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Dem Congresswomen File COVID Decarceration Bill, Vancouver Activists Rally for Safe Drug Supply, More... (6/23/20)

Iowa's capital and largest city moves toward marijuana law reform, Vancouver activists march to demand a safe drug supply, progressive Democratic congresswomen roll out a public health-minded bill to reduce incarceration, and more.

The InSite safe injection site in Vancouver. Now activists are calling for a safer drug supply, too. (vch.ca)
Marijuana Policy

Des Moines Creates Task Force to Study Marijuana Decriminalization. Iowa's capital and largest city is moving toward making enforcement of marijuana possession the lowest law enforcement priority. On Monday night, the city council took the first step in that process by voting unanimously to create a task force to study marijuana decriminalization. That task force will study the issue and make recommendations to the council by October 1. The resolution was part of an anti-racial profiling ordinance also unanimously passed by the council Monday.

Psychedelics

Iowa Amendment to Decriminalize Psilocybin Defeated. State Rep. Jeff Shipley (R-Fairfield) last week filed an amendment to a budget bill that would have removed psilocybin and psilocin from the state's controlled substances list. But members questioned how germane the amendment was to the budget bill and the presiding officer agreed, ruling the measure "not germane." Still, it got a vote and was handily defeated,76-17. Shipley last year filed a bill to legalize psilocybin and MDMA for medical use.

Sentencing Policy

Democratic Congresswomen File Bill to Dismantle Mass Incarceration. Last week, Congresswomen Rashida Tlaib (MI), Ayanna Pressley (MA), and Barbara Lee (CA) introduced the as yet unnumbered Dismantle Mass Incarceration for Public Health Act, which would require the release of eligible individuals who are currently in custody in a jail or prison during the COVID-19 crisis and for one year after the crisis ends. "This pandemic should not be a death sentence for anyone," said Congresswoman Tlaib. "We already know that Black and Brown folks are disproportionately affected by this virus outside prison walls. We also know that they’ve been disproportionately incarcerated for decades. These factors make for a unique urgency to get this bill passed, so we ensure incarcerated individuals and their loved ones have a fighting chance to see each other again."

International

Vancouver Activists Rally and March in Downtown Eastside for Safe Drug Supply. With last month being the deadliest for drug overdoses in years with more than 170 dead in the city, Vancouver activists rallied and marched through the Downtown Eastside, the epicenter of hard drug use in the city, to demand access to a safe supply of drugs for users. While acknowledging federal and provincial government efforts to ease access to such drugs, lockdowns related to the coronavirus pandemic have resulted in interruptions to the drug supply and led to the local manufacture of substitutes cut with more dangerous and toxic ingredients. The rally was led by the Vancouver Area Network of Drug Users (VANDU).

MA Judge Upholds Recreational Pot Shop Ban; Mexican Cartels Hand Out Food, Supplies Amidst Crisis, More... (4/17/20)

Sorry, Massachusetts, no legal pot sales for you for now; Mexican drug cartels and El Chapo's daughter are currying favor by handing out food and supplies amidst the pandemic, and more. 

"El Chapo"-branded face masks being distributed in Mexico by a company owned by his daughter. (Facebook)
Massachusetts Judge Upholds State Ban on Recreational Pot Shops. A Suffolk County Superior Court judge ruled Thursday that Gov. Charlie Baker (R) acted within the law when he shut down recreational marijuana businesses as part of a broader stay-at-home order issued to address the coronavirus pandemic. Pot businesses filed suit to overturn the ban, which they argued was arbitrary since Baker's order allowed medical marijuana and liquor outlets to remain open, but Suffolk Superior Court Judge Kenneth Salinger agreed with Baker's argument that the shops would attract out of state visitors: "It was reasonable for the governor to be concerned that the relatively few adult-use marijuana establishments in Massachusetts are more likely than liquor stores or [medical marijuana treatment centers] to attract high volumes of customers, including people traveling from other states," Salinger wrote. "The governor’s decision to treat medical marijuana facilities and liquor stores differently than adult-use marijuana establishments has a rational basis and therefore is constitutional."

International

British Columbia Rolls Out Safe Drugs for Street Users. Last month, the Canadian government urged provinces to lower barrier to prescription medications as part of the effort to self-isolate during the coronavirus pandemic, and now British Columbia is becoming the first province to apply those guidelines to people using street drugs. Healthcare providers are increasing the supply of opiate maintenance drugs and even dispensing some of them via a unique vending machine. By providing a safe supply of legal drug alternatives, the province hopes to lower a sudden spike in drug overdose deaths that coincided with the coronavirus outbreak in Vancouver.

Mexican Drug Cartels Hand Out More Coronavirus Aid. One of imprisoned drug lord Joaquin "El Chapo" Guzman's daughters and several Mexican drug trafficking organizations have been handing out aid packages to help poor residents get through the coronavirus pandemic. Guzman's daughter Alejandrina is seen in Facebook videos filling boxes with slick logos and an image of her father with food and toilet paper. The video narrator calls them "Chapo's provisions." The boxes were distributed in Guadalajara, Jalisco. The products are made for El Chapo 701, a legal business run by his daughter. But other active cartels are also handing out goods to local residents in some areas in a bid to gain public support. In one case, the Jalisco New Generation Cartel can be seen handing out packages of food and supplies labeled: "From your friends, CJNG, COVID-19 contingency support." The Gulf Cartel did a similar free distribution of supplies to poor residents of Victoria, Tamaulipas, last week. 

 

 

AMA Releases Recommendations for Opioid Use Disorder, Pain During COVID-19, More... (4/9/20)

The AMA makes some progressive recommendations on dealing with opioid use disorder and pain in the time of the pandemic, Massachusetts recreational pot retailers sue to become "essential" businesses, and more.

The coronavirus pandemic continues to impact drug policy. (CDC)
Marijuana Policy

Massachusetts Recreational Marijuana Retailers Sue Governor to Become Essential During Pandemic. Five in-state recreational marijuana dealers have filed a lawsuit against Gov. Charlie Baker (R) in a bid to get their businesses deemed "essential" and allowed to open during the coronavirus pandemic. Baker had declared them non-essential and ordered them shut down until at least May 4. The stores are seeking an injunction to allow all 43 of the state's recreational retailers to reopen. Baker has argued that because the state is the only one in the region that allows recreational sales, open pot shops would draw customers from other states, undercutting social distancing measures. "Significant numbers of the customers who procure cannabis at recreational marijuana dispensaries in Massachusetts are not from Massachusetts," he said.

