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Four Ways Fentanyl Could Radically Disrupt the Global Drug Trade

The synthetic opioid fentanyl isn't just killing American drug users by the thousands. Its emergence also signals a shift in the decades-old contours of the global drug trade, with ramifications not only for traditional drug-producing countries and drug trafficking networks but also for US foreign policy.

Black market fentanyl is not just wreaking havoc on the streets of American cities. (Creative Commons)
Synthesized from chemicals -- not from papaver somniferum, the opium poppy -- fentanyl is about 50 times stronger than heroin and is severely implicated in the country's drug overdose crisis, accounting for almost 20,000 deaths in 2016.

Illicit fentanyl is typically mixed with other opiates, such as heroin, resulting in much stronger doses of opioids than users expect, thus leading to opioid overdoses. But it is also increasingly also showing up in non-opiate drugs, resulting in fentanyl overdose deaths among unsuspecting methamphetamine and cocaine users.

But the havoc super-potent fentanyl is wreaking among drug users pales in comparison with the dramatic changes it could prompt in the global illicit drug production industry. As academic researchers Vanda Felbab-Brown, Jonathan Caulkins, and Keith Humphreys write in the current issue of Foreign Affairs, fentanyl's rise has the potential to cause disruption and innovation in black markets.

Here are four ways fentanyl alters the illegal drug production and distribution status quo:

1. It doesn't require an agricultural base. Virtually all of the other opioids on the black market, from heroin to morphine, oxycodone, and hydrocodone, require land to grow poppies on. And they require land that is outside cdthe effective control of the state. Non-state actors who can control such areas, whether it's the Taliban in Afghanistan or the drug cartels in southern and western Mexico, reap the profits and power of that control. With the ascent of lab-produced fentanyl made out of chemicals, traditional opiate producers should see their profits and their influence undermined.

2. It doesn't require a large workforce. Traditional opium production requires a large seasonal workforce of people to plant and tend the poppies, score the pods and scrape off the leaking opium, and then process and package the raw opium. Other workers will get jobs processing raw opium into heroin. All of those jobs bring money into the hands of poor agricultural families and political capital to the traffickers, whether it's the Taliban in Afghanistan or the cartels in Mexico. With fewer job opportunities to offer up, the traffickers lose clout.

3. It doesn't require an elaborate smuggling infrastructure. Because fentanyl is so potent, small amounts of the drug can contain huge numbers of doses, and that means it doesn't require transportation networks of trucks, planes, and boats to get an agricultural crop from the valleys of Afghanistan or the mountains of Mexico to consumers in the US Fentanyl is so potent, medicinal doses are measured in micrograms, and packages of it worth hundreds of thousands of dollars can fit inside a Priority Mail envelope. With smuggling fentanyl as easy as dropping a package in the mail, international drug smuggling organizations now have competition they never had before.

4. All of this can change the dynamics of US foreign policy. If plant-based opiates lose market share to synthetics in the future, this can weaken both insurgencies (Afghanistan) and criminal networks (Mexico). Ever since the US invasion of Afghanistan in 2001, drug warriors have been constrained in their efforts to go after the Afghan opium crops because of fears it would drive poppy-dependent peasants into the hands of the Taliban. If opium production becomes relatively less important vis-à-vis fentanyl production, that constraint on an aggressive US response to Afghan opium production is weakened. Similarly, in Mexico, to the degree that fentanyl displaces peasants and processors and weakens the link between drug cartels and rural populations, it increases the ability of the Mexican government and its American backers to crack down even harder on the cartels.

Under drug prohibition, there is a strong impetus to come up with more pure, more potent, and more compact products. Fentanyl is the ultimate expression of that imperative, and its arrival is changing the contours of the global drug industry. Who knows how it will play out?

Chronicle AM: De Blasio Tells NYPD to Stop Pot Arrests, Aghan Opium Bumper Crop, More... (5/22/18)

New York Mayor Bill de Blasio wants to see an end to public pot smoking arrests, Utah medical marijuana supporters are fending off a court challenge, the "Philippine disease" appears to be spreading to Bangladesh, Afganistan sees a bumper poppy crop, and more.

Afghanistan had its largest opium poppy crop ever last year, the UNODC reports. (UNODC)
Marijuana Policy

Michigan Opposition Marijuana Poll Has Initiative in Lead, But Under 50%. A new poll commissioned by opponents of Michigan's marijuana legalization initiative had it with 48% support, 11% undecided, and 42% opposed. After pollsters produced arguments in favor of the initiative, support stayed at 48%, but opposition dropped to 36%. After pollsters introduced arguments against the initiative, support actually jumped one point to 49%.

New York Mayor Tells Cops To Stop Arresting People for Public Marijuana Use. Over the weekend, Mayor Bill de Blasio (D) told the NYPD to just issue summonses for public pot smoking instead of making arrests. The NYPD already has a working group that has begun to evaluate its marijuana enforcement policies and will present recommendations within 30 days. Now the mayor has made it clear that an end to arrests for public pot smoking is one of the changes he wants.

Medical Marijuana

Utah Medical Marijuana Initiative Supporters Fight Back in Court. Supporters of the medical marijuana initiative showed up in court Monday to intervene in a lawsuit that seeks to prevent the initiative from going before the voters in November. The Utah Patients Coalition is seeking to block a lawsuit from Drug Safe Utah that argues state officials were not legally allowed to approve the initiative.

West Virginia Lawmakers Seek Special Session for Medical Marijuana Financing. Some state lawmakers are seeking to force Gov. Jim Justice (D) to call a legislative special session to address financial problems with the state's medical marijuana law. A special session that ended Monday failed to address the issue. For another special session to be called, at least three-fifths of each chamber must sign on. That figure has been met in the Senate, but not yet in the House.

International

UN Says Afghan Opium Poppy Production Increased Sharply Last Year. Opium poppy production expanded sharply in Afghanistan last year, increasing from roughly 500,000 acres in 2016 to more than 700,000 acres last year. That's an all-time high, the UN Office on Drugs and Crime said. UNODC said no single factor explained the increase but cited "political instability, lack of government control, and security" as main drivers.

Bangladeshi Opposition Warns of Police Killings of Drug Suspects. The country's leading opposition party, the BNP, on Monday accused the government of "indulging in extrajudicial killings" in the pursuit of a country-wide anti-drug drive. "A fresh drive to control narcotics has begun," BNP General Secretary Mirza Fakrul Islam Almagir said. "We also want the country to be free from drug abuse and those involved in it to be brought to justice. But it does not mean people should be killed unlawfully without trial." Almagir added that the government was now killing drug suspects in just the same way it had unlawfully killed opposition leaders and activists. Almagir also suggested the ruling Awami League should clean up its own house first.

