1. Geographic factors such as the difficulty of patrolling the country's long coastline and borders which makes smuggling and drug production difficult to control.
2. Economic factors like poverty that can influence involvement in the drug trade.
3. Social factors such as the phenomenon of overseas contract workers being recruited as drug mules.
4. Political factors like policies, drug laws, and their enforcement.
The document discusses the dangers of drug use among teenagers in Indonesia. It defines drugs and lists several common types including opium, morphine, heroin, codeine, demerol, and methadone. The document outlines factors that can encourage drug use like family issues, media influence, and economic problems. It also details the various health risks of drug use including organ damage, addiction, and mental health issues.
Part of the "Fourth Annual Health Law Year in P/Review" held at Harvard Law School on January 29, 2016.
This symposium featured leading experts discussing major developments during 2015 and what to watch out for in 2016. The discussion covered hot topics in such areas as health insurance, health care systems, public health, innovation, and other issues facing clinicians and patients.
This year's Health Law Year in P/Review was sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, the New England Journal of Medicine, Health Affairs, the Hastings Center, Harvard Health Publications at Harvard Medical School, and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund at Harvard University.
Visit our website for more information: http://petrieflom.law.harvard.edu/events/details/fourth-annual-health-law-year-in-p-review.
The document discusses substance abuse and dependence. It notes that substance abuse has become a widespread problem and defines substance abuse as the use of prescribed, illegal, or unintended substances to alter mood or mind. Substance abuse can develop from initial appropriate use and causes psychological and physical consequences. Substance dependence is characterized by problems developing from use, tolerance, and physiological or psychological dependence. Treatment involves inpatient or outpatient modalities like detoxification, support groups, and pharmacotherapy to aid sobriety maintenance.
This document discusses essentials of methadone prescribing and treatment for opioid dependence. It covers topics such as the harms of illegal opioid use, drug dependence, opioid dependence, and treatment approaches. Methadone treatment aims to reduce opioid use and related harms through a public health approach. Guidelines are provided for effective methadone programs which seek to improve health, social functioning, and quality of life for those with opioid dependence.
Crimes include drug trafficking, money laundering, extortion, terrorism, and theft. Drug abuse is caused by curiosity, peer pressure, and mental health issues. In Pakistan, drug trafficking generates $4 billion annually while usage has risen from 50,000 to 8.1 million from 1980 to 2011. In Gilgit-Baltistan, drug addiction among youth is increasing due to easy availability from dealers. Effects of drug abuse include psychological and physiological addiction as well as health issues affecting the central nervous system.
This document summarizes drug schedules, categories, signs and symptoms, and relevant Missouri criminal codes. It discusses the 5 schedules of controlled substances and provides examples of drugs that fall under each schedule. It also outlines categories of drugs including CNS depressants, stimulants, hallucinogens, dissociative anesthetics, narcotic analgesics, inhalants, and cannabis. For each category, common signs and symptoms of impairment are identified. Finally, the document summarizes several Missouri criminal codes pertaining to possession, distribution, and manufacturing of controlled substances.
The document discusses the dangers of drug use among teenagers in Indonesia. It defines drugs and lists several common types including opium, morphine, heroin, codeine, demerol, and methadone. The document outlines factors that can encourage drug use like family issues, media influence, and economic problems. It also details the various health risks of drug use including organ damage, addiction, and mental health issues.
Part of the "Fourth Annual Health Law Year in P/Review" held at Harvard Law School on January 29, 2016.
This symposium featured leading experts discussing major developments during 2015 and what to watch out for in 2016. The discussion covered hot topics in such areas as health insurance, health care systems, public health, innovation, and other issues facing clinicians and patients.
This year's Health Law Year in P/Review was sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, the New England Journal of Medicine, Health Affairs, the Hastings Center, Harvard Health Publications at Harvard Medical School, and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund at Harvard University.
Visit our website for more information: http://petrieflom.law.harvard.edu/events/details/fourth-annual-health-law-year-in-p-review.
The document discusses substance abuse and dependence. It notes that substance abuse has become a widespread problem and defines substance abuse as the use of prescribed, illegal, or unintended substances to alter mood or mind. Substance abuse can develop from initial appropriate use and causes psychological and physical consequences. Substance dependence is characterized by problems developing from use, tolerance, and physiological or psychological dependence. Treatment involves inpatient or outpatient modalities like detoxification, support groups, and pharmacotherapy to aid sobriety maintenance.