Harm Reduction

AMA Releases Recommendations for Opioid Use Disorder, Pain During COVID-19. The American Medical Association (AMA) has released policy recommendations to help meet the needs of patients with opioid use disorder (OUD) and chronic pain. The recommendations aim to sustain "harm reduction efforts in communities across the United States." First, the AMA called for medications used in the treatment of addiction, as well as treatments for overdoses to be deemed essential services to ensure that patients with OUD continue to have access to care. This designation can improve access to crucial medications that may be difficult to obtain in cities with formal shelter-in-place or quarantine orders. They also suggested that criminal justice measures, such as drug testing, counseling, and reporting requirements, be curtailed to ensure that patients do not lose public benefits or become incarcerated. Second, the AMA urged policymakers to increase protections for patients with pain disorders by waiving limits on prescriptions for controlled substances. For patients with chronic pain, they suggested waiving testing and in-person counseling requirements for refills, allowing consultation via telephone, and offering home delivery options for medications. Finally, the AMA raised the question of harm reduction. To prevent overdoses and quell the spread of infectious disease, the AMA proposed that policymakers reduce barriers to accessing critical supplies by designating harm reduction organizations as essential services. They also advocated for assistance designated for harm reduction organizations to maintain adequate availability of naloxone in affected communities.

International

Ontario Allows Marijuana Delivery and Curbside Pick-up from Authorized Retail Stores During COVID-19. Due to the COVID-19 outbreak, the Alcohol and Gaming Commission of Ontario (AGCO) is authorizing cannabis retail stores in Ontario to offer delivery and curbside pick-up services. This new temporary measure is the result of an emergency order introduced Thursday by the Government of Ontario to help fight against the illegal cannabis market. The order will last for 14 days, with the possibility of an extension if the government's Emergency Order on business closures is extended.

MO and OK Inits Could Fall Victim to Pandemic, COVID-19 Spreads Behind Bars, More... (3/30/20)

The coronavirus pandemic is taking a toll on state-level marijuana legalization initiatives, Pennsylvania says needle exchanges are "life-sustaining" during the pandemic, Vancouver moves to allow "safe supply" of regualted drugs during the crisis, and more.

COVID-19 is in the nation's jails and prisons.
Marijuana Policy

Missouri Marijuana Legalization Likely to Fall Victim to Coronavirus Pandemic. Missourians for a New Approach, the folks behind the state's marijuana legalization initiative, are warning that the COVID-19 pandemic will likely mean that the effort will not be able to gather enough signatures to qualify for the November ballot. The campaign needs 160,000 valid voter signatures by May 3, but at this point has only 60,000 raw signatures. "Yes, it's a terrible setback," said Dan Viets, board chair of the group. "When there's no public gatherings, when people stay in their homes… it's very difficult to find voters."

Oklahoma Marijuana Legalization Initiative in Doubt as State Shuts Down Signature Gathering. The campaign to put a marijuana legalization initiative, State Question 807 is likely to fall victim to the COVID-19 pandemic. As part of a 30-day statewide emergency declaration, Secretary of State Mike Rogers has ordered a pause to all initiative signature gathering activities. The campaign needs to collect 178,000 signatures in 90 days to qualify for the November ballot. It would be "really difficult, if not impossible to imagine a scenario in which an initiative petition campaign could responsibly and feasibly collect the signatures necessary in order to make the 2020 ballot if that campaign doesn't already have the signatures on hand," said campaign spokesman Ryan Kiesel.

Harm Reduction

Pennsylvania Needle Exchanges Are "Life-Sustaining," State Says. Needle exchanges are technically illegal in the state, but the state Department of Health has deemed them a "life-sustaining" service, allowing them to stay open amid the shutdown of other businesses and nonprofits. Some 20 such programs operate in the state, and advocates are hoping this designation could lead to their legalization down the line.

Incarceration

Coronavirus Spread Accelerates in US Jails and Prisons. Jails and prisons across the US are reporting an accelerating spread of COVID-19 with more than 226 inmates and 131 staff with confirmed cases. In New York City alone, at least 132 inmates and 104 jail staff have been infected. Jails and prisons are responding in varying ways, including releasing thousands of inmates from detention, some with little or no screening before they are released.

International

Vancouver Moving to Allow Take-Home Doses of Regulated Drugs. Canada's British Columbia is moving to provide drug users with take-home supplies of regulated substances, including opioids, stimulants, tobacco, and alcohol. Vancouver has long called for "safe supply" for drug users, but the combination of two public health crises -- the COVID-19 pandemic and the ongoing overdose epidemic -- has finally made it a reality, with the city drafting new guidelines to allow the practice. "These guidelines enable us to provide a safe supply for people and to ensure that they're able to comply with our public-health advice around isolation or quarantine, should that be required," said Provincial Health Officer Bonnie Henry. Recent changes to the federal Controlled Drugs and Substances Act and provincial prescribing guidelines made the move possible.

Mexican Opium Poppy Cultivation Drops 9%, UNODC Says. The land area under opium poppy cultivation decreased by 9% between July 2017 and June 2018, the UN Office on Drugs and Crime (UNODC) reported Monday. Land under cultivation fell from 78,000 acres to 70,000 acres. Poppy cultivation was centered in the Golden Triangle region of the Sierra Madre Occidental mountain range, Sinaloa, Durango and Chihuahua meet, but was also grown in northern Nayarit and in the Sierra Madre del Sur of Guerrero. Analysts said the likely explanation for the decrease was a sharp decline in opium gum prices caused by rising demand for synthetic opioids, such as fentanyl.

Colombian Cocaine Production Jumps, VA Pot Decrim Bill Heads to Governor, More... (3/9/20)

Colombian cocaine production is way up, the US says as it pushes for forced and aerial eradication, NJ pot legalization supporters organize for victory, WVA is moving to increase meth sentences, and more.

Cocaine production in Colombia is at record levels, the US says. (Pixabay)
Marijuana Policy

New Jersey Legalization Supporters form Coalition to Push for November Victory. Advocates and stakeholders in the state's marijuana industry have formed a campaign coalition, NJ CAN 2020, to fight for marijuana legalization that includes a racial and social justice approach. The group includes members of New Jersey United for Marijuana Reform, including the ACLU of New Jersey, Doctors for Cannabis Regulation, the Latino Action Network, the American Trade Association for Cannabis and Hemp, Law Enforcement Action Partnership, the NAACP New Jersey State Conference and the NJ CannaBusiness Association.

