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Harm Reduction

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OR Lawmakers Discuss Measure 110 Rollback, Cartel Kills 13 Cops in Mexico, More... (10/24/23)

New York is rolling out a drug checking program, Seattle begins a crackdown on public drug use, and more.

Drug Policy

Mexico's bloody drug wars keep on generating new body counts. (Creative Commons)
Oregon Lawmakers Hold Hearing on Measure 110 Issues. Two years after voters approved Measure 110, which decriminalizes drug possession and allocates hundreds of millions of dollars in marijuana tax revenues to drug prevention and treatment, the measure is under concerted attack. With concerns over overdoses and public drug use rising, a legislative joint committee on addiction met last week with Measure 110 on its mind.

"The crisis that we are facing in our addiction system is not a big-city crisis or a rural-community crisis, it's not a Republican crisis, it's not a Democrat crisis or an Independent crisis, this is a crisis in all of Oregon," said Sen. Kate Lieber, D-Portland, who chairs the committee.

Lieber vowed that the committee would examine all aspects of the crisis and consult with a broad range of experts to come up with policy solutions that lawmakers could address in the 2024 legislative session. Democrats hold a majority in the legislature and have not committed to repealing Measure 110, but Lieber said it could use some adjustments.

"It is clear that the ballot measure that Oregonians passed in 2020 is not delivering what we need it to deliver, and we need to make systemwide change to try to address this issue," she said.

Her Republican counterpart, Senate Minority Leader Tim Knopp, was more inclined to attack Measure 110.

"I agree that Measure 110 is not delivering. In fact, I think it has been a massive failure. I think it was born to fail for a couple of reasons. One, is that there was not on-demand treatment that was ready to go when decriminalization happened, and I think that was a huge mistake," he said. "I also think that community harm reduction was not really contemplated with Measure 110 and making sure that those who are causing harm to the community through addiction get to treatment and recovery."

During the hearing, lawmakers heard from addiction prevention and recovery experts, none of whom would go so far as to recommend repealing Measure 110. Instead, they said that the state's addiction treatment and recovery systems are understaffed and underfunded.

Seattle Police Crack Down on Public Drug Use as New City Ordinance Goes into Effect. Last month, the city council passed an ordinance criminalizing public drug use and possession under municipal law, and last Friday, police began emphatically enforcing it. Squads of police officers swept through two neighborhoods -- Little Saigon and downtown Pine Street -- and arrested about two dozen people.

Ten people were jailed, mostly on outstanding felony warrants, while another 15 people who were arrested were referred to case workers and released.

Police Chief Adrian Diaz said the department would conduct similar operations on a weekly basis.

"We are going to be compassionate in our approach to getting people connected with services while still making sure our city streets are safe," he said.

But opponents worry the law will punish people for addictions and called it a new version of the war on drugs, which subjected Black and brown people to disproportionate enforcement. And they noted that access to treatment remains severely limited.

"Data shows the minute you're arrested, there are cascading consequences for your stability," said Councilmember Teresa Mosqueda , who opposed the new law. "People are more likely to die while in jail due to withdrawal or die upon release due to overdoses," she said. "We don't want public consumption throughout the streets, but we do not have the treatment resources necessary to implement this policy."

Harm Reduction

New York State Department of Health Announces Drug Checking Programs The New York State Department of Health's Office of Drug User Health (NYSDOH-ODUH) has implemented four drug checking programs operated by state funded Drug User Health Hubs (DUHH). Drug checking is used as a consumer safety tool -- either before or after consumption -- and a method to engage people who use drugs (PWUD) in other harm reduction services. This information can help inform the larger PWUD community about new or emerging adulterants in the local drug supply and how to decrease their risk of overdose from dangerous substances like fentanyl.

"As new or dangerous substances, including fentanyl, continue to appear in the drug supply, the risk of overdose for people who use drugs continues to rapidly increase," State Health Commissioner Dr. James McDonald said. "Given this ever-changing landscape, these essential comprehensive drug checking services will help protect New Yorkers and help us to better understand the local drug supply and improve overall drug user health."

The technology used to test for drugs produces results within minutes and provides the technician the ability to determine the chemical composition of the sample. To ensure that technicians can interpret test results accurately, the NYSDOH-ODUH has contracted with an experienced drug checking consultant who provides training and ongoing technical assistance.

For further support, the drug checking program also includes the use of a confirmatory laboratory that allows DUHH to send residual amounts of inactivated drug samples to the lab and in compliance with Drug Enforcement Administration and postal regulations. Technicians will send the first 150 residual samples to the laboratory for additional testing to confirm the accuracy of initial analysis. The laboratory providing the additional analysis utilizes gas chromatography coupled with mass spectrometry (GC/MS), which is regarded as a gold standard for drug testing.

