sellers they could be charged with murder in the event of a fatal overdose has been filed with the state attorney general. Judges would be required to tell people convicted of, or who pleads guilty or no contest to, possession of illicit drugs for sale, this:

"You are hereby advised that it is extremely dangerous and deadly to human life to illicitly manufacture, distribute, sell, furnish, administer, or give away any drugs in any form, including real or counterfeit drugs or pills. You can kill someone by engaging in such conduct. All drugs and counterfeit pills are dangerous to human life. These substances alone, or mixed, kill human beings in very small doses. If you illicitly manufacture, distribute, sell, furnish, administer or give away any real counterfeit drugs or pills, and that conduct results in the death of a human being, you could be charged with homicide, up to and including the crime of murder."

The proposed initiative also includes criminal penalties of 10 to 12 years for a subsequent conviction or guilty plea.

The initiative campaign comes after grieving parents were unable to get a bill to the same effect through the legislature. The bipartisan bill had 41 cosponsors but died in the Senate Public Safety Committee.

"This is a disgusting display of a legislative committee holding hostage 40 million people and their safety and security, all in the name of political, ideological gameplay," fumed Matt Capelouto, who lost a daughter to a fentanyl overdose. "What all of us want here is to protect people from the enduring, the never-ending pain of someone being killed by a drug dealer selling poison. And they won’t do it. They won’t even pass a bill that contains a warning — a freaking warning."

The initiative takes the form of a statutory amendment, which means it will need some 874,641 valid voter signatures within 180 days of the beginning of signature-gathering, or by the first week of July 2024 at the latest.

Harm Reduction

Narcan Maker Blocked OTC Sales for Years in Bid to Boost Profits. Emergent BioSolutions, the manufacturer of the opioid overdose reversal product Narcan, has finally allowed it to be sold over-the-counter (OTC), but only after delaying for five years.

"I’m not sure that OTC is the answer," Daniel J. Abdun-Nabi, then Emergent’s top executive, told investors during a November 2018 earnings call. In December 2018, the company’s then president, Robert Kramer, cautioned "against a rush to an over-the-counter solution for this current crisis," citing concerns about Narcan awareness and insurance coverage.

But the head of the Food & Drug Administration (FDA) said the bottom line was profits. "I think the problem is that the financial model doesn’t appear to be working for the company, so they’re not motivated to do it," FDA head Robert Califf said at a 2022 conference. "We can’t order companies to go over-the-counter."

Emergent only relented late last year after a competitor prepared its own bid for OTC approval of naloxone. That came after Emergent spent years using the courts and regulatory agencies to stop other naloxone products from entering the market. It had also moved to lock up lucrative state contracts, "hindering broader distribution of the antidote while the opioid crisis worsened," the Washington Post reported Monday.

"It’s a strategy that’s cost lives," said Jennifer Plumb, a doctor and Democratic state senator in Salt Lake City who serves as medical director of the Utah naloxone program.

International

Four Colombian Soldiers Killed in Clash with FARC Dissidents Ahead of Peace Talks. Peace talks between the Colombian government and the FARC dissidents known as Estado Mayor Central were set to begin Monday, but their prospects were clouded by a weekend clash that left four soldiers dead.

The Estado Mayor Central broke with the FARC in 2016, when the main body of the leftist guerrilla group signed a peace agreement with the government and has been involved in coca and cocaine trafficking. They had agreed in April to hold talks with the government about a ceasefire.

The soldiers were killed in a clash in Narino, close to the Ecuadorian border and the region of the country with the most coca production. Colombia is the world's largest producer of coca and cocaine. Control over the lucrative drug traffic has fomented conflict in the area for decades, where left-wing guerrillas, right-wing paramilitaries, and apolitical drug cartels spend their time fighting each other and the Colombian state.

SAFE Banking Act Committee Vote Coming Soon, BC Bans Drug Possession Near Parks, Playgrounds, More... (9/15/2023)

by psmith, September 15, 2023, 04:41pm

Fentanyl in stimulants like meth and cocaine is driving a fourth wave of opioid overdoses, Vancouver's pioneering safe injection site marks 20 years in service, and more.

The InSite safe injection site in Vancouver, which marks 20 years of operation this week. (PCS Community Services Society)

Marijuana Policy

Senate Banking Committee Set to Vote on SAFE Banking Act by Month's End. The Senate Banking Committee is set to vote on the SAFE Banking Act (S.1323) on September 27, "a Senate source familiar with the discussions" told Marijuana Moment Friday.

That source confirmed earlier media reports that the vote was coming. The date is not yet official, so it could change, but the expectation is that it will take place the week of September 25, the source said.

What amendments—if any—will be offered or adopted remains unclear, although there has been talk about revisions to a key section on broad banking regulations, as well as changes concerning Small Business Administration access and stock uplisting for the marijuana industry.

Drug Policy

Fentanyl-Adulterated Meth and Cocaine Is Driving a Fourth Wave of Drug Overdoses. A study published Thursday in the scientific journal Addiction finds that drug overdoses involving both fentanyl and cocaine or methamphetamine have increased 50-fold since 2010, now account for nearly one-third (32 percent) of all fatal overdoses and are responsible for some 35,000 deaths.

"We're now seeing that the use of fentanyl together with stimulants is rapidly becoming the dominant force in the U.S. overdose crisis," said Joseph Friedman, the lead author of the study and a researcher at UCLA's David Geffen School of Medicine. "Fentanyl has ushered in a polysubstance overdose crisis, meaning that people are mixing fentanyl with other drugs, like stimulants, but also countless other synthetic substances."

