Showing posts with label UK Drug Policy. Show all posts
Showing posts with label UK Drug Policy. Show all posts

Tuesday, 21 December 2010

Drug Prohibition Under Fire by UK Politicians

Last week, ex UK Home Office Minister, Bob Ainsworth, proposed that illicit drugs either be prescribed by doctors or sold under licence in the UK. Bob Ainsworth is one the highest profile UK politicians to publicly announce his support for drug legalisation. 

After 50 years of global drug prohibition it is time for governments throughout the world to repeat this shift with currently illegal drugs.

We spend billions of pounds without preventing the wide availability of drugs.

Politicians and the media need to engage in a genuine and grown up debate about alternatives to prohibition, so that we can build a consensus based on delivering the best outcomes for our children and communities.

Prohibition has failed to protect us. Leaving the drugs market in the hands of criminals causes huge and unnecessary harms to individuals, communities and entire countries, with the poor the hardest hit.

Crime Prevention Minister, James Brokenshire was quick to reject Bob Ainsworth’s comments. He rattled on about drugs being harmful and that they ruin lives etc. but it was all just the usual dribble you would expect. He even went as far as saying that decriminalisation is a simplistic solution and “Legalisation fails to address the reasons people misuse drugs in the first place or the misery, cost and lost opportunities that dependence causes individuals, their families and the wider community”. You have to wonder why he thinks that sending addicts to prison is going to address these problems especially considering we have been doing this vigorously for half a century.

Ironically, current UK PM, David Cameron once supported the principles as Ainsworth including a study into prescribed heroin, downgrading ecstasy from Class A to Class B, as well as moveing towards a policy of Harm Reduction.

We recommend that the Government initiates a discussion within the Commission on Narcotic Drugs of alternative ways-including the possibility of legalization and regulation-to tackle the global drugs dilemma.

David Cameron is infamous for not denying he used cocaine and cannabis in his youth and was even caught using drugs at school. But like most politicians, the need to further his career meant renouncing previous ideals and towing the party line.

When you look back 40 years, 40 years ago there were a few hundred heroin addicts who had their heroin prescribed by a doctor. There are now 50,000-60,000 registered addicts creating an enormous amount of crime. It would be very disturbing if some radical options were not at least looked at. We are now getting into that and it would be interesting to see what you come back with.

Bob Ainsworth’s comments have stirred up much debate in the UK especially since the announcement of a new drug strategy from the UK government. These new proposals have been slammed as regressive and a move in the wrong direction. Under one of the new proposals, ministers will not be required to seek the advice of scientists when making drug related decisions or policy. Another planned proposal is to remove social security benefits from drug users who do not seek treatment. And there is to be an increased focus on stopping supply. Again, a government fails to take on evidence and expert advice, instead opting for just more of the same old useless "War on Drugs" tactics.

The government says that this new strategy will put more responsibility on addicts to seek treatment. Those who don’t act on the government’s guidelines will lose their social security benefits or suffer other punishments. Sadly, it reeks of conservative ideology where “personal responsibility” is king,  Forget compassion and medical reasoning, junkies deserve what they get. Forget the latest research. The fact is, although many addicts will finally kick their habit, many will not. Those who don’t respond to conventional treatment are often born with a predisposition for opiate addiction e.g. an imbalance in their brain's chemistry, some of the 66 known genes that promote the need for opiates, a persistent impairment of synaptic plasticity in a key structure of the brain etc. This drives them to seek out a cure which usually ends with heroin use. It may be impossible for some people to comprehend but this small group of addicts have a physical problem and are not simply selfish losers with no will power. If the government bothered to read the advice given to them from medical experts, they would know this. I dare say they actually do but it’s easier and more popular to punish these people or exploit the “personal responsibility” tactic.

It’s probably no surprise that the government is critical of Bob Ainsworth’s comments when they are prepared to introduce such a backward strategy.

Although some politicians and anti-drug zealots have been quick to reject Bob Ainsworth’s comments, there has also been a lot of support. 

This could be a turning point in the failing UK ‘war on drugs.’ Bob Ainsworth is the persuasive, respected voice of the many whose views have been silenced by the demands of ministerial office. Every open rational debate concludes that the UK’s harsh drugs prohibition has delivered the worst outcomes in Europe – deaths, drug crime and billions of pounds wasted.
--Labour’s Paul Flynn MP, Founder Council Member of the British Medicinal Cannabis Register

Prof. David Nutt, the former chief adviser to the government on drugs (AMCD), made the most sense. According to the BBC, he said that most MPs actually agree with Mr Ainsworth, but feel they cannot say so publicly because of "the pressure of politics”.

The current approach to drugs has been an expensive failure, and for the sake of everyone, and the young in particular, it is time for all politicians to stop using the issue as a political football. I have long advocated breaking the link between soft and hard drugs – by legalising cannabis while continuing to prohibit hard drugs.   But I support Bob Ainsworth’s sensible call for a proper, evidence based review, comparing the pros and cons of the current prohibitionist approach with all the alternatives, including wider decriminalisation, and legal regulation.
--Peter Lilley MP, former Conservative Party Deputy Leader

The Labour Party was also quick to distance themselves from Ainsworth’s comments and party leader, Ed Miliband, called them, “irresponsible”. This was just more of the mass stupidity on display from UK politicians as flimsy and tired old excuses were rolled out once again. It was only a handful of brave pollies who finally stood up and backed Ainsworth. Luckily, attitudes are changing and defending a failed, useless drug policy no longer automatically wins the public’s support.