"The unregulated drug supply is increasingly unpredictable and dangerous. Having comprehensive drug checking available is a strategy to decrease potential harms, including overdoses, and supports our ongoing work to expand and enhance harm reduction services across New York State," said Office of Addiction Services and Supports Commissioner Dr. Chinazo Cunningham.

The drug checking programs are located in Central New York, the Southern Tier, the Mohawk Valley, the Capital Region and Long Island. The program involves staffing and training at each participating DUHH. Governor Kathy Hochul specifically mentioned in her 2023 State of the State Address the expansion of drug checking technology within DUHHs to provide a more comprehensive evaluation of substances before and after use. This enhanced technology will be available at Drug User Health Hubs so that individuals can test their drugs to mitigate drug-related harms and prevent overdose.

International

Irish Parliamentarians Call for "Radical Change" in Drug Policy After Citizens' Assembly Recommends Decriminalization. Over the weekend, the Citizens' Assembly on Drug Use voted to recommend that the country move toward a "comprehensive health-led" approach to drug policy, including a form of drug decriminalization. In response, a cross-party group of parliamentarians is calling for a "radical change" in drug policy.

In a statement on Monday evening, a group parliamentarians, including politicians from Fianna Fáil, Fine Gael, the Green Party, Labor, and People Before Profit, said that the decision by the Citizens' Assembly "reinforces the case for radical change in Irish drug policy".

"We urge the Oireachtas [the parliament] to assign the report, when published, to the Joint Oireachtas Committee on Justice to allow them carry out detailed deliberation and to propose draft legislation," the statement reads. We emphasize the need for detailed analysis and recommendations on the decriminalization of the drug user and regulation of cannabis."

Mexican Cartel Guns Down 13 Cops in Guerrero. Supposed cartel gunmen ambushed police in Coyuca de Benitze, Guerrero, on Monday, leaving 13 dead, including the local police chief and municipal security secretary. This was only the latest in a growing number of deadly attacks against police in the region.

At least 34 police officers have been killed in Guerrero so far in 2023 -- one-tenth of the total number of police killed countrywide -- making it the second most dangerous state for law enforcement.

The state has been plagued by turf wars between various drug trafficking organizations, who seek to dominate both the opium and marijuana-growing mountainous interior and the consumer market in the tourist city of Acapulco and other coastal resort areas.

Rate of Black Men in Prison Has Dropped by Nearly Half, New Opioid Overdose Reversal Drug, More... (10/13/23)

Ohio's Republican Senate leader is threatening to mess with a marijuana legalization initiative if it passes, the Israel-Hamas war has caused a pause in Germany's march toward marijuana legalization, and more.

https://stopthedrugwar.org/files/opvee-cropped.jpg
A new opioid overdose reversal drug, OpVee, has hit the market.
Marijuana Policy

Ohio GOP Senate President Vows to Mess with Marijuana Legalization Initiative If It Passes. The GOP-dominated state Senate has already passed a resolution opposing the Issue 2 marijuana legalization initiative (as well as the Issue 1 abortion rights amendment), and the Republican Senate leader now says that while the legislature would not try to repeal the initiative if it passes, it is likely to try to modify it.

In the Senate, Senate President Matt Huffman (R-Lima) said that passage of the initiative would cause a "mental health crisis," adding that "this initiated statute is coming right back before this body."

When pressed after the session about precisely what he meant, Huffman clarified. "I will advocate for reviewing it and repealing things or changing things that are in it," he said.

He said he was perturbed about a social equity provision that allocates some marijuana tax revenues for programs aiding people with marijuana convictions to get licenses and financial assistance.

Harm Reduction

New Opioid Overdose Reversal Drug Opvee Comes to Market. The Food and Drug Administration (FDA) approved a new opioid overdose reversal drug, Opvee, back in June, and now, the manufacturer, Indivior, has begun shipping the drug to pharmacies and first responders.

Opvee is a nasal spray containing the opioid receptor-blocking drug nalmefene. It is approved for use in people 12 and over and requires a prescription.

While the market for overdose reversal drugs is growing crowded, with Narcan already widely available and now available without a prescription at major drug store chains a second naloxone nasal spray, RiVive from Harm Reduction Therapeutics aimed at community groups coming soon, Opvee aims to position itself as being better able to respond to fentanyl overdoses. The company says it is a better match against fentanyl because its formulation is more powerful than Narcan or other forms of naloxone.

