Violence continues in Colombia's coca producing regions, marijuana researchers appeal a US 9th Circuit Court dismissal of their rescheduling petition, and more.

Meth-related overdose deaths tripled between 2015 and 2019, new research finds. (DEA)

Marijuana Researchers Ask 9th Circuit Court of Appeals to Reconsider Failed Classification Appeal. Researchers and veterans seeking to see marijuana federally reclassified have asked the US 9th Circuit Court of Appeals to reconsider its dismissal of their petition last month. A three-judge panel in August held that plaintiffs Dr. Sue Sisley and the Scottsdale Institute had not yet exhausted all administrative options to get the DEA to reschedule marijuana. But the plaintiffs argue that controlling Supreme Court precedent holds that federal judges cannot force litigants to pursue all administrative appeal avenues before turning to the courts for redress. The case is Suzanne Sisley et al. v. U.S. Drug Enforcement Administration et al., case number 20-71433.

Methamphetamine

Meth Deaths Tripled in Years Before Arrival of Pandemic. Methamphetamine-related overdose deaths nearly tripled among adults aged between 18 and 64 from 2015 to 2019, according to a study published Wednesday in the journal JAMA Psychiatry. The study pointed to more frequent meth use and mixing of drugs as possible reasons for the increases. The number of people using meth increased by 43 percent, but overdose deaths from stimulant drugs other than cocaine increased by 180 percent during the same period. While meth has traditionally been a drug associated with middle-aged white people, it is now spreading to other groups, such as Native Americans, and Black meth use disorder without injection increased 10-fold during that period.

International

Colombia Drug Traffickers Kill Five Soldiers. The Gulf Clan, Colombia's most powerful drug trafficking group, is being blamed for an attack Tuesday on the armed forces in a coca-growing region of Cordoba department that left five soldiers dead and tree more injured. Soldiers were patrolling in a vehicle when they were attacked with "explosive artifacts by presumed members... of the Gulf Clan." Leftist FARC dissidents, rightist paramilitaries, and criminal drug trafficking organizations all compete for control of the lucrative coca and cocaine business there.

Scotland Moves Toward De Facto Drug Decriminalization. Scottish police can now issue a formal warning for possession of Class A drugs, such as heroin and cocaine, instead of arresting and prosecuting people caught with personal use amounts of such drugs, Lord Advocate Dorothy Bain told members of the Scottish Parliament. Conservatives called the move "de facto decriminalization," but it's actually more like discretionary decriminalization since police could still file drug possession charges. Police already are able to issue warnings for possession of Class B and C drugs. Bain said she decided to expand that policy so "officers may choose to issue a warning for simple possession offences for all classes of drugs," and also refer people accused of drug offenses to "diversion," where they are handled by social work teams instead of the criminal justice system. The move comes as the country confronts Europe's highest drug overdose rate and saw more than 1,300 drug overdose deaths last year.

Violence linked to cartel infighting continues to rock Mexico's state of Michoacan, a Vancouver clinic is now offering take-home prescription heroin to a small number of patients, and more.

Pharmaceutical heroin. Now available as a take-home prescription drug in Vancouver. (Creative Commons)

Vancouver Clinic Doing Take-Home Prescription Heroin. In a North American first, the Providence Crosstown Clinic in Vancouver has begun providing take-home medical grade heroin to a small number of addicted patients. The program began as an emergency response to the COVID epidemic, when the provincial health authority allowed clinic staff to deliver syringes filled with heroin to patients so they could stay isolated for 10 to 14 days. "Having done that and done that successfully without any problems, we were able to show and demonstrate the strict requirement of the medication to only be [administered] at the clinic was not necessary," said Dr. Scott MacDonald, head physician at the clinic. The program is currently serving only 11 patients, but MacDonald said expanding the program is a crucial step toward addressing the province's opioid crisis, which has seen more than a thousand overdose deaths so far this year. "Their lives can change dramatically. People can go from accessing street opioids, perhaps having unstable housing and unable to work to stabilized and being able to work, and some people working full-time," he said.

