Archive for the ‘Harm reduction’ Category

Shun the alcohol craving – Use cannabis!

December 11, 2009
A five bladed leaf from a three month old fema...Image via Wikipedia
  • She added: “This brings up two important points. First, self-determination, the right of an individual to decide which treatment or substance is most effective and least harmful for them.
  • “Secondly, the recognition that substitution might be a viable alternative to abstinence for those who can’t or won’t completely stop using psychoactive substances”. – Amanda Reiman, UoC, Berkley, USA 

The study was published in BioMed Central‘ open access Harm Reduction – see Shun the alcohol craving – Use cannabis!

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Hanson’s Marijuana Addiction/Cessation Research

July 10, 2009

The plural of anecdote is data.

Jane's Addiction album coverImage via Wikipedia

There is anecdote that shows some folk have difficulty they attribute to giving up pot. There is data evidencing folk do not have a difficulty ‘in times of no pot’. Most of the symptoms in the case of the former are consistent with destabilised endocannabinoid homeostasis. Indeed if they didn’t happen in some people I would be surprised. Cardio/Vascular/Neuro/temp all consistent. They inform us of how important a biological source of exo-cannabinoids may be to ameliorating/alleviating other conditions. As to describing these as withdrawal caused by cannabis that is another matter. It may be, and i speculate, that some or all of these conditions pre-existed the cessation and are now revealed, and that the cannabis users ‘acuity, insight and sensitivity’ to altered stated of conscience also colours the research. I have no doubt that these experiences are real and described accurately. That is a far call from understanding what is actually happening.

see
http://brainblogger.com/2009/06/15/marijuana-withdrawal-syndrome/#comment-551844

However, given the replies to others by D. Hanson, I suspect he already knows this. He may well, I suspect fully understand that valid epidemiological research is impossible under the ‘set’ of a prohibition paradigm. But one has to begin somewhere. I applaude Dirk’s work but also understand why others would label it BS.

Chemical structure of a CBG-type cannabinoid. Cannabis: Your Milage May Vary

Perhaps Warning – Cannabis: Your Milage May Vary should be the label on legal pot.

NZ has introduced and passed the legislative model for (sale of) recreational psychoactive substances that includes accurate labeling. I might argue the above harm reduction label is consistent with known risk profiles.
Blair Anderson ‹(•¿•)›
Social Ecologist ‘at large’
http://mildgreens.blogspot.com/
http://blairformayor.blogspot.com/
http://blair4mayor.com/
http://efsdp.org/

ph (643) 389 4065 cell 027 265 7219

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Support Global Drug Policy Reform: World Drug Day, 26 June

June 26, 2009

A field of opium poppies in Burma.Image via Wikipedia

Call to Action: Support Global Drug Policy Reform
World Drug Day, 26 June 2009

I. The War on Drugs has become a War on People.

As the United Nations brings worldwide attention to problems related to illicit drugs, we call for a new approach. In too many countries, the “war on drugs” has become a war on people. Millions of non-violent drug users face abuse and imprisonment, while they have no access to proper healthcare or effective treatment. Lowlevel traders and producers receive sentences disproportionate to their crimes and languish in prisons around the globe. Millions more face crop destruction and police harassment as they struggle to make ends meet, with few alternatives as the global economy falters. Meanwhile, the HIV epidemic gains pace.

II. Five Actions Today

After decades of policies that have failed to make our societies safer or healthier, and given overwhelming evidence which shows that criminalizing drugs is both counterproductive and highly destructive, we call on governments to:

  1. Focus on reducing the harms related to drug trade and use, such as making needle and syringe exchange programs widely available (NZ as worldwide AIDS/HEPC initiative).
  2. Decriminalize the possession of drugs for personal use. (NZ as worldwide “D” Classification)
  3. Ensure that evidence-based treatments for pain and addiction are widely available, including methadone and buprenorphine. (& Cannabis)
  4. Treat supporting farmers in moving away from coca or poppy cultivation as a development issue. (remove the subsidy of prohibition!)
  5. Comply fully with human rights obligations in any drug control measure, ensuring proportionality of penalties, abolishing the death penalty, and avoiding non-evidence-based forms of treatment.