Former Surgeon General Jerome Adams called Opvee a "fentanyl fighter" and another tool for public health officials to counter illicit fentanyl driving the nation's overdose deaths. "It's as if it was designed to combat fentanyl," Adams said. "It matches up well with the potency and the longevity of fentanyl, so it's a new valuable tool that is available."

But as with other opioid overdose reversal drugs, cost is an issue. Opvee will go for $75 per kit for public interest and government purchasers and $98 for others with no insurance. Narcan now goes for $44.99 for a two-dose kit, while RiVive will go for $36.

Sentencing

Rate of Imprisonment for Black Men Has Dropped by Nearly Half Since 2000, Report Finds. The Sentencing Project released a new report, "One in Five: Ending Racial Inequity in Incarceration," that presents an overview of trends in incarceration and community supervision. The report identifies the progress made in the 21st century in reducing the US prison population and its racial and ethnic disparities, while sounding the alarm about the future of reforms. One in five Black men born in 2001 is likely to experience imprisonment within their lifetime, a decline from one in three for those born in 1981. But rather than accelerate the pace of reforms, pushback from policymakers threatens further advancement.

 

According to the report, the imprisonment rate of Black men in 2021 declined substantially, falling by almost half (48%) since 2000, yet Black men were still imprisoned at 5.5 times the rate of white men. The imprisonment rate of Black women declined even more, by 70% since 2000, but Black women remained imprisoned at 1.6 times the rate of white women.

The report also found that the total prison population has declined by 25% after reaching its peak level in 2009; while all major racial and ethnic groups experienced decarceration, the Black prison population has downsized the most; and American Indian and Latinx people were imprisoned at 4.2 times and 2.4 times the rate of whites in 2021, respectively.

The momentum for continued progress is precarious. We've seen a backlash to the progress we've made on criminal justice reform. In fact,preliminary data from the Department of Justice shows that the prison population increased for the first time in almost a decade between 2021 and 2022.

In an effort to protect and expand the progress, The Sentencing Project is producing the "One in Five" series of four reports to examine both the narrowing and persistence of racial injustice in the criminal legal system, as well as to highlight promising reforms.

International

German Marijuana Legalization Debate Delayed Because of Israel-Hamas War. The Bundestag was set to take up debate on a government-backed bill to legalize marijuana Friday, but that debate is now delayed because of the ongoing fighting between Israel and Hamas.

The "global political situation" is the reason for the delay, said lawmakers Carmen Wegge and Dirk Heidenblut of the Social Democratic Party, but lawmakers "will make sure that everything gets done somehow in the next week."

But Thorsten Frei, a member of the minority Christian Democratic Union -- not a member of the governing coalition -- said the debate cancellation was "surprising" and reflected internal concerns about the bill more than foreign wars.

Any delay could make it more difficult to get the bill passed by a December 15 deadline, and if that does not happen, further consideration would be pushed back to next February at the earliest. But a revised parliamentary schedule suggests that it could get done by mid-November.

BC Bill Would Criminalize Public Drug Use, MPP and NORML Merger Talk, More... (10/6/23)

MPP and NORML are in preliminary merger talks, Georgia will become the first state in the country to offer medical marijuana products in pharmacies, and more. 

San Francisco. Safe injection sites are on mayoral candidates' minds. (Creative Commons)
Marijuana Policy

Top Marijuana Advocacy Groups Ponder Merger Amid Fundraising Challenges, Leadership Transitions. With its executive director having recently resigned and its ability to undertake expensive ballot initiative campaigns curtailed by funding challenges in an era where most people now live in legal marijuana states, the Marijuana Policy Project (MPP) is considering a possible merger with the nation's largest marijuana consumer advocacy group, the National Organization for the Reform of Marijuana Laws (NORML).

MPP was formed as a breakaway from NORML back in 1996, when then-NORML staffers Rob Kampia and Chuck Thomas left the group and to create the new organization. Since then, MPP has had access to millions of dollars in philanthropic donations, but those have largely evaporated as legalization spread and wealthy donors said the industry should step up and fund reforms. The industry has not been so good at doing that, and now MPP says it will have to give up on expensive ballot initiatives and concentrate on Congress and state legislatures.

"I do believe that we were victims of our own success," acting executive director Matthew Schweich said. "We’re highly effective. We passed so many laws through so many states and so many ballot initiatives. And people just got used to our success." MPP is still in "a strong position long-term to maintain its current operations," and the rationale behind the restructuring "is to ensure that we can operate effectively for years to come," he added. "So that’s important to know—but if people want there to be a stronger MPP like we saw in the past, we’re going to need philanthropic donors to return to the fold," he said. "It is just not sustainable to maintain the type of scale that we should have without philanthropic donors returning to help our costs."