This document discusses essentials of methadone prescribing and treatment for opioid dependence. It covers topics such as the harms of illegal opioid use, drug dependence, opioid dependence, and treatment approaches. Methadone treatment aims to reduce opioid use and related harms through a public health approach. Guidelines are provided for effective methadone programs which seek to improve health, social functioning, and quality of life for those with opioid dependence.
Crimes include drug trafficking, money laundering, extortion, terrorism, and theft. Drug abuse is caused by curiosity, peer pressure, and mental health issues. In Pakistan, drug trafficking generates $4 billion annually while usage has risen from 50,000 to 8.1 million from 1980 to 2011. In Gilgit-Baltistan, drug addiction among youth is increasing due to easy availability from dealers. Effects of drug abuse include psychological and physiological addiction as well as health issues affecting the central nervous system.
This document summarizes drug schedules, categories, signs and symptoms, and relevant Missouri criminal codes. It discusses the 5 schedules of controlled substances and provides examples of drugs that fall under each schedule. It also outlines categories of drugs including CNS depressants, stimulants, hallucinogens, dissociative anesthetics, narcotic analgesics, inhalants, and cannabis. For each category, common signs and symptoms of impairment are identified. Finally, the document summarizes several Missouri criminal codes pertaining to possession, distribution, and manufacturing of controlled substances.
The document discusses the history of drug regulation laws in the United States from the early 1900s to present day. It covers major milestones like the 1906 Pure Food and Drug Act, the Food, Drug and Cosmetic Act of 1938, and the Controlled Substances Act of 1970 which categorized drugs based on their medical use and abuse potential. The challenges around balancing public health, crime prevention, and civil liberties in developing drug laws are also examined.
6 Most Commonly Abused Drugs and Their Effectssahyogclinic
Although it is impossible to measure the extent of drug use, drug use is everywhere. Sahyog Detox & Deaddiction Clinic bring you some facts and effects of drug abuse.
Narcotics are powerful pain-relieving drugs that are derived from opium and include morphine, heroin, and codeine. They work by relieving pain and inducing sleep or "narcosis." While used medically to treat pain, coughs, and diarrhea, narcotics also carry high risks of addiction and abuse. Long-term narcotic abuse can lead to both physical and psychological dependence as well as various health issues like infections, heart disease, and death.
The document discusses harm reduction strategies for drug policy. It summarizes the mission of Law Enforcement Against Prohibition (LEAP) to educate about the failure of the war on drugs and reduce harms. It also discusses overdose prevention, drug treatment courts, safe injection sites, and decriminalization efforts in places like Vancouver and the Netherlands that aim to improve public health and safety.
This presentation was done on the 'First Qilu Doctoral Forum on Health Economy and Policy' Conference on 15th May 2019 at Shandong University, Jinan, China
Illicit drugs are substances that stimulate or inhibit the central nervous system and cause hallucinogenic effects that have been prohibited globally. Cannabinoids like marijuana and hashish can cause effects like relaxation, slowed reaction time, and anxiety. Opioids like heroin and opium bind to opioid receptors in the brain and can cause drowsiness, impaired coordination, and slowed breathing. Hallucinogens such as cocaine, MDMA, LSD, amphetamines, and flunitrazepam are also illicit drugs that have been banned.
1) The document provides definitions and explanations of key concepts related to drugs of abuse including drug abuse, drug dependence, drug addiction, drug tolerance, cross-dependence, and cross-tolerance.
2) It discusses the different types of drug dependence including psychological dependence and physiological dependence.
3) The document also covers topics like drug toxicity, co-administration of drugs, and provides additional learning resources on neurotransmission and mental disorders.
Opium and its derivatives like morphine and heroin are highly addictive drugs derived from the opium poppy plant. Opium has been used for thousands of years as a pain reliever and recreational drug. While it can provide pain relief and euphoria, long term use carries serious health risks like overdose and disease. The global trade of opium and heroin is a multi-billion dollar industry involving illegal drug trafficking organizations. Efforts to curb illegal opium production and heroin use through law enforcement have had limited success.
Global Medical Cures™ | Commonly Abused Prescription Drugs in USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This document discusses the opioid epidemic in the United States. It provides definitions of opioid dependence and abuse, and details the epidemiology and costs of the crisis. The neuropharmacology and clinical effects of opioids are described. Methadone and buprenorphine are discussed as treatments for opioid dependence, including their mechanisms of action, efficacy, administration, and safety profiles. Buprenorphine is presented as a promising alternative to methadone with a lower risk of respiratory depression.