III. Driving Away Drug Users Creates Public Health Disasters

Facing HIV/AIDS exhibitImage by John Gevers via Flickr

Nearly three decades into the global HIV epidemic, we reiterate that driving people who use drugs underground only makes the transmission of HIV and hepatitis more likely. The number of HIV infections due to injecting drug use is rising steadily. In parts of Eastern Europe and South-East Asia, this figure reaches 80%. As the International Federation of the Red Cross and Red Crescent Societies has said, “Forcing drug users to hide and denying them access to life-saving treatment and prevention services is creating a public health disaster. This happens even though the evidence from scientific and medical research on best practices and cost benefit analyses is overwhelmingly in favour of harm reduction programming….

The message is clear. It is time to be guided by light of science, not by the darkness of ignorance and fear.” Indeed, rather than a security-focused approach that costs roughly $100 billion per year worldwide, we need to look at this first and foremost through the lens of public health. In the blind effort to rid the world of drugs, 80% of cancer patients worldwide are denied access to opiate-based pain relief.

IV. Adopt a Humane Approach

A humane, compassionate approach to drug use based on harm reduction principles and respect for human rights is the most effective way to limit the negative impact of drug use, trade, and production. Scientific and medical research on best practices and cost benefit analyses overwhelmingly favors harm reduction programs, including needle exchange, drug substitution therapy, and condom distribution. We applaud countries who have already taken steps in this direction. Recently, both Germany and Switzerland have voted to make medical heroin available for chronically dependent opiate users and the new U.S. administration has come out in support of needle exchange. Ecuador pardoned thousands of drug ‘mules’

WASHINGTON - MARCH 19: Students with the group...Image by Getty Images via Daylife

imprisoned with disproportionate sentences and 80 Argentinean judges made a public call to reform their country’s drug laws. In order to stop the spiral of drug-related violence and disease intensifying across the globe, more countries must follow suit.

[See comments for the list of signatories)

Blair Anderson
http://mildgreens.blogspot.com

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NZ On Drugs, Human Rights and Harm Reduction

March 16, 2009

New Zealand made a strong statement supporting both human rights and harm reduction. \
http://www.cndblog.org/2009/03/new-zealand-makes-strong-statement-on.html

It’s a synopsis of NZ’s presentation that omits that Dunne also talked about ‘restricted substances’ and that it presents a legislative R18 ‘soft drug’ option Beyond2008 when it was introduced into NZ law on Nov 6th 2008.

If the CND presentations by New Zealand highlighted anything at all, it was the bastardisation of the consensus of (and input into) Wellington Beyond2008.

The participation ‘by civil society’ depends on where your standing, and who one enlists to enforce non-participation. [But only Ross would understand the significance of that management decision.]

As the Beckley Cannabis Commission Report quite clearly highlights: Cannabis Use:

“Cannabis is the most widely used illegal drug, making it the mainstay of the ‘War on Drugs’. The UN has estimated that cannabis is used by 4% of the global adult population. The number of users has risen by 10% since their last estimate in 2005, despite the call for a drug free world. This compares to a figure of 1% for the use of all other illegal drugs combined. However, the focus of international attention has concentrated on that 1% which causes the most harms leading to cannabis being largely ignored in international drug policy discussions.”

I wouldnt expect the CND panel to have any difficulty with the perception of NZ acting as a global ‘social pioneer’ in needle exchange thanks to the heroic work of Doctor John Dobson. (I do resent that Mr Dunne et all should claim any credit for the harm minimization and lives saved which one could easily draw from his presentation. Niether he, nor the Government of the day, can ethically claim any drug policy kudos there, they continue to live in a world where there are only problematic drugs and problematic use)

However, with New Zealand featuring at the top of the scale for cannabis arrests AND consumption all Dunne could offer is the promise of abstention.

Doubtless he will in due course produce the ‘evidence’ he knows just how this is to be achieved… that will be just after he pulls his head out of his a….

