{"id":3094,"date":"2012-07-14T04:06:48","date_gmt":"2012-07-14T03:06:48","guid":{"rendered":"http:\/\/emilkirkegaard.dk\/en\/?p=3094"},"modified":"2012-07-14T04:06:48","modified_gmt":"2012-07-14T03:06:48","slug":"two-reports-about-drug-legislation-that-i-read","status":"publish","type":"post","link":"https:\/\/emilkirkegaard.dk\/en\/2012\/07\/two-reports-about-drug-legislation-that-i-read\/","title":{"rendered":"Two reports about drug legislation that i read"},"content":{"rendered":"<p>I have been engaged in drug reform policy for some time. This means following whatever latest science is published, or at least trying to. Ofc, since i dont have time to follow the all the relevant journals, what i can do is read the review reports and papers published. I have read two of such recently.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.globalcommissionondrugs.org\/\">http:\/\/www.globalcommissionondrugs.org\/<\/a><\/p>\n<p>This one is about the effects of The war on drugs on HIV thruout the world. With the conclusion being that it is very bad:<\/p>\n<p>&nbsp;<\/p>\n<p>Summary is:<\/p>\n<p style=\"padding-left: 30px;\">The global war on drugs is driving the HIV\/AIDS pandemic<\/p>\n<p style=\"padding-left: 30px;\">among people who use drugs and their sexual partners.<\/p>\n<p style=\"padding-left: 30px;\">Throughout the world, research has consistently shown<\/p>\n<p style=\"padding-left: 30px;\">that repressive drug law enforcement practices force drug<\/p>\n<p style=\"padding-left: 30px;\">users away from public health services and into hidden<\/p>\n<p style=\"padding-left: 30px;\">environments where HIV risk becomes markedly elevated.<\/p>\n<p style=\"padding-left: 30px;\">Mass incarceration of non-violent drug offenders also<\/p>\n<p style=\"padding-left: 30px;\">plays a major role in increasing HIV risk. This is a critical<\/p>\n<p style=\"padding-left: 30px;\">public health issue in many countries, including the United<\/p>\n<p style=\"padding-left: 30px;\">States, where as many as 25 percent of Americans infected<\/p>\n<p style=\"padding-left: 30px;\">with HIV may pass through correctional facilities annually,<\/p>\n<p style=\"padding-left: 30px;\">and where disproportionate incarceration rates are among<\/p>\n<p style=\"padding-left: 30px;\">the key reasons for markedly higher HIV rates among<\/p>\n<p style=\"padding-left: 30px;\">African Americans.<\/p>\n<p style=\"padding-left: 30px;\">Aggressive law enforcement practices targeting drug<\/p>\n<p style=\"padding-left: 30px;\">users have also been proven to create barriers to HIV<\/p>\n<p style=\"padding-left: 30px;\">treatment. Despite the evidence that treatment of HIV<\/p>\n<p style=\"padding-left: 30px;\">infection dramatically reduces the risk of HIV transmission<\/p>\n<p style=\"padding-left: 30px;\">by infected individuals, the public health implications of<\/p>\n<p style=\"padding-left: 30px;\">HIV treatment disruptions resulting from drug law<\/p>\n<p style=\"padding-left: 30px;\">enforcement tactics have not been appropriately re-<\/p>\n<p style=\"padding-left: 30px;\">cognized as a major impediment to efforts to control<\/p>\n<p style=\"padding-left: 30px;\">the global HIV\/AIDS pandemic.<\/p>\n<p style=\"padding-left: 30px;\">The war on drugs has also led to a policy distortion<\/p>\n<p style=\"padding-left: 30px;\">whereby evidence-based addiction treatment and public<\/p>\n<p style=\"padding-left: 30px;\">health measures have been downplayed or ignored. While<\/p>\n<p style=\"padding-left: 30px;\">this is a common problem internationally, a number of<\/p>\n<p style=\"padding-left: 30px;\">specific countries, including the US, Russia and Thailand,<\/p>\n<p style=\"padding-left: 30px;\">ignore scientific evidence and World Health Organization<\/p>\n<p style=\"padding-left: 30px;\">recommendations and resist the implementation of<\/p>\n<p style=\"padding-left: 30px;\">evidence-based HIV prevention programs \u2013 with devastat-<\/p>\n<p style=\"padding-left: 30px;\">ing consequences. In Russia, for example, approximately<\/p>\n<p style=\"padding-left: 30px;\">one in one hundred adults is now infected with HIV.