A Medley of Potpourri

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Wednesday, April 26, 2023

Drug liberalization

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Drug_liberalization
 
A sign for a cannabis shop in Portland, Oregon. Cannabis has been gradually legalized for recreational use in some US states since 2012.

Drug liberalization is a drug policy process of decriminalizing or legalizing the use or sale of prohibited drugs. Variations of drug liberalization include: drug legalization, drug re-legalization and drug decriminalization. Proponents of drug liberalization may favor a regulatory regime for the production, marketing, and distribution of some or all currently illegal drugs in a manner analogous to that for alcohol, caffeine and tobacco.

Proponents of drug liberalization argue that the legalization of drugs would eradicate the illegal drug market and reduce the law enforcement costs and incarceration rates. They frequently argue that prohibition of recreational drugs—such as cannabis, opioids, cocaine, amphetamines and hallucinogens—has been ineffective and counterproductive and that substance use is better responded to by implementing practices for harm reduction and increasing the availability of addiction treatment. Additionally, they argue that relative harm should be taken into account in the regulation of drugs. For instance, they may argue that addictive or dependence-forming substances such as alcohol, tobacco and caffeine have been a traditional part of many cultures for centuries and remain legal in most countries, though other drugs which cause less harm than alcohol, caffeine or tobacco are entirely prohibited, with possession punishable with severe criminal penalties. Opponents of drug liberalization argue that it would increase the amount of drug users, increase crime, destroy families, and increase the amount of adverse physical effects among drug users.

Policies

The 1988 United Nations Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances made it mandatory for the signatory countries to "adopt such measures as may be necessary to establish as criminal offences under its domestic law" (art. 3, § 1) all the activities related to the production, sale, transport, distribution, etc. of the substances included in the most restricted lists of the 1961 Single Convention on Narcotic Drugs and 1971 Convention on Psychotropic Substances. Criminalization also applies to the "cultivation of opium poppy, coca bush or cannabis plants for the purpose of the production of narcotic drugs". The Convention distinguishes between the intent to traffic and personal consumption, stating that the latter should also be considered a criminal offence, but "subject to the constitutional principles and the basic concepts of [the state's] legal system" (art. 3, § 2).

Drug liberalization proponents hold differing reasons to support liberalization, and have differing policy proposals. The two most common positions are drug legalization (or re-legalization), and drug decriminalization. The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) defines decriminalization as the removal of a conduct or activity from the sphere of criminal law; depenalisation signifying merely a relaxation of the penal sanction exacted by law. Decriminalization usually applies to offences related to drug consumption and may include either the imposition of sanctions of a different kind (administrative) or the abolition of all sanctions; other (noncriminal) laws then regulate the conduct or activity that has been decriminalized. Depenalisation usually consists of personal consumption as well as small-scale trading and generally signifies the elimination or reduction of custodial penalties, while the conduct or activity still remains a criminal offence. The term legalization refers to the removal of all drug-related offences from criminal law: use, possession, cultivation, production, trading, etc.

Harm reduction refers to a range of public health policies designed to reduce the harmful consequences associated with recreational drug use and other high risk activities. Harm reduction is put forward as a useful perspective alongside the more conventional approaches of demand and supply reduction. Many advocates argue that prohibitionist laws criminalize people for suffering from a disease and cause harm, for example by obliging drug addicts to obtain drugs of unknown purity from unreliable criminal sources at high prices, increasing the risk of overdose and death. Its critics are concerned that tolerating risky or illegal behaviour sends a message to the community that these behaviours are acceptable.

The Controlled Substance Act (United States)

The Controlled Substance Act (CSA) categorizes all substances in need of regulation into one of the five schedules under the federal law. The categorization of these substances is determined by the potential for abuse and how safe it is to consume. In addition, a big determinant of this is the way in which the substance can be consumed or used medically. The Schedule I substances were described as those that have no medical use whatsoever; meaning there is no prescription written for such substance. Schedule II substances are those that can be easily abused and lead to dependence. These substances can only be accessed through a written or electronic prescription from a physician. The schedule III substances are classified as those which have less potential for abuse than Schedule I and II but can still cause the individual to develop a mild dependance. Schedule IV substances are those with the least likeliness for abuse, therefore its medical use is common in the United States. Lastly, the Schedule V substances are those with little to no likelihood of abuse, along with very minimal dependance development.

In its earliest stages, the CSA was created to combine the needs of two international treaties. These treaties were known as the Single Convention on Narcotic Drugs of 1961 and the Convention of Psychotropic Substances of 1971. Both treaties allowed public health authorities to work with the medical and scientific communities to create a classification system.

Drug legalization

Drug legalization calls for a return to pre–1906 Pure Food and Drug Act attitudes when almost all drugs were legal. This would require ending government-enforced prohibition on the distribution or sale and personal use of specified (or all) currently banned drugs. Proposed ideas range from full legalization which would completely remove all forms of government control, to various forms of regulated legalization, where drugs would be legally available, but under a system of government control which might mean for instance:

  • Mandated labels with dosage and medical warnings.
  • Restrictions on advertising.
  • Age limitations.
  • Restrictions on amount purchased at one time.
  • Requirements on the form in which certain drugs would be supplied.
  • Ban on sale to intoxicated persons.
  • Special user licenses to purchase particular drugs.
  • A possible clinical setting for the consumption of some intravenous drugs and/or supervised consumption.

The regulated legalization system would probably have a range of restrictions for different drugs, depending on their perceived risk, so while some drugs would be sold over the counter in pharmacies or other licensed establishments, drugs with greater risks of harm might only be available for sale on licensed premises where use could be monitored and emergency medical care made available. Examples of drugs with different levels of regulated distribution in most countries include: caffeine (coffee, tea), nicotine (tobacco), and ethyl alcohol (beer, wine, spirits).

Full legalization is often proposed by groups such as libertarians who object to drug laws on moral grounds, while regulated legalization is suggested by groups such as Law Enforcement Against Prohibition who object to the drug laws on the grounds that they fail to achieve their stated aims and instead greatly worsen the problems associated with use of prohibited drugs, but who acknowledge that there are harms associated with currently prohibited drugs which need to be minimized. Not all proponents of drug re-legalization necessarily share a common ethical framework, and people may adopt this viewpoint for a variety of reasons. In particular, favoring drug legalization does not imply approval of drug use. Since each country has its own regulations and most distinguish between different classes of drugs, there can be difficulties when it come to regulating which should be more readily accessible, since a particular drug criminalized in one area might be completely acceptable elsewhere.

Drug decriminalization

Drug decriminalization calls for reduced control and penalties compared to existing laws. Proponents of drug decriminalization generally support the use of fines or other punishments to replace prison terms, and often propose systems whereby illegal drug users who are caught would be fined, but would not receive a permanent criminal record as a result. A central feature of drug decriminalization is the concept of harm reduction.

Drug decriminalization is in some ways an intermediate between prohibition and legalization, and has been criticized by Peter Lilley as being "the worst of both worlds", in that drug sales would still be illegal, thus perpetuating the problems associated with leaving production and distribution of drugs to the criminal underworld, while also failing to discourage illegal drug use by removing the criminal penalties that might otherwise cause some people to choose not to use drugs.

In 2001 Portugal began treating use and possession of small quantities of drugs as a public health issue. Rather than incarcerating those in possession, they are referred to a treatment program by a regional panel composed of social workers, medical professionals, and drug experts. This also decreases the amount of money the government spends fighting a war on drugs and money spent keeping drug users incarcerated. HIV infection rates also have dropped from 104.2 new cases per million in 2000 to 4.2 cases per million in 2015. Portugal is the first country that has decriminalized the possession of small amounts of drugs, to positive results. Anyone caught with any type of drug in Portugal, if it is for personal consumption, will not be imprisoned.

As noted by the EMCDDA, across Europe in the last decades, there has been a movement toward "an approach that distinguishes between the drug trafficker, who is viewed as a criminal, and the drug user, who is seen more as a sick person who is in need of treatment" (EMCDDA 2008, 22). A number of Latin American countries have similarly moved to reduce the penalties associated with drug use and personal possession" (Laqueur, 2015, p. 748). Mexico City has decriminalized certain drugs and Greece has just announced that it is going to do so. Spain has also followed the Portugal model. Italy after waiting 10 years to see the result of the Portugal model, which Portugal deemed a success, has since recently followed suit. In May 2014, the Criminal Chamber of the Italian Supreme Court upheld a previous decision in 2013 by Italy's Constitutional Court, to reduce the penalties for the convictions for sale of soft drugs.

Some other countries have virtual decriminalization for marijuana only, including in three US states, Colorado, Washington, and Oregon, the Australian State of South Australia, and across the Netherlands, where there are legal marijuana cafes. In the Netherlands these cafes are called "coffeeshops".

History

Prior to prohibition, cannabis was available freely in a variety of forms.

The cultivation, use and trade of psychoactive and other drugs has occurred since the dawn of civilization. Motivations claimed by supporters of drug prohibition laws across various societies and eras have included religious observance, allegations of violence by racial minorities, and public health concerns. Those who are not proponents of anti-drug legislation characterize these motivations as religious intolerance, racism, and public healthism.

The British had gone to war with China in the 19th Century in what became known as the First and Second Opium Wars to protect their valuable trade in narcotics. It was only in the 20th century that Britain and the United States outlawed cannabis. The campaign against alcohol prohibition culminated in the Twenty-first Amendment to the United States Constitution repealing prohibition on 5 December 1933, as well as liberalization in Canada, and some but not all of the other countries that enforced prohibition. However, many laws controlling the use of alcohol continue to exist even in these countries.

In the mid-20th century, the United States government led a major renewed surge in drug prohibition called the "War on Drugs". Which was a campaign whose objective to reduce the use and trade and illegal drug market.

Initial attempts to change the punitive drug laws which were introduced all over the world from the late 1800s onwards were primarily based around recreational use. Timothy Leary was one of the most prominent campaigners for the legal and recreational use of LSD. In 1967, a "Legalise pot" rally was held in Britain. However, as death toll from the drug war rose, other organisations began to form to campaign on a more political and humanitarian basis. Drug Policy Foundation formed in America and Release, a charity which gives free legal advice to drugs users and currently campaigns for drug decriminalization, also incorporated in the 1970s.

Today, the focus of the world's drug policy reform organisations is on the promotion of harm reduction in the Western World, and attempting to prevent the catastrophic loss of human life in developing countries where much of the world's supply of heroin, cocaine, and marijuana are produced. Drug policy reform advocates point to failed efforts such as the Mexican Drug War, which according to some observers has claimed as many as 80,000 lives, as signs that a new approach to drug policy is needed.

In 2014 within the European Union, a European Citizens' Initiative called Weed like to talk was launched with the aim of starting a debate in Europe about the legalization of the production, sale and use of marijuana in the European Union and finding a common policy for all EU member states. As of June 30, 2014, the initiative has collected 100,000 signatures from citizens in European member states. Should they reach 1 million signatures, from nationals of at least one quarter of the member states, the European Commission will be required to initiate a legislative proposal and a debate on the issue.