Chronicle AM: NYC Marijuana Arrest Disparities Continue, Drug Protests Shake Tbilisi, More ... (5/14/18)

New York City has yet to escape from racially disproportionate marijuana arrests, the Mormon Church picks a fight with medical marijuana, nursing homes can't discriminate against people taking addiction medications, protests rock the capital of Georgia after a massive weekend drug bust, and more.

NYPD seems to think marijuana users only come in the colors black and brown. (IRIN)
Marijuana Policy

Oklahoma Legalization Initiative Campaign Getting Underway. A Tulsa-based group calling itself Green the Vote is now collecting signatures for a constitutional amendment to legalize marijuana. Campaigners will need nearly 124,000 valid voter signatures by September 8 to qualify for the November ballot. A medical marijuana initiative is already set to go before the voters next month.

New York City Pot Bust Racial Disparities Aren't Going Away. A major investigation by the New York Times has found continued racial disparities in marijuana enforcement and arrests in every neighborhood in the City. "Across the city, black people were arrested on low-level marijuana charges at eight times the rate of white, non-Hispanic people over the past three years. Hispanic people were arrested at five times the rate of white people. In Manhattan, the gap is even starker: Black people there were arrested at 15 times the rate of white people."

Medical Marijuana

Mormon Church Ups the Ante in Fight Against Utah Medical Marijuana Initiative. The church last Friday doubled down on its opposition to the medical marijuana initiative set for the November ballot. The church released a seven-page memorandum raising dozens of complaints it says "raises grave concerns about this initiative and the serious adverse consequences that could follow if it were adopted."

Drug Treatment

Justice Department: Nursing Facilities Can't Exclude Patients Using Addiction Medication. The Justice Department has reached a settlement with a skilled nursing facility in which the facility agreed to pay a fine for excluding a patient because the patient was being treated for opioid use disorder with suboxone and agreed not to discriminate in the future. "Our office is committed to protecting the rights of people with disabilities, which includes those in treatment for an Opioid Use Disorder," United States Attorney for Massachusetts Andrew Lelling said. "As Massachusetts faces this overdose epidemic, now more than ever, individuals in recovery must not face discriminatory barriers to treatment."

International

Taliban Kill Dozens of Afghan Police in Opium Trafficking Areas. In attacks late last week, Taliban fighters attacking Afghan police bases in Farah province, killing more than 30 police. The province, in the west of the country, contains vital opium smuggling routes into neighboring Iran. Opium from Afghanistan's primary opium province, Helmand, moves north into Farah before heading for the Iranian border.

Georgia Sees Mass Protests After Weekend Mass-Arrest Drug Raids. The capital, Tbilisi, was rocked by mass protests all weekend long after interior ministry police raided two popular nightclubs and arrested more than 60 people on drug charges. Protesters were demanding the freedom of those arrested and a liberalization of the country's drug policies, and were only persuaded to stop -- at least until next weekend -- after Interior Minister Giorgi Gakharia promised the government would start working on drug reforms today. The protests also saw the emergence of ultra-rightist thugs who came out to counter-demonstrate.

Chronicle AM: MI MJ Poll, Leading MX Pres Contender Says Debate Legalizing Drugs, More... (5/10/18)

Michigan marijuana stories abound, another Democratic presidential contender signs on to the federal legalization bill, Mexico's probable next president says he wants a debate on drug legalization, and more.

It's increasingly looking like Michigan will legalize weed come November.
Marijuana Policy

Kamala Harris Signs On to Cory Booker's Legalization Bill. Sen. Kamala Harris (D-CA), oft mentioned as a potential Democratic presidential contender, is the latest senator to cosponsor Sen. Cory Booker's (D-NJ) marijuana legalization bill, S. 1689. Booker is also a potential Democratic presidential contender, as are two of the other three cosponsors, Sens. Bernie Sanders (I-VT) and Kirsten Gillibrand (D-NY). The only non-presidential contender cosponsor is Sen. Ron Wyden (D-OR).

Michigan Poll Finds Voters Ready to Legalize Marijuana.A new Michigan State University Institute for Public Policy and Social Research poll strongly suggests the marijuana legalization initiative will cruise to victory in November. The poll found 61% saying they want to legalize marijuana, with 34% opposed. Only 5% were undecided. "Marijuana legalization is the only issue with fewer than 15% undecided. Since the marijuana initiative has a large lead with relatively few undecideds, it appears likely that it will pass," said MSU economics professor Charles Ballard, the director of SOSS.

Michigan GOP Gubernatorial Contenders Reject Marijuana Legalization. All of the Republican candidates for the state governorship are united on at least two things: Support for President Trump, and opposition to marijuana legalization. But at least one, Attorney General Bill Schuette, recognized the handwriting on the wall. "But I think citizens of the state will have a chance to vote, and democracy will prevail," he said.

Michigan Senate Panel Votes to Ban Marijuana-Infused Beer and Wine. Trying to get ahead of a potential "disaster," the Senate Regulatory Reform Committee on Wednesday voted unanimously to approve Senate Bill 969, which bans the sale and use of marijuana-infused beer, wine, and spirits. "This is happening in Colorado and should the ballot proposal pass in November, we're going to end up with it here," argued bill sponsor Sen. Rick Jones (R-Grand Lodge). "It's a recipe for disaster." The bill now goes before the full Senate.

Wisconsin's Milwaukee County Could See Advisory Referendum on Legalizing Marijuana. The Board of Supervisors' Committee on Judiciary, Safety and General Services on Thursday unanimously passed a resolution to put a non-binding advisory referendum on the November ballot. Voters would be asked: "Do you favor allowing adults 21 years of age and older to engage in the personal use of marijuana, while also regulating commercial marijuana-related activities, and imposing a tax on the sale of marijuana?" The full board will take up the resolution at its May 24 meeting.

Medical Marijuana

Louisiana Senate Approves Adding Qualifying Conditions for Medical Marijuana. The Senate voted 25-9 Wednesday to approve House Bill 579, which adds glaucoma, severe muscle spasms, intractable pain, PTSD, and Parkinson's Disease to the state's list of qualifying conditions for the use of medical marijuana. It also voted 21-10 to approve House Bill 627, which adds autism spectrum disorders to the list. The bills have already passed the House, but must be approved there again after changes were made in the Senate.

International

Mexico's Leading Presidential Candidate Calls for Debate on Drug Legalization. Andres Manuel Lopez Obrador (AMLO), the left-leaning front-runner in the country's presidential election, has saiad he is open to debating drug legalization to reduce violence and criminality in the country. "All topics should be analyzed. Health is affected more by alcohol and tobacco than other drugs, and prohibiting these drugs creates more violence. Why not talk about it? And why not -- if it's what's best for the country -- approve it and implement it, listening to everyone's input?" he said,during an event titled "Dialogue for Peace and Justice," organized by several non-governmental organizations. AMLO also mentioned a general strategy to counter violence in the country, including a national peace dialog. "If there's crime, an activity will be done, and they will change it, criminals will do other things and my concern is that, by opening the market to drugs, other kinds of crimes will surge. The best thing would be to address the causes, the structure, reach the bottom of things without forgetting these measures (legalization)."