The most important bits of the CND meetings were the side meeting with the NGO’s. There, real progress was made. I suspect the Drug Foundation (the NGO we sent) may have more juicy bits to share with us yet? Especially the bit about human rights and engagement with the ‘stoners’ (the principles that underpin ‘no decision about us without us’, disability law would be a nice place to start)

A useful point of discussion and would aid advancing the debate in NZ would be to hear what [if any] feedback has it had on the NZ Drug Harm Index [NZDHI]? And since it was launched under the aegis of a ‘Healthy Drug Law” symposium what shortcomings [if any] does the NZ Drug Foundation see in the 2010 Police Drug Strategy?

I would be keen to hear if NZDF supports ENCOD‘s call for a year of reflection and if so… how much it is prepared to engage civil society AND cannabis users in that process.

Blair Anderson
http://mildgreens.blogspot.com/

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NZ gets all Human and Civil and Regulatory!

March 13, 2009

Eleanor Roosevelt and United Nations Universal...Image via Wikipedia

New Zealand makes strong statement on human rights and harm reduction at HLM

New Zealand made a strong statement supporting both human rights and harm reduction. The statement said that the provision of needle exchange in New Zealand was responsible for the country having one of the lowest rates of HIV among people who inject drugs anywhere in the world.

It then discussed New Zealand’s approach to formulating drug policy, and that there was a need to implement policies that work rather than just make people feel good. It also explained the country’s drug regulation model. (huh “Class D, your kidding Mr Dunne, have you gone mad and made soft recreational drugs R18 and for sale? )

Street Outreach Services needle exchange, on t...Image via Wikipedia

New Zealand called for the prioritisation of human rights and the need for states to be compliant with the Universal Declaration of Human Rights. New Zealand expressed its opposition to the death penalty, and expressed support for civil society‘s involvement in the forumulation of drug policy.

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Drug Policy Rendered Down

December 19, 2008

Blair Anderson
http://mildgreens.blogspot.com

Experts pretend black cannabis trade harmless….

November 22, 2008

University of Auckland

“The economic characteristics of the cannabis black market suggest it may only generate a low to moderate social harm. The relatively low black market price of cannabis, and the personalised nature of transactions, mean the retail market generates relatively little violence or public nuisance.”

(May 2001, para 22, A Submission to the Health Select Committee Inquiry into the Public Health Effects and Legal Status of Cannabis. Alcohol & Public Health Research Unit Runanga, Wananga, Hauora me te Paekaka Faculty of Medical and Health Sciences, University of Auckland.)

Insert image of 14 year old South Auckland boy, hammered to death in front of his whanau for a cannabis tinnie!
Quite some precautionary principle!

“Family members have told how John, his mother and two of his friends were at home in Justamere Place, Weymouth, when two masked men burst in through the back door. The friends were celebrating a birthday.
John’s mother ordered the gatecrashers to leave, but they later returned and attacked John outside. The mother of a boy who saw the bashing said one of the attackers was carrying a hammer and the other a gun. John died that night of bluntforce trauma to the back of his head.” – http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10528811

Blair Anderson
http://mildgreens.blogspot.com

Dispatches from Vienna NGO Committee on Narcotic Drugs

July 12, 2008

Now this is worth cracking a beer for! /Blair

The first-ever meeting of ordinary people, representing the entire globe and discussing the state of the world’s drug policy, concluded today in Vienna with a unanimous, united call for a new approach to drug control policy. Here are the highlights of our resolution:

  • We recognized “the human rights abuses against people who use drugs
  • We called for “evidence-based” drug policy focused on “mitigation of short-term and long-term harms” and “full respect for human rights and fundamental freedoms
  • We called on the U.N. to report on the collateral consequences of the current criminal justice-based approach to drugs and to provide an analysis of the unintended consequences of the drug control system”
  • We called for comprehensive “reviews of the application of criminal sanctions as a drug control measure
  • We recognized harm reduction as a necessary and worthwhile response to drug abuse (harm reduction is a set of practical strategies that reduce negative consequences of drug use, incorporating a spectrum of strategies from safer use, to managed use to abstinence; harm reduction strategies meet drug users “where they’re at,” addressing conditions of use along with the use itself)
  • We called for a shift in primary emphasis from interdiction to treatment and prevention
  • We called for alternatives to incarceration
  • We called for the provision of development aid to farmers before eradication of coca or opium crops


Blair Anderson ‹(•¿•)›

Social Ecologist ‘at large’
http://mildgreens.blogspot.com/
http://blairformayor.blogspot.com/
http://blair4mayor.com/
http://efsdp.org/

ph (643) 389 4065 cell 027 265 7219

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Deal with Policy Inadequacies rather than funding failure.