Liberal Democrats have long called for a science-based approach to our drugs problem. So it is without hesitation that I support Bob Ainsworth’s appeal to end party political point-scoring, and explore sensitively all the options, through an Impact Assessment of the Misuse of Drugs Act.
--Tom Brake MP, Co-Chair, Liberal Democrat Backbench Committee on Home Affairs, Justice and Equalities

The comments from Bob Ainsworth have showed us that attitudes are changing away from maintaining the current "War on Drugs" approach. There are dozens of articles every day in the global media that expose the failure of current drug policies. And like all major issues, the last to act are politicians. Ainsworth’s comments come at the beginning of a new era where politicians will gradually admit their opposition to current drug policies. Politicians like Ron Paul in the US, who were once seen as radical for opposing the drug war will soon appear as visionaries. Hardliners pushing for Zero Tolerance policies will become marginalised as governments look to blame someone for the fallout of a failed policy. 

We've got so used to 40 years of prohibition which, in my experience of over 30 years of policing, has led to massive cost, a failure to achieve the primary aims, which is the reduction of drug use, and a range of unintended harmful consequences
--Tom Lloyd: Former Chief Constable Of Cambridgeshire Police

History will not be kind to those who snubbed science and research, especially in the UK. For many years, the UK listened to it’s doctors and stood it’s ground by rejecting the UN/US attempt to ban prescribing heroin to addicts. But recent governments have swapped this tradition to participate in the drug war. The UK once utilised it’s medical expertise to form sound and appropriate health strategies but since the 1970s, we have seen the slow death of evidence and research dictating health and drug policies. Technically, licensed doctors can still prescribe heroin to addicts with about 400 people still receiving their dose each week. A recent study into expanding this practice like the pre-1970s, hi-lighted how successful prescription heroin really is. Add to this the Prof. Nutt debacle and the proposal to make drug related decisions without consultation with the AMCD and you have a political process that is in stark contrast to the UK that was once based on compassion and medical expertise. Politicians have a lot to answer for.


Bob Ainsworth and David Raynes of the National Drug Prevention Alliance discuss the link between drugs and crime.

On a lighter note, you know when David Raynes becomes involved, you have probably won the argument.  David Raynes is part of the anti-drug network consisting of nutters from all over the world. Their arguments are as flimsy and flawed as one would expect from fanaticals or fundamentalists. They are the “Drug Free” crowd who still believe that we can rid the world of drugs and anything but a Zero Tolerance policy is not acceptable. 

David Raynes himself is a disgraced former customs officer who is notorious for his anti-drug comments that defy logic and his links to Narconon. How he got to be interviewed by the BBC is beyond me. Maybe it’s part of their comedy programming?

Thursday, 22 July 2010

Decriminalise Drugs - Chairman of the Bar Council (UK)

I just recently came across this brilliant article. It’s well worth a read.


The Chairman Of The Bar Council Is Right To Say We Should Consider Decriminalising Drugs
By Andrew M Brown 

Nicholas Green QC, the chairman of the Bar Council for England and Wales, has suggested we should consider “decriminalising personal drug use”. He seems to have in mind the billions of pounds the economy would save and the freeing up of police time as well the improvements in public health. And, to be sure, these are all perfectly good reasons to stop arresting otherwise law-abiding folk who use certain drugs to relax and unwind in their spare time.

Just look at Portugal, and in fact any country that has liberalised drugs laws. The evidence from studies suggests the experiment has resulted in improvements. It certainly has not lead to what the opponents of legalisation predicted, which is that problem drug use would immediately shoot up. So Portugal has been more radical in decriminalising personal use of drugs than anyone else I can think of, and yet their results are positive. They were facing serious problems, which is why they took radical action. Some harmful use of drugs has actually gone down since they changed their laws.

It’s true, casual use may have gone up, but that doesn’t automatically mean lots more addicts, since there is a basic fact about drugs which is often ignored in public discourse, but which most people know in their hearts, if they’re honest: drugs are not inevitably harmful, nor are they inevitably addictive. After all, nearly all adults regularly use one of the most toxic drugs there is – alcohol – without coming to much harm. Quite the opposite, in fact: alcohol users will tell you they experience great benefits in relaxation, elevation of mood, lubricating social contact and so on. More often, the problem is the people who take drugs, and what’s wrong with society that makes people abuse substances in a destructive way.

Ask your colleagues at work: I bet you’ll find a significant portion of them have used one illicit drug or another at some time in their lives, especially if they were born from the 1960s onwards, when drugs have been widely used in society. Some of them may still take drugs in their time off. It may be Valium or cannabis or cocaine or ecstasy, it may be an opioid painkiller – whatever it was, they haven’t dropped dead, they remain responsible citizens, they haven’t gone mad or lost their moral fibre.

Some individuals are more vulnerable to becoming dependent on drugs than others, just as some people will become problem gamblers and others will grow obese from compulsive over-eating. But the fact remains that millions of people drink or take other drugs without harm and with many subjective benefits and to penalise those people, even to lock them up, just with some idea of protecting the minority, seems crazy. If you take the societal problems that are routinely associated with drug use one by one, pretty well each of them can be shown to be the consequence of the prohibition of drugs and the “war on drugs” and not the actual drugs themselves.

For most of human history, drugs were not illegal. Our massive drug problem and the vast multi-billion dollar criminal enterprises that are funded by the illegal drug trade are direct results of prohibition. These are objective evils that prohibition has caused. Those who defend prohibition must ask themselves how they can justify these horrid by-products – the terrible havoc the war on drugs has wreaked in the developing world, for instance. The trouble is, prohibition has spawned its own lucrative industry for its enforcement, and those well-funded agencies will fight tooth and nail to protect their interests.

I think a sense of perspective is important, to talk about things as they actually are. There are cultural and political reasons why some drugs are legal and some are not. But drugs, including alcohol, all do the same thing: they change our mood for us, without us having to do anything. What moral difference is there between them – except that some involve breaking the law. I simply don’t see that getting completely plastered on alcohol, as plenty of respectable people do, including policemen, judges and lawmakers, is somehow morally more creditable than the ageing hippy who relaxes with a marijuana joint.