Mexican Soldiers Killed in Guerrero Gun Battle. Three Mexican Army soldiers were killed and three more wounded in a shootout with suspected drug gang members at a ranch outside Coyuca de Benitez, Guerrero. The ranch belonged to a former mayor of the town, who had resigned to run for state congress, but was killed Tuesday. At least 18 politicians have been killed in the state since September. Guerrero is one of Mexico's prime opium growing regions.

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Chronicle AM: New SBA Rules Hurts Pot Industry, Aghan Opium Harvest Underway, More... (5/1/18)

The Trump administration gets creative in coming up with a new way to mess with legal marijuana-related businesses, a pair of Oklahoma marijuana initiatives get approved for signature gathering, Arkansas drug testing results are in -- and they're not impressive -- and more.

It's harvest time for Afghan opium poppies. (unodc.org)
Marijuana Policy

Trump Administration Finds New Way to Hurt Marijuana-Related Businesses. Under new rules issued last month by the Small Business Administration, companies doing business with the marijuana industry will find it more difficult to obtain SBA loans. Under the new rule, banks are prohibited from using SBA-backed loans to finance any business that works directly with the marijuana industry. The rule impacts not only marijuana businesses, but could extend to web designers, gardening suppliers, consultants, and others who derive even a small portion of their income from marijuana businesses.

Oklahoma Legalization and Medical Initiatives Can Start Collecting Signatures. The state is set to vote on one medical marijuana initiative next month, but a group called Green the Vote has now received approval from the state to start collecting signatures for a pair of initiatives that would legalize medical marijuana and recreational marijuana via a constitutional amendment. The medical marijuana initiative is Proposed SQ 796; the legalization initiative is Proposed SQ 797. The group will start collecting signatures on May 11 and will need 125,000 valid voter signatures by August 8 to qualify for the November ballot.

Medical Marijuana

Missouri House Passes Smokeless Medical Marijuana Bill. The House on Tuesday approved House Bill 1554, which would allow terminal patients and patients suffering from debilitating conditions to use a smokeless form of medical marijuana. The bill now heads to the Senate.

Hemp

Illinois Senate Approves Hemp Bill. The Senate has approved Senate Bill 2298, which would allow farmers to apply for permits to grow industrial hemp. The measure passed the Senate on a 50-0 vote and is now before the House.

Drug Testing

Arkansas Welfare Drug Testing Achieves Little. After two years of requiring people seeking Transitional Employment Assistance and/or food stamps to submit to drug screens and possible drug tests, the results are in: Out of 7,000 applicants, only 31 were considered to be likely to be using drugs and thus subject to a drug test. Of those, only 12 submitted drug tests, and of those, only four actually tested positive for drugs. That's four out of 7,000 people subjected to the demeaning and strigmatizing process.

International

Afghan Opium Harvest Gets Underway. Afghan farmers are out in the fields as the country's opium poppy harvest gets underway. The country produced a record crop of 9,000 tons of opium last year. Much of the poppy production takes place in areas outside central government control.

Chronicle AM: ME Lawmakers Pass MJ Sales Bill, Amnesty Death Penalty Report, More... (4/12/18)

It's time to let the FDA know what you think about marijuana scheduling, Maine lawmakers pass a veto-proof pot sales bill, the Trump administration wants to drug test some food stamp recipients, Amnesty International reports on drug death penalty countries, and more.

Former Mexican President Vicente Fox calls for the legalization of opium poppy cultivation in Mexico. (Flickr/Gage Skidmore)
Marijuana Policy

FDA Accepting Public Comment on Marijuana Classification for Next Two Weeks. The Food and Drug Administration (FDA) is accepting public comment from "interested parties" regarding the classification of marijuana under the Controlled Substances Act. (CSA). The CSA places marijuana in Schedule I, a category reserved for drugs with no accepted medical use and high abuse potential. The FDA is acting now because the World Health Organization is set to review its own classification of marijuana and is seeking input from member nations, of which the US is the most influential. Public comment is open until April 23.

Former GOP House Speaker Boehner Now Supports Marijuana Legalization. Former House Speaker John Boehner (R-OH) said Wednesday he has had a change of heart regarding marijuana and will help promote marijuana legalization nationwide. He also announced that he and former Massachusetts Gov. William Weld (R) are joining the advisory board of Acreage Holdings, a national marijuana company. "I decided to get involved because of the struggles of our country's veterans and the opioid epidemic, after learning how descheduling the drug can potentially help with both crises," said Boehner.

Maine Legislature Passes Marijuana Legalization Implementation Plan by Veto-Proof Margin. After Gov. Paul LePage (R) vetoed a first effort to implement regulated and taxed marijuana commerce, the legislature has now approved a new measure to do so, this time by a veto-proof margin. The House passed the bill on Tuesday and the Senate followed on Wednesday. The bill will limit home cultivation to three plants, impose a 10% sales tax, as well as a $335 per pound tax on producers. It will also mandate that localities proactively opt-in before sales will be allowed.

Medical Marijuana

Arkansas Medical Marijuana Business Evaluations Halted after Court Ruling. The Department of Finance and Administration said Wednesday that the Medical Marijuana Commission's review of dispensary evaluations has been put on hold. The stoppage is the result of a ruling last week from a state circuit court judge that the licensing process for cultivators violated the 2016 voter-approved initiative legalizing medical marijuana. We are under an injunction that voids the method of cultivation scoring. Therefore, dispensary application review is on hold as we review the situation," Scott Hardin with DFA told KATV in Little Rock.

Drug Testing

Trump Administration Ponders Plan to Impose Drug Testing for Some Food Stamp Recipients. The administration is pondering a plan that would let states require that certain food stamp recipients undergo drug testing. The nose-under-the-tent proposal would mainly target able-bodied adults without children who apply for certain specialized job categories. That would be about 5% of all food stamp recipients. The move has long been desired by conservatives who seek ways to curb the safety net program.

International

Amnesty International Report: Four Countries Executed Drug Offenders in 2017. At least four countries executed people for drug offenses last year, Amnesty International said in a new report. Those countries are China, Iran, Saudi Arabia, and Singapore. "Despite strides towards abolishing this abhorrent punishment, there are still a few leaders who would resort to the death penalty as a 'quick-fix' rather than tackling problems at their roots with humane, effective and evidence-based policies," said Amnesty International Secretary General Salil Shetty.

