Showing posts with label Drug Reform. Show all posts
Showing posts with label Drug Reform. Show all posts

Sunday, 18 April 2010

Giving Free Drugs to Addicts

What is more important? Stopping; violent crime, theft, robberies, drug overdoses, thousands being murdered in drug wars, the spread of HIV and HCV etc. or trying to stop drug addicts getting high? History has revealed 2 things - you can’t have both and trying to stop society from using drugs simply does not work. So, which would you choose? ... stopping associated crime and violence or stopping users getting high?

I’m sure most rational people would prefer to cut out nasty social ills like robberies, HIV, HCV, violence and murder but I am just as sure that some muffins would be so anti-drug that they would refuse to answer or try to change the question. 

Most informed people already know that prohibition causes crime and violence whilst not having much success at lowering drug use but how about the public? Do they know this or do they simply find it difficult to acknowledge due to decades of misinformation from the authorities? Is legalisation or handing out free drugs to addicts just too radical for the everyday citizen even if it cut crime rates by half and changes society dramatically for the better? According to a recent survey by McNair Ingenuity Research, 66% of Australians think people would be more likely to try or use drugs if legalised but only 5% confess that they would indulge. 

One of the survey’s most interesting results concerned what people thought would happen if illegal drugs were decriminalized. Although only 3% of people said they would personally use drugs more often, 62% said they thought other people would. The results were similar when we asked whether you’d be more likely to try drugs at all (only 5% said they would, but 66% thought others would).

It seems we define the people who can’t be trusted with drugs as everyone but ourselves.

-Kirsten Drysdale - Hungry Beast. ABC TV

Giving drugs to drug addicts is not new. Most western countries supply highly addictive opioids like methadone, buprenorphine and suboxone to heroin addicts. Other countries give out Slow Release Oral Morphine (SROM) and even free heroin. These programs are heavily regulated and restricted to opiate abuse like heroin because opioids are basically non toxic. The most success has come from supplying heroin to long term addicts who have failed repeatedly in other treatment programs. The success or prescription heroin has prompted a growing trend for drug experts to push this strategy. 

The main problem is that many addicts don’t qualify for the program because of the strict guidelines and heroin is the only targeted drug (a limited number of cocaine addicts were also given their drug of choice in the latest UK scientific trial). What about those who missed out on the trials or those who are just not “hard core” enough to make it to a permanent program? What about users of cocaine, methamphetamines and prescription medications? Once again it seems that politics and ideology are robbing addicts of valuable treatment options. 

As an addict in Vancouver for 38 years I was certain I would have no problem attending the program. It seems they only took Downtown addicts which gave them a very limited demographic and my calls went from wait to forget it. You could contact the NAOMI people if you want info but you'll be searching through an unpublished project.I hope you discuss parameters as most trials make getting off of heroin a prerequisite, which kills the project as you may well imagine. Harm reduction and working and happy clients should be the goal.Don't let them set you up to fail. 
-Comment by Terry McKinney. Vancouver BC (28/05/2008) - The Australian Heroin Diaries

How imbecilic can we be when we know that most established addicts will use street drugs everyday but the idea of government supplying safe and free drugs is simply out of the question. Up will come that old argument that dishing out illicit drugs is dangerous to their health and we should be trying to get people off drugs, not encouraging them. These reasons might be fine in prohibition utopia where drugs can be eliminated but not in the harsh realms of reality. And that’s the problem. The people who make these important decisions aspire to a “Drug-Free World” which has more chance of being a Disneyland theme park than materialising on planet earth.

I was in Canberra when the trial was set to happen. Now a decade later, failed relationships, failed uni attempt, lost employment and still raging habit, i often wonder where i'd be now if it had've gone ahead. damn howard! i wrote to chief minister stanhope last year at 3am, hanging out, begging for him to think about another try. 6 wks later he replied (shock horror) and said he was 100% behind it, but couldnt do anything til howard was gone. well hes gone.......Methinks its time i start emailing again :) 
-Comment by plzHoldSteady (22/01/2008) - The Australian Heroin Diaries

I always wonder how many lives we could have saved and how many addicts would now be clean if the proposed ACT heroin trials weren’t poo-pooed by Howard. Given the success from every heroin trial overseas, it must be quite a few. Imagine how many lives we could save or change for the better if skipped the strict criteria for candidates of prescription heroin. What if we simply opened it up to anyone who has been on methadone for more than a year or had attended a rehabilitation program and failed? And what if we supplied all dangerous drugs like ice, cocaine, heroin etc. and even ecstasy and other drugs that can be contaminated with filler products? What is the real downfall of this idea compared to the benefits? The same groups would continue to use the same drugs and those who don’t use drugs would continue to abstain. The sky would not fall in and societal chaos would not engulf mankind. Some dedicated users might increase their intake but many more will take advantage of extra treatment options and quit using drugs. 