Economics

There are numerous economic and social impacts of the criminalization of drugs. According to economist Mark Thornton, prohibition increases crime (theft, violence, corruption) and drug price and increases potency. In many developing countries the production of drugs offers a way to escape poverty. Milton Friedman estimated that over 10,000 deaths a year in the US are caused by the criminalization of drugs, and if drugs were to be made legal innocent victims such as those shot down in drive by shootings, would cease or decrease. The economic inefficiency and ineffectiveness of such government intervention in preventing drug trade has been fiercely criticised by drug-liberty advocates. The War on Drugs of the United States, that provoked legislation within several other Western governments, has also garnered criticism for these reasons.

The legalization of drugs would affect the supply and demand that is present today with these illegal substances. The price of production would increase due to the costs that come with the transportation and distribution of these substances. It has been noted that the prohibition of drugs has led to a decrease in the consumer surplus. The decrease in consumption is due to the price increase of these drugs. Individuals have responded to the price increase from high levels, rather than responding to the prices which started off low. This is a clear example of the way in which the supply and demand is affected.

Prices and consumption

Much of the debate surrounding the economics of drug legalization centers on the shape of the demand curve for illegal drugs and the sensitivity of consumers to changes in the prices of illegal drugs. Proponents of drug legalization often assume that the quantity of addictive drugs consumed is unresponsive to changes in price; however, studies into addictive, but legal, substances like alcohol and cigarettes, have shown that consumption can be quite responsive to changes in prices. In the same study, economists Michael Grossman and Frank J. Chaloupka estimated that a 10% reduction in the price of cocaine would lead to a 14% increase in the frequency of cocaine use.  This increase indicates that consumers are responsive to price changes in the cocaine market. There is also evidence that in the long run, consumers are much more responsive to price changes than in the short run, but other studies have led to a wide range of conclusions.

Considering that legalization would likely lead to an increase in the supply of drugs, the standard economic model predicts that the quantity of drugs consumed would rise and the prices would fall.  However, Andrew E. Clark, an economist who has studied the effects of drug legalization, suggests that a specific tax, or sin tax, would counteract the increase in consumption. Additionally the legalization of it would reduce the cost of having to mass incarcerate marginalized communities, which are those who are disproportionately affected. Of those arrested for drug possession or drug related crimes, the majority of those individuals arrested are Black or Hispanic.

Associated costs

Proponents of drug prohibition argue that many negative externalities, or third party costs, are associated with the consumption of illegal drugs.  Externalities like violence, environmental effects on neighborhoods, increased health risks and, increased healthcare costs are often associated with the illegal drug market.  Opponents of prohibition argue that many of those externalities are created by current drug policies. They believe that much of the violence associated with drug trade is due to the illegal nature of drug trade, where there is no mediating authority to solve disputes peacefully and legally. The illegal nature of the market also affects the health of consumers by making it difficult to acquire syringes, which often leads to needle sharing.  Prominent economist Milton Friedman argues that prohibition of drugs creates many negative externalities like increased incarceration rates, the undertreatment of chronic pain, corruption, disproportional imprisonment of African Americans, compounding harm to users, the destruction of inner cities and harm to foreign countries. Proponents of legalization also argue that prohibition decrease the quality of the drugs made, which often leads to more physical harm, like accidental overdoses and poisoning, to the drug users. Steven D. Levitt and Ilyana Kuziemko point to the over crowding of prisons as another negative side effect of the war on drugs. They believe that by sending such a large number of drug offenders to prison, the war on drugs has reduced the prison space available for other offenders. This increased incarceration rate not only costs tax payers more to maintain, it could possibly increase crime by crowding violent offenders out of prison cells and replacing them with drug offenders.

Direct costs

A Harvard economist, Jeffrey Miron, estimated that ending the war on drugs would inject 76.8 billion dollars into the US economy in 2010 alone. He estimates that the government would save $41.3 billion for law enforcement and the government would gain up to $46.7 billion in tax revenue.

Since the war on drugs began under the administration of President Richard Nixon, the federal drug-fighting budget has increased from $100 million in 1970 to $15.1 billion in 2010, with a total cost estimated near 1 trillion dollars over 40 years. In the same time period an estimated 37 million nonviolent drug offenders have been incarcerated. $121 billion was spent to arrest these offenders and $450 billion to incarcerate them.

Size of the illegal drug market

According to 2013 data from the United Nations Office on Drugs and Crime (UNODC) and European crime-fighting agency Europol, the annual global drugs trade is worth around $435 billion a year, with the annual cocaine trade worth $84 billion of that amount.

Policies by country

Asia

Philippines

Senator Bato dela Rosa, despite having the reputation of leading the deadly war on drugs during the presidency of Rodrigo Duterte as chief of the Philippine National Police, filed a bill in the senate in November 2022 proposing the decriminalization of illegal drug use. This bid was an attempt to deal with prison overcrowding and underutilization of drug rehabilitation centers. While the proposal do not include drug trafficking and manufacturing, the bill was met with opposition from law enforcement agencies who believes it would send a "wrong signal" and encourage drug abuse. The Department of Health has supported the proposal.

Thailand

Although Thailand has a strict drug policy, in May 2018, the Cabinet approved draft legislation that allows for more research into the effects of marijuana on people. Thus, the Government Pharmaceutical Organization (GPO) will soon begin clinical trials of marijuana as a preliminary step in the production of drugs from this plant. These medical studies are considered exciting, new landmarks in the history of Thailand, because the manufacture, storage, and use of marijuana has been completely outlawed in Thailand since 1979.

On 9 November 2018, the National Assembly of Thailand officially proposed to allow licensed medical use of marijuana, thereby legalizing what was previously considered a dangerous drug.

The National Assembly on Friday submitted its amendments to the Ministry of Health, which would place marijuana and vegetable kratom in the category allowing their licensed possession and distribution in regulated conditions. The ministry reviewed the amendments before sending them to the cabinet, which returned it to the National Assembly for a final vote. This process was completed on 25 December 2018. Thus, Thailand became the first Asian country to legalize medical cannabis. These changes did not allow recreational use of drugs. These actions were taken because of the growing interest in the use of marijuana and its components for the treatment of certain diseases.

Cannabis became decriminalized in Thailand on 9 June 2022, making recreational use also legal, though smoking in public can still incur penalties due to being considered a public nuisance. Supporters of legalization argue that the legal market for marijuana in Thailand could increase to $5 billion by 2024.

Europe

Czech Republic

In the Czech Republic, until 31 December 1998 only drug possession "for other person" (i.e. intent to sell) was criminal (apart from production, importation, exportation, offering or mediation, which was and remains criminal) while possession for personal use remained legal.

On 1 January 1999, an amendment of the Criminal Code, which was necessitated in order to align the Czech drug rules with the Single Convention on Narcotic Drugs, became effective, criminalizing possession of "amount larger than small" also for personal use (Art. 187a of the Criminal Code) while possession of small amounts for personal use became a misdemeanor.

The judicial practice came to the conclusion that the "amount larger than small" must be five to ten times larger (depending on drug) than a usual single dose of an average consumer.

On 14 December 2009, the Government of the Czech Republic adopted Regulation No. 467/2009 Coll., that took effect on 1 January 2010, and specified what "amount larger than small" under the Criminal Code meant, effectively taking over the amounts that were already established by the previous judicial practice. According to the regulation, a person could possess up to 15 grams of marijuana or 1.5 grams of heroin without facing criminal charges. These amounts were higher (often many times) than in any other European country, possibly making the Czech Republic the most liberal country in the European Union when it comes to drug liberalization, apart from Portugal. Czech Republic has also the highest prevalence of last years cannabis use among young adults (15–34) (18.5% in 2012) among the 30 counties reporting to the EMCDDA.

Under the Regulation No. 467/2009 Coll, possession of the following amounts or less of illicit drugs was to be considered smaller than large for the purposes of the Criminal Code and was to be treated as a misdemeanor subject to a fine equal to a parking ticket:

  • Marijuana 15 grams (or five plants)
  • Hashish 5 grams
  • Magic mushrooms 40 pieces
  • Peyote 5 plants
  • LSD 5 tablets
  • Ecstasy 4 tablets
  • Amphetamine 2 grams
  • Methamphetamine 2 grams
  • Heroin 1.5 grams
  • Coca 5 plants
  • Cocaine 1 gram

In 2013, a District Court in Liberec was deciding a case of a person that was accused of criminal possession for having 3.25 grams of methamphetamine (1.9 grams of straight methamphetamine base), well over the Regulation's limit of 2 grams. The court considered that basing a decision on mere Regulation would be unconstitutional and in breach of Article 39 of the Czech Charter of Fundamental Rights and Freedoms which states that "only a law may designate which acts constitute a crime and what penalties, or other detriments to rights or property, may be imposed for committing them" and proposed to the Constitutional Court to abolish the Regulation. In line with the District Courts' argument, the Constitutional Court abolished the Regulation effective from 23 August 2013, noting that the "amount larger than small" within the meaning of the Criminal Code may be designated only by the means of an Act of Parliament, and not a Governmental Regulation. Moreover, the Constitutional Court further noted that the Regulation merely took over already existing judicial practice of interpretation of what constitutes "amount larger than small" and thus its abolishment will not really change the criminality of drug possession in the country. Thus, the above-mentioned amounts from the now-not-effective Regulation remain as the base for consideration of police and prosecutors, while courts are not bound by the precise grammage.

Sale of any amount (not purchase) remains a criminal act. Possession of "amount larger than a small" of marijuana can result in a jail sentence of up to one year. For other illicit drugs, the sentence is up to two years. Trafficking as well as production (apart from growing up to five plants of marijuana) offenses carry stiffer sentences.

Medical use of cannabis on prescription has been legal and regulated since 1 April 2013.

France

Following a contentious debate France opened its first supervised injection centre on 11 October 2016. Marisol Touraine, the Minister of Health, declared that the centre was "a strong political response, for a pragmatic and responsible policy that brings high-risk people back towards the health system rather than stigmatizing them." The centre is located near the Gare du Nord in Paris.

Germany

See also: Drug policy of Germany and Cannabis in Germany

In 1994, the Federal Constitutional Court ruled that drug addiction was not a crime, nor was the possession of small amounts of drugs for personal use. In 2000 the German narcotic law ("BtmG") was changed to allow for supervised drug injection rooms. In 2002, a pilot study was started in seven German cities to evaluate the effects of heroin-assisted treatment on addicts, compared to methadone-assisted treatment. The positive results of the study led to the inclusion of heroin-assisted treatment into the services of the mandatory health insurance in 2009. On 4 May 2016 the Cabinet of Germany decided to approve the measure for legal cannabis for seriously ill patients who have consulted with a doctor and "have no therapeutic alternative". German Health Minister, Hermann Gröhe, presented the legal draft on the legalization of medical cannabis to the cabinet which was expected to take effect early 2017.

