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‘A harm reduction approach to drug use is still relevant’

    • IHRA.net

Date: 17 November 2010.
‘A harm reduction approach to drug use is still relevant’, says Professor Gerry Stimson

IHRA’s former Executive Director, Gerry Stimson, defended harm reduction from political revisionism in a lecture given at the  London School of  Hygiene and Tropical Medicine on 17th November 2010. 

For a full copy of this lecture entitled ‘Harm Reduction: the Advocacy of Science and the Science of Advocacy’ please click here. (PDF, 344 KB)

The article below is reproduced and available on the Guardian website.

Watch the lecture of Gerry Stimsonin in 4 parts: http://www.ihra.net/contents/816

or in 4 parts on YouTube

Lecture part 1:http://www.youtube.com/watch?v=H8LIeiIcTQI&feature=player_embedded

Lecture part 2: http://www.youtube.com/watch?v=4LB1Ku7PhpI&feature=player_embedded#!

Lecture part 3: http://www.youtube.com/watch?v=2wbKvYozyTU&feature=player_embedded

Lecture part 4: http://www.youtube.com/watch?v=UuzKo6kMrbY&feature=player_embedded

A HARM REDUCTION APPROACH TO DRUG USE IS STILL RELEVANT

Harm reduction aims to reduce the risks of drugs, and to mitigate impacts on the individual and the wider society. It is basic good public health and social policy. So, why doesn’t everyone support it? Conservative party ideologues have rewritten the history of harm reduction. They blame it on Labour. But harm reduction has a long history.

One of the commonest measures is the control of product quality and strength. If you drink alcohol in much of Europe you are pretty sure what is in the bottle. Drink driving legislation is also harm reduction, as is smokeless tobaccos. The first controls of drug possession were introduced in the first world war, and in the Dangerous Drugs Act of 1920. Then, prescribing heroin and morphine was regarded as legitimate medical treatment for people who were unable to withdraw; a medical forerunner of the harm reduction we know today – acting cautiously to help the patient lead a useful and fairly normal life.

Margaret Thatcher’s government introduced harm reduction into policy in 1988 in response to the HIV epidemic. A report on Aids and Drug Misuse, from the Advisory Council on the Misuse of Drugs, stated that “the spread of HIV is a greater danger to individual and public health than drug misuse”. Since then, harm reduction programmes for HIV prevention have been adopted in more than half of the 158 countries where people inject drugs.

In the case of alcohol, 82 countries have maximum legal blood alcohol levels for driving and 104 have minimum age limits for consumption.

Drugs harm reduction programmes were guided by the public health model embodied in the World Health Organisation’s 1986 Ottawa charter for health promotion. It stated that health promotion requires supportive environments, strengthening of community actions, developing personal skills and reorienting health services.

Yet prescribing methadone has been portrayed by the UK media and some treatment providers as “parking people on methadone” and giving up on recovery. In developed democracies, drugs policy has to fit with the political zeitgeist. Under Labour – with the idea of “rights and responsibilities” and of being “tough on crime and the causes of crime” – we had an expanded methadone programme for drug users because they were seen to be criminals. Now, harm reduction is seen by the coalition government as part of a Britain broken by Labour, burdened by debt, and over-dependent on the state.

The advocacy challenge is to fit harm reduction within the political zeitgeist. The coalition will shape drug treatment based on a premise that users are a burden on the state. Most treatment providers have already been busy redefining their work as driven by the goal of abstinent recovery.

We need to influence decision-makers so it becomes risky not to promote harm reduction. For too long, public health advocates have focused on the powerless, trying to get drug users to change their risky behaviour. Our target should be the decision-makers who put politics above evidence and are prepared to take risks with other people’s lives.

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Drug Policy During the Obama Administration: An Assessment

Drug Policy During the Obama Administration: An Assessment

January 3, 2011.

0.392Watch the full length video of the analysis by Ethan Nadelmann, presented at the 8th National Harm Reduction Conference in Austin, USA.

http://drogriporter.hu/en/ethanassessment

The HCLU’s video advocacy team filmed the presentation of the Drug Policy Alliance‘s Executive Director, Ethan Nadelmann, at the Harm Reduction Conference in Austin, Texas, on November 18, 2010.

Gratis heroin till missbrukare i Danmark

Gratis heroin till missbrukare i Danmark

Sedan ett år tillbaka finansierar den danska staten att läkare ordinerar heroin till missbrukare. Syftet är att få ner kriminaliteten, och för att hjälpa de sjukaste missbrukarna. Men fungerar det? P1-morgon gjorde ett besök på Valmuen, som är en av fem kliniker i Danmark dit man kan gå för att få gratis heroin.