Former Mexican President Calls for Legalization of Opium Production. Former Mexican President Vicente Fox called Wednesday for the legalization of opium production in the country as a means of weakening drug cartels. "The plants themselves are not harmful, we make them harmful, (especially) the criminals who use them for evil purposes," Fox said at a pro-marijuana event in the capital. Fox said legalizing poppies would curtail cartel profits and boost public safety in the violence-wracked southern state of Guerrero, which has been hit hard by prohibition-related violence in recent years. Fox also implored candidates in the July presidential election to openly debate drug legalization before the vote.

Chronicle AM: Hash Bash Looks to November, Philly Safe Injection Site Proposed, More... (4/9/18)

Marijuana social consumption gets delayed in Alaska and rebuffed in Colorado, Ann Arbor's annual Hash Bash draws politicians this year, the US is ramping up its bombing campaign against Taliban drug labs, and more.

Vancouver's InSite safe injection site. Could one be coming to Philadelphia? (Wikimedia)
Marijuana Policy

Alaska Regulators Postpone Discussion on Social Consumption. The state's Marijuana Control Board has postponed until June any further discussion of draft rules that would allow people to consume marijuana at authorized pot shops. Although the Alcohol and Marijuana Office had recommended that the board release the draft rules for public comment, the board decided to wait until it was back to full strength. One of the board's five members resigned last month.

Colorado Social Consumption Bill Killed. The General Assembly last week killed Senate Bill 211, which would have allowed businesses to obtain a marijuana consumption club license. The move came after both the Department of Revenue and the Marijuana Enforcement Division lobbied against it because of what they called "significant law enforcement challenges and health and safety risks." But the city of Denver is going ahead with licensing social consumption clubs.

Michigan's Hash Bash Becomes a Campaign Event. The 47th annual Hash Bash had a slightly different flavor this year: With a legalization initiative poised to appear on the November ballot and with opinion polls showing majority support for legalization, this year's event was all about imminent legalization -- and getting on the right side of the issue. Two Democratic gubernatorial candidates, Gretchen Whitmer and Abdul El-Sayed showed up to support the issue, as did Democratic attorney general candidate Dana Nessel.

Medical Marijuana

Pennsylvania Advisory Board Recommends Allowing Dry Leaf or Plant Form Medical Marijuana. The medical marijuana advisory board voted Monday to allow the use of "dry leaf or plant form for administration by vaporization." The vote is only a recommendation; the final decision is up to state Secretary of Health Dr. Rachel Levine. The vote was 11-0.

Heroin and Prescription Opioids

Democratic Senators Want to Know What Happened to Trump's Opioid Commission. Democratic Sens. Patty Murry (WA) and Elizabeth Warren (MA) sent a letter to the White House Monday asking the administration to update on progress made on implementing recommendations made by its opioid commission last November. "We are concerned by reports that in spite of the opioid epidemic's devastating impact on American communities, your Administration has failed to act aggressively to combat it," Warren and Murray wrote. "You declared the opioid epidemic a national public health emergency on October 26, 2017, but there has been little evidence that your Administration has taken advantage of the supplemental executive branch authorities and resources provided by this designation."

Foreign Policy

US Expands Air Strikes Aimed at Taliban Drug Labs. US and Afghan government forces have expanded their campaign of air strikes aimed at Taliban opium processing labs, hitting 11 sites in the past week. These latest strikes were in Farah and Nimroz provinces in western Afghanistan and were the first in the region. So far this year, the about of bombs dropped is triple the number dropped in the first part of last year. The strikes are aimed at hurting Taliban finances, but analysts warn the could kill or injure civilians and are unlikely to have a major impact on the Taliban.

Harm Reduction

Philadelphia Joins List of Cities Pondering Safe Injection Sites. City officials are moving to make the city one of the first in the country to have a safe injection site. A public hearing to discuss the notion took place last Wednesday. "We have a crisis here in Philadelphia," said Dr. Tom Farley, Philadelphia Health Commissioner. "These facilities look sort of like a clinic. If they're simply there to inject, they bring in their own drugs that they have bought on the street, they're given sterile equipment and they inject at the site. If they were to overdose on site, there are medical staff on site who can revive them." But this is just a first step; actually getting one or more up and running in the city could take months or years. Other US cities pondering the harm reduction move include Boston, New York, San Francisco, and Seattle.

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Trump's Afghanistan "Taliban Heroin Lab" Bombing Campaign is Just More Drug War Theater [FEATURE]

On the night of November 19, small-time Afghan opium trader Hajii Habibullah finished his day's business at the local opium bazaar in Musa Qala, in Helmand province, and headed home to his family. He never saw the sunrise.

Afghan poppy fields account for about 90% of the global opium crop. (UNODC)
Helmand province is a poppy-growing powerhouse that for years has been hotly contested terrain in the battle between Taliban insurgents and the Afghan government and NATO forces. Under new authority from the Trump White House allowing the US military to "attack the enemy across the breadth and the depth of the battle space, and also functionally, to attack their financial networks, their revenue streams," US and Afghan warplanes mounted bombing raids on "Taliban drug labs," targeting three districts in Helmand. That night, Musa Qala was target one in a dramatic escalation in US Afghanistan policy.

In a press briefing two days later, Gen. John Nicholson, commander of US forces in Afghanistan guided reporters through videos documenting the attacks, with bomb blasts destroying small structures as the general narrated strikes by US B-52s and F-22 Raptors. The raid in Musa Qala destroyed "millions" in "opium cooking at the time of the strike," repeatedly emphasizing how careful the raids were to minimize "collateral" casualties.

But the first bombs to fall on Musa Qala didn't fall on a "Taliban narcotics production facility." They fell on Hajii Habibullah's house, killing him, his wife, his seven-year-old daughter, four sons aged between three and eight, as well as a visiting adult daughter and her year-old daughter. Only the son-in-law sleeping in a guest house on the property survived.

That's according to on-the-scene field research contained in a report released last month by the London School of Economics International Drug Policy Unit. The analysis, written by Dr. David Mansfield, who has been conducting research on rural economies and poppy cultivation in Afghanistan for the past two decades, is sharply critical of the Trump administration's aggressive new turn. Mansfield isn't the only one sounding alarms. Warnings that the policy is expensive and unlikely to achieve its objectives while having serious negative consequences are coming from other academic analysts, too, and even from the watchdog agency charged with overseeing the US Afghan war.

Last month, in a Pentagon briefing, spokesmen claimed the campaign of airstrikes, which have continued after that first attack in November, was crippling the Taliban's ability to fund itself though the drug trade. Defense officials claimed the raids had destroyed $80 million worth of heroin, resulting in a $16 million loss for the Taliban, who make money taxing the trade.