Oklahoma Sees Another Legalization Initiative Filed. Stakeholders in the state's medical marijuana industry have filed a legalization initiative, SQ 811, in response to an earlier filed legalization initiative that they say would not fully protect the state's existing medical marijuana industry. The initiative would tax marijuana at 25% but says medical marijuana would be "exempt from all taxes." The same group also filed a decriminalization initiative, SQ 812, the same day.

Virginia Legislature Approves Decriminalization Bill. The state Senate on Sunday approved a decriminalization bill, SB 2. The bill has already passed the House, so it now heads to the desk of Gov. Ralph Northam (D). Under the bill, possession of up to an ounce will now merit a fine of no more than $50.  

Sentencing

West Virginia Legislature Approves Bill Raising Meth Sentences. The state Senate on Sunday approved HB 4852, which would double mandatory minimum and maximum sentences for possession with intent to manufacture or deliver methamphetamine. What is currently a one-to-five-year sentence would become a two-to-10-year sentence. The bill has already passed the House but has to go back for a concurrence vote to approve changes made in the Senate.

Foreign Policy

United States and Colombian Officials Set Bilateral Agenda to Reduce Cocaine Supply. Last Friday, the White House Office of National Drug Control Policy (ONDCP) and the United States Department of State’s Bureau of International Narcotics and Law Enforcement Affairs (INL) led a counternarcotics dialogue with the Government of Colombia to set forth a bilateral, whole-of-government joint action plan to reduce the high levels of coca cultivation and cocaine production by 50 percent by the end of 2023.The dialogue focused on increasing coca eradication and cocaine interdiction, improving security and economic opportunities in the rural areas most afflicted by narcotics trafficking, and targeting narcotics-related money laundering and illicit finances. A focus of the discussion was expanding the results of Colombia’s integrated coca eradication program by ensuring full use of all available tools, including manual eradication, alternative development, and a Colombian-led aerial eradication component, supported by rural development and rural security programs.

International

Canadian Drug Decriminalization Bill Filed. Toronto Liberal MP Nathaniel Erskine-Smith has recently tabled a drug decriminalization bill, C-235, which would remove simple drug possession from the Controlled Drugs and Substances Act. "The international evidence is pretty clear that the way we have dealt with drug use, the war on drugs and throwing police resources to reduce drug use, has failed and has undermined public-health efforts," Erskine-Smith said. "And the overwhelming evidence today is that we should treat drug use as a health issue and we should be removing barriers to seeking treatment, and decriminalization of simple possession would do just that." Private bills rarely pass, but this is a start.

Colombia Cocaine Production Hit Record High Last Year Despite Forced Eradication, US Says. Cocaine production increased 8% last year, reaching an all-time high, according to figures released by the US government. The increase came even as the US and Colombian governments have been promoting forced eradication of coca crops and refusing to support crop substitution and rural development programs that are broadly considered more effective.

Chronicle AM: Federal Marijuana Prosecutions Drop, Drug Czar Touts Reduced Overdoses, More... (1/17/20)

A New Mexico pot legalization bill gets filed, Rhode Island's governor calls for legalization, the drug czar touts a drop in drug overdose deaths, and more.

Federal marijuana prosecutions declined significantly last year, a new report finds. (Creative Commons)
Marijuana Policy

Federal Prosecutions Decline. Federal marijuana prosecutions declined by 28% from September 30, 2018 to September 30, 2019, according to a report from Supreme Court Justice John Roberts. The year-end report also found that total federal filings for drug crimes was up 5% over the same period, with some 83,000 cases.

New Mexico Legalization Bill Filed. State Sen. Jerry Ortiz y Pino (D) and Rep. Javier Martinez (D) have filed a bill, Senate Bill 115, that would allow adults in the state to possess and purchase cannabis from licensed retailers. The move comes just a day after Gov. Michelle Lujan Grisham (D) signaled that she supported legalizing marijuana this year. The bill would also automatically expunge prior possession convictions and promote participation by small and tribal-owned businesses. The bill would not allow home cultivation, but would decriminalize the growing up of to three plants and six seedlings.

Rhode Island Governor Includes Marijuana Legalization Proposal in State Budget Plan. Gov. Gina Raimondo (D) has included marijuana legalization as a priority in the state budget plan she released Thursday. The plan envisions state-contracted private marijuana retailers with the state controlling location, price, potency, and quantity of sales. Revenues would be divvied up among the state (61%), the private contractors (29%), and local communities (10%). This is the second year Raimondo is including adult-use cannabis legalization in the state budget; she introduced a similar proposal last year, which was ultimately unsuccessful.

Heroin and Prescription Opioids

Drug Czar Touts Decline in Overdose Deaths. Jim Carroll, the director of the Office of National Drug Control Policy (ONDCP -- the drug czar's office), said Friday that the country had seen a decline in drug overdose deaths for the first time in 30 years. "For the first time in almost 30 years, we've seen a decline in the number of Americans dying from an overdose -- it's a 5 percent reduction," he said. According to the Centers for Disease Control and Prevention (CDC), more than 70,000 people died of a drug overdose in 2017, with synthetic opioids such as fentanyl being the main driver behind those deaths.

Foreign Policy

US, Mexico Agree on Plan to Reduce Illegal Guns, Drug Trade. The Mexican government said Thursday it had reached agreement with the United States on a plan to combat the illicit trafficking of arms, drugs, and money. The announcement came after a meeting between US Attorney General William Barr and Mexican officials. The two countries said they agreed to cooperate on reducing drug consumption and combating addiction. The agreement came after President Trump threatened in November to designate Mexican drug cartels as terrorist organizations, prompting Mexican officials to quickly seek talks.

International

Canadian Health Minister Says Time Not Right for Drug Decriminalization. Health Minister Patty Hadju said Thursday that talk about decriminalizing drugs to deal with the country's opioid crisis is premature until people have enough help to fight their addictions. "My personal perspective on decriminalization is that it can't be done in a broad sweep," she said. "I think that having a comprehensive kind of approach that includes things like prevention, treatment, harm reduction, enforcement, housing, those are the kind of things that are actually going to start to move the needle," Hajdu said. "It's too premature to have a conversation about full decriminalization of substances until we get to the place where we have comprehensive support for people to get well."

The Top Ten International Drug Policy Stories of 2019 [FEATURE]

(See our Top Ten Domestic Drug Policy Stories of 2019 feature here.)