I don’t think the public has correctly been told what would happen to their surroundings if illicit drugs were distributed by the government or legalised. The most obvious effect is that crime would drop by about half and several billion dollars would be saved every year. This are not just a slight decrease in costs or small improvements but massive, unparalleled changes to crime rates and government spending. Whole police departments used to fighting drug crimes would be relocated to other, understaffed divisions ... including more cops on the street. The back log in courts would eliminated. Huge percentage drops in overdoses and deaths. Organised crime losing their most profitable source of illegal income. Prison populations dropping so much that not only won’t new jails be required in the near future but some actually might shut down. Dangerous meth labs would almost cease to exist. You would be able to buy flu tablets with pseudoephedrine again without having to produce your passport, a personal reference from an astronaut or leaving your first born as collateral. Convenience store workers, pharmacy staff and train travellers  won’t have to worry about desperate junkies robbing them anymore as they will cease to exist. The CourierMail, Adelaide Advertiser, Daily Telegraph etc. will have to expand their subject matter or lose 8-10 pages. The quality of drug education will improve ten fold. Young adults will no longer be so susceptible to a permanent criminal record. Teen drug use will drop as the mystique of drugs will be gone as well as unscrupulous drug dealers who don’t ask for age ID. The problem of alcohol will be addressed more rigourously and classed as a dangerous drug. And so on...

Ironically, easier access to drugs will improve life for users and addicts. Their health will greatly improve and many of them will be able to work once again. They will be able to re-establish relationships with their families and no longer run the risk of being imprisoned. Many of the health issues for drug addicts are the result of prohibition, especially for heroin users. Opiates including heroin are basically non toxic and can taken for decades with very few physical problems. Haven’t you ever wondered why street junkies on heroin look sick but those on pain medication look normal? They are both taking the same sort of drug but the most visible heroin addicts in society often don’t eat very healthily, sleep where ever they can, have very few clean clothes and are more focussed on dodging the police and paying for their next hit. Take away the high cost and the stigma attached to drug addiction and they get to live much more productive lives. In the countries where heroin is prescribed to addicts, there has been substantial improvements in their health and personal lives. Most of them cease any criminal activities and many find work. 

The big question is - why are other countries looking into evidence based strategies like heroin assisted treatment and related programs while Australia keeps regurgitating tired, old drug policies that fail every year?



New Approach To Drugs Seeks Footing In Costa Rica
April 2010

The drug debate in Latin America has started to shift.

For decades, possession and addiction in the Americas have been treated with a zero tolerance policy. Efforts to slow drug use have largely centered on arresting and punishing users.

But packed jails, overburdened court systems, and a growing consensus that the war on drugs is failing are transforming the discussion.

In August, 2009, Argentina's Supreme Court ruled that it was unconstitutional to prosecute people for possession of drugs for personal use. One month later, Colombia's high court issued a similar ruling.

In Peru and Bolivia, there are now small clinics that give cocoa leaves to crack addicts in order to manage and lessen their addiction. Bolivia's President, Evo Morales, has asked the United Nations to eliminate the narcotics label on the coca plant.

Now, in Costa Rica, high-ranking officials are joining the tolerance dialogue.

In March, Costa Rica's Chief Prosecutor, Francisco Dall'Anese, proposed offering free drugs to addicts as a way to compete with dealers. Squeezing in between the addict and the supplier to offer a cheap alternative would “break” the finances of drug pushers and “reduce demand,” he told the Spanish–language daily La Nación.

“Here, what we would do is preempt the business of drug dealing,” he said.

The reasoning behind the proposal is fairly simple. By stopping the flow of income to drug dealers and eradicating the addict's need to steal in order to buy another fix, crime rates should drop.