But Mansfield demolishes that claim:

"At current prices for heroin, the losses USFOR-A refer to would amount to almost 73 metric tons of heroin, that's nearly 3 metric tons of heroin in each lab destroyed," he wrote.

With a conversion rate of between 9 and 13.5 kilograms of fresh opium per kilogram of heroin, this would require between 27,000 and 40,500 kilograms of fresh opium per lab. It would mean that the 25 labs destroyed were responsible for converting between 8 to 11 percent of the entire 2017 crop of 9,000 metric tons. There is little evidence from the nine buildings destroyed [in Musa Qala] to support such a claim.

Going on the tax rates levied on the [Musa Qala] labs, were the aerial campaign to have actually destroyed 73 metric tons of heroin, the loss in revenue to the Taliban would have been around $1.2 million, considerably less than the amount reported by USFOR-A.

Were the air attacks to have destroyed a series of houses rented out to cook opium in much smaller batches, as the case would appear to be in [Musa Qala], the loss in revenue to the Taliban would have been negligible. In fact, the 50 barrels of opium cooking at the time of the strike that [USFOR-A commander] General [John] Nicholson referred to as being worth 'millions of dollars' would have been worth at most $190,750 if converted to heroin and no more than $2,863 to the Taliban.

Brookings Institute senior fellow in the Center for 21st Century Security and Intelligence Vanda Felbab-Brown, an expert on international and internal security threats and nontraditional security threats, including insurgency, illicit economies, and organized crime who has done fieldwork and research in Afghanistan, was also skeptical.

"The Pentagon has made various claims about the size of the impact on Taliban finances, but that is all highly speculative," said Felbab-Brown. "The logic is that a certain amount of heroin is destroyed per target and that heroin is assigned that same value per unit price, but we can't assume that. It could be there was no processed heroin there at all, only opium. The only value might be that it eliminated one Taliban financier who happened to present, or maybe disrupted one link in the trade, but we can't even assume that."

"By and large, the campaign will not make a significant dent in Taliban financing," argued Felbab-Brown. "They will have to be extremely lucky to destroy large portions of opium stockpiles that have been growing for years. And the Taliban has different local arrangements -- sometimes they tax the labs, sometimes they're further downstream -- so I don't expect any significant financial losses for them."

In its latest quarterly report, issued January 31, the Special Inspector General for Afghanistan Reconstruction (SIGAR), a government watchdog agency, also took issue with the military's claims about the damage it was inflicting on Taliban finances -- and questioned the cost-effectiveness of the campaign.

In a special section on the drug lab bombing campaign, SIGAR says that the methodology the military uses to assess the value of the labs it destroys leaves it "unclear whether the DOD figure is an accurate estimate of how much revenue is eliminated by air strikes on drug labs."

What is known, SIGAR reports, is how much it costs to fly the planes dropping the bombs:

According to the latest DOD financial management report, an F-22 costs between $35,294 and $36,799 per hour to operate; a B-52 between $32,569 and $34,341 per hour; and an F/A-18 between $9,798 and $16,173 per hour, depending on the model. By contrast, the labs being destroyed are cheap and easy to replace. Afghans told Reuters it would take three or four days to replace a lab in Afghanistan. According to UNODC, the morphine/heroin labs need only simple equipment such as a stove, iron barrel, and locally made pressing machines.

SIGAR was also cognizant of the potential political risks involved in dropping bombs in the middle of settlements: "One danger of a sustained air campaign is civilian casualties, which could erode support for the Afghan government and potentially increase support for the insurgency," the report noted.

That was the case in Musa Qala, where Mansfield noted that Helmand members of parliament had voiced objections and where a local informant angrily declared: "These are not Taliban. They killed women and children, NATO killed them."

In rural Afghanistan, where opium is the backbone of the economy, it isn't just the Taliban involved. It's peasant farmers and field-workers, traders and middlemen, local officials and warlords. And that makes using military force to attack what is essentially a criminal problem especially problematic.

"That's one of the challenges of the campaign," said Felbab-Brown. "The military can go after 'Taliban-linked' targets, but what does that mean? In some cases the lab might belong to a trader, a local criminal actor, but in other cases, it will be operated by peasants. The tendency in the drug markets is to move away from very large labs and have many dispersed labs precisely to prevent significant disruption. These are mainly small labs operated by low-level peasants who have acquired the skills to do the processing," she added.

"There is a very significant risk of hitting a lot of very low-level people, while those with political connections get away with it," the Brookings scholar pointed out. "The risk is of pushing people into the hands of the Taliban and making them more dependent on the Taliban."

The Trump White House is pressing the "Taliban heroin lab" bombing campaign because things aren't going so well in Afghanistan, in terms of either counternarcotics or counterinsurgency. Nearly 17 years after the US first invaded to drive the Taliban from power, the insurgency is stronger than ever, with the Taliban reportedly controlling more than a third of the population, rising civilian and military death tolls, and a US-backed government in Kabul seemingly incapable of either fighting or governing effectively.

"Afghan government control or influence has declined and insurgent control or influence has increased overall since SIGAR began reporting control data in January 2016," the watchdog said in its report, while also noting that for the first time, the Pentagon prohibited it from publicizing the full district and land area under the control of the government and insurgent groups or reporting on the strength and capabilities of the Afghan National Defense and Security Forces.

Similarly, the war on drugs in Afghanistan isn't exactly being won, either. Since 2002, SIGAR reported, the US has spent $8.7 billion on counternarcotics efforts in the country, only to see it remain responsible for the great bulk of the world's opium production throughout the period. Last fall, just before the bombs began falling on the labs, the UN Office on Drugs and Crime reported in its Afghanistan Opium Survey 2017 that opium planting was at an all-time high, up 63% over 2016, with strong increases reported in almost all poppy-planting provinces.

For the Trump administration, going after opium and the Taliban seems like a natural, and going aggressive fits with Trump's militaristic bent, but all the sound and fury is unlikely to accomplish much.

"There is action for the sake of action because the White House and Sessions want to see action," said Felbab-Brown. "There is this domestic image being created about opiates, and various government officials and Republicans have been obliquely linking the US opiate epidemic to global markets, but there is no evidence whatsoever that the US market is in any significant way supplied by Afghanistan. Still, the Pentagon had to demonstrate that it was doing something, and the thing it can do most easily is bomb interdiction sites, those so-called heroin labs."

Although the county accounts for around 90% of the global opium supply, very little Afghan opium ends up as heroin consumed by American drug users. According to the DEA's annual 2016 National Drug Threat Assessment, only about 1% of heroin in the US comes from Afghanistan. Instead, Mexico accounts for 80% and Colombia and Guatemala make up the remainder.