"It’s really a shame that we’re no longer able to play a leading role in initiatives," said Karen O’Keefe, MPP's director of state polices who focuses on state legislatures. "There are states where cannabis consumers will have to suffer under prohibition for a decade or more longer probably because there’s just not the funding there to get voters there, per se. By not having the funding to put this issue on the ballot, it delays progress in those states considerably," she said. "And it also doesn’t have that message [to state legislatures]—especially in this high turnout election year, when we would presumably see a lot better results that can help spur quicker action in all of their neighboring states and in Congress."

Now, MPP and NORML are talking about a possible merger, although those conversations have largely happened at the board level and MPP says those talks are "preliminary."

"We are having very early discussions with NORML about various ways that we might partner with them to achieve our mutual cannabis reform goals," said MPP board Chairman Sal Pace. "We’re considering many options for potential collaboration, but there’s nothing new to share right now."

Medical Marijuana

Georgia to Become First State to Offer Medical Marijuana Products in Pharmacies. The state is set to become the first in the nation to offer medical marijuana products at independent pharmacies after the state Board of Pharmacy began accepting applications this week.

Nearly 120 pharmacies have agreed to offer medical marijuana products from Botanical Sciences, one of two licensed production companies in the state. It is likely to take a few weeks before product is available at the pharmacies.

The only medical marijuana product available to state residents is low-THC cannabis oil, with less than 5 percent THC. Patients will be able to buy the product at pharmacies if they show a medical marijuana registry card and identification.

The move will make the product much more widely available for state residents. Currently, there are only seven dispensaries where it can be bought.

Harm Reduction

San Francisco Mayoral Candidates Split on Safe Injection Sites. We are still more than a year away from the next mayoral election, but candidates are already attacking each other over pressing issues in the city, including drugs and homelessness. Now, support for a potential safe injection site is one issue dividing candidates.

The race to become San Francisco’s next mayor is still in its early stages, but that hasn’t stopped candidates from trading barbs over their plans to solve the city’s most pressing issues.  

Mayor London Breed campaigned for the position in 2018 in part by supporting safe injection sites, but has since backed away from spending city funds for their operation. This year, Breed's campaign said she would allow a nonprofit to fund and operate a safe injection site, but is awaiting federal guidance before allowing the city to fund it.

Supervisor Ahsha Safai says he support safe injection sites, but wants them to work in conjunction with sober living facilities and other treatment options.

But Levi-Strauss heir Daniel Lurie is opposed. He says he would not support opening such sites and that they would generate "drug tourism" to the city. Instead, he said he would focus on "shutting down open air drug markets and getting everyone sheltered." 

International

British Columbia Bill Would Make Drug Use Illegal in Almost All Public Places. A bill filed Thursday would make it illegal to use drugs in almost all public spaces, a move reform advocates say would effectively kill the province's drug decriminalization policy less than a year into the three-year pilot project.

The law would ban within 15 meters of a playground, splash pool, skate park, sports field, beach or park and within six meters of the doorways of businesses, residences, recreation centers or any public space.

 

 

"Decriminalization was never about the ability to use hard drugs wherever you wanted, and this law makes that very clear," Premier David Eby of the New Democratic Party said as he announced the bill. He said people would instead be directed to safe injection sites.

The provincial coroner called the move "tremendously disappointing" and said the government is advancing a bill "that attempts to push people into back alleys and back corners."

"People are being set up to fail and die," said Vince Tao of the Vancouver Area Network of Drug Users, who added that advocates were shocked by the "all-encompassing" list of restricted areas. "This is a huge step back," Tao said. "I think we can altogether admit that decriminalization is dead."

 

US Lawmakers Call for Comprehensive Fentanyl Harm Reduction Strategy, Afghan Opium Drop, More... (10/3/23)

A House committee has again blocked an amendment to stop pre-employment marijuana testing for federal job applicants, a Michigan ban on pre-employment marijuana testing of most state workers has gone into effect, and more. 

There are a lot fewer opium poppies in Afghanistan these days. (UNODC)
Marijuana Policy

House Rules Committee Again Blocks Amendments to End Marijuana Testing for Federal Job Applicants. Rep. Robert Garcia's ongoing attempt to end the practice of drug testing for marijuana for federal job applicants has again been blocked, this time by the GOP-led House Rules Committee, which declined to allow a floor vote on his amendments to the spending bills for the Departments of Energy and Water Development and Related Agencies, as well as for the legislative branch.

Garcia has tried repeatedly and to no avail to attach his amendment to various spending bills, including the departments of Homeland Security, Agriculture-Rural Development-FDA, State and Foreign Operations, and Veterans Affairs.