June 8, 2008

Logo of Insite.
Andre Bigras of the Drug Prevention Network of Canada writes critiquing Vancouver’s supervised drug injection facility Insite, suggesting it to be a waste of money. Peer review analysis shows it not only saves lives of drug consumers, but significantly it has a major health benefit to otherwise innocent victims in both reducing HepC, HIV and other social liabilities due to acquisitive crimes. His misunderstanding of the goals and aspirations of needle ‘services’ is as misguided as his understanding of New Zealand’s “supposed’ consideration to introduce forced treatment. NZ legislated in 1966 to do this but like most other educated and informed countries has moved away from it due to ineffectual outcomes. He may have been referring to a recent parliamentary hearing where a former policeman, now public speaker and pseudo-educator self-interestedly called for renewing such interventions but they were roundly dismissed. Likewise, Mr Bigras misrepresents the science behind both England’s reclassification and Hollands border tourism issues. (He couldnt have got it more wrong on Scotland, see http://www.stv.tv/info/news/20080609/Call_for_new_ways_to_tackle_drugs_and_a_080609110937870

It is however a fact that the NZ Law Commission, a statutory body headed by former Prime Minister and Bill of Rights architect Sir Jeffery Palmer, is undertaking a historic review of NZ drug laws including the international conventions that underpin them. The Canadian Senate Committee called for such international debate in 2002 and significantly this year the EU and the UN are doing some self examination from first principles. Mr Bigram may be pleased with Tony Clement’s position on drugs but like Dan Gardiner, civil society globally is now confronting the abject failure of the current expenditure in enforcement ‘demand reduction’ to produce any quantitative or qualitative result. Such principled review is the stuff of social capital.

Blair Anderson Director, Educators For Sensible Drug Policy, http://efsdp.org/

DEAL WITH ADDICTS’ PROBLEMS RATHER THAN FUNDING SAFE SITES

Re: An irrational and stupid drug policy, May 31. I fully support the government’s new drug strategy for Canada that is based on prevention, treatment and enforcement. I thank Health Minister Tony Clement for taking a stand. Less than five per cent of the injection drug users of Vancouver use Insite, the supervised injection site, leaving 95 per cent on their own. Those statistics from the Insite report itself indicate to me that to meet all the needs of every injection user, Vancouver would need another 19 sites alone. Each site costing $3,000,000 per year. Not knowing how many will make it to treatment, only how many have been referred, means that this need could grow on a yearly basis. I respect Mr. Gardner’s opinion but do not agree with it. I have worked in a volunteer capacity with the homeless, poor and addicts of the inner city of Ottawa for more than 12 years and have witnessed firsthand the deterioration of their lives and our city. Having visited Vancouver’s Downtown Eastside, I can only pray that the same doesn’t happen here in Ottawa. Mr. Gardner mentions that “real prevention means dealing with the social decay — broken families, mental illness, illiteracy — that promotes drug abuse.” I agree that this indeed is the root cause and would definitely be a good starting place to invest money. This is the real issue at the end of the day. Harm reduction measures only ensure the addictive behaviour continues and doesn’t do anything to prevent it from beginning in the first place. England has reclassified marijuana, Scotland is examining its methadone program, New Zealand is examining if it can force addicts into treatment and Amsterdam in Holland has closed some of its prostitution sites along with some cafes which are really cannabis distribution sites. My question to Mr. Gardner is: are all those other countries and governments also irrational and stupid given they are reviewing their drug policies and re-adjusting them to better serve the citizens?

ANDRE BIGRAS, Gatineau, Drug Prevention Network of Canada

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