The authors described the phenomenon as a "fourth wave" of the ongoing opioid crisis that began with the rise in prescription opioids around the turn of the century, followed by the rise of heroin around 2010 as authorities tightened the screws on prescription opioid prescribing and the arrival of fentanyl around 2013.

International

Vancouver's Safe Injection Marks 20 Years in Operation This Week. Vancouver Coastal Health and the PHS Community Services Society, the two groups that run InSite, the city's pioneering safe injection site—the first one in North America—are celebrating 20 years of operation this week. On Friday, they met in front of the East Hastings Street location to commemorate the occasion.

"Insite was a really important step forward in terms of drug policy and harm reduction, and to be here 20 years after we opened, it just feels incredible," said Jeff West, manager of harm reduction for Vancouver Coastal Health. "Not only was Insite important to the community as a safe space, a symbol of a more progressive drug policy, it also is a really important public health intervention," said West.

PHS first set up InSite as an unsanctioned site and only later got permission from Health Canada to operate, but it has been there ever since. And it has done so with the approval of local, provincial, and federal authorities, as well as Vancouver Police and the Coastal Health Authority. It survived a challenge from the Conservative national government of Stephen Harper, which was slapped down by the Supreme Court.

"Insite saves lives. Its benefits have been proven," wrote Chief Justice Beverly McLachlin in her decision.

British Columbia to Ban Drug Use Near Parks and Playgrounds. The province has decriminalized the possession of personal use amounts of illicit drugs in a bid to get a grip on the overdose crisis, but now British Columbia Premier David Eby legislation is being drafted to ban drug use near parks and playgrounds.

The provincial Ministry of Mental Health and Addictions said Thursday that the federal government had approved the changes expanding the are where drug possession remains illegal.

Drug possession was already prohibited on school grounds and at child care facilities, but as of next Monday, it will also be prohibited within 15 meters of playgrounds, water parks, and skate parks.

Public intoxication remains a crime.

"I hope and expect that people, even when struggling with addiction, will understand the importance that we've all got to live in the community together, and if there's a place that's funded and safe and appropriate to use, that you should be going to that health-care site rather than to a site that's used by children," Premier Ebe said.

Mark Haden, an adjunct professor at the University of British Columbia's School of Population and Public Health, said in an interview Thursday that the province is "tweaking" its decriminalization policy "in response to some pushback from mayors who are saying 'this isn't working particularly well for us because it's disempowering the police.'"

Haden said the province's move is not "dealing with the real problem of prohibition." "We have a supply-chain problem that decriminalization isn't resolving," he said. "It's the supply-chain problem that's actually killing people."

200 Familes Send Letter to Lawmakers Calling for a Health Response to ODs, Not Punishment [FEATURE]

by psmith, September 14, 2023, 11:09pm

In the face of the continuing overdose crisis and the regressive resort to punitive drug war tactics such as drug-induced homicide laws to combat it, a group of friends and family members of drug users, including many who have lost loved ones to drug overdoses, is calling on Congress to stand firm against looking to more criminalization and prosecution as a solution.

The people of Broken No More (broken-no-more.org_

In collaboration with the Drug Policy Alliance, the group, Broken No More, last week sent an open letter to lawmakers urging them to oppose more failed drug war policies and instead embrace evidence-based health responses proven to save lives and prevent other families from suffering the loss of loved ones.

"Opportunistic politicians supported by law enforcement are using the overdose crisis and parents’ grief to pass harsh drug laws that will only continue to fill our morgues and prisons," the open letter says. "Punitive laws will not bring our loved ones back, but they will subject other parents’ children to more suffering and deny them the support that can keep them alive.

The group makes concrete demands of Congress about what it does and does not want. It says "no more" to drug-induced homicide laws, new mandatory minimum sentencing laws, or new laws increasing penalties for the possession of personal use amounts of illicit drugs.

Instead, it calls for "health-based solutions focused on overdose prevention, harm reduction, and drug treatment," including drug decriminalization (with the savings invested in addiction services and social supports), the panoply of harm reduction measures from needle exchanges and drug checking to safe injection sites, effective voluntary drug treatment options (including access on demand for opioid disorder medications buprenorphine and methadone_, "reality based drug education," and removing civil punishments for drug use (in food, housing, and employment).

"As a mother who lost her 16-year-old son to overdose, I strongly oppose imposing harsher penalties for those involved in drug-related deaths," said Tamara Olt, MD, executive director of Broken No More. "It is enough that one family has been devastated by the loss of their loved one. It is cruel and unjust for a second family to lose their child to incarceration and the laws will increase deaths by making people afraid to get help for someone experiencing an overdose. I support a health-based approach, harm reduction, and safer supply to cease the senseless and preventable overdose deaths that are increasing exponentially. No one is disposable."

"I lost my son, my only child, Jeff, to an overdose. But he didn’t have to die. There were two people with Jeff that day, one of whom had sold him the heroin he used. They could have called for help but, instead, they pulled him from the SUV and left him on a lawn. And while people will say that they were monsters, they weren’t. The monster was fear. Fear of the police. Fear of arrest. Fear of spending 20 years to life in prison. It was fear that killed my son," said Denise Cullen, LCSW, co-founder of Broken No More. "Criminalization and punitive drug laws have resulted in nothing but more imprisonment, more deaths, and more devastated families. We must, instead, invest in health-based solutions that will save the lives of the ones we love. Laws that charge people with murder for a drug-related death may sound like a good idea. Until that is, it’s your child that dies on a lawn."

"We stand behind the families who are bravely fighting for the right policy solutions so that no one else has to go through the heartbreak and pain they have experienced. Their voices are abundantly clear that the best way to address the overdose crisis is through continued investment in public health resources and services rather than doubling down on the deeply flawed, unjust, and failed punitive approaches of the past," said Emily Kaltenbach, senior director of state advocacy and criminal legal reform at the Drug Policy Alliance. "Turning to health solutions instead of punishment is the right way forward. People all across the country are looking for answers to the problems of public safety, mass criminalization, racist policing, addiction, overdose, and homelessness. But we know that punishing people for possessing drugs for personal use is not the answer to these issues."