And yet the ageing hippy could have his liberty taken away. In some states of the USA the prisons are heaving with drug users who have never hurt anybody – poor drug users at least, I don’t mean the children of wealthy senators who get busted with cocaine, they don’t go to jail. Putting people like that in prison is wrong, and a waste of human life.

By the way I have no personal axe to grind here. The bottom line is I do not argue that legalising drugs (and what one means by “legalising” is a whole other issue) will lead to utopia, but I doubt things could get worse. And one can watch with interest the developments in California, where there are said to be more medical marijuana shops than Starbucks.

Tuesday, 1 June 2010

UK Push for Expanding Heroin Assisted Treatment

A recent article in the medical journal, The Lancet has once again highlighted the need for Heroin Assisted Treatment (HAT) to be expanded in the UK.

Although the article draws upon previously released research results, it was still important enough to catch the media’s attention.

A Google News search found 182 related articles including from The Press Association, The Associated Press, TopNews, Pharmacy News, Reuters, BusinessWeek, BBC News, CBC, The Northern Echo, Irish Independent etc. but not a single mention from any major media outlet in Australia.

The only Australian article I found was in the hard copy edition of the Townsville Bulletin.


Heroin Therapy Call for 'Chronic Addicts'
By Emma Wilkinson - Health Reporter
May 2010

Injectable "medical" grade heroin should be offered under supervision to the most hardened addicts, say UK researchers.

A trial in 127 addicts who had persistently failed to quit the drug showed a significant drop in use of "street" heroin after six months.

Writing in The Lancet, the researchers said the "robust evidence" supports wider provision of heroin treatment.

A spokesman for the government said it would consider the findings.

Around 5-10% of heroin addicts fail to quit despite use of conventional treatments, such as methadone.

Those who took part in the trial had been using the drug for an average of 17 years and had been in treatment for 10 years.

When they took part in the programme they were on methadone treatment but were still taking street heroin on a regular basis.

The researchers - working at clinics in south London, Brighton and Darlington - found that those offered injectable heroin under the supervision of a nurse were significantly more likely to cut down their use of street heroin than those receiving oral or injectable methadone.

Improvements were seen within six weeks of starting the programme, they reported.

In further analysis yet to be published, it was noted that the benefits remained after two years and some patients were able to stop use of the drug altogether.

Treatable
Study leader, Professor John Strang, from the National Addiction Centre at King's College London, said the supervised heroin programme enables patients to start thinking about employment, re-engaging with their families and taking responsibility for their lives.

"This is a treatment for a severe group of heroin addicts that ordinary treatments have failed with and the question we're answering is 'are these patients untreatable?'."

"The very good news is that you can get these people on a constructive trajectory."

He said the latest study plus a series of other trials now provide clear evidence that this type of treatment should be offered more widely.

It was outlined in the UK government's 2008 Drug Strategy, subject to the results from this trial.

He added that although more expensive than conventional treatments, heroin therapy is considerably cheaper than imprisonment.

A Department of Health spokesman said any approach that gets people off drugs for good should be explored.

"We will look at evidence and both the clinical and cost effectiveness of these treatments.

"However, it is vital that we do all we can to prevent people using drugs in the first place."

Dr Roy Robertson a reader in the Department of Community Health Sciences at Edinburgh University, said whilst none of the outcomes are close to achieving abstinence, treatment with supervised injectable heroin "seems to be our best option".

"This is the intensive care for those heroin users who have failed after all sorts of other available treatments and continue to inject."

DrugScope chief executive Martin Barnes added that there is no "magic bullet" and several treatment interventions may be needed before someone becomes drug free or cuts down their drug use.

"On the basis of the outcomes described, there is a strong case for extending heroin prescribing as a carefully targeted and closely supervised form of treatment for chronic addiction."


Related Articles

Thursday, 13 May 2010

Will The UK Lead the World on Drug Law Reform?

The recent change of government in Britain is certainly entertaining to say the least. A new conservative government after 13 years of what many would describe as another conservative government. Labour leader, Gordon Brown taking one for the party and resigning. A coalition of the left and right … the first coalition in 75 years.  A third party shaking up the old establishment. What a hoot.

With all the talk of election and banking reform, a new type of politics and a brighter future for Britain, there’s one major issue that is being overlooked - drug policy. With Liberal Democrat leader Nick Clegg strongly supporting drug law reform and the public backlash from the sacking of professor David Nutt, the UK might actually be the first major nation to introduce significant changes to their drug laws. If the UK takes up even part of what Clegg wants, it should kick start the drug reform avalanche started by The Netherlands, Switzerland, Portugal, Mexico, The Czech Republic, Poland etc.

The best way to reduce the harm drugs cause to society is to base policy on facts

The burning question though is whether Tory’s leader, David Cameron and a coalition government will give in to demands from Nick Clegg to reform drug policy … and will Clegg follow through with his demands? Cameron says he is prepared to work with Nick Clegg and said they "want to put aside party differences and work hard for the common good and for the national interest". Luckily for Nick Clegg, David Cameron is one of the few Conservatives who may be open to drug law reform. Cameron is not the typical Tory but is open to gay rights, climate change and other so called lefty views. He has also admitted to taking drugs in his youth. 

Prescription Heroin
The UK is the only country to have never stopped prescription heroin and cocaine for addicts although it rarely happens these days. Unlike most countries that outlawed heroin under pressure from the UN/US, the UK kept prescribing heroin to addicts up until the 1960s. There was virtually no black market for heroin and drug crime was almost unheard of. In 1960, there were less than 100 heroin addicts and fewer than 500 abusers of all drugs, a stark difference to the US that had thousands of heroin addicts and ten times as many drug abusers. The UK drug problem was non existent in politics as addiction was a medical issue treated by doctors.