Brookings Institution counternarcotics and counterinsurgency expert Vanda Felbab-Brown (YouTube)
"There is far more pressure from Trump on actors in Afghanistan to demonstrate results and far less comprehension that demonstrating results for its own sake with significant negative side effects is counterproductive," said Felbab-Brown. "Obama had much more comprehension of the risks of things like eradication, and Trump is more far more determined to revive doctrinaire old counternarcotics approaches, many of which harken back to the drug dogma of the 1980s and 1990s."

But trying to suppress the Afghan opium economy is a loser's game for the foreseeable future, she argued.

"There are real limits on what interdiction or eradication can do. There is much greater insecurity than at any point since 2002-2003, there are fewer US troops available for ground action, and Afghans can't provide adequate security for US personnel on ground interdiction, much less an air interdiction campaign that can demonstrate some numbers," she said. "There can never be a winning situation with respect to drugs unless and until conflict has ended and the state has a presence throughout the country," said Felbab-Brown. "It's extraordinarily difficult to replace a vast illicit economy, and in Afghanistan, where the opium trade accounts for 30% of GDP, it would be an enormous undertaking."

Effectively going after the opium economy would also involve going after people other than the Taliban, she pointed out.

"We should think about interdiction in the same way we think about interdicting high value targets," she said. "Use it to target those who pose the greatest threat to the Afghan state, and that's not just Taliban actors. There are Afghan politicians clamoring to bring down the government, and they have heroin assets. Interdiction shouldn't be seen just as a tool of limiting the Taliban, but as a broader stabilization tool. But that would require far greater authorization, which the US military doesn't currently have -- it can only go after Taliban financing."

The situation is unlikely to get better in the medium term, with the Taliban and other insurgent groups seemingly striking at will, the Afghan military seemingly unable to stop them, and the Afghan government focused on hotly contested presidential elections set for next year and oft-postponed parliamentary elections set for later this year.

"Things could become much worse," said Felbab-Brown, "and with any significant instability it will become that much more difficult to conduct counter-narcotics operations."

But that's where US policy in Afghanistan appears to be heading.

"Trump and Sessions have the inclination and the desire for many of the same doctrinaire drug war policies both domestically and internationally," she said. "There is huge pressure from them on Colombia to ramp up coca eradication, and we could get in a situation where there will be huge pressure from the White House to conduct aerial spraying of opium poppies. That would be the last nail in the coffin of Afghan counterinsurgency."

From Bloody Drug War to Legal Pot: Ten Global Drug Policy Highlights (and Lowlights) of 2017 [FEATURE]

Philippines President Rodrigo Duterte has unleashed a drug war that has killed thousands. (Wikimedia)
1. In the Philippines, Duterte's Bloody Drug War Rages On

Undeterred by international criticism, Filipino President Rodrigo Duterte continued his murderous war on small-time drug users and sellers throughout 2017, with Human Rights Watch estimating that some 12,000 people -- almost all poor -- have been killed since Duterte unleashed the killers in June 2016. Poor neighborhoods have also been subjected to warrantless searches and door-to-door drug testing, and thousands more people have been imprisoned in insalubrious conditions.

2. Indonesia Starts Going Down Duterte's Path

Indonesian President Joko Widodo must have liked what he was seeing one archipelago over because in July, he started sounding like his Filipino counterpart. To fight the country's "narcotic emergency," he said, police should "gun down" foreigners suspected of drug trafficking if they "resist arrest." At year's end, the National Narcotics agency proudly reported it had killed 79 people in drug raids during 2017, and arrested more than half a million, of whom 1,523 were declared rehabilitated after drug treatment. In 2016, Widodo had ordered that a 100,000 people receive drug treatment, but there don't seem to be any resources for that.

3. Norway Moves to Decriminalize All Drug Use

In December, the Norwegian parliament sent a strong signal that it wants to decriminalize drug use and possession. It voted to pursue such a path, directing the government to begin making changes in the laws to reflect that vote. Legislation that would actually enact the changes has yet to be drafted, but Norway is on the way.

4. Uruguay Legal Marijuana Sales Begin

It took more than three years after the country legalized marijuana before it happened, but it happened this year: Pharmacies began selling marijuana direct to customers in July, making Uruguay the first country in the world to permit the legal production and sale of marijuana.

5. Nevada Becomes 5th US State to Allow Legal Marijuana Sales, More Coming Online Soon

Uruguay may be the first country to legalize marijuana, but now, eight US states and the District of Columbia have done it, and the first four -- Alaska, Colorado, Oregon, and Washington -- all allow recreational marijuana sales. Four states legalized it in November 2016, but only Nevada got legal sales up and running in 2017. But watch out -- a tidal wave is coming: Legal sales begin in California, with its population of nearly 40 million, on January 1. Oh, and Maine and Massachusetts will begin legal sales sometime in 2018, too.

6. Mexico Drug War Mayhem at Record Levels

Eleven years after then-President Felipe Calderon declared war on the drug cartels and sent in the military, things are worse than ever. According to government crime statistics, 2017 was the bloodiest year yet with more than 27,000 murders as splintering drug trafficking organizations fight a multi-sided war among themselves and against the police and military (when the police and military aren't acting on behalf of cartel factions). The year brought other grim milestones as well: More than 200,000 dead, an estimated 30,000 missing, more than 850 clandestine graves uncovered. All to keep Americans well supplied with the drugs we love to hate -- or is it hate to love?

7. Iran Moves to Drastically Reduce Drug Executions

The Islamic Republic has long been one of the world's leading executioners of drug offenders, but that could be about to change. In August, the Iranian parliament approved an amendment that significantly raises the bar for mandatory executions for certain drug offenses. The amendment dramatically increases the quantities of drugs needed to trigger a sentence of death or life in prison and should result in hundreds of people being spared execution each year. But it's not a done deal yet: It still must be approved by the Guardian Council, a body of 12 Islamic jurists, to ensure it complies with the Iranian constitution and their interpretation of sharia law.

Breaking Bad: Kim Jung Un (Flickr)
8. US Heightens Afghan Drug War, First Round of Bombing Campaign Kills Dozens

In August, President Trump authorized new rules of engagement for American forces in Afghanistan, allowing them to target the Taliban directly with air strikes. Previously, air strikes had been allowed only in support of Afghan troop operations or to protect US or NATO troops under attack. In November, US military commanders made the first use of that authority by bombing ten Taliban-controlled opium production facilities in Helmand province, leaving a toll of at least 44 dead. The aim is to disrupt Taliban funding, but it looks like there's plenty more work to do: The Pentagon says the Taliban have another 400 to 500 heroin labs. And with bumper opium crops in 2017, they have plenty of work to do, too.