For a complete list of signatories go here. And it is not too late for other parents and family members who have lost loved ones to sign the letter here.

Chronicle Book Review: Whiteout

by psmith, September 07, 2023, 11:21pm

Whiteout: How Racial Capitalism Changed the Color of Opioids in Americaby Helena Hansen, David Herzberg, and Jules Netherland (2023, University of California Press, 369 pp., $29.95 HB)

When the face of opioid addiction turned white, an era that can be marked as beginning with the introduction and mass prescribing of OxyContin in the late 1990s, official attitudes toward drug users shifted away from the punishing and toward the nurturing. They were no longer Black deviant criminals, but now white innocent victims.

Republican lawmakers in statehouses around the country who had built careers as fierce drug warriors now sponsored Good Samaritan bills (so that people overdosing and those seeking to help them did not face drug charges), the availability of medicine-assisted treatment (methadone and buprenorphine) spread—and went upscale, with bupe acting as white people's methadone.

While methadone, associated with the Black and Brown heroin addicts of the 1970s, remains heavily stigmatized, its administration heavily authoritarian, and its dispensing locations almost always deep within poor minority neighborhoods, buprenorphine –a drug for treating white opioid users of the 21st Century—is much more easily accessible, available in doctors' offices instead of grim industrial buildings, but also more expensive, limiting its access for people with little money or insurance.

In Whiteout, an addiction psychiatrist (Hansen), a drug historian (Herzberg), and a policy advocate (Netherland) tease apart the structures of Whiteness (the unspoken ideology of white virtue, purity, and superiority) and demonstrate how racial disparities have been cooked into American drug policies from the beginning—and how not only Black populations but white ones, too, have suffered for it.

In the first great wave of opioid addiction in the late 19th Century, it was middle class white women who suffered the grip of the poppy, and they were largely treated in the doctor's office. As relatively well-off people, they had the ability to access the health care system of the time, to be prescribed the pills they wanted, and to be helped off them if necessary.

Meanwhile, Black Americans more often lacked the money to gain access to the health care system, and once drug prohibition fell into place in the 1910s, they were shunted into the black market, criminalized, and stigmatized. Their neighborhoods became epicenters of the illicit drug trade. Black market drugs in the ghetto, white market drugs at the doctor's office and the drugstore.

But white privilege had its price—a price that hundreds of thousands of white opioid users have paid since the turn of the century as overdose deaths quintupled in 20 years. Affluent white drug consumers would be provided their drugs by a lightly regulated pharmaceutical industry that the authors demonstrate portrayed the users of its products as white people and marketed their products directly at white people. The poster child for this behavior is Purdue Pharma, the manufacturer of OxyContin, which zeroed in on mostly white Appalachia as its force of zealous sales reps went to work. This is the racial capitalism of the title.

Anyone who is uncomfortable with terms like "racial capitalism" is really going to be squirming when Critical Race Theory makes its entrance. Unlike the case with the moral panic around Critical Race Theory in children's schoolbooks (which it isn't), the academic tool is actually applied here and, indeed, is central to the argument the authors make.

It also colors their recommendations for what is to be done. In line with the critique of capitalism, a little more harm reduction here or a little more criminal justice reform there are not going to solve the social problems that give rise to the current opioid crisis. It is going to require real social change, things like universal health care and a real social safety net. And an ongoing interrogation of Whiteness.

OTC Narcan Now Available at Major Pharmacies, VA Marijuana "Sharing" and "Gifting" Shops Pop Up, More... (9/6/23)

by psmith, September 06, 2023, 04:59pm

A majority of Floridians are ready to legalize weed, the British government moves to criminalize laughing gas, and more.

The British government is making laughing gas an illegal Class C substance. No more whippets for you Brits! (Creative Commons)

Marijuana Policy

Florida Poll Has Three Out of Five for Marijuana Legalization. A new poll from the University of South Florida and Florida Atlantic University has support for marijuana legalization at 60 percent. That includes 71 percent of Democrats, 59 percent of independents, and 50 percent of Republicans.

The poll comes as Floridians await a decision from the state Supreme Court on whether it will allow a marijuana legalization initiative from Smart & Safe Florida to appear on the ballot next year. The group has already met signature-gathering requirements.

The poll had even stronger support for medical marijuana, with 83 percent overall supporting it, including 87 percent of Democrats, 84 percent of independents, and 78 percent of Republicans.

Sixty percent support is precisely the amount needed for the initiative—a constitutional amendment—to pass at the polls. Given that initiative campaigners commonly seek a 10 percent cushion to be comfortable about their measure's prospects, Smart & Safe Florida is not yet in that comfort zone and needs another 10 percent increase in support to get there.

Virginia Shops Are "Sharing" and "Gifting" Marijuana Amid State's Lack of Legal Sales Mechanism. State Attorney General Jason Miyares has opined that shops "gifting" or "sharing" marijuana with customers are illegal, but they are proliferating anyway as the state grapples with marijuana legalization without a means of legal sales. Some of the stores "gift" marijuana to customers when they buy some other item from the shop, while others act like co-ops or clubs where members "share" marijuana with new members who either buy something or pay for membership.

Teresa Green and a partner own Good Vibes, which has nine shops in the region. She concedes that "gifting" marijuana is illegal but said her stores don't do that. Instead, she calls them "adult share stores," but when asked exactly how that work, she responded: "That’s as clear as I can get with it." She also said she was aware of the attorney general's opinion, but "anyone can have an opinion."