<\/p>\n<p style=\"padding-left: 30px;\">In contrast, countries that have adopted evidence-based<\/p>\n<p style=\"padding-left: 30px;\">addiction treatment and public health measures have seen<\/p>\n<p style=\"padding-left: 30px;\">their HIV epidemics among people who use drugs \u2013 as well<\/p>\n<p style=\"padding-left: 30px;\">as rates of injecting drug use \u2013 dramatically decline. Clear<\/p>\n<p style=\"padding-left: 30px;\">consensus guidelines exist for achieving this success, but<\/p>\n<p style=\"padding-left: 30px;\">HIV prevention tools have been under-utilized while harmful<\/p>\n<p style=\"padding-left: 30px;\">drug war policies have been slow to change.<\/p>\n<p style=\"padding-left: 30px;\">This may be a result of the mistaken assumption that drug<\/p>\n<p style=\"padding-left: 30px;\">seizures, arrests, criminal convictions and other commonly<\/p>\n<p style=\"padding-left: 30px;\">reported indices of drug law enforcement \u201csuccess\u201d have<\/p>\n<p style=\"padding-left: 30px;\">been effective overall in reducing illegal drug availability.<\/p>\n<p style=\"padding-left: 30px;\">However, data from the United Nations Office on Drugs<\/p>\n<p style=\"padding-left: 30px;\">and Crime demonstrate that the worldwide supply of illicit<\/p>\n<p style=\"padding-left: 30px;\">opiates, such as heroin, has increased by more than<\/p>\n<p style=\"padding-left: 30px;\">380 percent in recent decades, from 1000 metric tons in<\/p>\n<p style=\"padding-left: 30px;\">1980 to more than 4800 metric tons in 2010. This increase<\/p>\n<p style=\"padding-left: 30px;\">coincided with a 79 percent decrease in the price of heroin<\/p>\n<p style=\"padding-left: 30px;\">in Europe between 1990 and 2009.<\/p>\n<p style=\"padding-left: 30px;\">Similar evidence of the drug war\u2019s failure to control drug<\/p>\n<p style=\"padding-left: 30px;\">supply is apparent when US drug surveillance data are<\/p>\n<p style=\"padding-left: 30px;\">scrutinized. For instance, despite a greater than 600 percent<\/p>\n<p style=\"padding-left: 30px;\">increase in the US federal anti-drug budget since the early<\/p>\n<p style=\"padding-left: 30px;\">1980s, the price of heroin in the US has decreased by<\/p>\n<p style=\"padding-left: 30px;\">approximately 80 percent during this period, and heroin<\/p>\n<p style=\"padding-left: 30px;\">purity has increased by more than 900 percent. A similar<\/p>\n<p style=\"padding-left: 30px;\">pattern of falling drug prices and increasing drug potency is<\/p>\n<p style=\"padding-left: 30px;\">seen in US drug surveillance data for other commonly used<\/p>\n<p style=\"padding-left: 30px;\">drugs, including cocaine and cannabis.<\/p>\n<p style=\"padding-left: 30px;\">As was the case with the US prohibition of alcohol in<\/p>\n<p style=\"padding-left: 30px;\">the 1920s, the global prohibition of drugs now fuels<\/p>\n<p style=\"padding-left: 30px;\">drug market violence around the world. For instance,<\/p>\n<p style=\"padding-left: 30px;\">it is estimated that more than 50,000 individuals have<\/p>\n<p style=\"padding-left: 30px;\">been killed since a 2006 military escalation against drug<\/p>\n<p style=\"padding-left: 30px;\">cartels by Mexican government forces. While supporters<\/p>\n<p style=\"padding-left: 30px;\">of aggressive drug law enforcement strategies might<\/p>\n<p style=\"padding-left: 30px;\">assume that this degree of bloodshed would disrupt the<\/p>\n<p style=\"padding-left: 30px;\">drug market\u2019s ability to produce and distribute illegal drugs,<\/p>\n<p style=\"padding-left: 30px;\">recent estimates suggest that Mexican heroin production<\/p>\n<p style=\"padding-left: 30px;\">has increased by more than 340 percent since 2004.<\/p>\n<p style=\"padding-left: 30px;\">With the HIV epidemic growing in regions and countries<\/p>\n<p style=\"padding-left: 30px;\">where it is largely driven by injection drug use, and with<\/p>\n<p style=\"padding-left: 30px;\">recent evidence that infections related to injection drug use<\/p>\n<p style=\"padding-left: 30px;\">are now increasing in other regions, including sub-Saharan<\/p>\n<p style=\"padding-left: 30px;\">Africa, the time for leadership is now. Unfortunately,<\/p>\n<p style=\"padding-left: 30px;\">national and United Nations public health agencies have<\/p>\n<p style=\"padding-left: 30px;\">been sidelined. While the war on drugs has been fueling<\/p>\n<p style=\"padding-left: 30px;\">the HIV epidemic in many regions, other law enforcement<\/p>\n<p style=\"padding-left: 30px;\">bodies and UN agencies have been actively pursuing an<\/p>\n<p style=\"padding-left: 30px;\">aggressive drug law enforcement agenda at the expense<\/p>\n<p style=\"padding-left: 30px;\">of public health. Any sober assessment of the impacts<\/p>\n<p style=\"padding-left: 30px;\">of the war on drugs would conclude that many national<\/p>\n<p style=\"padding-left: 30px;\">and international organizations tasked with reducing the<\/p>\n<p style=\"padding-left: 30px;\">drug problem have actually contributed to a worsening of<\/p>\n<p style=\"padding-left: 30px;\">community health and safety. This must change.