9. Colombia's Bumper Coca Harvests Prompt US Pressure to Resume Aerial Eradication

Colombia just came off a bumper year for coca and cocaine production, but that's largely an artifact of the peace settlement between the FARC and the government, which offered assistance to coca growers wishing to transition to other crops, thus encouraging farmers to grow coca so they could qualify for the program. But such nuances matter little to the Trump administration, which is pressuring the Colombian government to reinstate the aerial fumigation of coca crops with potentially carcinogenic herbicides.

10. In Sanctions-Busting Move, North Korea Ups Meth Production

The regime in Pyongyang has long been accused of resorting to drug trafficking to help finance its oft-sanctioned military activities, and it looks like it's up to it again. In August came reports that state-affiliated companies and universities were "ramping up" the production of methamphetamine as a means of obtaining desperately needed foreign currency. With more sanctions, expect more North Korean meth.

Looking Back: The Biggest International Drug Policy Stories of the Past 20 Years [FEATURE]

With a thousand issues of Drug War Chronicle under our belts, we look back on the biggest international drug and drug policy stories of the past 20 years. (A companion piece looks at the biggest US domestic drug policy stories.) Here's what we find:

The 1998 UN General Assembly Special Session on Drugs. We've made some progress since then. (Creative Commons)
1. Global Prohibitionist Consensus Starts to Crumble

In 1998, the UN General Assembly Special Session on Drugs (UNGASS), with anti-prohibitionist voices in the room but metaphorically on the outside, pledged itself to eradicating drugs in 10 years. That didn't happen. Now, nearly 20 years later, it is duly chastened, and the chorus of critics is much louder, but the UN still remains a painfully slow place to try to make change in global drug policy.

Yet, despite the foot-dragging in Vienna and New York, albeit at a glacial pace. The 2016 UNGASS couldn't bring itself to actually say the words "harm reduction," but acknowledged the practice in its documents. It couldn't bring itself to resolve to be against the death penalty in drug cases, but a large and growing number of member states spoke out against it. It couldn't officially acknowledge that there is "widespread recognition from several quarters, including UN member states and entities and civil society, of the collateral harms of current drug policies, and that new approaches are both urgent and necessary," even though that's what the UN Development Program said. And the UN admitted to having dropped the ball on making opioid analgesics available in the developing world.

It certainly wasn't ready to talk about drug legalization in any serious fashion. But despite the rigidity within the global anti-drug bureaucracy, driven in part by the hardline positions of many Asian and Middle Eastern member states, the global prohibitionist consensus is crumbling. Many European and Latin America states are ready for a new direction, and some aren't waiting for the UN's imprimatur. Bolivia has rejected the 1961 Single Convention on Narcotic Drugs' provision criminalizing the coca plant, and Canada and Uruguay have both legalized marijuana with scant regard for UN treaty prohibitions. And of course there is Portugal's broad decriminalization system, encompassing all drugs.

There's a real lesson in all of this: The UN drug treaties, the legal backbone of global drug prohibition, have proven to be toothless. There is no effective mechanism for punishing most countries for violating those treaties, at least not relative to the punishing effects they suffer from prohibition. Other countries will take heed.

2. Afghanistan Remains the World's Opium Breadbasket

When the US invaded Afghanistan in late 2001, it entered into a seemingly endless war to defeat the Taliban and, along with it, the opium trade. Sixteen years and more than a trillion dollars later, it has defeated neither. Afghanistan was already the world's leading producer of opium then, and it still is.

According to the UN Office on Drugs and Crime, in 2000, the country produced more than 3,000 tons of opium. The following year, with the Taliban imposing a ban on poppy planting in return for US aid and international approval, production dropped to near zero. But in 2002, production was back to more than 3,000 tons, and Afghan poppy farmers haven't looked back since.

In the intervening years, Afghanistan has accounted for the vast majority of global opium production, reaching 90% in 2007 before plateauing to around 70% now (as production increases in Latin America). It has consistently produced at least 3,000 tons a year, with that amount doubling in selected years.

For years, US policymakers were caught in a dilemma, and drug war imperatives were subordinated to anti-Taliban imperatives. The problem was that any attempt to go after opium threatened to push peasants into the hands of the Taliban. Now, the Trump administration is bombing Taliban heroin facilities. But it hasn't bombed any heroin facilities linked to corrupt Afghan government officials.

Holland's famous cannabis cafes were the first break with global marijuana prohibition. (Creative Commons)
3. Movement Toward Acceptance of Recreational Marijuana

Twenty years ago, only the Netherlands had come to terms -- sort of -- with marijuana, formally keeping it illegal, but, in a prime example of the Dutch's policy of gedogen (pragmatic tolerance), with possession and sale of small amounts allowed. (The Dutch are only now finally dealing with the "backdoor problem," the question of where cannabis cafes are supposed to get their supplies if it can't be grown legally).

The first entities to legalize marijuana were the US states of Colorado and Washington in 2012, and Uruguay became the first country in the world to legalize marijuana in 2014. Canada will become the second country to do so next year. In the meantime, six more US states and the District of Columbia have also jumped on the bandwagon.

While full legalization may yet be a bridge too far for most European and Latin American countries, marijuana decriminalization has really taken hold there, with numerous countries in both regions having embraced the policy. Marijuana has now been decriminalized in Argentina, Austria, Belgium, Belize, Bolivia, Brazil, Chile, Colombia (you can possess up to 22 grams legally), Costa Rica, Croatia, the Czech Republic, Equador, Estonia, Georgia, Greece, Italy, Jamaica, Luxembourg, Malta, Mexico, Moldova, Paraguay, Peru, Portugal, Slovenia, Spain, Switzerland, and Ukraine, among others. Oh, and Iran, too.

4. Andean Whack-A-Mole: The Fruitless Quest to Quash Cocaine

The United States, and to a much lesser degree, the European Union, have spent billions of dollars trying to suppress coca leaf cultivation and cocaine production in Bolivia, Colombia, and Peru. It hasn't worked.

According to the UN Office on Drugs and Crime (UNODC), coca leaf cultivation was just under 500,000 acres in 1998; this week, UNODC reported that coca leaf cultivation was at 470,000 acres last year -- and that's not counting the 75,000 acres under legal cultivation in Bolivia.

When it comes to actual cocaine production, it's pretty much the same story: Again according to the UNODC, cocaine production was at 825 tons in 1998, peaked at just over a million tons a year in 2004-2007, and is now at just under 800 tons. There have been peaks and troughs, but here we are, pretty much in the same place we started.

Military intervention didn't stop it. Military and anti-drug assistance hasn't stopped it. Alternative development programs haven't stopped it. The global cocaine market is insatiable, and nothing has been able to tear Andean peasant farmers from what is by far their best cash crop. Bolivia, at least, has largely made peace with coca -- although not cocaine -- providing a legal, regulated market for coca farmers, but in Peru and Colombia eradication and redevelopment efforts continue to spark conflict and social unrest.