Between 1979 and 1984, seizures of illegal drugs went up tenfold, incarcerated drug offenders went up fourfold, and the consumption of heroin increased by 350 percent—but heroin prices decreased by 20 percent.

The growing drug culture of the 1960s and several rouge doctors who prescribed massive amounts of heroin, cocaine and other drugs started to get the attention of the government and police. This led to changes in the prescribing of maintenance drugs and methadone became the preferred treatment. Doctors now had to have special licences to prescribe heroin for addicts.

The UK has just finished a scientific trial to analyse the benefits of prescribing heroin and cocaine to long term addicts. The final results reflected the success of other trials overseas and gave legitimacy to the “British System” that has been operating since 1920. It is becoming clearer why giving long term addicts their drug of addiction, kept their drug problem in the 1960s at a fraction of what it was overseas and what it is today.

Prescription heroin for addicts has proved highly successful in every trial to date, is much more accepted than what it once was and doesn’t require the UK parliament to pass any special new laws. With pressure from Nick Clegg, it will most probably become part of the UK’s drug policy.

Future Drug Policies
The Liberal Democrats also favour the Dutch system of cannabis coffee shops. With the growing evidence that today’s extra strong, hydroponic “Skunk” is lacking the balance of cannabinoids and THC, a regulated system would bring back the less dangerous strains of cannabis. Anti-cannabis pundits keep overlooking the fact that prohibition is responsible for drug dealers producing stronger and more profitable dope.

Nick Clegg might also push for decriminalisation or legalisation of all drugs for personal use. Radical changes like this might prove a tad too much for conservatives but it is a growing trend worldwide. Germany, Italy, Spain, The Czech Republic, The Netherlands, Mexico and Portugal have all decriminalised or altered drug policies to let those caught with small amounts of all drugs to avoid jail or even arrest. There are many more countries on the verge of implementing similar policies including Poland, Brazil, Argentina etc.

The Government should either listen to its experts or save money by appointing a committee of tabloid newspaper editors instead.

The most important reform supported by Nick Clegg is the revamping of the drug scheduling system. The sacking of Prof. David Nutt from the The Advisory Council on the Misuse of Drugs (ACMD) for simply telling the truth and suggesting a change to drug scheduling has attracted much public and academic debate about the role of science in government policy decisions. An overhaul of the scheduling system would see drugs analysed by evidence rather than the media and public drug hysteria. This will have a profound impact on the world as it brings into question the existing schedules for other countries which are not based on science or evidence but political posturing, the media and moral crusaders.

Base drugs policy on scientific evidence. 
The Liberal Democrats will always base drugs policy on the independent scientific advice of experts. This will involve making the Advisory Council on the Misuse of Drugs (ACMD) completely independent of Government. We will also spend less police and court time on the unnecessary prosecution of users and addicts, with a focus instead on getting addicts the treatment they need. Police attention should focus on drug pushers, who will be made easier to prosecute by the introduction a new offence of “drug dealing”.



Related Articles


Friday, 18 September 2009

UK Heroin Trials - Another Win For Prescription Heroin

A recent scientific trial of heroin assisted treatment (HAT) in the UK has again shown to be highly effective for treating long term addicts. This is just getting boring. Another heroin trial, another great result. How many trials are we going to have before governments accept the benefits of prescribing heroin to long term addicts?

It’s interesting to note (as far as I can tell), not one Australian major media outlet reported on the UK announcement. I understand that the Murdoch trash machine might ignore these results but what about the rest of the media? Why hasn’t Nicola Roxon or Uncle Kev been questioned on this as the rumour mill tells us a government drugs policy is due before Christmas? And just for fun, I thought at least one reporter would track down John Howard to see if his head has imploded yet.

Heroin Supply Clinic 'Cuts Crime'
By Danny Shaw - BBC Home Affairs Correspondent
BBC News


A scheme in which heroin is given to addicts in supervised clinics has led to big reductions in the use of street drugs and crime, the BBC has learned.

More than 100 users took part in the pilot - part funded by the government - in London, Brighton and Darlington.

They either injected heroin or received the drug's substitute methadone.

Those given heroin responded best and an independent panel which monitored the scheme over six months is advising ministers to set up further trials.

About three-quarters of those given heroin were said to have "substantially" reduced their use of street drugs.

Research suggests that between half and two-thirds of all crime in the UK is drug-related.

The Home Office says on its website that about three-quarters of crack and heroin users claim they commit crime to feed their habits.

PILOT SCHEME FINDINGS

•Three-quarters reduced use of street heroin
•Offences down from 1,731 in 30 days to 547 in six months
•Spending on drugs down from £300 to £50 a week Figures for group given heroin
•Professor John Strang, who led the project, said the results were "very positive" because the scheme had helped cut crime and avoid "expensive" prison sentences


Professor Strang, who is based at the National Addiction Centre, part of King's Health Partners, said the individuals on the programme were among those who had been the hardest to treat.

"It's as if each of them is an oil tanker heading for disaster and so the purpose of this trial is to see: 'Can you turn them around? Is it possible to avert disaster?'

"And the surprising finding - which is good for the individuals and good for society as well - is that you can," he said.

The Randomised Injecting Opioid Treatment Trial (RIOTT) programme - which is funded by a number of agencies, including the Department of Health - began in 2005.

It involved 127 chronic heroin addicts for whom conventional types of treatment had failed.

Many of the addicts were also using other substances, including crack cocaine.

During the trials, a third of addicts were given the heroin substitute methadone orally and another third injected methadone under supervision.

The remainder, observed by nurses, injected themselves with diamorphine - unadulterated heroin - imported from Switzerland.

National roll-out?

Those on the programme were also given psychological support and help with their housing and social needs.