Reportage av Gösta Lempert.

Gratis heroin till missbrukare i Danmark

Gratis heroin till missbrukare i Danmark (5:49)
Sedan ett år tillbaka finansierar den danska staten att läkare ordinerar heroin till missbrukare. Syftet är att få ner kriminaliteten, och för att hjälpa de sjukaste missbrukarna. Men fungerar det? P1 morgon gjorde ett besök på Valmuen, som är en av fem kliniker i Danmark dit man kan gå för att få gratis heroin. Reportage av Gösta Lempert.

Samtal med Gerhard Larsson, regeringens utredare och Berne Stålenkrantz, Svenska Brukarföreningen.
http://sverigesradio.se/sida/artikel.aspx?programid=1650&artikel=4303799

Heroinmissbrukare vill ha nationellt sprutbytesprogram

Heroinmissbrukare vill ha nationellt sprutbytesprogram

Det är inte bara sprutorna som sprider smittor.
Brukarna får ett set med spruta, sterilt vatten, filter, mugg och alkosvabb.

Det finns inga nationella riktlinjer som ger alla narkomaner rätt att delta i så kallade sprutbytesprogram.

Lars Bolinder, som varit heroinmissbrukare i 23 år, tror att programmen skulle kunna rädda fler liv om de användes i hela landet.

Diskussion om sprutbytesprogrammen med riksdagsledamöterna Alice Åström (V) och Jan R Andersson (M). 

http://sverigesradio.se/sida/gruppsida.aspx?programid=1650&grupp=7013&artikel=4296532

Drug Lords Celebrate the Drug War at the UN!

Drug Lords Celebrate the Drug War at the UN!

http://www.youtube.com/watch?v=N7oF3N30rUc&feature=mfu_in_order&list=UL

The Drug Lords International (DLI) threw a party in front of the United Nations building to celebrate the 50th anniversary of the global drug prohibition. The distinguished country delegates arriving to the 54th session of the UN Commission on Narcotic Drugs (CND) were all invited to celebrate together!

The Invitation stated:

The Drug Lords International (DLI)
request the pleasure of Your company to celebrate the 50th Anniversary of the Single Convention on Narcotic Drugs.

March 21, 2011.

Address: Wagramer Strasse 5.
At the entrance of the Vienna International Center
RSVP is not required!

More info at: http://drogriporter.hu/en/celebrate

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A 50 Year Old Convention: What’s Wrong With an Update?

Published on Drugreporter (http://drogriporter.hu)

A 50 Year Old Convention: What’s Wrong With an Update?

By sarosip

Created 2011-04-01 19:33

Submitted by sarosip on April 1, 2011.

0.5AEIn our short movie we ask Mr. Fedotov, the head of the UN drug agency and his critics to express their views on the 50 years of global drug prohibition

Last week the HCLU’s video advocacy team attended the 54th session of the Commission on Narcotic Drugs (CND) in Vienna. We asked both Mr. Yuri Fedotov, the head of UNODC and his NGO critics about the 50 years of drug prohibition – watch our short film to find out what they said!


“This year is the 50th anniversary of the keystones of the international drug control system, the 1961 Single Convention on Narcotic Drugs” said Mr. Yuri Fedotov, the director of the UN Office on Drugs and Crime (UNODC) in his opening speech at the 54th session of the Commission on Narcotic Drugs (CND) in Vienna. “Some critics say this convention is out of date but I disagree. The provisions of the convention remain valid as it does center focus on the protection of health. I urge the international community to rejuvenate the convention and I encourage member states to rededicate yourselves to implement its provisions.”

The HCLU is one of critics saying this convention is out of date. It is out of date because its main guiding principle is out of date. This convention, in the name of “the health and welfare of mankind”, attempted to limit the use of some drugs exclusively to medical and scientific purposes and decided to eliminate other forms of drug use. One of the provisions of the Single Convention say the chewing of coca leaves should be eliminated within 25 years: does Mr. Fedotov think that the aim to uproot an ancient Andean tradition within a quarter of a century was realistic?

This convention created the global war on drugs, a war driven by the dangerous utopia of a drug-free world. I disagree with Mr. Fedotov that either the global drug war or the dream of a drug-free world should be rejuvenated. How can we rejuvenate a public policy that was not evaluated properly? Despite the efforts of the international community, drugs are more available than ever. We know from countless studies that the global war on drugs undermines development in poor countries, fuels the global HIV epidemic, creates a lucrative and violent black market, fills prisons with non-violent offenders and devastates ethnic minorites all over the world.