Affects of Substance Abuse on Mental Health - Opioids (Narcotics) zeeshan Shani
This slideshow is an endeavour to inculcate awareness and educate the youth and their parents about the usage, identification and affects of Narcotics (Opiods) Abuse.
This is a drugs presentation for year 8 students who are learning about drugs and their effects of humans, this is being used as part of a PSHE course.
Indonesia emerging psychoactive substancesditkeswa
New & Emerging Psychoactive Substances presents challenges for policymakers. It discusses (1) the rapid emergence of new psychoactive substances (NPS) with unknown toxicity, (2) the difficulties of regulating NPS due to technical and legislative issues, and (3) potential models for control including Ireland's consumer safety approach and New Zealand's permitting scheme. Overall it examines the policy problems posed by NPS and possible solutions.
Prescription drug abuse, especially of opioids, is a major problem in the United States, with millions of Americans misusing controlled prescription drugs each year. The misuse of pharmaceuticals has increased significantly while the abuse of illicit drugs has remained steady. While prescription drugs serve important medical purposes, widespread non-medical use has led to a rise in emergency room visits, overdose deaths, and admissions for treatment of prescription drug abuse. Coordinated efforts are needed across healthcare, law enforcement, and community levels to address this epidemic.
The document discusses several topics related to prescription and over-the-counter drug abuse including:
- Statistics showing non-medical use of prescription medications is second only to marijuana and affects millions of Americans each year, including teenagers.
- Common prescription drugs that are abused like opioids, including oxycodone and hydrocodone, and the adverse effects of abusing these medications.
- Federal sentencing of athlete Marion Jones for lying about steroid use and involvement in fraud.
- Actor Heath Ledger's accidental overdose death from a combination of prescription sleeping pills and anti-anxiety medications.
- Advertisements aimed at educating parents and teenagers about the dangers of abusing prescription medications obtained from family medicine cabinets.
This document provides an overview of a conference on chronic pain and addiction that will take place from April 10-12, 2012 at Walt Disney World Swan Resort. The conference will focus on prescription drug abuse in the US, the effects of prescription pain medication abuse over time, and advocating for continued education on addiction for pain management providers. Key statistics on prescription drug abuse in the US are presented, including that opioid analgesics are now the leading cause of accidental drug overdose deaths. Abuse of prescription drugs is rising among both adolescents and older adults.
This document summarizes drug use trends and issues in New York State. Some key points:
- New York has higher than average rates of cocaine, illicit drug dependence, and young adult illicit drug dependence compared to other states. Heroin is the most common drug in treatment admissions.
- Approximately 9.82% of New York residents reported past-month illicit drug use compared to the national average of 8.82%.
- Drug-induced deaths in New York are lower than the national average, though still number over 1,700 per year.
- The document outlines state and federal efforts to address issues like prescription drug monitoring programs, drug take-back initiatives, and drugged driving laws.
This document provides an overview of the pharmacology of alcohol (ethanol). It discusses the absorption, distribution, metabolism and elimination of alcohol. It describes genetic factors that influence these processes and gender differences in responses. The document also reviews the central nervous system effects of alcohol including intoxication, tolerance development and mechanisms of action. Finally, it outlines some of the organ-specific pharmacological and pathological effects of both acute and chronic alcohol use.
This document provides an overview of a presentation given at the Virginia Rural Health Association Annual Conference on December 11, 2014 about the REVIVE! project in Virginia. The presentation discusses the high rates of opioid overdose deaths in the US and Virginia, describes how naloxone works to reverse opioid overdoses, and outlines the development and implementation of the REVIVE! pilot programs which trained laypeople to administer intranasal naloxone to reverse overdoses.
The United Nations Office on Drugs and Crime (UNODC) was established in 1997 to help the UN address issues related to drug trafficking, crime prevention, terrorism, and corruption. It employs around 500 people worldwide and is headquartered in Vienna, with 21 field offices. The agency aims to help governments handle drug, crime, terrorism and corruption issues through research, guidance, and technical/financial assistance. Approximately 90% of its funding comes from voluntary government contributions.