The results showed that addicts in all three groups cut the amount of heroin they obtained illicitly from street dealers.

According to researchers, more than half of the heroin injecting group were said to be "largely abstinent" and one-in-five did not use street heroin at all.

Before they began the programme, the addicts in the heroin injecting group were spending more than £300 a week on street drugs. After six months, this had reduced to an average of £50 a week.

“ It used to be about chasing the buzz, but when you go on the programme you just want to feel comfortable ”
John, RIOTT participant
There was also a big drop in the number of offences addicts admitted committing to obtain money to feed their habit.

In the previous month before the scheme started, addicts in the heroin injecting group reported carrying out 1,731 crimes.

After six months, this had fallen to 547 offences - a reduction of more than two-thirds.

One of the heroin addicts on the programme, a 34-year-old man called John, had been addicted for eight years when the trials began. He fed his habit by dealing.

"My life was just a shambles... waking up, chasing money, chasing drugs," he said.

But John said the scheme had transformed his life "100 per cent" and he now had a part-time job.

"It used to be about chasing the buzz, but when you go on the programme you just want to feel comfortable," he said.

"I've started reducing my dose gradually, so that maybe in a few months time I'll be able to come off it altogether, drug free totally."

In its drug strategy, published last year, the government said it would "roll out" the prescription of injectible heroin, subject to the findings of the pilot scheme.

The National Treatment Agency for Substance Misuse (NTA), which administers drug treatment in England, said the results were "encouraging".

The NTA said an independent expert group, set up to advise the government, had concluded that there was enough "positive evidence of the benefits" of the programme to merit further pilots.

The NTA is understood to be keen to evaluate the financial implications of the scheme. At £15,000 per user per year, supervised heroin injecting is three times more expensive than other treatments.



Related Articles:
Leading Article: An Injection Of Common Sense
Canada Provides the Final Proof Needed for Heroin Assisted Treatment
Germany Passes Prescription Heroin into Law
Heroin Assisted Treatment Winning Approval in Europe
What Does Prescription Heroin Really Mean for Junkies?
Denmark - More Prescription Heroin Programs for Addicts
Prescription Heroin - Lifesaving Medication?
Top UK Cop Calls for Prescription Heroin
How Much Evidence Do We Need?
Israel - Another Country Considers Prescription Heroin
Who Supports a Heroin Trial?



Sunday, 22 February 2009

UK Gov: How Dare You Tell the Truth about Ecstasy ... Apologise Now!

According to the British Government, telling the truth might not be the right thing to do. Last month, Professor David Nutt, chairman of the UK Advisory Council on the Misuse of Drugs (ACMD) wrote in a medical journal that “Taking the drug ecstasy is no more dangerous than riding a horse”. Although it’s a fact it still caused outrage throughout the UK including from the Home Secretary, Jacqui Smith.

She [Home Secretary, Jacqui Smith] demanded an apology and told the professor that his comments went beyond the scientific advice she expected from him. "I've spoken to him. I've told him that I was surprised and profoundly disappointed," Smith told MPs yesterday. She said they made light of a serious problem, trivialised the dangers of drugs, showed insensitivity to the families of victims, and sent the wrong message to young people.

Smith's attack on Nutt, the new chairman of the Advisory Council on the Misuse of Drugs, comes when this week it will publish a report expected to recommend downgrading ecstasy from class A to class B. Smith has made clear she will veto the council's view as she rejected its advice last year not to reclassify cannabis.

Lib Dem MP Evan Harris complained to the Speaker at Smith's attack, describing Nutt as a "distinguished scientist" unable to answer back in parliament for what was set out in a scientific publication. His article in the Journal of Psychopharmacology was written before he became chairman, but picked up in the weekend press.
-The Guardian - Drugs adviser says sorry over ecstasy article

This reaction from UK Home Secretary, Jacqui Smith is disgraceful on several fronts. First of all, the statement was part of an article published in the Journal of Psychopharmacology last month and was only recently reported in the news. Secondly, since when does a government official publicly criticise a professor for the contents of a scientific paper? More importantly, why was professor Nutt demanded to make an apology for telling the truth?

Professor Nutt did offer an apology but didn’t backtrack on his statement. He apologised saying he had 
"no intention of trivialising the dangers of ecstasy" and "I am sorry to those who may have been offended by my article. I would like to apologise to those who have lost friends and family due to ecstasy use". Some media reports jokingly questioned why Professor Nutt was not also made to apologised to those who had lost friends and family from horse riding.


According to Nutt, a Scottish study suggests that one reason for ecstasy's "peculiarly prominent place" within the media dates back to the 1990s, when every single ecstasy-related death was covered in detailed by the Scottish press while far fewer other drug-related deaths were reported.

The mental health effects are said to be relatively few in both the short and long term, with few people becoming dependent. The ACMD also concludes that those who take ecstasy are not commonly seen to become violent or engage in behaviour that leads to public order offences.
-The Guardian - Government criticised over refusal to downgrade ecstasy

To make matters worse, Home Secretary, Jacqui Smith declared she would veto the council’s recommendation of downgrading ecstasy from class A to class B even before the findings were officially released. This bizarre behaviour has raised many concerns about why the government has spent millions of dollars on a report they are going to dismiss if it doesn’t fit in with their particular ideology or current policies. For Jacqui Smith to declare that she was going to veto the report regardless of the evidence or the facts before she even reads it is shameful. Is this how the government was intended to be run?