Rather than rejuvenating the convention, we suggest to rejuvenate the funding principles of the United Nations and have a fresh look at the international drug control system in the light of the Universal Declaration of Human Rights
: does this system work? What are the intended and unintended consequences of the enforcement of the conventions? Are there feasible alternative policies to be considered by the member states? If you want to know the answers to these questions please join a new civil society campaign [4] led by Transform, that calls on the governments to count the costs of the global war on drugs!

posted by Peter Sarosi

Contact us
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Source URL (retrieved on 2011-04-29 19:37):http://drogriporter.hu/en/fedotovcritics

Links:
[1]
http://drogriporter.hu/en/user/5
[2]
http://drogriporter.hu/en/hclu_tv
[3]
http://drogriporter.hu/en/news
[4]
http://www.countthecosts.org/

Video med Arild Knutsens tale om heroinassistert rehabilitering på høringskonferanse i Oslo.

Video med Arild Knutsens tale om heroinassistert rehabilitering på høringskonferanse i Oslo.

December 2010

http://www.youtube.com/watch?v=Jqwe4HS3uBQ&feature=player_embedded

Utdrag fra høringskonferanse om Stoltenbergutvalgets innstilling. Arild Knutsen, leder i Foreningen for human narkotikapolitikk holder sitt innlegg. Konferansen ble åpnet av helse- og omsorgsministeren.
Utvalgsleder Thorvald Stoltenberg innledet med å presentere rapporten.
Deretter ble det lagt fokus på to av de sentrale forslagene i rapporten: Mottaks- og oppfølgingssentre (MO-sentre) og forsøk med heroinassistert rehabilitering.

Dette er et av tre utdrag med Arild Knutsens sitt innlegg og innspill på konferansen, som legges ut på youtube.

Hele konferansen kan sees her: 

http://www.regjeringen.no/nb/dep/hod/aktuelt/nyheter/2010/nett-tv-direkte-fra…

Ja til lovliggørelse af marihuana og hårde stoffer

DR2 Deadline den 2.6. 2011.

Ja til lovliggørelse af marihuana og hårde stoffer

Den globale krig mod hash og hårde stoffer er slået fejl, stofferne skal i langt højere grad lovliggøres;

sådan siger den såkaldte globale kommission om narko-politik .

Interview i studiet med Henrik Rindom, overlæge på psykiatrisk center i Hvidovre.

http://www.dr.dk/DR2/deadline2230/seudsendelser.htm#/10640
Den 2.6. 2011. Den Globale Commission on Drug Policy – har netop publiceret en rapport
der anbefaler verdens lande at slutte krigen mod stoffer og arbejde hen imod en statsregulering
af samtlige stoffer.

www.globalcommissionondrugs.org

Former Presidents of Brazil , Colombia , Mexico and Switzerland , Prime
Minister of Greece , Kofi Annan, Richard Branson, George Shultz, Paul
Volcker and Other Leaders Call for Major Paradigm Shift in Global Drug
Policy

The Commission of World Leaders Urges End to Failed Drug War,
Fundamental Reforms of Global Drug Prohibition Regime