Police and prosecutors in the area are doing little about it and feeling frustrated. "There are so many gray areas that it’s just become impossible to enforce," said Greg Habeeb, a former Republican state delegate from Salem, president of Roanoke-based Gentry Locke Consulting, and representative of the Virginia Cannabis Association Habeeb. "So, a lot of law enforcement just aren’t enforcing it. They feel like their hands are tied."

"I don’t keep up with the popup marijuana stores and so I really don’t have an opinion, except to say that … it’s the Wild West out there," said longtime Roanoke Commonwealth’s Attorney Donald Caldwell. "To simply legalize marijuana and not have any restraints on it. And so, I think God knows what’s going on there. I certainly don’t."

Harm Reduction

Over-the-Counter Narcan Goes on Sale This Month at Major Retailers. The opioid overdose reversal drug naloxone is about to become much more widely available. Emergent BioSolutions, the manufacturer of Narcan, the naloxone nasal spray formulation, announced last week that it had shipped hundreds of thousands of the two-spray kits to major retailers.

The life-saving sprays will be available at CVS, RiteAid, Walgreens, and Walmart, but they won't be especially cheap. The suggested retail price is $44.99.

The Food and Drug Administration approved Narcan for over-the-counter use in March as the nation confronts an overdose crisis that killed an estimated 110,000 last year, with synthetic opioids such as fentanyl implicated in two-thirds of those deaths.

Prescription Narcan is already in wide use—carried by police officers and paramedics; stocked in libraries, schools, and vending machines; and distributed on the streets by harm reduction groups.

International

Britain to Make Laughing Gas an Illegal Class C Controlled Substance. The Conservative government has moved against nitrous oxide, popularly known as laughing gas, by announcing that it will become an illegal Class C substance by year's end. Under British drug laws, possession of a Class C substance is punishable by up to two years in jail, while distribution could garner up to 14 years behind bars.

Currently, supplying laughing gas for recreational use is banned, but possession is not.

The government move is counter to the advice of the Advisory Council on the Misuse of Drugs, which said that the ban would be disproportionate to the amount of harm linked to the drug.

"The British people are fed up with yobs abusing drugs in public spaces and leaving behind a disgraceful mess for others to clean up," said Home Secretary Suella Braverman. "Earlier this year the prime minister and I promised a zero-tolerance approach to antisocial behavior and that is what we are delivering. If you are caught using ‘laughing gas’ as a drug, you could be hit with a hefty fine or face jail time," she added.

CO Lawmakers Call for Safe Injection Sites, CA Psychedelic Decrim Bill Heads for Final Vote, More... (9/5/23)

by psmith, September 05, 2023, 04:30pm

A North Carolina Republican congressman files a bill to punish localities that legalize marijuana, Peruvian Shining Path remnants tied to the cocaine trade clash with Peruvian army troops, and more

Magic mushrooms and other natural psychedelics would be decriminalized under a California bill that heads for a final vote. (CC)

Marijuana Policy

North Carolina Congressman Files Bill to Punish Legal Weed States. Rep. Chuck Edwards (R-NC) has filed a bill that would punish states or reservations where marijuana is legal by withholding 10 percent of highway funding to them. Edward's Stop Pot Act, filed last Friday, targets jurisdictions "in which the purchase or public possession of marijuana for recreational purposes is lawful."

It was spurred by his ire at the Eastern Band of Cherokee Indians, which will vote on whether to legalize marijuana this week. He argues that such laws are an affront to federal law.

"The laws of any government should not infringe on the overall laws of our nation, and federal funds should not be awarded to jurisdictions that willfully ignore federal law," he said in a press release. "During a time when our communities are seeing unprecedented crime, drug addiction, and mental illness, the Stop Pot Act will help prevent even greater access to drugs and ease the strain placed on our local law enforcement and mental health professionals who are already stretched thin."

The tribe does not think much of Edwards' move. Principal Chief Richard Sneed noted that Edwards is "a non-Indian, elected official telling a sovereign tribal nation how they ought to handle their business" and that he "overstepped his authority."

Psychedelics

California Psychedelic Decriminalization Bill Heads for Assembly Floor Vote. A bill to decriminalize certain plant- and fungi-based psychedelics is heading for a final Assembly floor vote after clearing a final committee vote last Friday. Senate Bill 58 , from Sen. Scott Weiner (D-San Francisco) has already passed the Senate and cleared the Assembly Appropriations Committee on Friday.

The bill would decriminalize plant-based and other natural hallucinogens such as psilocybin, dimethyltryptamine (DMT), ibogaine, and mescaline, but in deference to the Native American Church, not peyote. Police would be unable to charge those in possession of personal use amounts of those substances, which range from two grams for psilocybin to 15 grams for ibogaine. The substances would remain illegal for minors.

The bill is a scaled back version of a bill first filed by Weiner in January 21 that would also have decriminalized synthetic psychedelics, such as ketamine, LSD, and MDMA. And as doubts lingered over whether the bill could pass this year, Weiner amended it to add a provision requiring the California Health and Human Services Agency (CHHSA) to create a workgroup tasked with studying and making recommendations on the establishment of a framework for the therapeutic use of psychedelics.

"I’m particularly excited to see that a vote will be held for decriminalizing psychedelics, an idea whose time has come I," said Weiner."I look forward to working with my colleagues and a wide array of stakeholders to deliver these bills to the governor."

But whether Gov. Gavin Newsom (D) will sign the bill remains an open question.

"The bill does have a good shot of passing the Assembly," said former police officer and current drug counselor Marty Ribera. "But Newsom is the big one. He’s looking to run for president either next year or in 2028, and being the Governor who legalized a bunch of drugs would not be a good look."