This idea is not revolutionary. Countries in North America and Europe have used harm reduction techniques such as methadone clinics for years to treat heroin addiction.

These efforts have been regarded as successful in reducing crime and curving addiction by medical journals.

Dall'Anese's proposal, though, does represent a fundamental shift in Costa Rican drug policy, as providing addicts with free, chemical substitutes would take the drug addiction problem out of the hands of law enforcement and place it at the doorstep of public health officials.


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Thursday, 12 November 2009

Bipartisan Politicians Aim for Permanent Injection Centre in NSW

It would be safe to assume that when The Christian Democratic Party, Drug Free Australia (DFA), the right wing media and silly conservative politicians agree on a drug related initiative then we should probably take the opposite approach. Even more so when there is ample scientific evidence that the initiative is a success. For 8 years now, the NSW government has been stalling the decision to make the Medically Supervised Injecting Centre (MSIC) in Kings Cross permanent because of nutty, anti-drug warriors like DFA, John Howard, Fred Nile, Miranda Devine, Piers Akerman, Andrew Bolt, Peter Debnam, Christopher Pyne etc. But is that about to change? According to Andrew Potts of the Sydney Star Observer, there might be action on the horizon.


Political Support For Injecting Centre
By Andrew M Potts
Sydney Star Observer
November 2009

Politicians both state and federal and from across the political divide have come together to support a call to make the Kings Cross Medically Supervised Injecting Centre (MSIC) a permanent part of NSW Health’s response to drugs.

Members of the Parliamentary Group for Drug Law Reform gave their unanimous support for a motion in favour of the Centre moved by the federal Independent Member for Lyne, Rob Oakeshott.

“In accepting the valuable research and evaluation findings, this representative group of the members of Australian parliaments asks the NSW Government to expedite the end of the eight-year trial status of the MSIC and incorporate the centre and its service into the health programs delivered by NSW Health, due to the demonstrated benefits to individuals, families and the community,” the motion read.

“This is a cross-parliamentary, cross-party group that relies on an evidence-based approach to drug laws in Australia, not a sloganeering-based approach,” Oakeshott said.

“The overwhelming evidence from studies throughout the world tells us that supervised injecting facilities have been shown to reduce needle and syringe sharing, reduce sickness and death from drug overdose and increase uptake in drug treatment programs.”

Oakeshott said the Kings Cross centre has delivered a value to the surrounding area of over 30 times its running costs through reducing the associated harms of drug use.

“Perhaps of greatest significance is the finding that nearly three-quarters of residents and business operators in Kings Cross continue to support the Sydney MSIC,” he said.

The Parliamentary Group for Drug Law Reform will now seek meetings with Premier Nathan Rees and NSW Health Minister Carmel Tebbutt, as well as NSW Liberals leader Barry O’Farrell.

O’Farrell has previously pledged to close the centre.

The Parliamentary Group for Drug Law Reform is co-chaired by the Liberals’ Dr Mal Washer and the Labor Member for Fowler, Julia Irwin.

In recent years The Daily Telegraph and abstinence-only drug group Drug-Free Australia have called for the centre’s closure.


Thursday, 27 August 2009

How to Cure Devine Madness - Call Dr. Wodak

At last! A sensible drug related opinion piece from the Sydney Morning Herald NOT written by Miranda Devine. Instead, we are treated to some much needed wisdom from Australia’s leading advocate for drug reform, Dr. Alex Wodak.

I would be safe in saying that many readers are sick of reading selectively researched and totally biased dribble from the Devine Miranda. You see, Dr. Wodak is an expert in his field and relies on medical facts, science and human compassion. This is a stark dichotomy compared to Miranda Devine. Appealing to the ignorant masses or stroking the ideological G-spot of anti-drug zealots may be Devines forte but it just uncovers her real agenda ... her belief that drug use is a moral issue and drug users need to be punished. Ironically, it’s Devine who regularly accuses Dr. Wodak and other medical professionals as having an agenda under the guise of that evil scourge called Harm Minimisation. The very policy that has saved millions of lives, given hope to desperate addicts and aims to treat people humanely. According to Devine, these “elitists” who support Harm Minimisation have a secret agenda to legalise drugs and they must be stopped. But what Devine and other prohibitionists conveniently overlook is that drug reformers simply want a system that works better than the current "War on Drugs" strategy. And their reasoning is simple ... drug use and addiction is a medical/social issue, not a law & order problem stemming from a moral decision to use drugs. It’s the likes of Miranda Devine who simplify an extremely complex issue to what they consider is right or wrong, good or bad, righteous or sinful, holy or evil. No wonder one side consists of doctors, specialists, medical experts, scientists, researchers, welfare workers, academics, realists, human rights supporters etc. and the other side is made up of moral crusaders, the religious right, modern conservatives, evangelists, born again Christians, politicians, the ignorant, neocons etc. Who would you trust?