The amendments say that, with certain exceptions, the agencies and departments in question cannot use their funding "for testing applicants for marijuana."

Michigan Ban on Pre-Employment Drug Testing for State Workers Now in Effect. A new rule barring pre-employment drug testing for all state workers except those subject to random drug testing went into effect October 1.

Some safety-sensitive and other state positions are still subject to pre-employment testing and all state employees are still subject to drug testing based on impairment suspicion, random selection and post-accident, according to the commission.

Safety-sensitive positions include those operating certain vehicles, equipment and machinery. The ban also doesn’t apply to law enforcement positions, health care workers and prison employees.

Workers can still be disciplined or fired if they have impaired levels of drugs or alcohol, including marijuana, while at work. 

Harm Reduction

Sen. Markey, Rep. Lee Urge Biden Administration to Enact Comprehensive Fentanyl Harm Reduction Strategy, Including Safe Injection Sites. Senator Edward J. Markey (D-Mass) and Congresswoman Barbara Lee (CA-12) today led 18 of their colleagues in urging the Biden-Harris administration to develop and publicly announce a national fentanyl harm reduction strategy specifically focused on enhancing public health infrastructure and addressing the collateral consequences that stem from drug arrests and convictions.

The lawmakers emphasized that this strategy should support increased availability of local overdose prevention centers (OPCs) and expanded access to vital medical interventions, including naloxone, drug testing strips, sterile syringes and pipes, methadone, and buprenorphine.

The lawmakers urged the administration to:

  • Deploy federal resources to enable agencies to better identify and repeal collateral consequences that result from drug possession arrests and convictions, such as the drug felony ban on federal food security programs;
  • Improve equitable access to effective harm reduction services — which involves an examination of barriers that community-based syringe services programs may face in applying for federal funds, such as reporting requirements that incorporate personally identifiable information — and adopt policies that minimize those barriers; and,
  • Close research gaps and undertake a comprehensive evidence review on the role of distribution of safer smoking supplies in harm reduction measures, including engagement and retention, risks for overdose and infectious diseases, referral and linkage to other services, and health equity.

"Furthermore, strong evidence indicates that OPCs reduce the transmission of HIV and hepatitis, prevent overdose deaths, reduce public injections and the volume of shared or discarded syringes, and increase the number of drug users who enter treatment programs. The Biden-Harris administration should set forth federal policy to support the availability and expansion of OPCs as effective harm reduction tools," the lawmakers wrote.

"Further criminalizing fentanyl and doubling down on punitive drug policies only complicates our efforts to address the overdose crisis; people are deterred from seeking needed medical help, and illicit drug manufacturers and sellers are incentivized to create new and increasingly deadly drugs that aren’t covered by existing criminal laws," they continued. "With the Biden-Harris administration’s recent announcement of a plan to address the growing threat of fentanyl, we urge you to take every opportunity to prevent fentanyl-related overdoses from claiming scores of American lives daily."

International

Afghan Opium Poppy Cultivation Drops 85 Percent, New Analysis Finds. A satellite analysis of the Afghan opium crop by the geographic information services company Alcis estimates that opium cultivation has declined by 85 percent since the Taliban re-took power and decreed a ban on it.

Poppy cultivation was nearly half a million acres in 2022 but dropped below 75,000 acres this year, leading experts to describe the ban "as the most successful counter-narcotics effort in human history."

The key opium-producing province of Helmand saw a whopping 99 percent reduction in cultivation, while Farah saw a 95 percent reduction, and Nimroz say a 91 percent reduction.

Philly City Council Bans Safe Injection Sites, OR Interim Legislative Committee on Drug Policy, More... (10/2/23)

The Dutch are set to embark on a pilot project of creating a legal supply for the country's famed cannabis "coffee shops," Gavin Newsom signs a bill clearing the way for the prescribing of MDMA and psilocybin once they are federally descheduled, and more. 

An Amsterdam cannabis coffee shop. The Dutch are set to begin an experiment in a legal supply for the shops. (Creative Commons)
Psychedelics

California Governor Signs Bill Allowing Doctors to Prescribe Psilocybin, MDMA Once Federally Rescheduled. Gov. Gavin Newsom (D) on Saturday signed into law a bill that would let doctors start prescribing psilocybin and MDMA if and when they are federally rescheduled, Assembly Bill 1021.

Sponsored by Assemblymembers Buffy Wicks (D), Isaac Bryan (D) and Corey Jackson (D), the bill says if the federal government reschedules any Schedule I drug under the Controlled Substances Act, state health professionals will be automatically able to prescribe and dispense it. The most obvious candidates are psilocybin and MDMA, which have been designated as breakthrough therapies by the federal Food and Drug Administration (FDA) and are expected to be approved for medical use as early as next year.