The document discusses drug abuse and trafficking. It defines drug abuse as the use of substances not approved or supervised by medical professionals. It identifies the main types of drugs that affect the central nervous system as depressants, stimulants, and hallucinogens. The document outlines signs of drug abuse, including physical and behavioral signs. It states that drug abuse has widespread negative effects on communities. Effective prevention includes parental monitoring, school prevention programs, and community programs addressing all types of drug use. The document concludes that combating drug trafficking and consumption requires international cooperation through education, healthcare, treatment and rehabilitation.
This document discusses drug abuse in Malaysia. It provides statistics showing that drug abuse is a major social problem, with over 300,000 registered addicts and an estimated total of 1 million addicts in Malaysia. The most commonly abused drugs are opiates, making up 67% of drug abuse, followed by marijuana at 17%. Youth from 15-24 make up 79% of drug abusers. Genetic and environmental factors both contribute to susceptibility to drug abuse.
The document discusses the history of drug regulation laws in the United States from the early 1900s to present day. It covers major milestones like the 1906 Pure Food and Drug Act, the Food, Drug and Cosmetic Act of 1938, and the Controlled Substances Act of 1970 which categorized drugs based on their medical use and abuse potential. The challenges around balancing public health, crime prevention, and civil liberties in developing drug laws are also examined.
6 Most Commonly Abused Drugs and Their Effectssahyogclinic
Although it is impossible to measure the extent of drug use, drug use is everywhere. Sahyog Detox & Deaddiction Clinic bring you some facts and effects of drug abuse.
Narcotics are powerful pain-relieving drugs that are derived from opium and include morphine, heroin, and codeine. They work by relieving pain and inducing sleep or "narcosis." While used medically to treat pain, coughs, and diarrhea, narcotics also carry high risks of addiction and abuse. Long-term narcotic abuse can lead to both physical and psychological dependence as well as various health issues like infections, heart disease, and death.
The document discusses harm reduction strategies for drug policy. It summarizes the mission of Law Enforcement Against Prohibition (LEAP) to educate about the failure of the war on drugs and reduce harms. It also discusses overdose prevention, drug treatment courts, safe injection sites, and decriminalization efforts in places like Vancouver and the Netherlands that aim to improve public health and safety.
This presentation was done on the 'First Qilu Doctoral Forum on Health Economy and Policy' Conference on 15th May 2019 at Shandong University, Jinan, China
Illicit drugs are substances that stimulate or inhibit the central nervous system and cause hallucinogenic effects that have been prohibited globally. Cannabinoids like marijuana and hashish can cause effects like relaxation, slowed reaction time, and anxiety. Opioids like heroin and opium bind to opioid receptors in the brain and can cause drowsiness, impaired coordination, and slowed breathing. Hallucinogens such as cocaine, MDMA, LSD, amphetamines, and flunitrazepam are also illicit drugs that have been banned.
1) The document provides definitions and explanations of key concepts related to drugs of abuse including drug abuse, drug dependence, drug addiction, drug tolerance, cross-dependence, and cross-tolerance.
2) It discusses the different types of drug dependence including psychological dependence and physiological dependence.
3) The document also covers topics like drug toxicity, co-administration of drugs, and provides additional learning resources on neurotransmission and mental disorders.
Opium and its derivatives like morphine and heroin are highly addictive drugs derived from the opium poppy plant. Opium has been used for thousands of years as a pain reliever and recreational drug. While it can provide pain relief and euphoria, long term use carries serious health risks like overdose and disease. The global trade of opium and heroin is a multi-billion dollar industry involving illegal drug trafficking organizations. Efforts to curb illegal opium production and heroin use through law enforcement have had limited success.
Global Medical Cures™ | Commonly Abused Prescription Drugs in USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This document discusses the opioid epidemic in the United States. It provides definitions of opioid dependence and abuse, and details the epidemiology and costs of the crisis. The neuropharmacology and clinical effects of opioids are described. Methadone and buprenorphine are discussed as treatments for opioid dependence, including their mechanisms of action, efficacy, administration, and safety profiles. Buprenorphine is presented as a promising alternative to methadone with a lower risk of respiratory depression.
Affects of Substance Abuse on Mental Health - Opioids (Narcotics) zeeshan Shani
This slideshow is an endeavour to inculcate awareness and educate the youth and their parents about the usage, identification and affects of Narcotics (Opiods) Abuse.
This is a drugs presentation for year 8 students who are learning about drugs and their effects of humans, this is being used as part of a PSHE course.