Ireland

On 2 November 2015, Aodhán Ó Ríordáin, the minister in charge of the National Drugs Strategy, announced that Ireland planned to introduce supervised injection rooms.The minister also referenced that possession of controlled substances will be decriminalized although supply and production will remain criminalized. On 12 July 2017, the Health Committee of the Irish government rejected a bill that would have legalized medical cannabis.

Netherlands

See also: Drug policy of the Netherlands

The drug policy of the Netherlands is based on 2 principles:

  1. Drug use is a public health issue, not a criminal matter
  2. A distinction between hard and soft drugs exists

Cannabis remains a controlled substance in the Netherlands and both possession and production for personal use are still misdemeanors, punishable by fine. Cannabis coffee shops are also illegal according to the statutes.

However, a policy of non-enforcement has led to a situation where reliance upon non-enforcement has become common, and because of this the courts have ruled against the government when individual cases were prosecuted.

Norway

On 14 June 2010, the Stoltenberg commission recommended implementing heroin assisted treatment and expanding harm reduction measures. On 18 June 2010, Knut Storberget, Minister of Justice and the Police announced that the ministry was working on new drug policy involving decriminalization by the Portugal model, which was to be introduced to parliament before the next general election. However, Storberget later changed his statements, saying the decriminalization debate is "for academics", instead calling for coerced treatment. In early March 2013, minister of health and care services Jonas Gahr Støre proposed to decriminalize the inhalation of heroin by 2014 as a measure to decrease drug overdoses. In 2011 there were 294 fatal overdoses, in comparison to only 170 traffic related deaths.

The country is currently preparing a massive policy change in terms of how to deal with drug use and drug possession for personal use. The reform titled "From punishment to help" was approved by the Norwegian government in 2017 and is now in the final phase of approval by the parliament. Changes are expected to be implemented by early 2021. The new reform policy emphasizes that criminalizing drug use has no significant effect on rates of drug consumption and that drug addiction is better dealt with by health care services, hence the slogan "from punishment to help". Instead of fines or prison time, a person caught with a drug quantity for personal use will now be met with an independent panel consisting of social and health care workers that will discuss administrative sanctions or addiction treatment methods. This will hopefully encourage problematic users to seek help rather than fear of prosecution. There is also hope that this will improve the relationship between drug users and law enforcement officers. Opponents of the reform, including the police force and the progress party, fear that drug use will increase once a person is no longer at risk of facing criminal charges.

Portugal

See also: Drug policy of Portugal

In 2001, Portugal became the first European country to abolish all criminal penalties for personal drug possession, under Law 30/2000. In addition, drug users were to be provided with therapy rather than prison sentences. Research commissioned by the Cato Institute and led by Glenn Greenwald found that in the five years after the start of decriminalization, illegal drug use by teenagers had declined, the rate of HIV infections among drug users had dropped, deaths related to heroin and similar drugs had been cut by more than half, and the number of people seeking treatment for drug addiction had doubled. However, Peter Reuter, a professor of criminology and public policy at the University of Maryland, College Park, suggests that the heroin usage rates and related deaths may have been due to the cyclical nature of drug epidemics, but conceded that "decriminalization in Portugal has met its central goal. Drug use did not rise."

Ukraine

The use of marijuana in Ukraine is not prohibited, but the manufacture, storage, transportation and sale of cannabis and its derivatives are under administrative and criminal liability.

Speaking on the legalization of soft drugs in Ukraine has been going on for a long time. In June 2016, the Parliament received a bill on the legalization of marijuana for medical purposes. It dealt with changes to the current act "On narcotic drugs, psychotropic substances and precursors" and was registered number 4533. The document must examine the relevant committee, and then submit it to the government. It was expected that this would happen in the fall of 2016, but the bill was not considered.

In October 2018, a petition appeared on the website of electronic appeals to the President of Ukraine asking for the legalization of marijuana.

In October 2018, the State Service of Ukraine on Drugs and Drug Control issued the first license for the import and re-export of raw materials and products derived from cannabis. The corresponding licenses were obtained by the USA company C21. The company is also in the process of applying for additional licenses, including the cultivation of cannabis.

Latin America

Main article: Latin American drug legalization

In the late 2000s and early 2010s, advocacy for drug legalization has increased in Latin America. Spearheading the movement Uruguayan government announced in 2012 plans to legalize state-controlled sales of marijuana in order to fight drug-related crimes. Some countries in this region have already advanced towards depenalization of personal consumption.

Argentina

In August 2009, the Argentine supreme court declared in a landmark ruling that it was unconstitutional to prosecute citizens for having drugs for their personal use – "adults should be free to make lifestyle decisions without the intervention of the state". The decision affected the second paragraph of Article 14 of the country's drug control legislation (Law Number 23,737) that punishes the possession of drugs for personal consumption with prison sentences ranging from one month to two years (although education or treatment measures can be substitute penalties). The unconstitutionality of the article concerns cases of drug possession for personal consumption that does not affect others.

Brazil

In 2002 and 2006, Brazil went through legislative changes, resulting in a partial decriminalization of possession for personal use. Prison sentences no longer applied and were replaced by educational measures and community services. However, the 2006 law does not provide objective means to distinguish between users or traffickers. A disparity exists between the decriminalization of drug use and the increased penalization of selling drugs, punishable with a maximum prison sentences of 5 years for the sale of very minor quantities of drugs. Most of those incarcerated for drug trafficking are offenders caught selling small quantities of drugs, among them drug users who sell drugs to finance their drug habits. Since 2006, there's been a long debate whether the anti-drug law goes against the Constitution and principle of personal freedom. In 2009, the Supreme Federal Court re-opened to vote if the law is Constitutional, or if it goes against the Constitution specifically against personal Freedom of choice. Since each Minister inside the tribunal can take a personal time to evaluate the law, the voting can take years. In fact, the voting was re-opened in 2015, 3 ministers voted in favor, and then the law was again paused by another minister.

Colombia

Guatemalan President Otto Pérez Molina and Colombian President Juan Manuel Santos proposed the legalization of drugs in an effort to counter the failure of the War on Drugs, which was said to have yielded poor results at a huge cost. On 25 May 2016, the Colombian congress approved the legalization of marijuana for medical usage.

Costa Rica

Costa Rica has decriminalized drugs for personal consumption. Manufacturing or selling drugs is still a jailable offense.

Ecuador

According to the 2008 Constitution of Ecuador, in its Article 364, the Ecuadorian state does not see drug consumption as a crime but only as a health concern. Since June 2013 the state drugs regulatory office CONSEP has published a table which establishes maximum quantities carried by persons so as to be considered in legal possession and that person as not a seller of drugs. The "CONSEP established, at their latest general meeting, that the following quantities be considered the maximum consumer amounts: 10 grams of marijuana or hash, 4 grams of opiates, 100 milligrams of heroin, 5 grams of cocaine, 0.020 milligrams of LSD, and 80 milligrams of methamphetamine or MDMA".

Honduras

On 22 February 2008, Honduras President Manuel Zelaya, called on the United States to legalize drugs, in order, he said, to prevent the majority of violent murders occurring in Honduras. Honduras is used by cocaine smugglers as a transiting point between Colombia and the US. Honduras, with a population of 7 million affected people an average of 8–10 murders a day, with an estimated 70% being as a result of this international drug trade. The same problem is occurring in Guatemala, El Salvador, Costa Rica and Mexico, according to Zelaya.

Mexico

In April 2009, the Mexican Congress approved changes in the General Health Law that decriminalized the possession of illegal drugs for immediate consumption and personal use allowing a person to possess up to 5 g of marijuana or 500 mg of cocaine. The only restriction is that people in possession of drugs should not be within a 300-meter radius of schools, police departments, or correctional facilities. Opium, heroin, LSD, and other synthetic drugs were also decriminalized, it will not be considered as a crime as long as the dose does not exceed the limit established in the General Health Law. Many question this, as cocaine is as much synthesised as heroin, both are produced as extracts from plants. The law establishes very low amount thresholds and strictly defines personal dosage. For those arrested with more than the threshold allowed by the law this can result in heavy prison sentences, as they will be assumed to be small traffickers even if there are no other indications that the amount was meant for selling.

Uruguay

See also: Legality of cannabis in Uruguay

Uruguay is one of few countries that never criminalized the possession of drugs for personal use. Since 1974, the law establishes no quantity limits, leaving it to the judge's discretion to determine whether the intent was personal use. Once it is determined by the judge that the amount in possession was meant for personal use, there are no sanctions.

In June 2012, the Uruguayan government announced plans to legalize state-controlled sales of marijuana in order to fight drug-related crimes. The government also stated that they will ask global leaders to do the same.

On 31 July 2013, the Uruguayan House of Representatives approved a bill to legalize the production, distribution, sale, and consumption of marijuana by a vote of 50 to 46. The bill then passed the Senate, where the left-leaning majority coalition, the Broad Front, held a comfortable majority. The bill was approved by the Senate by 16 to 13 on 10-December-2013. The bill was presented to the President José Mujica, also of the Broad Front coalition, who has supported legalization since June 2012. Relating this vote to the 2012 legalization of marijuana by the U.S. states Colorado and Washington, John Walsh, drug policy expert of the Washington Office on Latin America, stated that "Uruguay's timing is right. Because of last year's Colorado and Washington State votes to legalize, the U.S. government is in no position to browbeat Uruguay or others who may follow."

In July 2014, government officials announced that part of the implementation of the law (the sale of cannabis through pharmacies) is postponed to 2015, as "there are practical difficulties". Authorities will grow all the cannabis that can be sold legal. Concentration of THC shall be 15% or lower. In August 2014, an opposition presidential candidate, who was not elected in the November 2014 presidential elections, claimed that the new law was never going to be applied, as it was not workable. By the end of 2016 the government announced that the sale through pharmacies will be fully implemented during 2017.

North America

Canada

A cannabis shop in Montreal
 
See also: Drug policy of Canada and Cannabis in Canada

The cultivation of cannabis is currently legal in Canada, with exceptions only for Manitoba and Quebec. Citizens can grow up to 4 plants per residence, for personal use. The recreational use of cannabis by the general public is legal with restrictions on smoking in public locations which vary by jurisdiction. The sale of marijuana seeds is also legal.

In 2001, The Globe and Mail reported that a poll found 47% of Canadians agreed with the statement, "The use of marijuana should be legalized" in 2000, compared to 26% in 1975. A more recent poll found that more than half of Canadians supported legalization. However, in 2007 Prime Minister Stephen Harper's government tabled Bill C-26 to amend the Controlled Drugs and Substances Act, 1996 to bring forth a more restrictive law with higher minimum penalties for drug crimes. Bill-26 died in committee after the dissolution of the 39th Canadian Parliament in September 2008, but the Bill had subsequently been resurrected by the government twice.