Harm Reduction

Colorado Legislative Opioid Study Committee Calls for Safe Injection Sites. Lawmakers last year tried and failed to clear the way for safe injection sites last year, and this year they will be back again. The legislature's opioid study committee has called for a bill to be drafted to allow cities to create "overdose prevention centers" or safe injection sites.

The committee vote followed party lines, with Republicans opposed.

The need is evident. Opioid overdose deaths, most implicating fentanyl, rose 50 percent from 2019 to 2020 and another 27 percent from 2020 to 2021.

Safe injection sites are arguably illegal under federal law, specifically the 1986 Anti-Drug Abuse Act, which forbids the use of premises for illicit drug use—the crack house act. The Trump administration Justice Department sued to block a Philadelphia safe injection site, but the Biden Justice Department is now in negotiations that could clear the way for it to open.

Rhode Island has authorized safe injection sites, but the only locally-authorized sites opened in New York City in late 2021. And now, the US attorney there is making noises calling into question whether they can remain.

International

Peru Clashes Between Military and Shining Path Leave Six Dead. Remnants of the Shining Path, a Maoist insurgency from the 1980s that left tens of thousands dead and has since devolved into players in the coca and cocaine trade, clashed with an army patrol Monday, leaving four soldiers and two Shining Path members dead.

The early morning attack by the rebel traffickers came in the province of Huanta in the Ayacucho region—the historic Shining Path stronghold.

"During the confrontation, the security forces managed to kill two terrorist criminals, who fell with their long-range weapons," the army said in a press release. "Unfortunately, during this action, four brave members of the armed forces died, whose remains will be transferred shortly to the city of Huamanga." The army said three wounded soldiers were also transferred to a nearby hospital.

Peruvian President Dina Boluarte paid tribute to the soldiers shortly afterwards on social media, referring to the Shining Path as "narcoterrorists."

The violence occurred in the Valley of Apurimac, Ene, and Mantaro Rivers (VRAEM), a center of coca cultivation and cocaine production. In 2021, the government estimated that 70 percent of the country's total coca leaf production came from the VRAEM. The VRAEM is also the last outpost of the Shining Path.

Reform Groups Respond to HHS Marijuana Rescheduling Call, TX Activists Rally at Governor's Mansion, More (8/31/23)

by psmith, August 31, 2023, 05:08pm

A British parliamentary committee is calling on the government to reinstate festival drug checking, Texas harm reduction activists protest Gov. Greg Abbott's regressive drug policies, and more.

More than a thousand Mexican soldiers are being deployed to the cartel-ridden state of Michoacan. (Creative Commons)

Marijuana Policy

Reform Groups Respond to HHS Recommendation to Reschedule Marijuana. The Department of Health and Human Services' (HHS) announcement that it was formally recommending moving marijuana from Schedule I to Schedule III of the Controlled Substances Act has excited considerable commentary and varied reactions from the reform community. Here, thanks to Marijuana Moment, are the reactions from several groups. For more, as well as reaction from political figures, click on the link above:

NORML Deputy Director Paul Armentano

"The goal of federal cannabis policy reform ought to be to address the existing, untenable chasm between federal marijuana policy and the cannabis laws of the majority of U.S. states," Armentano told Marijuana Moment on Wednesday.

"Rescheduling the cannabis plant to Schedule III of the US Controlled Substances Act fails to adequately address this conflict, as existing state legalization laws—both adult use and medical—will continue to be in conflict with federal regulations, thereby perpetuating the existing divide between state and federal marijuana policies," he said.

US Cannabis Council (USCC) Executive Director Edward Conklin

"The US Cannabis Council enthusiastically welcomes today’s news. President Biden and his Administration recognized that cannabis was wrongly classified as a Schedule I controlled substance, and they are delivering on their promise to change it," Conklin said. "We believe that rescheduling to Schedule III will mark the most significant federal cannabis reform in modern history. President Biden is effectively declaring an end to Nixon’s failed war on cannabis and placing the nation on a trajectory to end prohibition.

"Rescheduling will have a broad range of benefits, including signaling to the criminal justice system that cannabis is a lower priority and providing a crucial economic lifeline to the cannabis industry by lifting the 280E tax burden. State licensed cannabis businesses of all shapes and sizes will benefit from this historic reform," he said. "We urge the DEA to proceed with rescheduling cannabis with all reasonable speed."

Marijuana Policy Project (MPP) Director of State Policies Karen O’Keefe

"We are encouraged by the recommendation made by the Dept. of Health and Human Services for a more sensible and realistic scheduling for cannabis," O’Keefe said. "Given that over half the US population lives in medical cannabis states and millions of Americans are finding relief with cannabis products, it is long past due for the federal government to acknowledge cannabis’ medical value."

"Unfortunately, moving cannabis to Schedule III will still leave many of the harms of federal prohibition in place," she said. "However, today’s news is a step in the right direction and will deliver real benefits, including facilitating increased research and reducing burdens on medical cannabis patients and the businesses that serve them."

Drug Policy Alliance (DPA) and Parabola Center’s Cat Packer

we recognize that a shift to schedule III would be significant in a number of ways," Packer told Marijuana Moment, noting how the reform would remove research barriers and allow marijuana businesses to "make normal business deductions."

However, she said that the rescheduling action "would fall woefully short of the promises made by President Biden during his 2020 presidential election campaign, especially promises made to Black and Brown communities."

"It does not address the underlying criminalization of marijuana, even just for personal use and possession—which President Biden has already acknowledged as a failure that disproportionately impacts Black and Latino communities," Packer said. "If the Biden Administration is seriously committed to ending the Country’s failed approach on marijuana and righting the wrongs of marijuana criminalization including addressing the disproportionate impacts of criminalization on Black and Latino communities, Biden should support decriminalization and a new approach to federal cannabis policy that actually promotes fairness and justice."