We're looking at 2019 through the rearview mirror now, but before we turn our sights to 2020, it's worth taking a few moments to look back at the last year in international drug policy. From marijuana law reform to the push for drug decriminalization, from the coca fields of Colombia to the poppy fields of Afghanistan, and from the killing fields of Mexico and the Philippines, there was a lot going on. Here are ten of the biggest international drug policy stories of 2019, in no particular order.

Medical marijuana was on the move in 2019 -- sort of -- at the UN's Vienna headquarters.
1. Marijuana Legalization and Decriminalization Advances

The wall of marijuana prohibition continued to crumble in 2019, albeit at an achingly slow pace.

A lot of the activity was in Europe. In March, Switzerland announced plans to let up to 5,000 people legally smoke marijuana in pilot studies aimed at shaping rules for recreational use of the drug.

In the Netherlands, the government finally moved in August to address the longstanding "backdoor problem," where marijuana is allowed to be sold but there is no legal source of supply. It announced a pilot program to begin in 2021 in which cannabis cafes in ten Dutch cities will be supplied with legally grown marijuana. The big cities of Amsterdam and Rotterdam opted out because of worries that problems could arise if they all abandoned their illicit suppliers simultaneously.

In Denmark, the city council in Copenhagen, the country's capital and largest city, voted overwhelmingly in August to support a pilot program that would see marijuana sold legally across the city. The council has long pushed for this, but now there is a new left-wing government, so perhaps it will be allowed to happen.

Also in August, Luxembourg looked set to become the first European country to free the weed, as the government confirmed plans to legalize it, saying that residents 18 and over should be able to use and purchase it within two years. In December, though, the government said it will still be at least two years, citing "delays in working on policy related to the legislation."

And just at year's end, in Italy, the Supreme Court ruled that the small-scale personal cultivation of marijuana is legal, triggering calls for further legalization. The court declared that laws against growing drug crops should not apply to "small amounts grown domestically for the exclusive use of the grower."

And Israel decriminalized marijuana possession as of April 1. Possession of small amounts of marijuana in private homes is no longer to be treated as an offense, criminal or otherwise, while public possession will generate a fine of around $275, with that fine doubling for a second offense within five years. Only people who commit a third public possession offense within seven years will face the possibility of criminal prosecution.

In Australia, Canberra, the national capital, became the first city in the country to legalize marijuana personal use and cultivation. The law legalizes up to 50 grams and two plants per person, but not sales. It is set to go into effect on January 31, 2020, but conflicts with national marijuana prohibition, so stay tuned. And in nearby New Zealand, the governing coalition announced in May it would hold a binding referendum on marijuana legalization during the 2020 elections. In December, it unveiled a government web site with information on the proposed legalization bill that will be put before the voters.

In the Western hemisphere, Uruguay and Canada have led the way on marijuana legalization, but Mexico looks set to be the next over the line. After legislators there failed to pass legalization by a Supreme Court-imposed deadline at the end of October, the court gave them an extension until June 1 to get it done. Lawmakers got very close late in 2019 but were unable to close the deal because of disputes among competing business interests. There was action in Colombia, too, where an opposition senator filed a legalization bill in August. That bill is reportedly backed by former President Juan Manuel Santos, but it is the votes of the Liberal Party that will determine whether it advances.

There was progress in the Caribbean, too. In Trinidad & Tobago, non-commercial marijuana legalization went into effect in December, allowing people to possess up to 30 grams and grow four plants. A regulated marijuana marketplace is likely coming in 2020. In St. Kitts and Nevis,the government in midsummer filed a bill to legalize marijuana for "medicinal and scientific, religious, and recreational purposes." It remains pending at year's end. A similar effort is underway in the British Virgin Islands, where a draft bill to legalize marijuana is being reviewed by government officials.

2. Medical Marijuana on the Move

Acceptance of medical marijuana on the global stage continued to increase in 2019, and the year got off to a good start in January when the Israeli Cabinet gave final approval to exports, making it the third country, after Canada and the Netherlands, to do so. The following month, the European Parliament approved a resolution to advance medical marijuana in countries that form the European Union.

Meanwhile, Thailand formally embraced medical marijuana when King Maha Vajirlongkorn signed a decree legalizing it and kratom; and later in the year, a member of the country's ruling coalition government filed a bill that would allow people to grow up to six plants for personal medicinal use. And in the Philippines, a bill to legalize medical marijuana was reintroduced in 2019. Similar bills have been filed each year since 2014. Last year, the bill passed the lower house but failed to get out of the Senate.

In Latin America, Peru joined the ranks of medical marijuana countries more than a year after it became law when the government finally approved regulations to cover its production and use. In Mexico, the Supreme Court in August gave the federal health ministry until January to issue regulations on medical marijuana.

In the Caribbean, in August, Barbados introduced legislation to establish the legal foundation for a local medical marijuana industry, joining Jamaica, St. Vincent and the Grenadines as well as Antigua and Barbuda in approving marijuana cultivation.

Medical marijuana was sort of on the move at the United Nations too. In late January, the World Health Organization recommended the removal of marijuana from Schedule IV of the global drug treaties, the most restrictive category, along with other related reclassifications of substances involving marijuana's components or synthetic substitutes for them. This would stop short of the kind of full stamp of approval WHO gives to many drugs -- marijuana would not become an "essential medicine" -- but it would eliminate a designation that some governments might find constraining in terms of allowing medical use in their own countries. Most importantly, it would be widely seen as recognition by the UN of marijuana as a medicine (though international law does not ban medical use of marijuana now).

The Commission on Narcotic Drugs -- the subset of UN member states that sets drug policy for the UN -- was supposed to vote on the WHO recommendations during its March meeting, but that didn't happen because the recommendations were delayed at the end of 2018, leaving several countries to complain that they needed more time to study them.

"You can't arrest your way out of a drug problem." So why not try decriminalization? (Creative Commons)
3. Drug Decriminalization on the Move

Beyond marijuana legalization, the decriminalization of drug use and possession is probably the most significant means within current political striking range for reducing the criminal justice harms of drug prohibition. Portugal, which decriminalized in 2001, remains a shining example to emulate.

In Canada, in May, the House of Commons Health Committee called on the federal government to study Portugal's drug decriminalization and see how the model could be "positively applied in Canada." The following month, British Columbia nurses called urgently for decriminalization, but in September, as he campaigned for reelection, Prime Minister Justin Trudeau said decriminalization was not on the agenda, even though the national Liberal Party caucus in 2018 passed a resolution calling to "reclassify low-level drug possession and consumption as administrative violations" rather than criminal ones. The conversation is advancing north of the border.