In 2015, Prime Minister Justin Trudeau, and the Liberal Party of Canada campaigned on a promise to legalize marijuana. The Cannabis Act was passed on 19 June 2018, which made marijuana legal across Canada on 17 October 2018.

Since legalization, the country has set up an online framework to allow consumers to purchase a wide variety of merchandise ranging from herbs, extract, oil capsules, and paraphernalia. Most provinces are also providing a venue for purchase through physical brick and mortar stores.

In 2021, the city councils of Vancouver and Toronto voted to decriminalize the simple possession of all drugs; and submitted proposals requesting special exemption from the federal Health Minister to do so, citing innumerable scientific, psychological, medical and socio-economic benefits.

In early 2022, the Province of British Columbia submitted its own request for exemption, closely following the Vancouver model. By April of that year, the Edmonton City Council had also passed a motion to request exemption from federal drug enforcement laws in order decriminalize "simple personal possession" of illegal drugs, voting in favour 11–2.

On 31 May 2022, the federal government of Canada approved British Columbia's proposal to decriminalize all "hard" drugs such as heroin and fentanyl, cocaine and methamphetamine. From 1 January 2023, British Columbians aged 18 years or older will be able to carry up to a cumulative total of 2.5 grams of these illicit substances without the risk of arrest or criminal charges. Police are not to confiscate the drugs, and there is no requirement that people found to be in possession seek treatment. However, the production, trafficking and exportation of these drugs will remain illegal.

United States

Further information: Decriminalization of non-medical cannabis in the United States and Psilocybin decriminalization in the United States

Throughout the United States, various people and groups have been pushing for the legalization of marijuana for medical reasons. Organizations such as NORML and the Marijuana Policy Project work to decriminalize possession, use, cultivation, and sale of marijuana by adults, even beyond medical uses. In 1996, 56% of California voters voted for California Proposition 215, legalizing the growing and use of marijuana for medical purposes. This created significant legal and policy tensions between federal and state governments. Since then, 20 more states and the District of Columbia have legalized and regulated medical marijuana. State laws in conflict with federal law about cannabis remain valid, and prevent state level prosecution, despite cannabis being illegal under federal law (see Gonzales v. Raich).

On 6 November 2012, Colorado and Washington state legalized possession of small amounts of marijuana for private recreational use, and created a process for writing rules for legal growing and commercial distribution of marijuana within each state.

The 2014 Midterms saw voters in Oregon, Alaska, and Washington, D.C. vote to legalize marijuana for recreational use.

In 2016, California Proposition 64 was passed, legalizing private, recreational use of marijuana for those age 21 or older in the state of California.

Following the 2018 midterm ballot, Michigan legalized the recreational use of marijuana in private. 

In 2019, Illinois passed the Illinois Cannabis Regulation and Tax Act, making Illinois the first state to legalize the recreational use by an act of the state legislature. This took effect as of January 1, 2020.

In 2020, Oregon decriminalized the possession of all drugs in Measure 110.

In 2021, New York legalized adult-use cannabis when it passed the Marijuana Regulation and Taxation Act (MRTA).

Oceania

Australia

Further information: Cannabis in Australia and Illicit drug use in Australia

In 2016, Australia legalised medicinal cannabis on a federal level.

Since 1985, the Federal Government has run a declared "War on Drugs" and while initially Australia led the world in 'harm-minimization' approach, they have since lagged.

Australia has a number of political parties that focus on cannabis reform, The (HEMP) Help End Marijuana Prohibition Party was founded in 1993 and registered by the Australian Electoral Commission in 2000. The Legalise Cannabis Queensland Party was established in 2020.

A number of Australian and international groups have promoted reform in regard to 21st-century Australian drug policy. Organisations such as Australian Parliamentary Group on Drug Law Reform, Responsible Choice, the Australian Drug Law Reform Foundation, Norml Australia, Law Enforcement Against Prohibition (LEAP) Australia and Drug Law Reform Australia advocate for drug law reform without the benefit of government funding. The membership of some of these organisations is diverse and consists of the general public, social workers, lawyers and doctors, and the Global Commission on Drug Policy has been a formative influence on a number of these organisations.

In 1994, the Australian National Task Force on Cannabis formed under the Ministerial Council on Drug Strategy noted that the social harm of cannabis prohibition is greater than the harm from cannabis itself, total prohibition policies have been unsuccessful in reducing drug use and have caused significant social harm, as well as higher law enforcement costs, the use of cannabis is widespread in Australia and that its adverse health effects are modest and only affect a minority of users.

In 2012, the think tank Australia 21, released a report on the decriminalization of drugs in Australia. noted that "by defining the personal use and possession of certain psychoactive drugs as criminal acts, governments have also avoided any responsibility to regulate and control the quality of substances that are in widespread use." Prohibition has fostered the development of a criminal industry that is corrupting civil society and government and killing our children." The report also highlighted the fact that, just as alcohol and tobacco are regulated for quality assurance, distribution, marketing and taxation, so should currently, unregulated, illicit drugs.

There has been a number of enquires in Australia relating to cannabis and other illicit drugs, in 2019 the Queensland government instructed the Queensland Productivity Commission to conduct an enquiry into imprisonment and recidivism in QLD, the final report was sent to the Queensland Government on 1 August 2019 and publicly released on 31 January 2020. The commission found that "all available evidence shows the war on drugs fails to restrict usage or supply" and that "decriminalisation would improve the lives of drug users without increasing the rate of drug use" with the commission ultimately recommending that the Queensland government legalise cannabis. The QPC said the system had also fuelled an illegal market, particularly for methamphetamine. Although the Palaszczuk Queensland Labor Party led state government rejected the recommendations of its own commission and said it had no plans to alter any laws around cannabis, a decision that received heavy scrutiny from supporters of decriminalization, legalisation, progressive and non progressive drug policy advocates alike.

In 2019, The Royal Australasian College of Physicians (RACP) and St. Vincent's Health Australia called on the NSW Government to publicly release the findings of the Special Commission of Inquiry into the Drug 'Ice, saying there was "no excuse" for the delay. The report was the culmination of months of evidence from health and judicial experts, as well as families and communities affected by amphetamine-type substances across NSW. The report made 109 recommendations aimed to strengthen the NSW Governments response regarding amphetamine-based drugs such as crystal meth or ice. Major recommendations included more supervised drug use rooms, a prison needle and syringe exchange program, state-wide clinically supervised substance testing, including mobile pill testing at festivals, decriminalisation of drugs for personal use, a cease to the use of drug detection dogs at music festivals and to limit the use of strip searches. The report, also called for the NSW Government to adopt a comprehensive Drug and Alcohol policy, with the last drug and Alcohol policy expiring over a decade ago. The reports commissioner said the state's approach to drug use was profoundly flawed and said reform would require "political leadership and courage" and "Criminalising use and possession encourages us to stigmatise people who use drugs as the authors of their own misfortunate". Mr Howard said current laws "allow us tacit permission to turn a blind eye to the factors driving most problematic drug use" including childhood abuse, domestic violence and mental illness. The NSW government rejected the reports key recommendations, saying it would consider the other remaining recommendations. Director of the Drug Policy Modelling Program (DPMP) at UNSW Sydney's Social Policy Research Centre said the NSW Government has missed an opportunity to reform the state's response to drugs based on evidence. The NSW Government is yet to officially respond to the inquiry as of November 2020, a statement was released from the government citing intention to respond by the end of 2020.

In the Australian Capital Territory, after a bill was passed on 25 September 2019, new laws came into effect on 31 January 2020 which allowed for possession of up to 50 grams of dry material, 150 grams of wet material, and cultivation of 2 plants per individual up to 4 plants per household, effectively legalising the possession and growing of cannabis in the ACT. However the sale and supply of cannabis and cannabis seeds is still illegal, so the effects of the laws are limited and the laws also contradict federal laws. It is also still illegal to smoke or use cannabis in a public place, expose a child or young person to cannabis smoke, store cannabis where children can reach it, grow cannabis using hydroponics or artificial cultivation, grow plants where they can be accessed by the public, share or give cannabis as a gift to another person, to drive with any cannabis in your system, or for people aged under 18 to grow, possess, or use cannabis. The personal possession and growth of small amounts of cannabis remains prohibited non-medicinal purposes in every other jurisdiction in Australia.

New Zealand

Further information: Cannabis in New Zealand

On 18 December 2018, the Labour-led government announced a nationwide, binding referendum on the legality of cannabis for personal use, set to be held as part of the 2020 general election. This was a condition of the Green Party giving confidence and supply to the Government. On 7 May 2019, the Government announced that the 2020 New Zealand cannabis referendum would be a yes/no question to enact a yet-to-be created piece of legislation. Despite the earlier commitment, the referendum was non-binding, the proposed Cannabis Legalisation and Control Bill would have need to be introduced into Parliament and passed like any other piece of legislation; therefore, the government was not, in fact, bound to the results of the referendum. Official results for the general election and referendums were released on 6 November 2020. The number opposed to legalisation was 50.7% with 48.4% in favour and 0.9% of votes were declared Informal.

Groups advocating change

The Senlis Council, a European development and policy think tank, has, since its conception in 2002, advocated that drug addiction should be viewed as a public health issue rather than a purely criminal matter. The group does not support the decriminalisation of illegal drugs. Since 2003, the council has called for the licensing of poppy cultivation in Afghanistan in order to manufacture poppy-based medicines, such as morphine and codeine, and to combat poverty in rural communities, breaking ties with the illicit drugs trade. The Senlis Council outlined proposals for the implementation of a village based poppy for medicine project and calls for a pilot project for Afghan morphine at the next planting season.

Organisations involved in lobbying, research and advocacy

Canada

  • Le Dain Commission of Inquiry into the Non-Medical Use of Drugs

Europe

  • Beckley Foundation
  • Cannabis Law Reform
  • Drug Equality Alliance (DEA)
  • European Coalition for Just and Effective Drug Policies (ENCOD) (Branches in Austria, Germany and Norway)
  • Legalize.net (Netherlands)
  • NORML UK
  • Re:Vision Drug Policy Network  (United Kingdom)
  • Regulación Responsable (Spain)
  • Release (agency) (United Kingdom)
  • Students for Sensible Drug Policy UK  (United Kingdom)
  • Transform Drug Policy Foundation

Australia

  • Australian National Council on Drugs
  • Drug Policy Australia
  • Network Against Prohibition

New Zealand

  • The Helen Clark Foundation
  • NORML New Zealand
  • The STAR Trust

United States

  • American Civil Liberties Union
  • Americans for Safe Access
  • Drug Policy Alliance
  • High Times
  • High Times Freedom Fighters
  • Law Enforcement Against Prohibition
  • Lindesmith Center
  • Marijuana Policy Project
  • MASS CANN/NORML
  • Multidisciplinary Association for Psychedelic Studies (MAPS)
  • National Organization for the Reform of Marijuana Laws
  • Students for Sensible Drug Policy
  • Veterans for Medical Marijuana Access
  • November Coalition (United States)
  • Women Grow

Political parties with drug liberalization policies

See also: Cannabis political parties

Many political parties support, to various degrees, and for various reasons, liberalising drug control laws, from liberal parties to far-left movements, as well as some right-wing intellectuals. Drug liberalization is fundamental in the platforms of most libertarian parties.