National Cannabis Industry Association (NCIA) CEO Aaron Smith

"Moving cannabis to schedule III could have some limited benefit but does nothing to align federal law with the 38 U.S. states which have already effectively regulated cannabis for medical or adult use," Smith said. "The only way to fully resolve the myriad of issues stemming from the federal conflict with state law is to remove cannabis from the Controlled Substances Act and regulate the product in a manner similar to alcohol.""The vast majority of Americans live in states with laws that depart from federal law on this issue and where thousands of regulated Main Street businesses are serving the legal cannabis market safely and responsibly," he said. "It’s long past time for Congress to truly harmonize federal policy with those states."

Harm Reduction

Texas Activists Rally Outside Governor's Mansion to Protest Abbott's Harm Reduction and Overdose Policies. Texas activists marked International Overdose Awareness Day Wednesday by rallying in front of the governor's mansion in downtown Austin to call out Gov. Greg Abbott (R) for his regressive policies around harm reduction and overdose prevention.

The state has seen a 30 percent increase in fentanyl-related overdose deaths from 2021 to 2022, but Abbott has failed to push for measures that could alleviate the crisis, such as House Bill 362, which would have legalized fentanyl test strips. While that bill passed the House, it failed to advance out of the Senate.

Instead of taking up harm reduction and overdose prevention measures, Abbott has urged the legislature to crack down on trafficking, including a February move declaring fentanyl an emergency. He also directed lawmakers to label fentanyl overdoses "poisonings" and prosecute them as murder.

The protest was organized by VOCAL-TX, an activist and harm reduction organization.

International

UK Home Office Urged to Reinstate Festival Drug Checking. The House of Commons Home Affairs Committee issued a report Thursday urging the Home Office to reinstate music festival drug checking, which had been a regular part of the festival scene in recent years until the Tory government suddenly demanded drug checkers be licensed earlier this summer. The Home Affairs Committee report also urged members of Parliament to grant necessary licenses to local authorities to allow drug checking to go forward in a bid to reduce overdoses.

A licensing plan should be in effect by next summer, the report urged. This summer, festival organizers were hit with last-minute notices that they needed licenses only hours before festivals began. Those licenses came with a $3,500 fee and could take months to process.

"Back of house testing has been operating at festivals for a number of years through memorandums of understanding between local stakeholders, including the police and local authorities," the report said. "The primary aim of drug checking is to reduce drug-related harms. This is done through the provision of healthcare advice from medical professionals to the individuals who have submitted samples and/or via the dissemination of health warnings to the wider public— for example, to festival-goers. Countries, such as, the United States, Switzerland, Spain, Portugal, New Zealand, the Netherlands, Italy, Germany, Canada, Austria and Australia have established drug checking services."

But the Tory Home Office is having none of it: "There is no safe way to take illegal drugs, which devastate lives, ruin families and damage communities, and we have no plans to consider this," it said in response to the report. "Our 10-year drugs strategy set out ambitious plans, backed with a record £3 billion funding over three years to tackle the supply of illicit drugs through relentless policing action and building a world-class system of treatment and recovery to turn people’s lives around and prevent crime."

Mexico Deploys 1,200 More Troops to Conflict-Ridden Michoacan. The Mexican government said Monday it sent 1,200 more troops to the cartel-dominated western state of Michoacan after a weekend of violence. State prosecutors said three convenience stores and five trucks and cars had been set afire, a tactic often used by drug cartels in the state to block roads and enforce extortion demands. Prosecutors said three men and three youths aged 16 and 17 were arrested in the attacks.

The soldiers are being deployed to the cities of Apatzingan, Buenavista, and Uruapan. In Buenavista, lime growers and farmers are complaining of extortion by the cartels, and in Apatzingan, cartel extortion has nearly doubled the price of basic goods. Similar conditions a decade ago sparked the rise of civilian vigilante groups, but those have since faded away or been infiltrated by the cartels themselves.

Alarm Over New Synthetic Opioids, San Francisco Safe Injection Site Saves Lives, More... (8/29/23)

by psmith, August 29, 2023, 05:04pm, (Issue #1195)

Garden State Democrats take flak for voting for a harsh fentanyl analog bill, a clandestine San Francisco safe injection site saved lives, and more.

Nitazines. (Delaware Psychological Services)

Drug Policy

New Synthetic Opioids Raising Alarms. A group of new synthetic opioids called nitazenes are emerging in illicit drug markets and may be more powerful than fentanyl, a thousand times more potent that morphine, and may require even greater doses of opioid overdose reversal drugs to reverse overdoses, according to a study published Tuesday in the journal JAMA Network Open.

Researchers found most patients who overdosed on nitazenes required two doses of the overdose reversal drug naloxone to recover, while most patients overdosing on fentanyl required only a single dose.

"Clinicians should be aware of these opioids in the drug supply so they are adequately prepared to care for these patients and anticipate needing to use multiple doses of naloxone," the researchers, from the Icahn School of Medicine at Mount Sinai in New York, Lehigh Valley Health Network based in Pennsylvania, and other US institutions, wrote in the study. "In addition, to date there has been a lack of bystander education on repeat naloxone dosing."

The data came from a small study of 537 adults admitted to emergency rooms between 2020 and 2022, 11 of which tested positive only for fentanyl and nine who tested positive only for nitazenes. The researchers found that two-thirds of patients overdosing on nitazenes required two or more doses of naloxone, compared with only one-third of those overdosing on fentanyl.