The conversation is also advancing in the United Kingdom, where the Scottish National Party formally endorsed drug decriminalization, as did the British Parliament's Health and Social Care Committee and Parliament's Scottish Affairs Committee. Britain's leading medical journal, The Lancet, came out hard for decriminalization in a special drugs issue released in October. The following month, Britain's largest drug treatment providers called for radical drug policy reforms, including decrim. But the ruling Conservative Party with Boris Johnson freshly installed as prime minister, remains opposed -- for now.

It's not just Canada and Great Britain, either. In Mexico, President Andres Manuel Lopez Obrador in May submitted a decriminalization plan to Congress, while in Malaysia, the government announced in June that it planned to drop criminal penalties for drug use and possession. The following month, in Colombia, the legislative opposition and the center-right block filed a bill to decriminalize there.

In Australia, the New South Wales Special Commission of Inquiry into Ice (methamphetamine) released recommendations in October calling for harm reduction approaches and decriminalization. In the United States, an effort to put a decrim initiative on the 2020 Oregon ballot got underway in the fall, and a national movement to decriminalize psychedelics got underway.

The push to decriminalize is also working its way through the global drug control bureaucracy, as was evident in March when a key UN organization called for global drug decriminalization. The UN Chief Executives Board (CEB), representing 31 UN agencies including the Office on Drugs and Crime, adopted a position calling on member states to adopt science-based, health-oriented approaches to drug policy -- namely decriminalization. The policy shift -- or rather, recognition of what the policies of UN agencies on this already were -- came in January but was not publicly announced.

4. Harm Reduction and Human Rights

Along with decriminalization, harm reduction and concern about human rights gained momentum in 2019.

In March, a coalition of UN Member States, UN entities and leading human rights experts meeting at the Commission on Narcotic Drugs in Vienna launched a landmark set of international legal standards around drug policy: the International Guidelines on Human Rights and Drug Policy. The following month, more than 300 NGOs called for harm reduction and drug decriminalization at the 26th International Harm Reduction Conference in Lisbon.

In the United Kingdom, both the British Labour Party and Parliament's Scottish Affairs Committee called for safe injection sites, while in Ireland, a Dublin safe injection site was moving closer to reality at year's end.

In Australia, the New South Wales Special Commission of Inquiry into Ice (methamphetamine) recommended harm reduction approaches in October, and the New Zealand government in December announced a pilot program to examine pill-testing at festivals, marking the first time such a study will have been done in the country.

5. Mexico Ravaged by Prohibition-Related Violence for Another Year

In January, Mexican authorities reported that the number of murders in 2018 hit an all-time high with more than 33,000, many of them directly linked to violence among competing drug cartels and between cartels and the state. A lot happened between then and now, but at the end of 2019, this year's death toll was at just under 32,000. At least it didn't get worse, but those numbers are still horrifying, and the year-old administration of President Andres Manuel Lopez Obrador hasn't been able to turn the corner yet. It's not for lack of trying or willingness to embrace new ideas.

In February, the Mexican Senate approved a plan for a new National Guard to fight crime and drug trafficking, but only after amending it to ensure that the new security force is headed by civilians, not the military, which has been linked to numerous human rights violations.

In May, Lopez Obrador called for an end to Plan Merida, under which the US provided security assistance to fight the drug war, with the president saying he wants the US to end the anti-drug Merida Initiative and instead invest in economic development in southern Mexico and Central America. Saying the plan "hasn't worked," Lopez Obrador added that, "We don't want cooperation on the use of force, we want cooperation on economic development. We don't want the so-called Merida Initiative."

In June, the murder rate topped 2,000 a month for this first time, a toll linked to the rise of the Jalisco New Generation cartel, which is seeking to supplant the Sinaloa cartel formerly headed by Joaquin "El Chapo" Guzman, who is now serving a sentence in the US. In north-central Guanajuato state, the JNGC has been duking it out with yet another faction, the Santa Rose de Lima cartel, leaving more than 3,200 dead in that state alone by year's end.

By August, a Catholic bishop issued a call for dialogue between the government and armed groups, including drug cartels. That was Bishop Salvador Rangel Mendoza of Chilpancingo-Chilapa (Guerrero state), a key opium-growing region. Responding to the government's announcement that it was in talks with so-called community police groups and self-defense militias, but not the cartels, the bishop chided the government, saying, "To get peace you have to dialogue, even with Satan, with whomever it might be to get peace."

As cartel clashes raged through the summer and fall, the government tentatively explored alternatives to continuing drug war. In September, Lopez Obrador said he was considering a referendum on drug legalization, and in October, the ruling MORENA Party's leader in the Chamber of Deputies, Mario Delgado Carrillo, proposed legalizing all drugs to combat cartel violence. His comments were in response to one of the more brazen cartel actions in 2019, when Sinaloa Cartel gunmen forced the release of El Chapo's son after he was captured by security forces in the cartel heartland city of Culiacan and they turned the city into a war zone until Ovidio Guzman was freed, greatly embarrassing the government.

That same month, in another brazen attack, gun men from the JNGC ambushed police in Michoacan, killing more than a dozen and leaving signed placards on their bodies warning police not to support rival crime groups, such as Los Viagras.

In yet another act of gruesome violence -- and one that caught the attention of Americans long bored with the violence south of the border -- in November, cartel gun men killed nine women and children with dual US-Mexico citizenship, prompting President Trump to suggest he could use the US military to "wage war" against the cartels. Lopez Obrador declined that offer [Ed: wisely, for them and for us].

6. Coca, Cocaine and Chaos in Colombia

According to both the UN and the US, Colombia accounted for around 70% of global cocaine production in 2017, when the country produced 1,275 tons of cocaine, the most ever. In 2018, production declined by a tiny percentage, but remained near record high levels. There are no figures available yet for 2019, but there is no reason to suspect much has changed.

The high levels of coca cultivation and cocaine production have made a return to aerial spraying of coca crops a key goal of the rightist government of President Ivan Duque, who in March asked the Constitutional Court to ease restrictions on spraying, which President Juan Manuel Santos banned after the World Health Organization classified glyphosate as a likely carcinogen. That position won the support of US Secretary of State Pompeo in June, when, ignoring the global criticism of glyphosate and any other strategies for reducing cultivation, he called spraying "an important tool they need" to reduce coca production.