Mexico's Michoacan Sees More Cartel Violence. The Jalisco New Generation Cartel (CJNG) besieged the Michoacan municipality of Tepalcatepec last week, killing and beheading five local men who were manning a checkpoint aimed at keeping cartel gunmen out of town. The cartel had tried to seize control of the city but was met with resistance from local residents and the National Guard. Cartel gunmen then switched their focus to the community of La Estanzuela, located near the border between Tepalcatepec and the Jalisco municipality of Jilotlán. The CJNG has been trying to take control of the region for the past two years and is locked in battle with the Carteles Unidos over control of the region and the state.

Nepal Protest for Marijuana Legalization. Sparked by the September 6 arrest of prominent marijuana legalization advocate Rajiv Kafle for consumption, possession, and distribution of marijuana, a youth group from Kathmandu Valley staged a protest calling for legalization at Maitighar on Monday. Protesters chanted slogans and held up signs citing the medicinal and economic benefits of legalization. Nepal has a history of cannabis use dating back centuries and its charas was enjoyed by Western travelers on the Hippie Trail in the 1060s, but under US pressure canceled the licenses for all cannabis businesses in 1973, and then criminalized cannabis in 1976.

California wants to try a form of drug treatment where users are paid not to use, Vancouver activists plan to mark International Overdose Awareness Day with a "safe supply" drug giveaway, and more.

The DEA will review its international operations, although there is no sign it is looking at a paradigm shift.

DEA Announces Review of International Operations. The Drug Enforcement Administration on Thursday announced a comprehensive review of DEA’s international operations and foreign footprint, including administrative and financial support for those operations from DEA headquarters. Administrator Anne Milgram has recommended a top to bottom review of foreign operations that will be overseen by an independent team.  As part of the review, the team will talk to DEA personnel posted in DEA’s foreign offices and headquarters. DEA listed "international cartels, narco-terrorist violence, and precursor chemicals flowing from other countries" as global threats it faces. "This review will provide recommendations for my consideration upon completion.  Specifically, I expect the team to provide an assessment of DEA’s current international operational capacity, and to identify areas for improvement to ensure DEA’s international operations are impactful and effective, with the appropriate structures, procedures, and controls to ensure integrity and accountability," said Administrator Milgram. There is in indication the agency is undergoing a paradigm shift, though.

Drug Treatment

California Seeks Federal Permission to Do "Contingency Management" Drug Treatment. The state is seeking permission from the federal government to do "contingency management" drug treatment, in which users are paid money to stay sober, receiving increasing payments for each drug test passed. Such a program has been underway with military veterans for years, with research showing it is an effective way to get people off stimulants such as cocaine and methamphetamine, for which there are no pharmaceutical treatments available. Now, Gov. Gavin Newsom (D) is asking the federal government to allow the state to use federal tax dollars to pay for it through Medicaid. Meanwhile, state Sen. Scott Weiner (D-San Francisco) has filed a bill, Senate Bill 110, to do something similar. That bill has already passed the Senate with no  opposition and has a Republican co-sponsor in the Assembly, where it has already been approved by the Health Committee and is now before the Appropriations Committee. Wiener’s bill would require California’s Medicaid program to pay for the treatment while Newsom’s plan would let counties choose whether to participate.

International

Vancouver Activists to Mark August 31 International Overdose Awareness Day by Handing Out Free "Safe Supply" of Drugs. A Vancouver-based safe supply advocacy group, the Drug Users Liberation Front (DULF), handed out free cocaine, heroin, and methamphetamine during a July event to dramatize the need for a "safe supply" of drugs" as the city faces a drug overdose crisis, and now, they are getting ready to do it again. DULF says the July event showed the "life-saving potential of a community-led response to the crisis of prohibition in Canada" as an alternative to Vancouver's proposed model of decriminalization. DULF will be joined at the Overdose Awareness Day Event by the Vancouver Area Network of Drug Users (VANDU), which has raised $13,000 to buy and test drugs to be distributed for free among registered VANDU members. "We recognize this a day to honor those we lost to the War on Drugs," said VANDU. "A senseless war fueled by colonial dispossession, racist violence, capitalist exploitation and police criminalization that has taken far too many lives.