The prime minister's strategy unit reported last year that current drug policy was failing - so the government sought to suppress the report. The independent RSA Commission, after two years painstakingly investigating drug policy, recommended more emphasis on harm reduction - and was ignored.
-
The Guardian - We need a sensible debate about drugs - but that's impossible while ministers float above it all

This is the second ACMD report commissioned by the UK government that has been tossed aside and rejected. The first report recommended that cannabis stay downgraded as a class C drug but that was rejected by the government after being implemented in 2004. With many fearing that cannabis use would explode when it was first downgraded, the level of use actually dropped whilst it was a class C drug. There was no reason what-so-ever for a reclassification back up to class B. In fact it should have been reason enough to accept more AMCD recommendations especially the down grading of ecstasy. With ecstasy use rising under the current A classification, what did they have to lose? The answer is irrelevant as we have seen evidence and facts have no bearing on government policy decisions. It’s the usual case of “sending the wrong message” being more important than people’s lives.


We don't need to see things with our own eyes to believe them; we're not Neanderthals. But we do need to be assured that advice is evidence-based, that the authorities haven't just ignored the evidence and gone ahead anyway. I contend that the negative consequences of this mummy-knows-best approach have already gone beyond the world of class C drugs. I bet this is why so many young people have stopped using condoms and are getting syphilis.
-The Guardian - Mum doesn't know best

What will happen to drug use levels as a result of the governments refusal to reclassify ecstasy? Remember that this recommendation is only to lower the classification of ecstasy not to legalise it. There would still be harsh penalties of up to 5 years jail for possession. By doing nothing, it seems logical that ecstasy use will continue on it’s merry way.


The Runciman Report of 2000, for example, suggested that ecstasy may be several thousand times less dangerous than heroin – despite both being class A drugs – with ecstasy users exhibiting little or no evidence of the withdrawal symptoms usually associated with physical dependency. The home affairs select committee's 2002 report The government's drug policy – is it working? estimated that fewer than 10 people died a year from taking ecstasy, 3% of the number of deaths attributed to heroin. Both reports recommended the downgrading of ecstasy from class A to class B, and both were rejected on the grounds that reclassification would be irresponsible.
-The Guardian - Severe side effects of drug policy


The UK continue with the dubious record of having the highest rate of illicit drug use in Europe along with some of the harshest penalties and toughest policing. It’s obvious their “tough on drugs” approach isn’t working but the UK government refuses to listen to alternative strategies recommended by experts. Government arrogance is nothing new but repeating the same old policies over and over expecting a different result is just stupidity. More importantly, it costs lives and creates massive suffering which appears to be overlooked by the media and the government themselves.


Related Links:
Top Drug Advisor - Ecstasy is Safe as Riding a Horse
Drugs adviser says sorry over ecstasy article
Government criticised over refusal to downgrade ecstasy
Severe side effects of drug policy
We need a sensible debate about drugs - but that's impossible while ministers float above it all
Home secretary rejects advice to downgrade ecstasy

Friday, 20 February 2009

Heroin Assisted Treatment Winning Approval in Europe


As heroin assisted treatment (HAT) continues to grow in Europe, the issue is starting to be raised again in Australia. Will Kevin Rudd adhere to his statement that Australia needs new ideas and fresh thinking when it comes to drugs and will his response will be evidence based? Or will he follow the worn out and tired, old rhetoric of John Howard and argue it sends the wrong message?

Australia needs new ideas and fresh thinking when it comes to dealing with critical and continuing problems such as drugs and crime.  But our response must be tough, targeted and evidence-based -Kevin Rudd. Then Federal Opposition Leader
When the ACT heroin trials were sunk by Howard about 11 years ago, he had the US pressuring him in their manic drive for Zero Tolerance drug strategies and also very strong personal views echoed by the then influential religious right and MSM. Are these overwhelming factors for Rudd or will he take the advice of experts and prioritise the well being of addicts and the benefits to society? We can only hope that the Rudd government will base these important health decisions on the continuing success overseas and pragmatic, evidence based results.

Dose Of Reality Fuels New Initiatives To Help Addicts
By Gwladys Fouché
The Guardian
February 2009

State-funded heroin is becoming a reality in Denmark, the latest in a small, but growing, number of European countries – including the UK – concerned with improving drug users' quality of life and reducing criminality.

Since 1 January, hundreds of drug addicts in the Nordic country have the right to receive two free doses of heroin a day, paid for by their health system. The offer is only for adult, long-term users for whom substitutes such as methadone and subutex have not worked.

"The aim is to improve their state of health, help them avoid committing crimes and stabilise their lives," explains Dr Anne Mette Doms at the Danish Board of Health, which supervises the project.

"Quitting altogether is not a realistic option for most of these patients. For them, this will be a chronic treatment, as if you were treating a chronic disease."

Addicts will need to attend one of five specialist drug clinics across the country, where they will inject diamorphine – pharmaceutical-grade heroin – under doctors' supervision. The drug will not be available on prescription so as to avoid resale on the street.

Danish authorities are in the process of setting up the clinics, registering the doctors who will work there, and finding out which drug companies they will source the heroin from.

The £7.2m project is expected to be up and running by March. The initiative was adopted by overwhelming consensus in February 2008, after all but one of the parties represented at the Danish parliament voted in favour of the policy – the only one against it was a tiny far-left party that did not oppose the project per se, but the way it was funded.

Among those in favour was the far-right Danish People's Party, a movement not usually known for its progressive views: at the last general election in 2007, it described some Danish Muslims as benefit-scroungers and fifth columnists who threatened Danish democracy.

Some might think this initiative is not surprising in a country with a historical tradition of progressive, social democratic policies. But, just as in the UK, the drug debate has been bruising in Denmark. And unlike in Britain, where heroin is available on the NHS for some cancer patients, heroin as a palliative is completely forbidden in the Nordic country.

"Five years ago I decided I would not participate in yet another debate on drugs," recalls Preben Brandt, the chairman of the Council for Socially Marginalised People and an advocate of the policy.

"It was too emotional, with different groups being very aggressive."

"The counter-argument was always 'you kill people by giving heroin' or 'with this initiative, you are telling people that taking heroin is OK'," he says.