But in July, the Constitutional Court upheld the ban, although it also said spraying could resume if the government met certain conditions. At the end of December, the government announced plans to resume spraying, publishing a draft law that would allow fumigation flights under supervision of the national police. The proposal also calls for the creation of an independent agency that would oversee complaints related to aerial spraying including any potential impacts on rural communities.

Meanwhile three years after a peace deal between former President Santos and the leftist guerrillas of the FARC was signed, violence and chaos in the countryside are increasing. In March, coca farmers clashed with police in Cordoba, saying they were returning to coca after two years of waiting for economic and security assistance that never arrived. In April, a UN report found massacres on the increase, reflecting new criminal dynamics in key areas of the country.

In June, the government reported a jump in murders, driven largely by battles for control over coca-growing areas that had previously been controlled by the leftist the FARC, leaving FARC dissidents, other guerrilla groups, and criminal drug trafficking groups fighting over who will control the fields. And in August, a new report from Human Rights Watch found that renewed fighting over control of the cocaine trade in the Catatumbo region had forced some 40,000 people to flee their homes. Human Rights Watch accused the Colombian government of "not meeting its obligations" to protect civilians in the area.

And speaking of the FARC, they're back. In June, a military intelligence report said as many as a third of FARC fighters had picked up their guns again. They were joining dissident FARC groups operating in coca-growing regions. Disarmed FARC rebels were supposed to have been reintegrated into society, but that has been stymied by violence and discrimination. At least 139 former FARC members have been killed since disarming.

A couple of month later, FARC dissidents made it official. In August, dissident FARC leaders announced they were rejoining the path of armed struggle. Three years after an historic peace agreement between the leftist guerrillas of the FARC and the Colombian state, the dissidents said that the rightist government of President Ivan Duque had betrayed the peace accord. Led Ivan Marquez (Luciano Marin), they said they were ready for a "new stage of fightingm," citing the murders of more than a hundred former FARC members and labor activists, as well as the government's failure to provide sustainable development assistance to areas formerly under their control. "The state has not fulfilled its most important obligation, which is to guarantee the life of its citizens and especially avoid assassinations for political reasons," said Marquez. The number of dissidents affiliated with Marquez is estimated at around 2,000-3,000. The civil war with the FARC that began in 1964 left more than 220,000 people dead.

President Duque also faces challenges to his hardline approach to drug policy in both the courts and the congress. The Constitutional Court threw out his ban on public pot smoking and drinking, meaning police can no longer confiscate drugs considered to be for personal consumption, and people are again allowed to smoke marijuana and drink beer in public. But it's unclear whether Duque will abide by the ruling.

And in June, the legislative opposition and a center-right bloc filed a package of four bills that seek to decriminalize drug use and ban glyphosate, the chemical the government wants to use to fumigate coca. What opposition lawmakers want is to curb drug abuse by strengthening health care and to fight drug trafficking via voluntary crop substitution and rural development.

Bolivia's coca grower president, Evo Morales, was forced from office late in 2019. (Creative Commons)
7. Farewell to Bolivia's Coca Grower President

Long-time Bolivian leader Evo Morales, a former coca growers union leader who won the presidency in 2005 and was reelected twice was forced from office and fled the country after extended protests in the wake of disputed elections in November. Morales resigned after he lost the support of the military, which called on him to quit after weeks of sometimes violent protests.

As president, Morales broke with US drug policy in the region and legalized the production of coca in the country. He also lifted millions of Bolivians out of poverty, through heavy investments in public works projects. He began to lose support after ignoring a referendum calling on him not to run again, which had followed a series of controversies and scandals. Chaos escalated after an unexplained 24-hour delay in vote-counting before he was declared the victor. The country is now ruled by an interim hard right regime, but elections are supposed to happen in the next three months.

8. Philippines Drug War Faces International Pushback

The international community turned up the heat on Filipino President Rodrigo Duterte and his bloody drug war in 2019, but Duterte was undeterred.

In 2018, the International Criminal Court (ICC) opened a preliminary examination into human rights abuses in the drug war, and that March, Duterte responded by quitting the ICC. But the ICC said its preliminary investigation into Filipino drug war abuses would continue. In December 2019 the ICC Chief Prosecutor Fatou Bensouda announced that the examination was in the "very late stages," and that a decision on whether to open an investigation would be made during 2020.

In April, human rights advocates and harm reductionists rallied against the Philippine drug war at the 26th Harm Reduction International Conference in Porto, Portugal. "The Philippine government's barbaric campaign against the drug trade is severely harming the health and security of its communities. The evidence that punitive drug policies don't work is irrefutable. People around the world have sent a clear message to the government today -- stop the killings and invest in the health and human rights of your people," Naomi Burke-Shyne, Harm Reduction International executive director, said.

In June, the Philippines National Police put the drug war's official death toll at 6,600, up from just under 5,000 seven months earlier. Human rights groups put the toll much higher, some as high as 30,000, with killings divided between police and shadowy vigilante groups.

That same month, UN experts called for a human rights probe of the Philippines drug war. A group of 11 United Nations human rights experts called or the UN's Human Rights Council to start an independent probe into rights violations in the Philippines, including illegal killings in President Rodrigo Duterte's bloody crackdown on drugs. The call gained momentum when a group of two dozen countries called for a UN investigation of drug war killings. A draft resolution submitted by Iceland and supported mainly by West European countries urged the government to halt extrajudicial executions and called on the UN Human Rights Council to address the crisis. And a major report from Amnesty International on drug war atrocities added fuel to the fire.

In July, the full UN Human Rights Council voted to begin an investigation into the mass killings. The Duterte government responded by refusing to grant the UN access to the country to investigate the killings and other human rights abuses. And Foreign Minister Teodoro Locsin called the UN experts "bastards."

In November, representatives from 51 countries called for the Philippines to "STOP THE KILLINGS" at the Drug Policy Alliance's International Drug Policy Reform Conference in St. Louis. "With the world watching, we felt compelled to use our platform to draw attention to the horrendous crimes taking place every day in the Philippines, with the full-throated support of that country's president," said Maria McFarland Sanchez-Moreno, executive director of the Drug Policy Alliance. "The Philippines is a stark example of how the drug war can so easily serve as an excuse for targeting vulnerable people, and harassing critics, and punishing opponents."