There are also numerous single issue marijuana parties devoted to campaign for the legalisation of cannabis exclusively.

Australia

  • Australian Greens
  • Drug Law Reform Australia
  • Reason Party (Australia)
  • Legalise Cannabis Australia
  • Legalise Cannabis Queensland
  • Legalise Cannabis Western Australia Party

Canada

  • Liberal Party of Canada
  • New Democratic Party of Canada
  • Libertarian Party of Canada

Netherlands

  • GroenLinks

New Zealand

  • Green Party of Aotearoa New Zealand

Portugal

  • Left Bloc
  • Liberal Initiative
  • LIVRE

United Kingdom

  • Green Party of England and Wales
  • Liberal Democrats – In March 2016, the Liberal Democrats became the first major political party in the United Kingdom to support the legalisation of cannabis.

International

  • Pirate Party
at April 26, 2023
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Drug policy

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Drug_policy

A drug policy is the policy regarding the control and regulation of psychoactive substances (commonly referred to as drugs), particularly those that are addictive or cause physical and mental dependence. While drug policies are generally implemented by governments, entities at all levels (from international organisations, national or local government, administrations, or private places) may have specific policies related to drugs.

Drug policies are usually aimed at combatting drug addiction or dependence addressing both the demand and supply of drugs, as well as mitigating the harms of drug use, and providing medical assistance and treatment. Demand reduction measures include voluntary treatment, rehabilitation, substitution therapy, overdose management, alternatives to incarceration for drug related minor offenses, medical prescription of drugs, awareness campaigns, community social services, and support for families. Supply side reduction involves measures such as enacting foreign policy aimed at eradicating the international cultivation of plants used to make drugs and interception of drug trafficking, fines for drug offenses, incarceration for persons convicted for drug offenses. Policies that help mitigate the dangers of drug use include needle syringe programs, drug substitution programs, and free facilities for testing a drug's purity.

The concept of "drugs" –a substance subject to control– varies from jurisdiction to jurisdiction. For example, heroin is regulated almost everywhere; substances such as khat, codeine, or alcohol are regulated in some places, but not others. Most jurisdictions also regulate prescription drugs, medicinal drugs not considered dangerous but that can only be supplied to holders of a medical prescription, and sometimes drugs available without prescription but only from an approved supplier such as a pharmacy, but this is not usually described as a "drug policy". There are however some international standards as to which substances are under certain controls, in particular via the three international drug control conventions.

International drug control treaties

Article 44 of the 1961 Single Convention terminated a number of previous drug control treaties.

History

Main article: Prohibition of drugs
Further information: History of United States drug prohibition and War on drugs

The first international treaty to control a psychoactive substance was adopted at the Brussels Conference in 1890 in the context of the regulations against slave trade, and concerned alcoholic beverages. It was followed by the final act of the Shanghai Opium Commission of 1909 which attempted to settle peace and arrange the trade in opium, after the opium wars in the 19th Century.

In 1912 at the First International Opium Conference held in the Hague, the multilateral International Opium Convention was adopted; it ultimately got incorporated into the Treaty of Versailles in 1919. A number of international treaties related to drugs followed in subsequent decades: the 1925 Agreement concerning the Manufacture of, Internal Trade in and Use of Prepared Opium (which introduced some restrictions—but no total prohibition—on the export of "Indian hemp" pure extracts), the 1931 Convention for Limiting the Manufacture and Regulating the Distribution of Narcotic Drugs and Agreement for the Control of Opium Smoking in the Far East, the 1936 Convention for the Suppression of the Illicit Traffic in Dangerous Drugs, among others. After World War II, a series of Protocols signed at Lake Success brought into the mandate of the newly-created United Nations these pre-war treaties which had been handled by the League of Nations and the Office International d'Hygiène Publique.

Finally, in 1961 the nine previous drug-control treaties in force were superseded by the 1961 Single Convention, which rationalized global control on drug trading and use. Countries commit to "protecting the health and welfare of [hu]mankind" and to combat substance abuse and addiction. The treaty is not a self-enforcing agreement: countries have to pass their own legislation aligned with the framework of the Convention. The 1961 Convention was supplemented by the 1971 Convention and the 1988 Convention, forming the three international drug control treaties upon which other legal instruments rely. Their implementation has been led by the United States, in particular after the Nixon administration's declaration of "War on drugs" in 1971 and the creation of the Drug Enforcement Administration (DEA) as a U.S. federal law enforcement agency in 1973.

Since the early 2000s, the European Union (EU) has developed several comprehensive and multidisciplinary strategies as part of its drug policy in order to prevent the diffusion of recreational drug use and abuse among the European population and raise public awareness on the adverse effects of drugs among all member states of the European Union, as well as conjoined efforts with European law enforcement agencies, such as the Europol and EMCDDA, in order to counter organized crime and illegal drug trade in Europe.

Current treaties

The core drug control treaties currently in force internationally are:

  • the Single Convention on Narcotic Drugs, 1961 (1961 Convention or Single Convention) composed of:
    • the original Single Convention concluded at New York (United States), 30 March 1961, and
    • its amendement, the Protocol amending the Single Convention on Narcotic Drugs which was adopted in Geneva (Switzerland), 25 March 1972,
  • the Convention on psychotropic substances (1971 Convention), concluded at Vienna, 21 February 1971, and
  • the UN Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances (1988 Convention) concluded at Vienna (Austria), 20 December 1988.

There are other treaties that address drugs under international control, such as:

  • the UN Convention on the Law of the Sea (UNCLOS), concluded on 10 December 1982 in Montego Bay (Jamaica),
  • the Convention on the Rights of the Child (CRC), concluded on 20 November 1989 in New York City,
  • the International Convention Against Doping in Sport concluded in Paris (France) on 19 October 2005.

Additionally, other pieces of international law enter into play, like the international human rights treaties protecting the right to health or the rights of indigenous peoples, and, in the case of plants considered as drug crops (coca plant, cannabis, opium poppy), treaties protecting the right to land, farmers' of peasants' rights, and treaties on plant genetic resources or traditional knowledge.

Former and current international drug control treaties

Short name Full name Concluded In force
Discontinued First (Hague) Opium Convention 1912 International Opium Convention The Hague 23 January 1912 1919-1946
1925 Geneva Opium Agreement Agreement concerning the Manufacture of, Internal Trade in and Use of Prepared Opium Geneva 11 February 1925 1926-1946
Second (Geneva) Opium Convention 1925 International Opium Convention Geneva 19 February 1925 1928-1946
Limitation Convention Convention for Limiting the Manufacture and Regulating the Distribution of Narcotic Drugs Geneva 13 July 1931 1933-1946
Bangkok Agreement Agreement for the Control of Opium Smoking in the Far East Bangkok 27 November 1931 1937-1946
Suppression Convention Convention for the Suppression of the Illicit Traffic in Dangerous Drugs Geneva 26 June 1936 1939-1946
Lake Success Protocol Protocol Amending the Agreements, Conventions and Protocols on Narcotic Drugs concluded at The Hague on 23 January 1912, at Geneva on 11 February 1925 and 19 February 1925, and 13 July 1931, at Bangkok on 27 November 1931 and at Geneva on 26 June 1936 Lake Success 11 December 1946 1946-1968
Paris Protocol Protocol Bringing under International Control Drugs outside the Scope of the Convention of 13 July 1931 for Limiting the Manufacture and Regulating the Distribution of Narcotic Drugs Paris 19 November 1948 1946-1968
1953 Protocol Protocol for Limiting and Regulating the Cultivation of the Poppy Plant, the Production of, International and Wholesale Trade in, and Use of Opium New York 23 June 1953 1963-?
Single Convention Single Convention on Narcotic Drugs, 1961 New York 30 March 1961 1968-1975
Current 1971 Convention Convention on psychotropic substances Vienna 21 February 1971 1976-present
Single Convention as amended Single Convention on Narcotic Drugs, 1961 as amended by the Protocol amending the Single Convention on Narcotic Drugs Geneva 25 March 1972 1975-present
1988 Convention United Nations Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances Vienna 20 December 1988 1990-present

Treaty-mandated organizations

There are four bodies mandated under the international drug control conventions (1961, 1971 and 1988):

  • The Commission on Narcotic Drugs (CND), a subsidiary body of the United Nations ECOSOC, the CND is acting as a conference of the Parties to the three core Conventions,
  • the UN Secretary-General, whose mandate is de facto carried on by the United Nations Office on Drugs and Crime (UNODC),
  • the World Health Organization (WHO), in charge of the scientific review of substances for inclusion under, changes in, or withdrawal from control (scheduling assessment),
  • the International Narcotics Control Board (INCB), the treaty-body monitoring implementation and collecting statistical data.

Drug policy by country

Australia

Further information: Illicit drug use in Australia

Australian drug laws are criminal laws and mostly exist at the state and territory level, not the federal, and are therefore different, which means an analysis of trends and laws for Australia is complicated. The federal jurisdiction has enforcement powers over national borders.

In October 2016, Australia legislated for some medicinal use cannabis.

Bolivia

Like Colombia, the Bolivian government signed onto the ATPA in 1991 and called for the forced eradication of the coca plant in the 1990s and early 2000s. Until 2004, the government allowed each residential family to grow 1600m2 of coca crop, enough to provide the family with a monthly minimum wage. In 2005, Bolivia saw another reformist movement. The leader of a coca grower group, Evo Morales, was elected President in 2005. Morales ended any U.S. backed War on Drugs. President Morales opposed the decriminalization of drugs but saw the coca crop as an important piece of indigenous history and a pillar of the community because of the traditional use of chewing coca leaves. In 2009, the Bolivian Constitution backed the legalization and industrialization of coca products.

Bolivia first proposed an amendment to the Single Convention on Narcotic Drugs in 2009. After its failure, Bolivia left the convention and re-accessed with a reservation for coca leaf in its natural form.