5. Mexico's Brutal Drug Wars

During the 1980s and 1990s, accusations ran rampant that in a sort of pax mafiosi, the Mexican government cut deals with leading drug trafficking groups to not so much fight the drug trade as manage it. Those were the days of single party rule by the PRI, which ended with the election of Vicente Fox in 2000. With the end of single party rule, the era of relative peace in the drug business began to unravel.

As old arrangements between drug traffickers and political and law enforcement figures fell apart, so did the informal codes that governed trafficker behavior. When once a cartel capo would accept his exemplary arrest, during the Fox administration, the gangsters began shooting back at the cops -- and fighting among themselves over who would control which profitable franchise.

Things took a turn for the worse with the election of Felipe Calderon in 2006 and his effort to burnish his political credentials by sending in the army to fight the increasingly wealthy, violent, and brazen cartels. And they haven't gotten any better since. While American attention to Mexico's drug wars peaked in 2012 -- a presidential election year in both countries -- and while the US has thrown more than a billion dollars in anti-drug aid Mexico's way in the past few years, the violence, lawlessness, and corruption continues. The death toll is now estimated to be around 200,000, and there's no sign anything is going to change anytime soon.

Well, unless we take leading 2018 presidential candidate Andres Manuel Lopez Obrador (AMLO) at his word. This week, AMLO suggested a potential amnesty for cartel leaders, indicating, for some, at least, a pax mafiosi is better than a huge, endless pile of corpses.

6. Latin America Breaks Away from US Drug War Hegemony

The US imports its drugs and exports its prohibition-related violence, and the region grows tired of paying the price for America's war on its favorite vices. When once Latin American leaders quietly kowtowed to drug war demands from Washington, at least some of them have been singing a different tune in recent years.

Bolivia under Evo Morales has resolutely followed its own path on legalizing coca cultivation, despite bellows from Washington, successive Mexican presidents weary of the bloodshed turn an increasingly critical eye toward US drug war imperatives, Colombian President Juan Manuel Santos sees what Washington-imposed prohibitionist policies have done to his county and cries out for something different, and so did Guatemalan President Otto Perez Molina before he was forced out of office on corruption charges.

Latin American countries are also increasingly pursuing their own drug policies, whether it's constitutionally protected legalization of personal use amounts of drugs in Colombia, decriminalization of marijuana across the continent, or downright legalization in Uruguay, Latin American leaders are no longer taking direction from Washington -- although they generally remain happy to take US anti-drug dollars.

A North American first: Vancouver's safe injection site opened in 2003. (Creative Commons)
7.Safe Injection Sites Start Spreading

The notion of providing a place where intravenous drug users could shoot up under medical supervision and get access to referrals to public health and welfare services was derided by foes as setting up "shooting galleries" and enabling drug use, but safe injection sites have proven to be an effective intervention, linked to reduced overdoses, reduced crime, and moving drug users toward treatment.

These examples of harm reduction in practice first appeared in Switzerland in the late 1980s; with facilities popping up in Germany and the Netherlands in the 1990s; Australia, Canada, Luxembourg, Norway, and Spain in the 2000s; and, most recently, Denmark and France.

By now, there are nearly a hundred safe injection sites operating in at least 61 cities worldwide, including 30 in Holland, 16 in Germany, and eight in Switzerland. We are likely to see safe injection sites in Ireland and Scotland very soon.

It looks like they will soon be appearing in the United States, too. Officials in at least two cities, San Francisco and Seattle, are well on the way to approving them, although the posture of the federal government could prove an obstacle.

8. And Heroin Maintenance, Too

Even more forward looking as a harm reduction measure than safe injection sites, heroin maintenance (or opiate-assisted treatment) has expanded slowly, but steadily over the past two decades. The Swiss did the first trials in 1994, and now such programs are available there (after decisively winning a 2008 referendum on the issue), as well as Germany and the Netherlands.

Such programs have been found to reduce harm by helping users control their drug use, reducing overdoses, reducing drug-related disease, and promoting overall health and well-being, while also reducing social harms by reducing crime related to scoring drugs, reducing public use and drug markets, and promoting less chaotic lifestyles among participants, leading to increased social integration and better family life and employment prospects.

A Canadian pilot program, the North American Opiate Medication Initiative (NAOMI) produced similar results. Maybe the United States will be ready to get it a try one of these years.

9. New Drugs, New Markets

So far, this has been the century of new drugs. Known variously as "research chemicals," "designer drugs," or fake this and that, let's call them new psychoactive substances (NSPs). Whether it's synthetic cannabinoids, synthetic cathinones, synthetic benzodiazepines, synthetic opioids, or something entirely novel, someone somewhere is producing it and selling it.

In its 2017 annual review, the European Monitoring Center on Drugs and Drug Addictions (EMCDDA) reported in was monitoring 620 NSPs, up from 350 in 2013, and was adding new ones at the rate of over one a week.

These drugs, often of unknown quality or potency, in some cases have wreaked havoc among drug users around the world and are a prime example of the bad things that can happen when you try to suppress some drugs: You end up with worse ones.

The communications technology revolution that began with the world wide web impacts drug policy just as it impact everything else. Beginning with the infamous Silk Road drug sales website, the dark web and the Tor browser have enabled drug sellers and consumers to hook up anonymously online, with the drugs delivered to one's doorstep by Fedex, UPS, and the like.

Silk Road has been taken down and its proprietor, Ross Ulbricht, jailed for decades in the US, but as soon as Silk Road was down, new sites popped up. They got taken down, and again, new sites popped up. Rinse and repeat.

European authorities estimate the size of the dark web drug marketplace at about $200 million a year -- a fraction of the size of the overall trade -- but warn that it is growing rapidly. And why not? It's like an Amazon for drugs.

10.Massacring Drug Suspects in Southeast Asia

Philippines President Rodrigo Duterte has drawn international condemnation for the bloody war he unleashed on drug suspects upon taking office last year. Coming from a man who made his reputation for leading death squads while Mayor of Davao City, the wave of killings is shocking, but not surprising. The latest estimates are that some 12,000 people have been killed.

What's worse is that Duterte's bad example seems to be gaining some traction in the neighborhood. Human rights groups have pointed to a smaller wave of killings in Indonesia, along with various statements from Indonesian officials expressing support for Duterte-style drug executions. And most recently, a Malaysian member of parliament urged his own country to emulate Duterte's brutal crackdown.

This isn't the first time Southeast Asia has been the scene of murderous drug war brutality. Back in 2003, then Thai Prime Minister Thaksin Shinawatra launched a war on drugs that saw 2,800 killed in three months.

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