Also in November, Duterte engaged in some political flim-flam when he named strong drug war critic Vice President Leni Robredo as drug czar, then fired her less than three weeks later. Duterte accused Robredo of embarrassing the country by drawing international attention to his bloody war on drugs. But Robredo vowed to carry on the fight. "When I took this job, I asked you, are you ready for me? My question to you now is what are you afraid of? Are you afraid of what I might discover? Are you afraid of what the public might discover?," Robredo said at a news conference. "If they think I will stop here, then they don't know me, I am just starting," Robredo said.

"They cannot remove my determination to stop the killings and hold those responsible to account and win the fight against illegal drugs."

Meanwhile, another prominent political figure and drug war critic, Senator Leila de Lima remains behind bars, where she has been since arrested on bogus drug charges in February 2017. But she got some support from the US Congress late this year. In two separate moves in December, the Senate approved a Free Leila resolution (Senate Resolution 42) and approved a State Department spending bill that includes a provision barring entry "to foreign government officials about whom the Secretary has credible information have been involved in the wrongful imprisonment of Senator Leila de Lima."

The Duterte government has responded in typical fashion: It has now denied entry to three US senators, Ed Markey (D-MA), who authored the de Lima resolution, and Dick Durbin (D-IL) and Patrick Leahy (D-VT).

9. Sri Lanka and the Death Penalty for Drugs

Under the baleful influence of Philippines President Rodrigo Duterte, now former Sri Lankan President Maithripala Sirisena early in the year announced plans to end a 43-year moratorium on the death penalty so drug offenders could be executed, kicking off his campaign with an advertisement announcing job vacancies for executioners. In April, Sirisena announced the first executions would be coming soon as he presided over the burning of seized cocaine.

"To curb the illegal drug menace, it is necessary to implement the death penalty," he said. "The death penalty will be implemented in the coming days. The list has been prepared and we have decided on the date too."

But with the country in shock after the Easter Islamic terror attacks that left more than 200 people dead, Sirisena had other issues on his mind -- although in July, Sirisena falsely blamed drug gangs for the attacks, saying they were designed to discredit his anti-drug drive.

Sirisena's blood lust has so far been thwarted by the courts. In June, the Supreme Court delayed the execution of four people set to be hanged in October for drug offenses.

In October, as Sirisena's term was running out, his plans to make the executions his last act of state was again thwarted, with the Supreme Court again staying the executions until March 20, 2020. Now it will be up to newly elected President Gotabaya Rajapaska to decide whether to continue Sirsena's aberration.

10. The Extent of the US's Drug War Fiasco in Afghanistan Becomes Achingly Apparent

In late October, the Special Inspector General for Afghanistan Reconstruction (SIGAR) issued its latest report on the seemingly endless US occupation of Afghanistan, and its analysis of American anti-opium efforts was particularly devastating. SIGAR found that although we've spent nearly $9 billion trying to suppress the opium poppy, Afghanistan remained far and away the world's largest opium producer throughout the US occupation.

The country produced a record high nine tons of opium in 2017, and although drought reduced last year's crop, SIGAR noted that "it remained at the second-highest level since the United Nations Office on Drugs and Crime (UNODC) began monitoring it in 1994."

When it comes to suppressing illicit drug crops, there are three main approaches: eradication, interdiction and alternative development. According to the new SIGAR report, all three have proven ineffectual in Afghanistan. Interdiction activities -- drug busts -- have "minimal impact on the country's opium cultivation and production," SIGAR found, while eradication efforts "have had minimal impact on curbing opium-poppy cultivation." Alternative development was funded at low levels, and SIGAR found it "ineffectual at curbing opium cultivation."

Whew, that's pretty bad, but it gets worse. This month, the Washington Post published The Afghanistan Papers: A Secret History of the War, an extensive piece of investigative reporting that showed US officials consistently lied about making progress in the war even though they knew they weren't. The papers contain a section on opium, "Overwhelmed by Opium," that makes a thoroughly depressing read as it documents the myriad ways US anti-drug policy imploded. "Of all the failures in Afghanistan, the war on drugs has been perhaps the most feckless," the Post noted. That's saying something.

Chronicle AM: Northeastern Governors Hold Legalization Summit, SC Judge Throws Out Civil Asset Forfeiture, More... (10/17/19)

At least five governors have marijuana on their minds this week, Canada allows marijuana edibles and vapes to go on sale, a South Carolina judge rules the state's civil asset forfeiture law unconstitutional, and more.

Marijuana is on the minds of governors in the Northeast -- and New Mexico, too. (Creative Commons)
Marijuana Policy

Governors of Four Northeastern States Hold Summit to Coordinate Marijuana Legalization Plans. New York Gov. Andrew Cuomo (D) and Connecticut Gov. Ned Lamont (D) have been joined at a Thursday meeting by New Jersey Gov. Phil Murphy (D) and Pennsylvania Gov. Tom Wolf (D) as the state chief executives discuss how best to move forward with marijuana legalization. The governors' marijuana summit is divided into five sessions: on vaping and related issues, market regulation and social justice issues, public health consequences of cannabis, public safety issues and a "best practices" panel led by Colorado representatives.

New Mexico Governor's Working Group Releases Marijuana Legalization Proposal. A working group on marijuana legalization appointed by Gov. Michelle Lujan Grisham (D) released its recommendations Wednesday. The group is recommending, among other things, the automatic expungement of past marijuana convictions, exempting medical marijuana patients from taxation, a low-income subsidy program for patients, and either a ban or a licensing requirement for home cultivation. The state will see a 30-day legislative session early next year, and the release of the recommendations could pave the way for passage of a legalization bill then.

Asset Forfeiture

South Carolina Judge Rules Civil Asset Forfeiture Unconstitutional. A South Carolina circuit court judge in Horry County has ruled the state's civil asset forfeiture law unconstitutional, in violation of the US Constitution's 4th, 5th and 14 amendments. 15th Circuit Court Judge Steven H. John found that South Carolina's forfeiture laws violate both the federal and state constitutional protections against excessive fines by allowing the government to seize unlimited amounts of cash and property that aren't proportionate to the alleged crime. The ruling sets the scene for an appeals court ruling down the road.

International

Australian Plan to Drug Test Welfare Recipients Passes First Parliamentary Hurdle. A government bill to begin a pilot program requiring welfare recipients to undergo drug tests has been approved by the lower house and is now on its way to the Senate -- where it is likely to be defeated.

Canada Legalizes Marijuana Derivatives. One year after legalizing marijuana, Canada has now finalized regulations for marijuana products such as edibles, marijuana-infused beverages, and vape products, and those products will now be available to Canadian consumers as the country moves to "Legalization 2.0."