Indonesia emerging psychoactive substancesditkeswa
New & Emerging Psychoactive Substances presents challenges for policymakers. It discusses (1) the rapid emergence of new psychoactive substances (NPS) with unknown toxicity, (2) the difficulties of regulating NPS due to technical and legislative issues, and (3) potential models for control including Ireland's consumer safety approach and New Zealand's permitting scheme. Overall it examines the policy problems posed by NPS and possible solutions.
Prescription drug abuse, especially of opioids, is a major problem in the United States, with millions of Americans misusing controlled prescription drugs each year. The misuse of pharmaceuticals has increased significantly while the abuse of illicit drugs has remained steady. While prescription drugs serve important medical purposes, widespread non-medical use has led to a rise in emergency room visits, overdose deaths, and admissions for treatment of prescription drug abuse. Coordinated efforts are needed across healthcare, law enforcement, and community levels to address this epidemic.
The document discusses several topics related to prescription and over-the-counter drug abuse including:
- Statistics showing non-medical use of prescription medications is second only to marijuana and affects millions of Americans each year, including teenagers.
- Common prescription drugs that are abused like opioids, including oxycodone and hydrocodone, and the adverse effects of abusing these medications.
- Federal sentencing of athlete Marion Jones for lying about steroid use and involvement in fraud.
- Actor Heath Ledger's accidental overdose death from a combination of prescription sleeping pills and anti-anxiety medications.
- Advertisements aimed at educating parents and teenagers about the dangers of abusing prescription medications obtained from family medicine cabinets.
This document provides an overview of a conference on chronic pain and addiction that will take place from April 10-12, 2012 at Walt Disney World Swan Resort. The conference will focus on prescription drug abuse in the US, the effects of prescription pain medication abuse over time, and advocating for continued education on addiction for pain management providers. Key statistics on prescription drug abuse in the US are presented, including that opioid analgesics are now the leading cause of accidental drug overdose deaths. Abuse of prescription drugs is rising among both adolescents and older adults.
This document summarizes drug use trends and issues in New York State. Some key points:
- New York has higher than average rates of cocaine, illicit drug dependence, and young adult illicit drug dependence compared to other states. Heroin is the most common drug in treatment admissions.
- Approximately 9.82% of New York residents reported past-month illicit drug use compared to the national average of 8.82%.
- Drug-induced deaths in New York are lower than the national average, though still number over 1,700 per year.
- The document outlines state and federal efforts to address issues like prescription drug monitoring programs, drug take-back initiatives, and drugged driving laws.
This document provides an overview of the pharmacology of alcohol (ethanol). It discusses the absorption, distribution, metabolism and elimination of alcohol. It describes genetic factors that influence these processes and gender differences in responses. The document also reviews the central nervous system effects of alcohol including intoxication, tolerance development and mechanisms of action. Finally, it outlines some of the organ-specific pharmacological and pathological effects of both acute and chronic alcohol use.
This document provides an overview of a presentation given at the Virginia Rural Health Association Annual Conference on December 11, 2014 about the REVIVE! project in Virginia. The presentation discusses the high rates of opioid overdose deaths in the US and Virginia, describes how naloxone works to reverse opioid overdoses, and outlines the development and implementation of the REVIVE! pilot programs which trained laypeople to administer intranasal naloxone to reverse overdoses.
The United Nations Office on Drugs and Crime (UNODC) was established in 1997 to help the UN address issues related to drug trafficking, crime prevention, terrorism, and corruption. It employs around 500 people worldwide and is headquartered in Vienna, with 21 field offices. The agency aims to help governments handle drug, crime, terrorism and corruption issues through research, guidance, and technical/financial assistance. Approximately 90% of its funding comes from voluntary government contributions.
The document discusses drug abuse and trafficking. It defines drug abuse as the use of substances not approved or supervised by medical professionals. It identifies the main types of drugs that affect the central nervous system as depressants, stimulants, and hallucinogens. The document outlines signs of drug abuse, including physical and behavioral signs. It states that drug abuse has widespread negative effects on communities. Effective prevention includes parental monitoring, school prevention programs, and community programs addressing all types of drug use. The document concludes that combating drug trafficking and consumption requires international cooperation through education, healthcare, treatment and rehabilitation.