Tide Turns In Favour Of Drug Reform
By Alex Wodak
Sydney Morning Herald
August 2009


One hundred years ago, the US convened the International Opium Conference. This meeting of 13 nations in Shanghai was the beginning of global drug prohibition.

Prohibition slowly became one of the most universally applied policies in the world. But a century on, international support for this blanket drug policy is slowly but inexorably unravelling.

In January, Barack Obama became the third US president in a row to admit to consumption of cannabis. Bill Clinton had admitted using cannabis but denied ever inhaling it. George Bush was taped saying in private he would never admit in public to having used cannabis. When Obama was asked whether he had inhaled cannabis, he said: ''Of course. That was the whole point.''

Obama has candidly discussed his drug use. ''Pot had helped, and booze; maybe a little blow [cocaine] when you could afford it.'' He has also admitted the ''war on drugs is an utter failure'' and called for more focus on a public health approach.

In February, a Latin American drug policy commission similarly concluded that the ''drug war is a failure''. It recommended breaking the ''taboo on open debate including about cannabis decriminalisation''. The same month, an American diplomat said the US supported needle-exchange programs to help reduce the transmission of HIV and other blood-borne diseases, and supported using medication to treat those addicted to opiates.

In March, the United Nations Commission on Narcotic Drugs met in Vienna as the culmination of a 10-year review of global drug policy. A ''political declaration'' was issued which, at the urging of the US, excluded the phrase ''harm reduction''. This omission caused a split in the fragile international consensus on drug policy and resulted in 26 countries, including Australia, demanding explicit support for harm reduction in a footnote.

In April, Michel Kazatchkine, of the Global Fund to Fight Aids, Tuberculosis and Malaria, argued in favour of decriminalising illicit drugs to allow efforts to halt the spread of HIV to succeed. The same month, a national Zogby poll in the US provided evidence of changing opinion on the legalisation of cannabis: 52 per cent supported cannabis becoming legal, taxed and regulated.

In May there was movement on several fronts. The Governor of California, Arnold Schwarzenegger, said: ''I think it's not time for [legalisation], but I think it's time for a debate.'' He was supported by a number of other American politicians, while Vicente Fox, a former Mexican president, said he was not yet convinced it was the solution but asked: ''Why not discuss it?'' The Colombian Vice-President, Francisco Santos Calderon, is already convinced. ''The only way you can really solve the problem [is] if you legalise it totally.''

Obama's drug czar, Gil Kerlikowske, the director of the Office of National Drug Control Policy, said he wanted to banish the idea of fighting a ''war on drugs'', while the United Nations Secretary-General, Ban Ki-moon, said criminal sanctions on same-sex sex, commercial sex and drug injections were barriers for HIV treatment services. ''Those behaviours should be decriminalised, and people addicted to drugs should receive health services for the treatment of their addiction,'' he said.

In Germany, the federal parliament voted 63 per cent in favour to allow heroin prescription treatment.

In July, the Economic and Social Council, a UN body more senior than the Commission on Narcotic Drugs, approved a resolution requiring national governments to provide ''services for injecting drug users in all settings, including prisons'' and harm reduction programs such as needle syringe programs and substitution treatment for heroin users. This month, Mexico removed criminal sanctions for possessing any illicit drug in small quantities while Argentina is making similar changes for cannabis.

Portugal, Spain and Italy had earlier dropped criminal sanctions for possessing small amounts of any illicit drug, while the Netherlands and Germany have achieved the same effect by changing policing policy.

It is now clear that support for a drug policy heavily reliant on law enforcement is dwindling in Western Europe, the US and South America, while support for harm reduction and drug law reform is growing. Sooner or later this debate will start again in Australia.

Alex Wodak is director of the Alcohol and Drug Service at St Vincent's Hospital.

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