Yet another study takes aim at the discredited "gateway theory," the Filipino president remains unrepentant and defiant over his record of drug war killings, and more.

Filipino President Rodrigo Duterte. Unrepentant to the bitter end. (Creative Commons)

(Another) Study Finds Marijuana Not a Gateway Drug. Once again, a peer-reviewed academic study has found that marijuana is not a gateway to harder drug use. The study by researchers at the University of Pittsburgh was published in the journal Health Economics and found that hospital admissions due to opioid use declined after marijuana was legalized at the state level, at least in the short term. "This isn’t trivial – a decline in opioid-related emergency department visits, even if only for six months, is a welcome public health development," said study lead author Coleman Drake, an assistant professor in the university’s department of health policy and management. The "gateway theory" that exposure to marijuana leads to the use of harder drugs has repeatedly been debunked, but still occasionally makes an appearance in the rhetoric of prohibitionists.

Arkansas Marijuana Legalization Initiative Campaign Getting Underway. A group of activists calling itself Arkansas True Grass is now gathering signatures aimed at putting a marijuana legalization initiative on the 2022 ballot. The initiative would legalize recreational marijuana and place its regulation under the authority of the state Agriculture Department. It would also expunge all prior marijuana convictions and allow for the cultivation of up to 12 plants at home. The initiative takes the form of a constitutional amendment, which raises its signature-gathering requirement from 71,321 for statutory initiatives to 89,151 for constitutional amendments. The group has until July 2022 to come up with signatures.

Harm Reduction

Maine Becomes First State to Roll Out Text Alerts When Overdoses Spike. The state has begun a pilot program that lets anyone with a cellphone receive free text messages alerting them to spikes in overdoses in their area and the possibility that a lethal batch of drugs is on the market. The Spike text program was rolled out last month and was first activated last week in Portland, when three people suffered overdoses in a 24-hour period. The program is a joint project of the state Department of Health and Human Services and the Partnership to End Addiction, a national nonprofit. Maine is the first state in the nation to roll out such a program. The move comes after the state saw 502 people die of drug-related causes last year, the most ever in the state.

International

Colombia Removes Ban on Exports of Marijuana Buds. In a bid to boost its nascent legal marijuana industry, Colombia last Friday lifted a ban on exporting dried marijuana flowers, opened the way to expand medical marijuana sales, and streamlined regulatory procedures. "This means Colombia can enter to play a big role in the international market," President Ivan Duque said after signing the decree loosening the rules, adding the new rules would allow Colombia's cannabis industry to expand into food and drinks, cosmetics and other sectors.

Philippines President Taunts International Criminal Court During Last State of the Nation Address. Filipino President Rodrigo Duterte, who proudly and publicly launched a murderous war on drug users and sellers when he took office in 2016, used the occasion of his last State of the Nation address to lash out at the International Criminal Court (ICC). The ICC has completed a preliminary investigation of human rights abuses in the Philippines drug war and has now requested an authorization to do a formal investigation, with Duterte clearly in the headlights. In his speech, Duterte dared the ICC to record his threats against those who would "destroy" the country, saying: "I never denied – and the ICC can record it – those who destroy my country, I will kill you. And those who destroy the young people of my country, I will kill you, because I love my country." Duterte said. He added that pursuing anti-drug strategies through the criminal justice system "would take you months and years" and again told police to kill drug users and dealers. The Un High Commissioner for Human Rights has tallied at least 8,663 drug killings since the start of the anti-drug campaign, but human rights groups say the number could be as high as 30,000 if killings by shadowy vigilante groups are included.