This document discusses drug abuse in Malaysia. It provides statistics showing that drug abuse is a major social problem, with over 300,000 registered addicts and an estimated total of 1 million addicts in Malaysia. The most commonly abused drugs are opiates, making up 67% of drug abuse, followed by marijuana at 17%. Youth from 15-24 make up 79% of drug abusers. Genetic and environmental factors both contribute to susceptibility to drug abuse.
Escaping the temptations of Drub abuseOladele Situ
1) Drug and substance abuse among youths in Nigeria is a significant problem, with cannabis being the most commonly abused drug.
2) Drug abuse has many negative health effects and can lead to addiction due to changes in the brain's reward pathway.
3) Preventing drug abuse requires efforts like education, strong social support systems, and treatment for those already addicted through medical and behavioral therapies.
This document provides definitions and categories for substance misuse in the UK. It defines misuse as unsanctioned, hazardous, dysfunctional or harmful use according to the WHO. Substances can be legal, regulated or illegal, with illegal drugs categorized into classes A-C depending on their legal tariff. Drugs are also categorized by their effects as depressants, stimulants or hallucinogens. While alcohol is legal, it is responsible for the most harm. The number of heroin and crack users is declining but challenges remain around alcohol and new psychoactive substances.
Children in Substance Abuse and Armed ConflictNilendra Kumar
The document discusses substance abuse and children in armed conflicts. It provides definitions and background on substance abuse including narcotics, psychotropic substances, and different types of drugs. It outlines causes of substance abuse among children and legal provisions in India related to children and drugs. The document also discusses the impact of armed conflicts on children including recruitment as child soldiers and violations of children's rights. It summarizes international laws and UN initiatives to protect children from substance abuse and involvement in armed conflicts.
This document discusses illicit drug consumption and its effects in Sri Lanka. It begins by defining illicit drugs and providing examples like cannabis, heroin, and cocaine. It then explains how illicit drug use impacts people through negative effects on relationships, safety, employment, education, violence, finances, stress, and health. In Sri Lanka, the number of drug-related arrests increased to over 67,000 in 2014, with most from the Western province. The document concludes that eliminating illicit drug use requires a collaborative effort through prevention programs, rehabilitation, public awareness, and legal enforcement.
1) Stimulants are substances that speed up physical and psychological functions by increasing activity in the brain's reward system. Common stimulants include cocaine and amphetamines.
2) Both cocaine and amphetamines inhibit the reuptake of dopamine, norepinephrine, and serotonin in the brain, resulting in feelings of euphoria and increased energy. However, cocaine blocks reuptake while amphetamines cause release of these neurotransmitters.
3) Chronic stimulant use can lead to psychosis, depression, medical complications affecting the heart, brain, and other organs due to restricted blood flow, and high relapse rates following withdrawal.
The document discusses illicit drug trafficking in Nigeria. It provides background on drug supply, distribution and use in Nigeria. It notes that West Africa is a key transit point for drug trafficking and that Nigeria has issues with trafficking of substances like cannabis, cocaine, and tramadol. It also discusses the effects of drug trafficking such as strained international relations and increased crime. The document outlines Nigeria's drug policies and legislative frameworks to comply with international conventions. It discusses challenges like barriers to accessing drug treatment and a large unmet need. It concludes by providing recommendations for how to curb drug trafficking in Nigeria such as reducing demand, increasing funding for security agencies, and educating youth.
This document discusses drugs and their dangers. It begins with definitions of drugs as narcotics, psychotropic substances, and other addictive materials. It notes that drug use among youth is rising and endangering the nation's future. The purpose is to provide youth with knowledge about drugs. It then discusses various types of drugs like opium, heroin, morphine, and their effects. Factors that encourage drug use include family issues, media, and economic problems. The dangers of drugs are discussed, noting they can damage organs over time and cause issues like hallucinations, increased heart rate, or mental/behavioral changes depending on the specific drug.
The document discusses the dangers of drug use among adolescents in Indonesia. It defines different types of drugs like opioids, cocaine, marijuana and others, and explains the physical and psychological effects of each. The document also discusses factors that encourage drug use, and provides solutions like education, treatment and rehabilitation to address the growing problem of drug abuse among youth.
This document discusses drugs and their dangers. It begins with definitions of drugs according to law and descriptions of common drug types like opioids, cocaine, and marijuana. It then discusses factors that can encourage drug abuse like family issues, media influences, and economic problems. Finally, it outlines the physical and psychological effects of drugs and their health risks. These include increased heart rate, hallucinations, organ damage, addiction, and even death from overdose if drugs are abused long-term or in high doses. The document aims to educate youth about the types and dangers of drug use.