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.release.org.uk\/publications\/drug-decriminalisation-policies-in-practice-across-the-globe\">http:\/\/www.release.org.uk\/publications\/drug-decriminalisation-policies-in-practice-across-the-globe<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>This one is about the effect of drug legislation on drug use. Critics of reform often claim that if it was legal to do drugs, or perhaps just not criminal, then people wud take lots of drugs. This is not true the report concludes:<\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 30px;\">The proliferation of decriminalisation policies around the world<\/p>\n<p style=\"padding-left: 30px;\">demonstrates that decriminalisation is a viable and successful<\/p>\n<p style=\"padding-left: 30px;\">policy option for many countries. Decriminalisation has not been<\/p>\n<p style=\"padding-left: 30px;\">the disaster many predicted and continue to predict. As evidenced<\/p>\n<p style=\"padding-left: 30px;\">in this report, a country\u2019s drug-enforcement policies appear to have<\/p>\n<p style=\"padding-left: 30px;\">little correlation with levels of drug use and misuse in that country.<\/p>\n<p style=\"padding-left: 30px;\">Countries with some of the harshest criminalisation systems have<\/p>\n<p style=\"padding-left: 30px;\">some of the highest prevalence of drug use in the world, and countries<\/p>\n<p style=\"padding-left: 30px;\">with decriminalisation systems have some of the lowest prevalence,<\/p>\n<p style=\"padding-left: 30px;\">and vice versa. But this does not end the discussion. More research is<\/p>\n<p style=\"padding-left: 30px;\">needed; governments and academics must invest more in researching<\/p>\n<p style=\"padding-left: 30px;\">which policy models are the most effective in reducing drug harms and<\/p>\n<p style=\"padding-left: 30px;\">achieving just and healthy policy outcomes. More and better data will<\/p>\n<p style=\"padding-left: 30px;\">bolster the existing research and provide a sound foundation on which<\/p>\n<p style=\"padding-left: 30px;\">to build and design drug policies of the future.<\/p>\n<p>&nbsp;<\/p>\n<p>This is pretty similar to what David Nutt argued on his blog: <a href=\"http:\/\/profdavidnutt.wordpress.com\/2012\/06\/29\/hypothesising-an-alternative-applying-the-scientific-process-to-drug-policy\/\">http:\/\/profdavidnutt.wordpress.com\/2012\/06\/29\/hypothesising-an-alternative-applying-the-scientific-process-to-drug-policy\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I have been engaged in drug reform policy for some time. This means following whatever latest science is published, or at least trying to. Ofc, since i dont have time to follow the all the relevant journals, what i can do is read the review reports and papers published. I have read two of such [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[1668],"class_list":["post-3094","post","type-post","status-publish","format-standard","hentry","tag-drugs-politik","entry"],"_links":{"self":[{"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/posts\/3094","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/comments?post=3094"}],"version-history":[{"count":1,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/posts\/3094\/revisions"}],"predecessor-version":[{"id":3095,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/posts\/3094\/revisions\/3095"}],"wp:attachment":[{"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/media?parent=3094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/categories?post=3094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emilkirkegaard.dk\/en\/wp-json\/wp\/v2\/tags?post=3094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}