Chronicle AM: MA Will Get Cannabis Cafes, Australia's Capital City Legalizes Weed, More... (9/25/19)

Massachusetts regulators approve cannabis cafes and home delivery, a key congressman pledges continuing support for broad marijuana reforms, Australia's capital city legalizes pot possession, and more.

Cannabis cafes are coming to Boston. (RegulateMass)
Marijuana Policy

Judiciary Committee Chairman Pledges Broader Marijuana Reform After Banking Vote. Rep. Jerrold Nadler (D-NY), chair of the House Judiciary Committee, said Tuesday that a vote set for Wednesday on the SAFE Banking Act (HR 1595) would only be the first step in a broader push toward marijuana policy reform. "The House is expected to consider the SAFE Banking Act on the floor tomorrow and I will vote for it," Nadler said. "This bill will address one of the many serious problems that results from the criminalization of marijuana at the federal level. "As the sponsor of the MORE Act (HR 3884), I also strongly support additional marijuana reform -- to deschedule marijuana federally and to provide critical assistance and relief to individuals and communities that have been disproportionally impacted by the racially biased war on drugs," Nadler said. "I am therefore committed to marking up this bill and look forward to working with reform advocates and my colleagues in this important effort going forward." The statement comes amid division among reform advocates over whether to seek broader reforms before passing the SAFE Act.

Arizona Legalization Initiative Gets Updated, Begins Signature Gathering. The Smart and Safe Arizona Act marijuana legalization initiative has been amended to allow more people to expunge past pot convictions and to allow for 26 retail licenses to be issued to "individuals from communities disproportionately impacted" by marijuana prohibition. Now, signature gathering gets underway. Organizers have one year to come up with some 237,000 valid voter signatures to qualify for the November 2020 ballot.

Massachusetts Regulators Approve Cannabis Cafes, Home Delivery. The state Cannabis Control Commission on Tuesday voted to approve regulations that will allow for cannabis cafes where people can eat, vape, or smoke marijuana legally and for marijuana home delivery services. "We feel like we have got a good balance between trying to meet the will of the voters but recognizing that there are concerns from a public health and a public safety standpoint," said Cannabis Control Commission Chairman Steven Hoffman. Both new types of licenses will be reserved for the first two years for social equity and economic empowerment applicants, which are categories of businesses owned by minorities, people with drug convictions and people who have lived and worked in communities disproportionately affected by marijuana prohibition.

New York Governor Seeks Cooperation with Neighboring States on Vaping and Marijuana Legalization.Gov. Andrew Cuomo (D) said Tuesday he will travel to Connecticut and New Jersey to try to create regional coordination on marijuana legalization. "For one state to do it, it makes no sense if the neighboring state has a different policy because then you just incentivize people to drive over the border and buy it there," he said. "When you start to discuss how to legalize marijuana it moves into the vaping space because a lot of the marijuana products can be vaped" Cuomo said. "When you start saying I want to outlaw flavored cigarettes well how about gummy bear marijuana products?"

International

Australian Capital City Legalizes Marijuana. Canberra, the national capital, has become the first ciaty in Australia to legalize marijuana. Lawmakers in the Australian Capital Territory voted Tuesday to approve a bill allowing people 18 and over to possess and grow marijuana for personal use. The new law will go into effect on January 31, 2020. People will be able to legally possess up to 50 grams (just under two ounces) and grow up to two plants per person, or four per household. The new law, however, conflicts with national marijuana prohibition laws and could be overridden.

Canada's Trudeau Says Liberals Not Looking to Decriminalize Drugs. As he campaigns to keep his job, Prime Minister Justin Trudeau said Tuesday that the Liberal Party is not going to decriminalize drugs. "We're not looking at full decriminalization at all right now," Trudeau said. "There are other things that we are doing that (are) having a big impact and we're going to make decisions based on science," Trudeau said, pointing to the Liberal government's actions on safe injection sites and other harm reduction methods. Trudeau's stance contrasts with that of the national Liberal caucus, which approved a resolution last year to "re-classify low-level drug possession and consumption as administrative violations" rather than criminal ones.

Chronicle AM: Mexico Legalization Deadline Looms, State AGs Urge Support for Fed Marijuana Bill, More... (9/24/19)

More than 20 state attorneys general have urged congressional leaders to pass legislation to protect state-legal marijuana, Mexico faces a deadline to legalize marijuana, Canadian researchers recommend providing prescription heroin to hard-core addicts, and more.

Under a Supreme Court ruling, the Mexican congress has one month to pass a marijuana legalization bill. (Creative Commons)
Marijuana Policy

21 State Attorneys General Urge Congress to Protect State Marijuana Programs from Federal Interference. Attorneys general from 21 states sent a letter Monday to congressional leaders urging support for the Strengthening the Tenth Amendment Through Entrusting States (STATES) Act (HR 2093), which would shield state-legal marijuana programs from federal interference. Attorneys general from Alaska, California, Colorado, Connecticut, Illinois, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Mexico, Oregon, Pennsylvania, Rhode Island, Vermont, Washington, and Washington, DC, signed the letter.

Pennsylvania Court Rules Odor of Marijuana No Longer Probable Cause for Traffic Searches. A Lehigh County judge has ruled that since medical marijuana is now legal in the state, the mere presence of a "strong odor" of marijuana does not provide probable cause for a vehicle search. Judge Maria Dantos ruled that because police lacked probable cause for a search, a small amount of marijuana and a weapon found during the search was inadmissible as evidence of a crime. The state is appealing to the Pennsylvania Superior Court.

International

Canadian Research Group Recommends Giving Addicts Medical-Grade Heroin. Guidelines published Monday in the Canadian Medical Association Journal recommend that health-care providers offer injectable medical-grade heroin or another prescription opioid to severely addicted users who have proven resistant to other treatment modalities. The recommendations call for the use of injectable diacetylmorphine (prescription heroin) or hydrocodone for patients who have not responded to the most effective oral treatments, methadone and buprenorphine.

Mexico Has One Month to Legalize Marijuana. A Supreme Court-ordered deadline to legalize marijuana is now only one month away, and the country's congress is now pondering 10 different bills that would do just that. One of those bills is drawing concern from activists. It would not change the legal status quo, but would instruct the health ministry to give permits for self-consumption, thereby complying with the Supreme Court ruling, but not completely legalizing marijuana. Mexico must act on one of these bills by Oct. 24.

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