Canada

Main article: Drug policy of Canada

Colombia

Coca plant

Under President Ronald Reagan, the United States declared War on Drugs in the late 1980s; the Colombian drug lords were widely viewed as the root of the cocaine issue in America. In the 1990s, Colombia was home to the world's two largest drug cartels: the Cali cartel and the Medellín cartel. It became Colombia's priority, as well as the priority of the other countries in the Andean Region, to extinguish the cartels and drug trafficking from the region. In 1999, under President Andrés Pastrana, Colombia passed Plan Colombia. Plan Colombia funded the Andean Region's fight against the drug cartels and drug trafficking. With the implementation of Plan Colombia, the Colombian government aimed to destroy the coca crop. This prohibitionist regime has had controversial results, especially on human rights. Colombia has seen a significant decrease in coca cultivation. In 2001, there were 362,000 acres of coca crop in Colombia; by 2011, fewer than 130,000 acres remained. However, farmers who cultivated the coca crop for uses other than for the creation of cocaine, such as the traditional use of chewing coca leaves, became impoverished.

Since 1994, consumption of drugs has been decriminalized. However, possession and trafficking of drugs are still illegal. In 2014, Colombia further eased its prohibitionist stance on the coca crop by ceasing aerial fumigation of the coca crop and creating programs for addicts. President Juan Manuel Santos (2010–2018), has called for the revision of Latin American drug policy, and was open to talks about legalization.

Ecuador

Narco submarine seized in Ecuador

In the mid-1980s, under President León Febres-Cordero, Ecuador adopted the prohibitionist drug policy recommended by the United States. By cooperating with the United States, Ecuador received tariff exemptions from the United States. In February 1990, the United States held the Cartagena Drug Summit, in the hopes of continuing progress on the War on Drugs. Three of the four countries in the Andean Region were invited to the Summit: Peru, Colombia and Bolivia, with the notable absence of Ecuador. Two of those three countries—Colombia and Bolivia—joined the Andean Trade Preference Act, later called the Andean Trade Promotion and Drug Eradication Act, in 1992. Ecuador, along with Peru, would eventually join the ATPA in 1993. The Act united the region in the War on Drugs as well as stimulated their economies with tariff exemptions.

In 1991, President Rodrigo Borja Cevallos passed Law 108, a law that decriminalized drug use, while continuing to prosecute drug possession. In reality, Law 108 set a trap that snared many citizens. Citizens confused the legality of use with the illegality of carrying drugs on their person. This led to a large increase in prison populations, as 100% of drug crimes were processed. In 2007, 18,000 prisoners were kept in a prison built to hold up to 7,000. In urban regions of Ecuador as many as 45% of male inmates were serving time for drug charges; this prison demographic rises to 80% of female inmates. In 2008, under Ecuador's new Constitution, current prisoners serving time were allowed the "smuggler pardon" if they were prosecuted for purchasing or carrying up to 2 kg of any drug, and they already served 10% of their sentence. Later, in 2009, Law 108 was replaced by the Organic Penal Code (COIP). The COIP contains many of the same rules and regulations as Law 108, but it established clear distinctions among large, medium and small drug traffickers, as well as between the mafia and rural growers, and prosecutes accordingly. In 2013, the Ecuadorian government left the Andean Trade Promotion and Drug Eradication Act.

Germany

Main article: Drug policy of Germany

Compared with other EU countries, Germany's drug policy is considered progressive, but still stricter than, for example, the Netherlands. In 1994 the Federal Constitutional Court ruled that drug addiction was not a crime, nor was the possession of small amounts of drugs for personal use. In 2000, Germany changed the narcotic law ("BtmG") to allow supervised drug injection rooms. In 2002, they started a pilot study in seven German cities to evaluate the effects of heroin-assisted treatment on addicts, compared to methadone-assisted treatment. The positive results of the study led to the inclusion of heroin-assisted treatment into the services of the mandatory health insurance in 2009.

In 2017, Germany re-allowed medical cannabis; after the 2021 German federal election, the new government announced in their coalition agreement they intention to legalise cannabis for all other purposes (including recreational), although concrete legislation to this effect has not yet been introduced.

India

Main article: Drug policy of India

Indonesia

Like many other governments in Southeast Asia, the Indonesian government applies severe laws to discourage drug use.

Liberia

Liberia prohibits drugs such as cocaine and marijuana. Its drug laws are enforced by the Drug Enforcement Agency.

Netherlands

Main article: Drug policy of the Netherlands
 
Cannabis coffee shop in the city center of Amsterdam, Netherlands

Drug policy in the Netherlands is based on two principles: that drug use is a health issue, not a criminal issue, and that there is a distinction between hard and soft drugs. The Netherlands is currently the only country to have implemented a wide scale, but still regulated, decriminalisation of marijuana. It was also one of the first countries to introduce heroin-assisted treatment and safe injection sites. From 2008, a number of town councils have closed many so called coffee shops that sold cannabis or implemented other new restrictions for sale of cannabis, e.g. for foreigners.

Importing and exporting of any classified drug is a serious offence. The penalty can run up to 12 to 16 years if it is for hard drugs, or a maximum of 4 years for importing or exporting large quantities of cannabis. Investment in treatment and prevention of drug addiction is high when compared to the rest of the world. The Netherlands spends significantly more per capita than all other countries in the EU on drug law enforcement. 75% of drug-related public spending is on law enforcement. Drug use remains at average Western European levels and slightly lower than in English speaking countries.

Peru

According to article 8 of the Constitution of Peru, the state is responsible for battling and punishing drug trafficking. Likewise, it regulates the use of intoxicants. Consumption of drugs is not penalized and possession is allowed for small quantities only. Production and distribution of drugs are illegal.

In 1993, Peru, along with Ecuador, signed the Andean Trade Preference Agreement with the United States, later replaced with the Andean Trade Promotion and Drug Eradication Act. Bolivia and Colombia had already signed the ATPA in 1991, and began enjoying its benefits in 1992. By agreeing to the terms of this Agreement, these countries worked in concert with the United States to fight drug trafficking and production at the source. The Act aimed to substitute the production of the coca plant with other agricultural products. In return for their efforts towards eradication of the coca plant, the countries were granted U.S. tariff exemptions on certain products, such as certain types of fruit. Peru ceased complying with the ATPA in 2012, and lost all tariff exemptions previously granted by the United States through the ATPA. By the end of 2012, Peru overtook Colombia as the world's largest cultivator of the coca plant.

Portugal

Main article: Drug policy of Portugal

In July 2001, a law maintained the status of illegality for using or possessing any drug for personal use without authorization. The offense was however changed from a criminal one, with prison a possible punishment, to an administrative one if the possessing was no more than up to ten days' supply of that substance. This was in line with the de facto Portuguese drug policy before the reform. Drug addicts were then aggressively targeted with therapy or community service rather than fines or waivers. Even if there are no criminal penalties, these changes did not legalize drug use in Portugal. Possession has remained prohibited by Portuguese law, and criminal penalties are still applied to drug growers, dealers and traffickers.

Russia

Drugs became popular in Russia among soldiers and the homeless, particularly due to the First World War. This included morphine-based drugs and cocaine, which were readily available. The government under Tsar Nicholas II of Russia had outlawed alcohol in 1914 (including vodka) as a temporary measure until the conclusion of the War. Following the Russian Revolution and in particular the October Revolution and the Russian Civil War, the Bolsheviks emerged victorious as the new political power in Russia. The Soviet Union inherited a population with widespread drug addiction, and in the 1920s, tried to tackle it by introducing a 10-year prison sentence for drug-dealers. The Bolsheviks also decided in August 1924 to re-introduce the sale of vodka, which, being more readily available, led to a drop in drug-use.

Sweden

Main article: Drug policy of Sweden

Sweden's drug policy has gradually turned from lenient in the 1960s with an emphasis on drug supply towards a policy of zero tolerance against all illicit drug use (including cannabis). The official aim is a drug-free society. Drug use became a punishable crime in 1988. Personal use does not result in jail time if not combined with driving a car. Prevention includes widespread drug testing, and penalties range from fines for minor drug offenses up to a 10-year prison sentence for aggravated offenses. The condition for suspended sentences could be regular drug tests or submission to rehabilitation treatment. Drug treatment is free of charge and provided through the health care system and the municipal social services. Drug use that threatens the health and development of minors could force them into mandatory treatment if they don't apply voluntarily. If the use threatens the immediate health or the security of others (such as a child of an addict) the same could apply to adults.

Among 9th year students, drug experimentation was highest in the early 1970s, falling towards a low in the late 1980s, redoubling in the 1990s to stabilize and slowly decline in 2000s. Estimates of heavy drug addicts have risen from 6000 in 1967 to 15000 in 1979, 19000 in 1992 and 26000 in 1998. According to inpatient data, there were 28000 such addicts in 2001 and 26000 in 2004, but these last two figures may represent the recent trend in Sweden towards out-patient treatment of drug addicts rather than an actual decline in drug addictions.

The United Nations Office on Drugs and Crime (UNODC) reports that Sweden has one of the lowest drug use rates in the Western world, and attributes this to a drug policy that invests heavily in prevention and treatment as well as strict law enforcement. The general drug policy is supported by all political parties and, according to opinion polls made in the mid 2000s, the restrictive approach received broad support from the public at that time.

Switzerland

The national drug policy of Switzerland was developed in the early 1990s and comprises the four elements of prevention, therapy, harm reduction and prohibition. In 1994 Switzerland was one of the first countries to try heroin-assisted treatment and other harm reduction measures like supervised injection rooms. In 2008 a popular initiative by the right wing Swiss People's Party aimed at ending the heroin program was rejected by more than two thirds of the voters. A simultaneous initiative aimed at legalizing marijuana was rejected at the same ballot.

Between 1987 and 1992, illegal drug use and sales were permitted in Platzspitz park, Zurich, in an attempt to counter the growing heroin problem. However, as the situation grew increasingly out of control, authorities were forced to close the park.

In 2022, Switzerland initiated pilot trials for the non-medical use of cannabis.

Thailand

Thailand has a strict drug policy. The use, storage, transportation and distribution of drugs is illegal. In 2021, Thailand unified all the laws on narcotic, psychoactive substances, and inhalants into the Narcotic Code 2564 BE (2021 AD) with more relaxing policy. The sentence of many criminal offenses relating to narcotic was reduced as the new law focuses more on drug rehabilitation. According to the Narcotic Code, narcotic substances are divided into 5 categories.

  • Category I - highly addictive narcotic such as heroin, amphetamines, methamphetamines, etc.
  • Category II - highly addictive narcotic with medical use such as morphine, cocaine, ketamine, codeine, medicinal opium (opium extracts or products), etc.
  • Category III - drug formularies that legally contain the category II narcotic, etc.
  • Category IV - chemicals used for synthesizing the categories I and II narcotic such as acetic anhydride, acetyl chloride, etc.
  • Category V - narcotic plants such as opium poppy, magic mushroom, cannabis extracts with THC higher than 0.2% by weight and cannabis seed extracts.

With the current law, kratom and cannabis plant no longer belong to the category V narcotic. They are no longer considered narcotic plants. However, plantation, possession, distribution, and use of these plants are still controlled by certain level of permission and regulations.