Among nearly a dozen marijuana and drug reform bills still on Newsom's desk is Senate Bill 58, which would legalize the possession of small amounts of certain natural psychedelics, excluding peyote.

Drug Policy

Oregon Legislature Creates New Committee to Address Drug Addiction, Review Drug Decriminalization. The legislature has created a Joint Interim Committee on Addiction and Community Safety it a bid to tackle the state's drug use crisis. The committee's mandate is to make addiction services accessible, ensure that law enforcement has the tools to keep communities safe, and review drug policy, especially the drug decriminalizing Measure 110.

The decriminalization measure was approved by voters two years ago, but recent polling shows that a majority of voters (56 percent) are ready to repeal Measure 110 entirely, even though it includes hundreds of millions of dollars for drug treatment, prevention, and related services. An even higher number of respondents (64 percent) were willing to repeal just the decriminalization portion of Measure 110.

 

 

Upon announcing the creation of the interim committee last Friday, lawmakers said they will make sure the measure’s outcomes are "in-line with voters’ intent of connecting people to treatment instead of criminal punishment for low-level possession."

"The goal of this committee is simple: to save lives and make our communities safer," said Senate President Rob Wagner (D-Lake Oswego) . "Oregonians are being harmed every day by this crisis and we all have a part to play in finding a path forward. It is a complex problem that demands a comprehensive solution and we are committed to working toward a solution this session and into the long term."

"Everyone has a family member or friend that has been impacted by addiction or behavioral health challenges" said House Speaker Dan Rayfield (D-Corvallis). "What we’re seeing in our streets and our communities is unacceptable. As leaders, it’s our job to provide oversight of our current crisis-to-care system and make sure we’re getting the outcomes we intended: a humane approach to addiction that centers the individual’s needs."

Senate Majority Leader Kate Lieber (D-Beaverton) and Representative Jason Kropf (D-Bend) will co-chair the committee, which is meeting for the first time in the coming weeks.

Harm Reduction

Philadelphia City Council Overrides Mayor's Veto of Ban on Safe Injection Sites. The city council has overridden a mayoral veto to once again vote to ban safe injection sites in almost all of the city, leaving only one council district where they could possibly be permitted.

The council first passed the measure last month, but Mayor Jim Kenney (D) vetoed it last week. Now, the council has decisively overridden that veto on a 13-1 vote.  

Citizens addressing the council before the vote urged members to reverse themselves, with one man who identified himself as a registered nurse telling the council the ban is "dangerously anti-science" and would limit how the city can address addiction issues.

The measure creates a zoning overlay that would permit safe injection sites only in southwest Philadelphia 3rd council district. Council members defended their position as less of a ban and more of a way for city residents, especially those living near proposed safe injection sites, to have a say on community affairs.

"This bill allows the community to have input on where these sites would be selected, what would be happening around there and how that their input would be put in place if these sites were to ever be put up," said Councilman Mark Squilla (D-District 1).

International

Dutch Legal Marijuana Supply Pilot Project to Start Up in December. The startup phase for a pilot program to allow the limited legal cultivation and distribution of adult-use marijuana will begin in December, the Dutch government told Parliament last Friday.

The program is three years behind schedule and smaller than originally envisioned, with only two growers in the startup, as opposed to the 10 cultivators who were to supply dozens of cannabis cafes. The project is to address "the backdoor problem" for marijuana retail outlets, which can sell without penalty but have no legal source of supply.

"The cabinet has decided that the (startup) phase of the closed coffee shop chain experiment will start on December 15, 2023," according to the government letter. The most recent planning shows that two legal growers are expected to be ready for delivery to coffee shops in the fourth quarter of 2023. This is sufficient to start the (initial) phase of the experiment in Breda and Tilburg."

During this first phase of the pilot program, participating coffee shops in the two cities will be able to offer both legally-grown marijuana and unregulated products.

The Dutch government expects the startup phase to last a maximum of six months before expanding the program. 

 

SAFER Banking Act Heads for Senate Floor Vote, Scottish Safe Injection Site Approved, More... (9/27/23)

The US and Colombian governments lay out areas of agreement in drug policy, new research shows that drug decriminalization did not increase overdoses in Oregon and Washington--but did cause arrests to drop--and more. 