Today the Global Commission on Drug Policy will release a groundbreaking
report at a press conference and tele-conference at the Waldorf Astoria Hotel
in New York City . The report condemns the drug war as a failure and
recommends major reforms of the global drug prohibition regime.
The Commission is the most distinguished group of high-level leaders to ever
call for such far-reaching changes – including not just alternatives to
incarceration and greater emphasis on public health approaches to drug use
but also decriminalization and experiments in legal regulation.
The Executive Director of the global advocacy organization AVAAZ, with its
nine million members worldwide, will present a public petition in support of the
Global Commission’s recommendations that will be given to the United
Nations Secretary General.
“Fifty years after the initiation of the UN Single Convention on Narcotic Drugs,
and 40 years after President Nixon launched the US government’s global war
on drugs, fundamental reforms in national and global drug control policies are
urgently needed,” said former president of Brazil Fernando Henrique
Cardoso. “Let’s start by treating drug addiction as a health issue, reducing
drug demand through proven educational initiatives and legally regulating
rather than criminalizing cannabis.”
The Commission’s recommendations are summarized in the Executive
Summary below this release. They include:
End the criminalization, marginalization and stigmatization of people who
use drugs but who do no harm to others.
Encourage experimentation by governments with models of legal regulation
of drugs (especially cannabis) to undermine the power of organized crime and
safeguard the health and security of their citizens.
Ensure that a variety of treatment modalities are available – including not
just methadone and buprenorphine treatment but also the heroin-assisted
treatment programs that have proven successful in many European countries
and Canada.
Apply human rights and harm reduction principles and policies both to
people who use drugs as well as those involved in the lower ends of illegal
drug markets such as farmers, couriers and petty sellers.
“Overwhelming evidence from Europe, Canada and Australia now
demonstrates the human and social benefits both of treating drug addiction as
a health rather than criminal justice problem and of reducing reliance on
prohibitionist policies,” said former Swiss president Ruth Dreifuss. “These
policies need to be adopted worldwide, with requisite changes to the
international drug control conventions.”
“We can no longer ignore the extent to which drug-related violence, crime and
corruption in Latin America are the results of failed drug war policies,” said
former Colombian president César Gaviria. “Now is the time to break the
taboo on discussion of all drug policy options, including alternatives to drug
prohibition.”
“The war on drugs has failed to cut drug usage, but has filled our jails, cost
millions in tax payer dollars, fuelled organized crime and caused thousands of
deaths. We need a new approach, one that takes the power out of the hands
of organized crime and treats people with addiction problems like patients, not
criminals,” said Richard Branson, founder of the Virgin Group and cofounder
of The Elders, United Kingdom. “The good news is new approaches focused
on regulation and decriminalization have worked. We need our leaders,
including business people, looking at alternative, fact based approaches. We
need more humane and effective ways to reduce the harm caused by drugs.
The one thing we cannot afford to do is to go on pretending the “war on drugs”
is working.”
Commission Members (Those appearing at June 2 press conference are
italicized and those who are also speaking are underlined):
Kofi Annan, former Secretary General of the United Nations,
Ghana
Louise Arbour, former UN High Commissioner for Human
Rights, president of the International Crisis Group, Canada
Richard Branson, entrepreneur, advocate for social causes,
founder of the Virgin Group, cofounder of The Elders, United
Kingdom
Fernando Henrique Cardoso, former President of Brazil
(chair)
Marion Caspers-Merk, former State Secretary at the
German Federal Ministry of Health
Maria Cattaui, Petroplus Holdings Board member, former
Secretary-General of the International Chamber of Commerce,
Switzerland
Ruth Dreifuss, former President of Switzerland and Minister
of Home Affairs
Carlos Fuentes, writer and public intellectual, Mexico
César Gaviria, former President of Colombia
Asma Jahangir, human rights activist, former UN Special
Rapporteur on Arbitrary, Extrajudicial and Summary Executions,
Pakistan
Michel Kazatchkine, executive director of the Global Fund to
Fight AIDS, Tuberculosis and Malaria , France
Mario Vargas Llosa, writer and public intellectual, Peru
George Papandreou, Prime Minister of Greece
George P. Shultz, former Secretary of State , United States
(honorary chair)
Javier Solana, former European Union High Representative
for the Common Foreign and Security Policy , Spain
Thorvald Stoltenberg, former Minister of Foreign Affairs and
UN High Commissioner for Refugees, Norway
Paul Volcker, former Chairman of the United States Federal
Reserve and of the Economic Recovery Board
John Whitehead, banker and civil servant, chair of the World
Trade Center Memorial Foundation, United States
Ernesto Zedillo, former President of Mexico
EXECUTIVE SUMMARY
The global war on drugs has failed, with devastating consequences for
individuals and societies around the world. Fifty years after the initiation of the
UN Single Convention on Narcotic Drugs, and 40 years after President Nixon
launched the US government’s war on drugs, fundamental reforms in national
and global drug control policies are urgently needed.
Vast expenditures on criminalization and repressive measures directed at
producers, traffickers and consumers of illegal drugs have clearly failed to
effectively curtail supply or consumption. Apparent victories in eliminating one
source or trafficking organization are negated almost instantly by the
emergence of other sources and traffickers. Repressive efforts directed at
consumers impede public health measures to reduce HIV/AIDS, overdose
fatalities and other harmful consequences of drug use. Government
expenditures on futile supply reduction strategies and incarceration displace
more cost-effective and evidence-based investments in demand and harm
reduction.
Our principles and recommendations can be summarized as follows:
End the criminalization, marginalization and stigmatization of people who use
drugs but who do no harm to others. Challenge rather than reinforce common
misconceptions about drug markets, drug use and drug dependence.
Encourage experimentation by governments with models of legal regulation of
drugs to undermine the power of organized crime and safeguard the health
and security of their citizens. This recommendation applies especially to
cannabis, but we also encourage other experiments in decriminalization and
legal regulation that can accomplish these objectives and provide models for
others.
Offer health and treatment services to those in need. Ensure that a variety of
treatment modalities are available, including not just methadone and
buprenorphine treatment but also the heroin-assisted treatment programs that
have proven successful in many European countries and Canada. Implement
syringe access and other harm reduction measures that have proven effective
in reducing transmission of HIV and other blood-borne infections as well as
fatal overdoses. Respect the human rights of people who use drugs. Abolish
abusive practices carried out in the name of treatment – such as forced
detention, forced labor, and physical or psychological abuse – that contravene
human rights standards and norms or that remove the right to selfdetermination.
Apply much the same principles and policies stated above to people involved
in the lower ends of illegal drug markets, such as farmers, couriers and petty
sellers. Many are themselves victims of violence and intimidation or are drug
dependent. Arresting and incarcerating tens of millions of these people in
recent decades has filled prisons and destroyed lives and families without
reducing the availability of illicit drugs or the power of criminal organizations.
There appears to be almost no limit to the number of people willing to engage
in such activities to better their lives, provide for their families, or otherwise
escape poverty. Drug control resources are better directed elsewhere.
Invest in activities that can both prevent young people from taking drugs in the
first place and also prevent those who do use drugs from developing more
serious problems. Eschew simplistic ‘just say no’ messages and ‘zero
tolerance’ policies in favor of educational efforts grounded in credible
information and prevention programs that focus on social skills and peer
influences. The most successful prevention efforts may be those targeted at
specific at-risk groups.
Focus repressive actions on violent criminal organizations, but do so in ways
that undermine their power and reach while prioritizing the reduction of
violence and intimidation. Law enforcement efforts should focus not on
reducing drug markets per se but rather on reducing their harms to
individuals, communities and national security.
Begin the transformation of the global drug prohibition regime. Replace drug
policies and strategies driven by ideology and political convenience with
fiscally responsible policies and strategies grounded in science, health,
security and human rights – and adopt appropriate criteria for their evaluation.
Review the scheduling of drugs that has resulted in obvious anomalies like
the flawed categorization of cannabis, coca leaf and MDMA. Ensure that the
international conventions are interpreted and/or revised to accommodate
robust experimentation with harm reduction, decriminalization and legal
regulatory policies.
Break the taboo on debate and reform. The time for action is now.