It is also illegal to import more than 200 cigarettes per person to Thailand. Control takes place at customs at the airport. If the limit has been exceeded, the owner can be fined up to ten times the cost of cigarettes.

In January 2018, Thai authorities imposed a ban on smoking on beaches in some tourist areas. Those who smoke in public places can be punished with a fine of 100,000 Baht or imprisonment for up to one year. It is forbidden to import electronic cigarettes into Thailand. These items are likely to be confiscated, and you can be fined or sent to prison for up to 10 years. The sale or supply of electronic cigarettes and similar devices is also prohibited and is punishable by a fine or imprisonment of up to 5 years.

It is worth noting that most people arrested for possessing a small amount of substances from the V-th category are fined and not imprisoned. At present, in Thailand, the anti-drug police are considering methamphetamines as a more serious and dangerous problem.

Ukraine

Crimes in the sphere of trafficking in narcotic, psychotropic substances and crimes against health are classified using the 13th section of the Criminal Code of Ukraine; articles from 305 to 327.

According to official statistics for 2016, 53% of crimes in the field of drugs fall on art. 309 of the Criminal Code of Ukraine: "illegal production, manufacture, acquisition, storage, transportation or shipment of narcotic drugs, psychotropic substances or their analogues without the purpose of sale".

Sentence for crime:

  • fine of fifty to one hundred non-taxable minimum incomes of citizens;
  • or correctional labor for up to two years;
  • or arrest for up to six months, or restriction of liberty for up to three years;
  • or imprisonment for the same term.

On August 28, 2013, the Cabinet of Ministers of Ukraine adopted a strategy for state policy on drugs until 2020. This is the first document of this kind in Ukraine. The strategy developed by the State Drug Control Service, involves strengthening criminal liability for distributing large amounts of drugs, and easing the penalty for possession of small doses. Thanks to this strategy, it is planned to reduce the number of injecting drug users by 20% by 2020, and the number of drug overdose deaths by 30%.

In October 2018, the State Service of Ukraine on Drugs and Drug Control issued the first license for the import and re-export of raw materials and products derived from cannabis. The corresponding licenses were obtained by the USA company C21. She is also in the process of applying for additional licenses, including the cultivation of hemp.

United Kingdom

Main article: Drug policy of the United Kingdom
See also: List of drugs illegal in the United Kingdom

Drugs considered addictive or dangerous in the United Kingdom (with the exception of tobacco and alcohol) are called "controlled substances" and regulated by law. Until 1964 the medical treatment of dependent drug users was separated from the punishment of unregulated use and supply. This arrangement was confirmed by the Rolleston Committee in 1926. This policy on drugs, known as the "British system", was maintained in Britain, and nowhere else, until the 1960s. Under this policy drug use remained low; there was relatively little recreational use and few dependent users, who were prescribed drugs by their doctors as part of their treatment. From 1964 drug use was increasingly criminalised, with the framework still in place as of 2014 largely determined by the 1971 Misuse of Drugs Act.

United States

Main article: Drug policy of the United States
See also: Drug policy of California, Drug policy of Colorado, Drug policy of Maryland, and Drug policy of Virginia

Modern US drug policy still has roots in the war on drugs started by president Richard Nixon in 1971. In the United States, illegal drugs fall into different categories and punishment for possession and dealing varies on amount and type. Punishment for marijuana possession is light in most states, but punishment for dealing and possession of hard drugs can be severe, and has contributed to the growth of the prison population.

US drug policy is also heavily invested in foreign policy, supporting military and paramilitary actions in South America, Central Asia, and other places to eradicate the growth of coca and opium. In Colombia, U.S. president Bill Clinton dispatched military and paramilitary personnel to interdict the planting of coca, as a part of the Plan Colombia. The project is often criticized for its ineffectiveness and its negative impact on local farmers, but it has been effective in destroying the once-powerful drug cartels and guerrilla groups of Colombia. President George W. Bush intensified anti-drug efforts in Mexico, initiating the Mérida Initiative, but has faced criticisms for similar reasons.

May 21, 2012 the U.S Government published an updated version of its Drug Policy. The director of ONDCP stated simultaneously that this policy is something different than "War on Drugs":

  • The U.S Government see the policy as a “third way” approach to drug control one that is based on the results of a huge investment in research from some of the world’s preeminent scholars on disease of substance abuse.
  • The policy does not see drug legalization as the “silver bullet” solution to drug control.
  • It is not a policy where success is measured by the number of arrests made or prisons built.

The U.S. government generates grants to develop and disseminate evidence based addiction treatments. These grants have developed several practices that NIDA endorses, such as community reinforcement approach and community reinforcement and family training approach, which are behavior therapy interventions.

at April 26, 2023
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Discrimination against drug addicts

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Discrimination_against_drug_addicts

Discrimination against drug addicts is a form of discrimination against people who suffer from a drug addiction.

In the process of stigmatization, drug addicts are stereotyped as having a particular set of undesirable traits, in turn causing other individuals to act in a fearful or prejudicial manner toward them.

Background

Global Marijuana March, Paris.
 
See also: Responsible drug use

Drug use discrimination is the unequal treatment people experience because of the drugs they use. People who use or have used illicit drugs may face discrimination in employment, welfare, housing, child custody, and travel, in addition to imprisonment, asset forfeiture, and in some cases forced labor, torture, and execution. Though often prejudicially stereotyped as deviants and misfits, most drug users are well-adjusted and productive members of society. Drug prohibitions may have been partly motivated by racism and other prejudice against minorities, and racial disparities have been found to exist in the enforcement and prosecution of drug laws. Discrimination due to illicit drug use was the most commonly reported type of discrimination among Blacks and Latinos in a 2003 study of minority drug users in New York City, double to triple that due to race. People who use legal drugs such as tobacco and prescription medications may also face discrimination.

Drugs (especially opioids and stimulants) can change the motivational patterns of a person and lead to desocialization and degradation of personality. Acquisition of the drugs sometimes involves black market activities, exposing users to social circles engaging in other criminal behavior. Certain types of criminal behavior can also put drug users at further risk of harm, or lead to additional stigmatization (sex work, drug dealing, theft, robbery, etc.).

Institutional basis

Stigma by health care professionals stems from a belief that people with substance use disorder are not interested in their health as much as they are seeking drugs. This results in people with substance use disorders receiving unfair medical care. As well as hiding their underlying medical concerns and not receiving the medical and recovery care that is needed. Healthcare providers have effective tools such as medications for opioid and alcohol addiction that can help prevent many overdoses. These tools are not used widely in the United States healthcare system. The stigma that surrounds drug addicts is the main cause of why the healthcare system does not use these tools and medications. In the United States healthcare system there has not been much done to remove this stigmatism. Many healthcare providers do not view addiction as a disease and a mental illness.

The drugs Ritalin (methylphenidate) and Adderall (amphetamine) are stimulants often prescribed for ADHD. In colleges there has been an influx of this type of drug trafficked. These drugs stimulate the nervous system, causing wakefulness and attentiveness. Prescribing opioids to patients and related overdose has become a serious problem in the US.

Lack of objective information about drugs

An important role in the process of discrimination is played by the lack of objective information about drug addiction and drug addicts, caused by legislative barriers to scientific research and the displacement of such information by propaganda of various kinds.

Drug addiction has been categorized as a subcategory of mental illness. They are referred to as co-occurring disorders, which means that if a person is dealing with an addiction, they may also struggle with a mental illness. Most individuals who suffer from drug dependency are nearly twice as likely to suffer from a mental illness as well. According to the Substance Abuse and Mental Health Services Administration, about 8.9 million adults who have an addiction also have a psychiatric disorder. When dealing with either a mental illness or a drug addiction some symptoms people will experience are being incapable of controlling their own impulses and mood swings.

When a person falls victim to drug addiction, they will undergo the five stages of addiction which are the first use, the continued use, tolerance, dependence, and addiction. The first use stage, is the stage where individuals experiment with drugs and alcohol. This is the stage where individuals may partake in drug use due to curiosity, peer pressure, emotional problems among other reasons. In the continued use stage, individuals know how the drug makes them feel and are likely to notice that they are not getting high as quickly as they use too. In the tolerance stage, the brain and the body have adjusted to the drug and it takes longer to get the effect an individual is seeking. Tolerance arrives after a period of continued use and is one of the first warning signs of addiction. In the dependence stage, the brain becomes accustomed to the drug and does not function well without it. Substance abusers become physically ill without the use of drugs and will begin to develop symptoms of withdrawal. In the addiction stage, individuals may struggle to discontinue use of drugs even if they do not enjoy it or if their behavior has caused problems within their lives.

With the increasing number of adults that suffer from an addiction, only a few will receive treatment due to the complexity of health care systems. Most health care systems do not have insurance coverage for addiction recovery and many health care providers have little to no training in treating addiction. Some doctors do not feel comfortable treating addictions, due to their lack of knowledge and training of the topic. The American Society of Addiction Medicine reports that there are only 3,000 board-certified addiction specialist physicians in the United States while there are nearly 2 million people experiencing opioid addiction. The limited presence and access to comprehensive care for addiction poses a barrier for recovery for many, particularly those hailing from lower socioeconomic backgrounds.

Role of language

Stigma founded in societal preconceptions about substance dependence often perpetuates discrimination against those with Substance use disorder (SUD). How language regarding SUD is framed plays an important role in mediating stigma experienced by those with the condition, which can consequently shape critical outcomes for this population such as treatment contact, social isolation, and attitudes towards healthcare providers. Shifting towards person-first language has been emphasized in healthcare provider circles to mitigate such stigma. For instance, as opposed to saying "former addict" or "reformed addict", the National Institute on Drug Abuse (NIDA) recommends language such as "person in recovery" or "person who previously used drugs" to separate the problem from the individual. The NIDA additionally applies a similar framework to terminology such as "clean" or "dirty" to denote whether or not someone is actively using as they cite the former vocabulary holds punitive connotations. Moreover, SUD policy reform advocates report language adjacent to SUD can misconstrue associated medical treatment practices which in turn poses barriers to expanded harm reduction efforts from being adopted. An example of this provided in a 2017 executive memorandum from The National Prevention Council was a recommendation to wean usage of "opioid substitution replacement therapy" which many believe falsely alludes that an individual is substituting their addiction for another (i.e. from heroin to methadone) to "opioid agonist therapy".

Drugs and HIV infection

Among injecting drug users, the incidence of HIV infection is higher than among other drug addicts, however punitive and discriminatory measures against drug addicts are not able to eliminate either the spread of drug addiction or HIV. Researchers say that around 90% of people that choose to inject drugs have missed prior opportunities for HIV testing that were provided.

Regional patterns

Africa

Africa has an estimated number 28 million substance users. This number is impacted by the rising availability of injection-based drugs such as heroin, cocaine, and methamphetamines. Socio-demographic factors are often primary determinants of the health status of drug users. These factors contribute to individual drug use behaviors such as the sharing of needles and the solicitation of sex in exchange for police protection or more drugs. Nutritional status, family support, stigma/discrimination, adherence to medication, and recovery from addiction are also impacted by these socio-demographic factors. Research shows that the majority of drug users transition from the use of non-injection substances to injection substances or use both simultaneously.