Among the nitazenes are brorphine, isotonitazene, metonitazene, or N-piperidinyl etonitazene. Metonitazene appears to be the most dangerous.

"In the present study, metonitazene appears to have the most severe clinical toxicity given that both patients in which metonitazene was detected presented in cardiac arrest," the researchers wrote. Among those two patients who were found to have metonitazene, one patient died despite receiving six milligrams of naloxone in three separate doses. The other patient survived after receiving a total of 10 milligrams of naloxone in three doses.

New Jersey Congressional Democrats Take Flak for Voting for Mandatory Minimums for Fentanyl Analogs. Three New Jersey Democrats joined with three New Jersey Republicans to vote for the Halt All Lethal Trafficking of Fentanyl (HALT) Act (HR 467), which ramped up mandatory minimum sentences for fentanyl analogs, and now they are facing bitter criticism for doing so. The bill assumes that fentanyl analogs are harmful and criminalizes people despite a lack of scientific evidence.

Supported the drug war legislations were conservative Democrats Josh Gottheimer, Mikie Sherrill, and Donald Norcross, as well as Republicans Jeff Van Drew, Chris Smith, and Thomas Kean Jr.

"This shoot-first, ask-questions-later legislation would permanently schedule all fentanyl-related substances as Schedule I without first testing them for benefits or harm," said civil rights advocate Lisa McCormick. "By putting fentanyl-related substances on that list, they are among the most harshly criminalized drugs regardless of the science."

"This bill also imposes mandatory minimum sentences of 10 to 20 years in prison for fentanyl analog cases, hearkening back to failed drug war strategies of the past that have led to a stronger, more potent illicit drug supply," said McCormick. "Yet, Republican members of Congress and their corporate-controlled Democratic allies continue to double down on the disproven, failed approach of drug prohibition at the expense of people’s lives. "Of the nearly two million people incarcerated in the U.S. today, one in five is locked up for a drug offense," said McCormick, who said the legislation was strongly condemned by a variety of non-partisan civil rights, public health, drug policy, faith, law enforcement, criminal legal reform, and public policy research organizations.

"Our communities deserve real health solutions to the overdose crisis, not political grandstanding that is going to cost us more lives," said Maritza Perex Medina, director of the Office of Federal Affairs at the Drug Policy Alliance. "Yet, sadly, in passing the HALT Fentanyl Act, the House seems intent on doubling down on the same failed strategies that got us here to begin with."

"It’s sad to see lawmakers revert to over-criminalization once again when we have 50 years of evidence that the war on drugs has been an abject failure," said Laura Pitter, deputy director of the US Program at Human Rights Watch. "A vote for this bill was a vote against evidence and science."

Advocates are calling on Congress to reject drug war-style legislation and instead support public health approaches like the Support, Treatment, and Overdose Prevention of Fentanyl (STOP Fentanyl) Act of 2021 (HR 2366) and the Test Act (SB 1950). The former proposes increased access to harm reduction services and substance use disorder treatment, improved data collection, and other evidence-based methods to reduce overdose, while the latter would require the federal government to test all fentanyl-related substances that are currently classified as Schedule I substances and remove those that are proven medically beneficial or otherwise unharmful.

Harm Reduction

San Francisco's Clandestine Safe Injection Site Saved Hundreds of Lives. According to a study published Tuesday in the International Journal of Drug Policy, the Tenderloin Center, a clandestine safe injection site that operated throughout 2022 saw 333 overdoses—with no fatalities and every single one of them reversed. That was out of 124,000 visits.

The Tenderloin Center was "an effective harm-reduction strategy to save lives," wrote lead author Dr. Leslie Suen of the University of California, San Francisco. "

The site has since shuttered, with neither City Attorney David Chiu nor Mayor London Breed willing to keep it open against federal law. Now, the city is on track for its highest recorded number of drug overdoses yet.

Trump Calls for Military Force Against Mexican Cartels, India Pols Call for Legal Opium, More... (8/22/23)

by psmith, August 22, 2023, 04:58pm, (Issue #1195)

A Republican congressman threatens an Indian tribe over marijuana legalization, some surprising talk from politicians in the Punjab, and more

Mexican President Lopez Obrador does not think much of the tough talk coming from GOP politicians. (Creative Commons)

Marijuana Policy

GOP Congressman Threatens North Carolina Tribe with Loss of Federal Funding over Marijuana Legalization. The state's Eastern Band of Cherokee Indians is set to vote on a referendum to legalize marijuana on tribal land in September, but now US Rep. Chuck Edwards (R-NC) is warning that it could pay a price if it does. Edwards said the plans to introduce a bill—he says he will call it the Stop Pot Act—in Congress that would "defund governments that ignore federal law.

"I proudly consider the tribe my friends, and I respect their tribal sovereignty," the freshman House member wrote. "But there are times when friends disagree, and I must do so regarding this question of legalizing recreational marijuana. The tribe’s rights should not infringe on the overall laws of our nation. To allow our citizens to travel only a few miles to buy and use this common gateway drug would be irresponsible, and I intend to stop it."

Edwards, who opposed all efforts to reform marijuana laws while in the state legislature, including even medical marijuana, warned that legalization would lead to impaired driving, "drug tourism," hard drug sales, and unspecified "criminal activity that would inevitably follow."

"It is important that the tribe understands they will be voting on a measure that, if enacted, could soon be very costly," Edwards wrote. But only if his yet-to-be-filed bill actually becomes law..

Drug Policy

Trump Would Deploy US Military to Fight Drug Cartels. As part of a broader strategy to crack down on immigration and the border that includes vetting migrants to ensure that no "Marxists" are let it, Donald Trump plans at least two policies that take direct military aim at Mexican drug cartels.