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Voices from the Margin: Drug User Activists in the US

Voices from the Margin: Drug User Activists in the US
By sarosip, June 6, 2011.
HCLU Films News Watch and share the HCLU’s movie on drug user organization in the United States!
This movie was filmed by the HCLU at the 8th National Harm Reduction Conference in Austin, Texas – we thank the Harm Reduction Coalition for the invitation and for organizing this wonderful conference!

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“Regardless of how you try to explain to people it’s a ‘war on drugs’ or a ‘war on a product,’ people see a war as a war on them,” said Gil Kerlikowske, the US drug czar in his first public statement after his appointment to the White Hose’s drug office. This is especially true for people who use drugs. It is not drugs that are being arrested, prosecuted, imprisoned, stigmatized and marginalized – but people. These people affected most by the war on drugs have been organizing a resistance movement all over the world: they form user groups, they promote harm reduction programs, they fight for better health and social care, they negotiate peace with the authorities. In our movie on the International Network of People Who Use Drugs (INPUD) we showed how drug user movement is being organized internationally. In our latest movie we focus on the user movement in the US: how can people who use drugs survive in the country where the global war on drugs was born. The activists we interviewed show a brilliant example how unfair is the prejudice against drug users that they are passive and incapacitated, or that they don’t care about the social and political environment in which they use drugs.

Shame Russia Shame

Shame Russia Shame – Aktive stofbrugere
demonstrerer ved 2011 World AIDS Day i London

Danny Morris rapporterer fra en demonstration foran den
russiske Ambassade i London på World AIDS day den 1. December 2011,

Aktive Stofbrugere
fra INPUD demonstrerer
som støtte til vores russiske
søstre og brødre der kynisk nægtes adgang til rene sprøjter, substitutions- og
HIV/AIDS medicin,

mens mere end 30.000 dør af
overdoser og HIV/AIDS smitte spredes eksplosivt blandt landets stofbrugere og
indsatte i fængslerne.

Se videoen her:

http://www.youtube.com/watch?v=Hoe7OcKi2Qk