Drugs can be legal or illegal substances that alter the body's functions when ingested. Common types of drug addiction include stimulants like cocaine, depressants like alcohol, and opiates like heroin. Drug addiction is caused by a combination of genetic, environmental, and neurological factors. Symptoms include an inability to stop using, mood changes, and continuing use despite negative consequences. Worldwide, 35 million people suffer from drug use disorders while only 1 in 7 receive treatment. In India, there are an estimated 12.6 lakh drug users, with the highest numbers in Maharashtra, Telangana, Kerala, and Delhi. The Narcotic Drugs and Psychotropic Substances Act of 1985 prohibits drug production,
Opioid dependence syndrome management legal and policy aspectsTashi Dr
This document discusses the laws and policies around opioid use and treatment in India. It provides an overview of:
1. International drug conventions and India's key drug laws like the NDPS Act which regulate opioids.
2. Government agencies involved in drug control, and national policies focused on both supply reduction and demand reduction.
3. Specific medications allowed for opioid dependence treatment under the conventions and Indian law, and regulations around medications like buprenorphine.
4. How branding substance use as illegal and users as criminals affects opioid disorder management, and how legal issues impact assessment and treatment in different settings. Questions are raised about whether current laws and policies encourage evidence-based treatment.
This document discusses drug addiction from multiple perspectives. It begins by explaining how drugs affect the brain's reward system and dopamine levels, causing cravings. It then lists several commonly abused drugs and their effects. It discusses psychological, environmental, and genetic causes of addiction. It outlines various health problems associated with drug use, including effects on the brain, immune system, cardiovascular system, and liver. Behavioral problems, birth defects, and statistics on drug use in the US and Philippines are also summarized. The document concludes by describing drug rehabilitation programs and their goals of treating dependence and enabling patients to cease substance abuse.
This document discusses drug addiction from multiple perspectives. It begins by explaining how drugs affect the brain's reward system and dopamine levels, causing cravings. It then lists several commonly abused drugs and their effects. It discusses psychological, environmental, and genetic causes of addiction. It outlines various health problems associated with drug use, including effects on the brain, immune system, cardiovascular system, and liver. Behavioral problems, birth defects, and statistics on drug use in the US and Philippines are also summarized. The document concludes by describing drug rehabilitation programs and their goals of treating dependence and enabling patients to cease substance abuse.
International Day against Drug Abuse and Illicit Trafficking.pptxDICNepal
The document discusses drug information from the Drug Information Center in Nepal. It provides statistics on drug use in Nepal such as the number and demographics of drug users. It also discusses the health issues faced by drug users, the types of drugs commonly used, and consequences of drug trafficking. Prevention of drug abuse is important and can be achieved through understanding how abuse develops, avoiding peer pressure, seeking help for mental illness, examining risk factors, and maintaining a balanced lifestyle.
This document discusses drug abuse and addiction. It defines drugs and the differences between drug abuse and addiction. It describes various types of drugs like stimulants, depressants, opiates, and hallucinogens. It discusses reasons why people take drugs and provides statistics on drug use worldwide. The document also covers the effects of specific drugs like marijuana, cocaine, and krokodil. It discusses prevention of drug abuse and treatments for drug addiction. Finally, it highlights the severe drug problem in the state of Punjab, India.
Psychoactive substances affect the central nervous system and brain function, changing perception, mood, consciousness, cognition, and behavior. Different drugs affect different neurotransmitters in the brain. The document discusses several key points:
1) Psychoactive drugs can have negative short-term and long-term health effects, including overdose, accidents, chronic illnesses, and social problems. Prenatal drug exposure can harm fetal development and cause issues like low birth weight.
2) Biological theories suggest genetics and changes in the brain from drug use contribute to addiction. No single factor determines if a person will become addicted.
3) The use of drugs like alcohol and opioids during pregnancy can significantly impact the health of
This document discusses different types of drugs, their effects, and the harms of drug use. It covers depressants like alcohol and cannabis that slow the central nervous system, stimulants like cocaine and amphetamines that speed it up, and hallucinogens like LSD that distort perceptions. While some drugs have medical uses, excessive or inappropriate drug use can cause health issues, accidents, family problems, and legal troubles. The document also provides information on how long different drugs stay detectable in urine and calls for seeking help for potential addiction issues.
projet de traité négocié à Istanbul (anglais).pdfEdouardHusson
Ceci est le projet de traité qui avait été négocié entre Russes et Ukrainiens à Istanbul en mars 2022, avant que les Etats-Unis et la Grande-Bretagne ne détournent Kiev de signer.