The Senate is set to vote on a long-awaited marijuana banking bill. (Creative Commons)
Marijuana Policy

SAFER Banking Act Passes Senate Banking Committee, Heads for Floor Vote. The long-desired bill aimed at opening the banking and financial sector to state-legal marijuana businesses is moving. The Senate Banking, Housing and Urban Affairs Committee voted Wednesday to approve the Secure and Fair Enforcement Regulation (SAFER) Banking Act (S.2860), clearing the way for a Senate floor vote.

"Forcing legal businesses to operate in all-cash is dangerous for our communities ... passing the SAFER Banking Act through committee is a historic moment in this body," said bill sponsor Sen. Jeff Merkley (D-OR).

"At this juncture, we believe this piece of legislation is ready for prime time after having had seven votes out of the House in the past," said Kim Rivers, CEO of Trulieve Cannabis. "Realizing this first vote out of the Senate signals strong bipartisan support from both chambers of Congress."

Drug Policy

Decriminalizing Drug Possession Not Linked to Higher Overdose Death Rates in Oregon or Washington. In recent months, several media outlets have investigated an Oregon law that decriminalized possession of small amounts of controlled substances, including heroin, cocaine, and methamphetamine, for some persons. The articles have included information suggesting that the law may be responsible for continued increases in overdose deaths.

Wednesday, new research led by NYU Grossman School of Medicine published online in JAMA Psychiatry suggests that in Oregon and Washington, two states that implemented drug decriminalization policies in early 2021, there is no evidence of an association between decriminalization and fatal drug overdose rates.

The findings are the result of a collaboration between the Center for Opioid Epidemiology and Policyy at NYU Langone, the Network for Public Health Law, and the Centers for Disease Control and Prevention (CDC). The research team’s goal was to investigate whether fully or partially decriminalizing drug possession changed rates of overdose deaths in either state in the first year after the policy change.

"Our analysis suggests that state decriminalization policies do not lead to increases in overdose deaths," said Corey Davis, adjunct assistant professor in the Department of Population Health at NYU Grossman School of Medicine, a member of the Center for Opioid Epidemiology and Policy, and the study’s senior investigator.

Another study published by Davis and colleagues last month found that the Oregon and Washington decriminalization policies dramatically reduced arrests for drug possession and did not lead to increased arrests for violent crimes.

"These two studies show that drug decriminalization measures in Oregon and Washington reduced arrests and did not increase overdose deaths. Taken together, these findings signal reduced harm to people who use drugs and possibly their communities as well," said Davis.

Foreign Policy

US, Colombia Counternarcotics Working Group Issues Joint Statement. After the third meeting of the US-Colombia Counternarcotics Working Group Monday and Tuesday, the two governments issued a joint statement touting their "common efforts to address the development of this group’s work, taking into account the strengthening of democracy, the fight against corruption, the protection of human rights, peace efforts, climate action, public health, and a comprehensive approach to address the global drug problem."

The two governments called for "an approach based on public health and human security, with a long-term vision focused on saving lives and building a better future."

In particular, both parties agreed to the following:

  • Increase interdiction efforts in both countries, significantly increase joint training, capacity building activities, and intelligence sharing to strengthen Colombia’s ability to combat transnational organized crime and multi-crime groups and enhance human security.
  • Expand efforts to combat money laundering and crimes against natural resources and the environment.
  • Reaffirm the will of both governments to continue cooperation to confront the global drug problem, including issues related to criminal activities associated with cocaine and synthetic drugs.
  • With regard to rural security, strengthen and increase judicial and police presence in rural areas.
  • Strengthen the implementation of strategies aimed at promoting the transition to licit economies in rural areas and Areas of Special Environmental Importance, such as the 3T model (Titling, Transition, Transformation) in municipalities to be prioritized for the implementation of a holistic approach to territorial transformation.
  • Provide licit economic development opportunities as alternatives to illicit crops, in conjunction with continued strategic eradication efforts.
  • Implement strategies to reduce the consumption of psychoactive substances and their associated impacts.
  • Strengthen metrics measuring the underlying causes of drug production and the dismantling of transnational narco-trafficking criminal networks.
  • Continue to work with the Colombian Ministry of Justice and Law and Ministry of Foreign Affairs towards identifying a coordination mechanism for the bilateral holistic strategy within the Colombian government.

International

Scottish Authorities Approve UK's First Safe Injection Site. Authorities in Glasgow have approved the first safe injection site in the United Kingdom. Glasgow's Integration Joint Board, which consists of National Health Service representatives and council officials, approved the planned facility Wednesday.

There is an opening target date of next summer for what will be a three-year pilot program.

The facility will "reduce drug-related harms" for individuals as well as providing them with "opportunities for treatment, care and recovery," said Dr Saket Priyadarshi, associate medical director of Glasgow alcohol and drug recovery services.