The first policy would deploy Coast Guard and US Navy ships to stop drug smuggling boats and the second would designate drug cartels as "unlawful enemy combatants," which would allow the US military to target them in Mexico. That is the same designation used to detain 9/11 suspects for decades at Guantanamo.

Trump is only the latest Republican presidential contender to seek GOP political points by taking aggressive aim at the Mexican cartels, and none of it is going over very well with Mexico. Amidst similar talk earlier this year, Mexican President Andres Manuel Lopez Obrador warned that Mexico is "not going to permit any foreign government to intervene in our territory, much less that a government’s armed forces intervene."

International

Politicians in India's Punjab Call for Legal Opium Production, Sales. Amidst rising drug overdose deaths and growing drug mafias, some politicians in Punjab are calling for the legalization of opium and other drugs.

Former Patiala MP Dharamvira Gandhi, who had in 2016 even moved a private member’s bill in Parliament seeking to decriminalize opium, marijuana and poppy husk, said legalizing the sale of such drugs can severely wound drug mafias. "It will cut the ground from under their feet," he said. "It would also add to the state's revenue. Let there be an atmosphere of fearlessness that users can get the drugs from a reliable, legal, authenticated legal force," he said.

"This is the history of opium—that no one died by consuming it, nor anyone had to sell his house and property," said senior Alkali leader Sikander Singh Maluka, comparing its relatively mild effects to those of heroin and other synthetic drug. "There could be a rare exception who may have consumed it in large quantity."

"A user is never a promoter," said Gandhi. "The promoter of drugs is mafia which has vested interests. Crores of rupees are at stake. Not all, but many police officers, renowned politicians and many bigwigs are involved in drugs, not only in India but all across the world. It is the drug mafia, be it in Latin America, North America, South America, India, Brazil, or other countries for that matter. There are drug lords. And whatever success people have got against them is only after decriminalizing drugs. Portugal is one great example. The Portuguese government has done this. There was lot of crime because of drugs, lot of HIV and other communicable diseases by the use of intravenous injections and it (Portugal) had topped this table in entire Europe, but now it is at the bottom only because of decriminalizing all drugs."

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this website. 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 National Governors Association Weighs in on Fighting Drug Overdoses [FEATURE]

by psmith, August 17, 2023, 11:13pm, (Issue #1194)

Faced with an ongoing drug overdose epidemic that may have peaked in recent months but is still killing around 100,000 Americans each year, with fentanyl implicated in the great majority of deaths, the nation's governors are moving to get a grip on the problem. On Tuesday, the National Governors Association (NGA) released a roadmap to help support governors and state officials in developing policy solutions to address unprecedented opioid overdose rates. Titled Implementing Best Practices Across the Continuum of Care to Prevent Overdose, the roadmap outlines concrete solutions across the full spectrum of health services, from the foundations, to prevention, harm reduction, treatment, and recovery.

By limiting their policy prescriptions to health services, the governors avoid tackling the prickly politics of drug prohibition and the role it plays in the overdose crisis. The words "legalization" and "decriminalization" do not appear once in the 79-page report. On the other hand, law enforcement is not mentioned as playing a role in addressing the problem, either.

Developed in coordination with the O'Neill Institute at Georgetown University Law Center, the roadmap is based on the contributions of more than 30 subject matter experts and 20 states and territories -- providing governors with specific, actionable recommendations to prevent overdose across five pillars of the Substance Use Disorder Continuum of Care.

This is not the first time the governors have addressed the topic. In fact, this report can be seen as an update to the NGA's 2016 Roadmap, which covered much of the same territory. The latest iteration, however, reflects the evolving nature of the ongoing drug overdose epidemic and includes strategies specific to the rise of illicitly manufactured fentanyl.

The continued attention is needed. From 2019 to 2021, overdose death rates increased in all 50 states; death rates in 40 states increased by more than 25 percent. The national overdose death rate in 2021 reached 32.4 per 100,000 people, compared to 6.1 in 1999. Overdose deaths among adolescents increased 109 percent from 2019 to 2021, despite low youth substance use rates.

For each of the five pillars -- foundations, prevention, harm reduction, treatment, and recovery -- the NGA roadmap makes specific recommendations:

Foundations

Establish a state government coordinating body to set a statewide vision for overdose prevention.
Invest in state infrastructure to maximize resources.
Seek and include the perspectives and leadership of people with a variety of lived experiences.
Invest in evaluation and test new ideas. Promote evidence-based requirements for funded prevention initiatives.
Nurture and grow a mental health and substance use workforce that reflects the populations served.

Prevention

Champion and invest in initiatives that support family cohesion and well-being.
Promote evidence-based requirements for funded prevention initiatives.

Harm Reduction

Maximize federal resources and braid funding to promote health and reduce harm for people who use drugs.
Implement targeted and low-barrier distribution strategies for overdose reversal agents (ORAs) such as naloxone.
Champion changes that allow for the distribution of harm reduction tools.

Treatment

Implement and invest in policies and programs that expand Medication for Opioid Use Disorder (MOUD) access beyond the office setting.
Implement and invest in evidence-based treatment and access models.
Maximize federal funding resources for treatment.
Assess state-level policies that restrict access.
Make all MOUD treatment forms available to those involved in the criminal legal system.

Recovery

Foster communities that support recovery.
Champion changes to policies to establish recovery residence standards.
Invest in small businesses and community-based organizations led by and employing people with lived experience who represent the communities they serve.

The roadmap goes into gritty, granular detail on each of these recommendations and policy-makers and advocates alike would be well advised to dig deeper. Overall, the NGA provides a progressive, evidence-based approach to dealing with drug overdoses. There is much to apply here.

Overdoses

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The National Governors Association Weighs in on Fighting Drug Overdoses [FEATURE]

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