"It is very difficult to have a rational debate when you are arguing against beliefs."

The turning point came when results became available from experiments trialling the policy in other European countries, including Switzerland and the Netherlands.

"The politicians became convinced that it could help those with the most severe drug problems," says Mads Uffe Pedersen, the head of the Centre for Alcohol and Drug Research at the University of Aarhus.

"You could not argue against the (positive) findings."

"The debate became more practical," agrees Brandt.

"It was about what policies worked and which ones did not. It was no longer about morality."

Attitudes towards drugs addicts improved too.

"Drug addicts in Denmark are less stigmatised," says Brandt.

"They are no longer perceived as criminals who are a danger to society. They're seen as patients who have a disease they need help with. The new scapegoats in Denmark are the foreigners."

Could a similar initiative be possible in the UK? It's actually happening already, with three schemes taking place in Brighton, Darlington and south London, where long-term heroin users can inject drugs under medical supervision at specialised clinics.

Early results indicate that the scheme has cut crimes and stopped street sales. Crimes committed by the addicts involved in the scheme dropped from about 40 to six a month after six months of treatment, Professor John Strang, the head of the National Addiction Centre at the Maudsley hospital, told the Independent newspaper.

A third of addicts stopped using street heroin and the number of occasions when the rest used it dropped from every day to four or five times a month, on average. It remains to be seen whether UK politicians will expand the policy nationwide, especially if they fear a possible backlash from voters. But if British voters are similar to their European cousins, this would not be an issue. Last November, Swiss voters approved the scheme overwhelmingly, with 68% supporting the plan. And there has been no popular backlash in Denmark, following the adoption of the policy by parliament.

Saturday, 6 September 2008

Decriminalisation Pushes On

Should someone who has a small quantity of marijuana be open to the threat of jail? What about the tens of thousands of people who go to night clubs every week and take ecstasy? These drugs are much less harmful than alcohol yet drinking dangerous levels of rocket fuel is legal which often results in violence, accidents and self inflicted harm. One of the sad facts of living under drug prohibition is the many laws that penalise the small time recreational drug user or addict. Some countries like the USA can ruin your life for simply possessing less than a gram of cannabis e.g. half a joint.
In the USA, we have laws, both Federal and state, preventing those with any type of drug conviction from EVER obtaining housing assistance, food stamps, welfare, or student loans. This does not apply to murderers, rapists or child molesters--just drug convictions. In addition, in my state, my right to vote was removed." -Kerry Wolf. ARMMAT - Texas
Although the US has the highest drug use in the world, it also has some of the harshest drug laws. Drug screening for potential employees is common place and there is drug testing in some schools. The US government and some states take a strong stance on drug users and often impose an extra burden to an already difficult transition back into society. Once you have a drug record, you may permanently lose some government issued services like student loans, welfare and even the right to vote.
So many times I have seen the women I was incarcerated with lose custody of their kids or get re-incarcerated simply because they could not meet the requirements of probation fast enough, such as getting a job that pays enough money for you to supply yourself with housing suitable for you and several kids, (and no sharing bedrooms for kids of opposite genders or with the parent, so you may well need several bedrooms), plenty of food, clothing, pay all your bills, pay your probation fees and fines, any class fees you are obligated to take, and much more, and you cannot get food stamps or housing assistance, because you might spend it on DRUGS, and if you want to go back to school to better yourself, again, sorry--no student loans for druggies (this varies by state--some states opt out). It just makes it almost impossible for these folks to get back on their feet. -Kerry Wolf. ARMMAT - Texas
Strategies like mandatory sentencing and the 3 strikes rule were supposed to deal with career criminals but instead have plagued the countries and states that have implemented them, especially the US. The US has almost 50% of all people on parole or in prison on drugs charges with nearly one in eight prisoners in jail for marijuana related offences. Prisons are big business for the Americans with 1 in 32 of their citizens in jail, on probation or on parole and 1 in 100 actually in prison. Per capita, they have more prisoners than any other nation on earth including China and Iran. Many countries are now trying to minimise the damage that current laws inflict on recreational users by decriminalising small quantities for personal use. The burden of processing minor drug charges like cannabis possession also has many law officers supportive of decriminalisation. Recently, Argentinan, President Cristina Fernandez de Kirchner repeated her call to decriminalise personal drug use and instead crack down on traffickers and dealers.
I don't like it when people easily condemn someone who has an addiction as if he were a criminal, as if he were a person who should be persecuted -Cristina Fernandez de Kirchner - President of Argentina
Two years ago, the Mexican President Vicente Fox proposed decriminalising drug possession but was forced to back down by the Bush administration. Brazil and Colombia have already decriminalised drugs for personal use and it is a growing trend in Latin America. Though many European countries have already decriminalised drugs for personal use, new, more liberal laws and attitudes are starting to take shape. Recently, Austria has effectively removed the limits on personal use for drugs by totally separating trafficking and using. Although cannabis possession is still not legal but decriminalised in Austria, a man was put on 2 years probation for having 10Kg of cannabis leaves because the judge was convinced he never intended to sell it. One of the problems with decriminalisation is of course, the elephant. That elephant in the room called the drug dealer who is needed to get your drugs. But by using some European ingenuity and a close look at the law, the pot club was born. The first association of cannabis growers was created in Belgium which took drug dealing for money out of the equation. The members combine their efforts to either take turns at growing or having one large crop that has the total maximum allowed per person. A case in Spain was recently tested in court and given the judges nod for 66 members of a Spanish pot club.
Cannabis Clubs in Spain Legal - Belgium Forms 1st Club Recently Canna Zine 18 August 2008 Recently several charitable "cannabis clubs" were founded in Spain. The lawfulness of which are now confirmed, and sanctioned by courts in Catalonia and the Basque region. People join the cannabis clubs to grow cannabis together and distribute it to members of the club at cost price. Only members have access to the growing rooms and the cannabis. In Spain trade with cannabis is prohibited, but possession for personal use is legal. Its a European Dis-Union so far as cannabis is concerned. In Spain you may grow your own supply thus keeping you away from those nast drug-dealing types, but doing the same thing in the UK is liable to see you convicted on a 5 stretch. So what exactly is the point of Europe? A court in Bilbao, the biggest city of the Basque region, cleared four defendants of a cannabis club with 66 members from the prosecution of illegal cultivation of 150 kg of cannabis (fresh whole plants that resulted in 17.4 kg dried cannabis). 39 members use cannabis for medical purposes. ENCOD (European Coalition for Just and Effective Drug Policies) , a European organisation for the change of the drug laws regards the Spanish cannabis clubs as a model for other countries. Recently the first association of cannabis growers was created in Belgium. As in Spain the possession of cannabis for personal use in Belgium, is legal. Isn't it about time your government acted out a similar law change?
While some countries consider the well being and rights of their citizens as important, others do not. Recently in the UK, the Brown government upgraded cannabis to a class B drug, up from class C, increasing the penalties for minor cannabis possession from a verbal warning to a maximum of five years in prison. Even though cannabis use dropped while being a lesser class C drug, politics again won out over evidence and facts. But did it win? Those in the front lines away from the leather chairs and back room deals of the so called leaders, had different ideas. The Association of Chief Police Officers (Acpo) declared that they would not be changing their tactics and cannabis for personal use would remain a low priority.
Police will not adopt a tougher approach to cases of simple possession of cannabis when ministers upgrade the legal status of the drug to class B, the Guardian can disclose.
The Association of Chief Police Officers (Acpo) confirmed last night that the current policy of "confiscate and warn" would continue, despite Gordon Brown's determination to reclassify the drug in an attempt to "send a tough message" to young people about its use -Guardian News. U.K.
Australia is another country that is turning the clock back against world trends. Although several Australian states had made progress by decriminalising cannabis, some politicians are trying to revert back to the well worn out path of zero tolerance on all users. It’s a damn shame that politicians and moral crusaders will selfishly sacrifice the futures and careers of our youth for personal gain. With the recent admission to smoking cannabis from several Australian politicians, one has to wonder if it is a matter of what’s good for us is not good for you.