A safe injection site has been discussed for years to address the estimated 400-500 people injecting drugs in the city center and was able to move forward now after Scotland's senior law officer said users would not be prosecuted for possessing drugs while at the facility and the Home Office in London said it would not interfere.

Revised Weed Banking Bill Filed, Scottish Safe Injection Site Location Revealed, More... (9/21/23)

A House panel approves the CURE Act to protect past marijuana users from federal employment discrimination, the new Thai minister vows to roll back marijuana decriminalization, and more.

Marijuana is on the agenda on Capitol Hill. (Creative Commons)
Marijuana Policy

Revised, Renamed Version of Marijuana Banking Bill Filed, Committee Vote Set for Next Wednesday. The bill aiming to pave the way for providing financial services to state-legal marijuana businesses known as the Safe and Fair Enforcement (SAFE) Banking Act has now been revised and renamed the Secure and Fair Enforcement Regulation (SAFER) Banking Act and is headed for a key Senate committee vote next Wednesday.

Sponsored by Sens. Jeff Merkley (D-OR) and Steve Daines (R-MT), the revised bill was filed Wednesday, is set for mark-up in the Senate Banking Committee, and after that, Senate Majority Leader Chuck Schumer (D-NY) says he intends to "bring it to the floor with all due speed."

But despite apparent clear skies in the Senate, the future is a bit cloudier in the House, where a key committee chairman has not committed to allowing it a vote.

Among the key changes to the bill: The Federal Deposit Insurance Corporation gets one year instead of 180 days to develop guidance for financial institutions, regulators must have a "valid" reason for requesting or requiring the termination of bank accounts for any business, regulators must work with state and federal counterparts to create rules or guidance for pot businesses to increase deposit accounts within two years, FDIC must conduct a biennial survey and report to identify barriers to accessing deposit accounts for small-and medium-sized businesses, and the words "diversity and inclusion" have been remove from section titles, even though required reports on data concerning small and minority-, veteran- and women-owned businesses are still in the bill.

Federal Bill to Remove Marijuana as Barrier to Federal Employment, Security Clearances Wins Committee Vote. The House Oversight and Accountability Committee voted Wednesday to approve the Cannabis Users' Restoration of Eligibility (CURE) Act (HR 5040). The bill would prevent the denial of federal employment or security clearances based on a candidate’s past marijuana use.

The bipartisan bill cosponsored by Reps. Earl Blumenauer (D-OR), Nancy Mace (R-NC), and Jamie Raskin (D-MD) passed on a 30-14 vote, with 10 Republicans joining Democrats in approving it.

The version of the bill approved in committee removed a provision that blocked federal employment and security clearance denials for current marijuana use, leaving the bill addressing only past marijuana use.

International

Scottish Safe Injection Site Pilot Scheme Location Revealed. The proposed safe injection pilot project for the country will be located at the Hunter Street Health Center in the east end of Glasgow. The center already provides a heroin assisted-treatment service.

The safe injection site is becoming a reality after the country's top lawyer officer said users would not be prosecuted for simple possession offenses and the United Kingdom in government in London has said it would not block the scheme.

Glasgow authorities just received a report that found safe injection sites have been shown to "reduce public injecting and discarded needles, and remove barriers to, and improve the uptake into, treatment and care." The report also noted that the Hunter Street Health Center site "offers a discrete base, closely located to the city center, and implementation of the enhanced drug treatment service within the center has not caused significant challenges for the community."

Thailand to Restrict Marijuana Use, New Prime Minister Says, After Decriminalization Last Year. After thousands of pot shops have opened across the country since it decriminalized marijuana a year ago, the new Thai prime minister is vowing to restrict the use of marijuana to medical purposes.

"The law will need to be rewritten," Prime Minister Srettha Thavasin said. "It needs to be rectified. We can have that regulated for medical use only," he said, adding that there can’t be a middle ground for recreational use.

Srettha's Pheu Thai Party ran a hardline anti-drug campaign and vowed to undo decriminalization, but his party is part of an 11-party governing coalition, and some of his partners have different ideas. One partner party, for example, wants tighter control over the industry but not reverting to classifying the plant as a drug.

The industry is not that concerned because it is convinced the genie cannot be put back in the bottle. "More regulation will be good as we don’t want a free-for-all anyway," Poonwarit said Poonwarit Wangpatravanich, president of the Phuket Cannabis Association. "Cannabis is here to stay, but in what status is not yet clear."

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

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)

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."

Two Hundred Families Call for a Health Response to Overdoses, Not Punishment [FEATURE]

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. Other parents and family members who have lost loved ones can sign the letter here.

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