Kenya

In Kenya there is a link between injection-related discrimination, mental health, physical health, and the quality of life for those who inject drugs. The rates of discrimination are linked to higher levels of psychological distress and risk behaviors. Women in Kenya account for 10% of drug users. These women tend to experience the regular discrimination faced by drug users in addition to gender related discrimination. Levels of discrimination are often higher for those that are also HIV positive.

Tanzania

The Tanzanian government initiated support for substance-dependence treatment rehabilitation in the latter 20th century, with the Ministry of Health administering the Treatnet II center network to oversee this care. Treatment centers and harm reduction efforts in Tanzania have come into conflict with recent discourse from politicians, such as President John Magufuli, who established the nation's war on drugs in early 2017. Calling for the arrest of anyone involved in narcotics, Magufuli's stance is distinct from growing harm reduction pathways established in sub-Saharan Africa in the early decades of 2000. This wave of criminalization policy aims to redress the issue of those who use being primarily being targeted by law enforcement, rather than other individuals involved in the trafficking schema. Tanzania's policing of injection drug use has encouraged both consumers and traffickers to further ingratiate themselves in the nation's black market, with injection drug users consequently being more likely to be involved in sex work and other illicit trafficking, rather than engage in traditional employment opportunities which risk greater exposure. Populations that exist at this intersection, for instance, Tanzanian women sex workers who engage in injection drug use, are alienated from utilizing risk reduction interventions due to fear of arrest.

Low-income, urban, young men which are the most likely populace to be recruited to illicit substance trafficking due to lack of economic opportunity otherwise, have been highly scrutinized under recent waves of drug criminalization. Substance use ranging from marijuana to heroin is prohibited and a record denoting arrest for such use highly influences subsequent employment outcomes after time served for these individuals, which can ultimately be deleterious to expanding economic mobility within the communities they hail from.

A study published in the Review of African Political Economy notes that commerce and political corruption in Tanzania have promulgated crack cocaine consumption and flash-blood practices, or blood sharing between substance users after recent injections, specifically among poor youth in urban centers.

Asia

India

Narcotic substance consumption is prohibited in India by the Narcotic Drugs and Psychotropic Substances Bill inducted in 1985, which also levies punitive measures on adjacent activities such as production or vending of such substances. Possession of a controlled substance can result in punishment ranging from a $136.21 USD fine and half a year imprisonment to $121,261 USD and twenty years imprisonment, depending on whether the amount identified is considered small or commercial. Certain crimes outlined by the Narcotic Drugs and Psychotropic Substances Bill are also eligible for the death penalty, and while cases involving marijuana have been charged with capital punishment in the past, they tend to be successfully appealed in higher courts. This legislation is heavily influenced by a coordinated United Nations effort throughout the latter twentieth century to stymie international drug trafficking.

According to the International Drug Policy Consortium, India's Narcotics Control Bureau, which executes the various facets of the Narcotic Drugs and Psychotropic Substances Bill, has encountered criticism for the legislation's stringent measures which have limited access to pain-relief medication, specifically the prescription of opiates for post-operative patients. Bill revisions in response have expanded access to such substances, like methadone, to be distributed through recognized care providers, and members of parliaments have subsequently pushed for expanded bill protections for marijuana use, which has not gained traction. Language cited as demeaning within the 2012 National Policy on Drugs and Psychotropic Substances regarding harm reduction pipelines such as clean needle programs, referring to such as "shooting galleries," have posed barriers to preventing comorbidities such as HIV which are prevalent among injection substance users in India. This poses an issue in states such as Punjab where over 20% of injection substance users are also infected with HIV.

Philippines

See also: Extrajudicial killings and forced disappearances in the Philippines

In the Philippines, the government's war on drugs has led to allegations of killings and other human rights violations by the Philippine National Police against drug suspects.

This has led the United Nations Human Rights Council to adopt a resolution urging the Philippine government to set up an investigation into mass killings during the war on drugs.

Vietnam

Drug control strategy in modern Vietnam was first formally introduced in 1990 around the cause of eradicating "social evils," in reference to substance use. Such policies were inspired by the UN, and specifically, its International Drug Conventions which took placed from the latter 1960s to 1997. Ordinances and violation measures were propositioned by the Vietnamese National Assembly in this legislation to mandate compulsory treatment for substance users, rather than subject them to prison. High input in mandatory treatment centers has resulted in a tendency for there to be more patients at treatment centers than can be handled, thus limiting access to rehabilitation for these individuals. Harm reduction measures such as clean needles and condom access have been introduced throughout the 2000s at a national level to address the prevalence of HIV and HCV among drug users. Inconsistencies between the Ordinance on HIVAIDS which outlines such harm reduction practices, and the Drug Law of 2000, which prohibits the distribution of materials like needles, has made provincial adoption of harm reduction institutions, like syringe exchanges, challenging.

While Vietnamese policy leaders generally veer towards addressing substance use as a medical issue, rather than criminal activity, having decriminalized many substances since 2009, the Ordinance of Administrative Violation continues to classify illicit substance consumption as a crime. Consequently, at a local level, substance users remain eligible to be charged by law enforcement and subjected to forced labor treatment centers that are comparable to detention. Thus, many substance users do not access harm reduction institutions out of fear of being identified by law enforcement and placed in these conditions.

Europe

Sweden

Narcotic substance use is criminalized in Sweden, with drug offenses holding punishments ranging from fines to six months imprisonment. To apprehend substance users, law enforcement is permitted to conduct urine testing on the basis of suspicion, rather than wholly requiring a public disturbance. Such protocol is justified by lawmakers as a way to expand early intervention for substance users to rehabilitation channels, but legal advocates have challenged such practices for infringing upon personal freedoms. Diversion to court-ordered treatment programs rather than criminalization has been expanded in response during the early 21st century, however, there are disparities in representation in such programs. For example, substance users found in violation who belong to the top third Swedish wealth bracket are twice as likely to be admitted into a treatment program rather than imprisoned than compared to an individual who committed a similar offense but belongs to the bottom two-thirds of the wealth bracket. Moreover, while those with substance dependence can apply to their local welfare administrator for rehabilitative services, this process is selective despite being less costly than long-term imprisonment for an associated drug-related crime.

Sweden has faced criticism for having harsher drug policies and less accessible rehabilitative programs for substance users than peer Nordic nations which are moving towards drug liberalization. Many cite this for why Sweden has rising substance-related mortality in the 21st century, for instance, having 157 overdose deaths in 2006 compared to the Netherlands which had a little over a hundred despite having a population close to double the size. Zero-tolerance policies are also in place for those who drive under the influence of an illicit substance.

North America

Canada

In Vancouver, Canada, there have been efforts to reduce opioid-related deaths. An article published by the Canadian Medical Association Journal discusses new efforts to create safe injection sites for people struggling with opioid addiction. Vancouver politicians created these sites for people to safely use drugs that they are addicted to without the risk of infection or prosecution by the police. These safe injection sites provide sterilized needles to limit the reuse of needles that lead to the spread of AIDS and other diseases. Drug addicts in Vancouver have been discriminated against on numerous occasions. Mothers who are said to be drug addicts have had their children taken away, as they are thought to be unfit mothers. These women have a hard time getting jobs because employers might not want to hire someone who they believe are drug addicts. Women have started a union for drug users in Vancouver to aid them with housing and education to help them get back on their feet.

United States

The Prison Policy Initiative cites that the criminalization of drug use in the United States can limit personal daily activities for those who may use substances, even if it is done in a safe, recreational manner.

The War on Drugs, which formalized in the 1970s with the Nixon administration, has disparately affected communities of color in the United States. Substantial punitive measures exist for illicit possession, whether that be in the context of use, trafficking, or selling, with length of incarceration scaling up with repeat offenses. Charges can go up to life without parole for third-time offenses related to opiates such as fentanyl. Three-quarters of those imprisoned for fentanyl today are people of color, which directly corresponds to Black and Latin populations being disproportionately policed for drug-related crimes. This additionally infringes upon voting eligibility among substance-using populations, as more extreme drug charges hold felony status which revokes voting rights in a majority of states. Drug criminalization moreover operates within the deportation pipeline in the US, with drug charges making all individuals without citizenship eligible for deportation. This includes marijuana-related charges which have constituted over ten thousand deportations from 2012 to 2013, often severing families and communities. While statewide measures to legalize marijuana have gained traction throughout 2010, individuals of color have been less likely to receive post-carceral clemency for these charges due to barriers to legal advocacy.

Substance dependence disorder advocates have criticized the use of demeaning language regarding the condition in criminal litigation to leverage character assault against defendants or victims who have or presumed to have the condition. A prominent example of this is the trial of Derek Chauvin, the former Minneapolis police officer convicted of murdering George Floyd, whose legal defense asserted substance use as a potential cause of death, rather than the asphyxiation incurred from Chauvin.

Discrimination against people who use an illegal substance is very common in the workplace, a familiar example happens when employers give random drug test to see if the employee will pass it. However, according to the Rehabilitation Act of 1973, employers are supposed to ensure that alcoholics and other drug addicts get help and the accommodations that they need. The Disability Discrimination Act of 1995 may not cover employees who are using drugs. According to Davies Robert, "an employee who claims that addiction is a disability is mistaken, as alcoholism and drug addictions are specifically excluded from the Disability Discrimination Act 1995 (DDA). But severe depression caused by or related to a person's alcoholism or gambling addiction, for example, can be covered by the DDA if the effect on day-to-day activities lasts for 12 months or longer. Claims alleging discrimination then become possible". The most common discrimination in the workplace is that during the interview process some employers overlook the interviewer's qualifications because they know they have or had a problem with drugs, and make a decision solely based on their addiction when the interviewer could be well qualified for the position. This is against the Discrimination Act 1995 (DDA). This act has counted addiction and alcoholism as a disability, so therefore addiction is protected under this act. Through the years, this act has declined in defending these individuals. According to "Alcoholism & Drug Abuse Weekly", Miranda John states, "the strength of these protections has been eroded in recent years as a result of court decisions and the lack of a strong constituency advocating the rights of addicts and alcoholics." (John, De Miranda, "Discrimination Against Drug Addicts and Alcohol Still Persists." (Alcoholism and Drug Abuse Weekly, Vol 13. Issue 47 P.5, 2001, December 12) The lack of job opportunities and treatment for drug addicts often results in relapses or in jail. Nathan Kim and his associates once conducted a study on the HIV status of people who inject drugs and found that the HIV rate in those individuals in San Francisco increased by 16.1% from the year 2009 when the HIV rate was 64.4%, to 80.5% in 2015.

at April 26, 2023
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