Saturday, 16 August 2008

Prescription Heroin - Lifesaving Medication?

As the results from Canada and Britain’s heroin trials approach, findings.org.uk have written an article about the positive outcomes of prescription heroin. A little known fact is that in Britain, heroin can already be prescribed for addiction under certain circumstances. The reality though is that because of the US’s obsession with prohibition and the pressure from the International Narcotics Control Board (INCB), heroin is rarely prescribed anymore, if at all.

Here is an extract from that article.

Role Reversal

By Mike Aston & John Witton

finding.org.uk

Controversial, expensive, yet promising so much, interest is increasing in prescribing heroin to heroin addicts. Its the drug fields ultimate role reversal from killer drug to lifesaving medication. Just five studies hold the answers to whether it can work. 

Led by government ministers frustrated at slow progress in the fight against serious drug problems, Britain is about to revive its acquaintance with heroin not as a drug of abuse, but as a treatment for drug abuse. Heroin prescribing has traditionally been the main distinguishing feature of what was seen as the “British system” for responding to heroin addiction. It rested on the unique legal leeway afforded doctors in Britain, until recently the only nation which allowed heroin (in its pharmaceutical form called diamorphine) to be prescribed for the treatment of addiction. Before 1968, any doctor could exercise this prerogative. Since then the treatment has been restricted to specialists who hold the requisite Home Office licence, nearly all of whom work in NHS drug dependence clinics. 

At first the dominant response to the 1960s UK heroin outbreak, soon diamorphine prescribing waned to be replaced by injectable and then oral methadone. Of the 70 or more licensed doctors today, perhaps 50 prescribe diamorphine (almost entirely in injectable form) to just 450 patients. An increase in these numbers can be expected to flow from the commitment in the UK

Why consider diamorphine?

The “Why bother?” question is the main one diamorphine has to answer. After all, Britain has spent the last 30 years moving away from diamorphine and towards oral methadone, a treatment with substantial research backing and which benefits many thousands of patients. Only if there are substantial extra benefits compared to oral methadone might the extra costs and risks be justified. Even then there would remain the issue of whether injectable methadone might provide the same benefits yet permit a less drug-dominated lifestyle - injecting once rather than three times a day and less pronounced mood swings. 

The potential advantages of diamorphine derive from its anticipated pulling power for heroin addicts, defined traditionally and legally in Britain as having an “overpowering desire” for the chemical. Those who find methadone unappealing or for whom it fails to curtail heroin use might be attracted and retained by diamorphine, extending the benefits of maintenance therapy - social stabilisation, risk and crime reduction, health improvements - to yet more patients. 

The same pulling power is the source of diamorphine’s potential drawbacks. Once known to be an option, new patients who would have been satisfied with and done well on oral methadone may demand diamorphine. They may even deliberately fail on methadone to “qualify” for the drug. Once in diamorphine treatment, relatively safe, hassle-free and cash-free access to their drug of choice might prolong patients’ careers as addicts and as patients. Injectable diamorphine maintains the frequency of injecting with its associated risks. As in the 1960s, addicts may sell all or part of their diamorphine, spreading addiction and risking the purchasers’ lives, yet preventing this by requiring thrice daily attendance for supervised injection is costly and unpopular with patients. 

Establishing the validity of these hopes and fears sets the agenda for this review.

Read the entire article:

http://findings.org.uk/count/downloads/download.php?file=Ashton_M_22.pdf