#WenguiGuo#WashingtonFarm Guo Wengui Wolf son ambition exposed to open a far...rittaajmal71
Since fleeing to the United States in 2014, Guo Wengui has founded a number of projects in the United States, such as GTV Media Group, GTV private equity, farm loan project, G Club Operations Co., LTD., and Himalaya Exchange.
Recent years have seen a disturbing rise in violence, discrimination, and intolerance against Christian communities in various Islamic countries. This multifaceted challenge, deeply rooted in historical, social, and political animosities, demands urgent attention. Despite the escalating persecution, substantial support from the Western world remains lacking.
केरल उच्च न्यायालय ने 11 जून, 2024 को मंडला पूजा में भाग लेने की अनुमति मांगने वाली 10 वर्षीय लड़की की रिट याचिका को खारिज कर दिया, जिसमें सर्वोच्च न्यायालय की एक बड़ी पीठ के समक्ष इस मुद्दे की लंबित प्रकृति पर जोर दिया गया। यह आदेश न्यायमूर्ति अनिल के. नरेंद्रन और न्यायमूर्ति हरिशंकर वी. मेनन की खंडपीठ द्वारा पारित किया गया
Youngest c m in India- Pema Khandu BiographyVoterMood
Pema Khandu, born on August 21, 1979, is an Indian politician and the Chief Minister of Arunachal Pradesh. He is the son of former Chief Minister of Arunachal Pradesh, Dorjee Khandu. Pema Khandu assumed office as the Chief Minister in July 2016, making him one of the youngest Chief Ministers in India at that time.
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Slide deck with charts from our Digital News Report 2024, the most comprehensive exploration of news consumption habits around the world, based on survey data from more than 95,000 respondents across 47 countries.
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ग्रेटर मुंबई के नगर आयुक्त को एक खुले पत्र में याचिका दायर कर 540 से अधिक मुंबईकरों ने सभी अवैध और अस्थिर होर्डिंग्स, साइनबोर्ड और इलेक्ट्रिक साइनेज को तत्काल हटाने और 13 मई, 2024 की शाम को घाटकोपर में अवैध होर्डिंग के गिरने की विनाशकारी घटना के बाद अपराधियों के खिलाफ सख्त कार्रवाई की मांग की है, जिसमें 17 लोगों की जान चली गई और कई निर्दोष लोग गंभीर रूप से घायल हो गए।
1. Illegal Drugs : A Problem of the World
Michael C. dela Rama
Master in Public Administration
2. The UNODC showed the annual prevalence for
marijuana is 3.5 percent, amphetamine-type
stimulants 2.8 percent, and ecstasy .01 percent of
the population above 15 years of age. According to
the International Narcotics Control Strategy Report
2003, it is estimated that there are 1.8 million drug
users in the Philippines, which is equivalent to 2.2
percent of the population.
What is the problem?
3. Illegal drugs are drugs
that are not allowed. The law
says a person cannot own
an illegal drug. A drug is any
chemical that affects the
human body or mind when it is
consumed in any way. A
psychoactive drug affects the
brain. Other drugs are illegal,
meaning a person is never
allowed to have them.
What is illegal
drugs?
4. o Permanent damage to brain and body
o Become addictive
o Major factor in suicide, accidents and crimes
o Risk of spreading disease through sharing
needles
o Can result in overdose
o leads to making irresponsible decisions
Why is illegal drugs dangerous??
5. o Desire to experiment
o Desire to escape depression/boredom
o Enjoyment of risky behavior
o Belief that drugs solve personal problems
o Peer pressure
o Media glamorizing drug use
“The reason people begin using drugs are similar to the reasons
they begin to drink or smoke.”
What are these reasons?
6. All drugs, legal and illegal, are classified into
different categories based on their similar effects on
the mind and body.
o Depressants
o Stimulants
o Hallucinogens
o Club/Designer
o Opiates
DRUG CLASSIFICATIONS
7. Depressants - A depressant, or
central depressant, is a drug that
lowers neurotransmission levels, which
is to depress or reduce arousal or
stimulation, in various areas of the
brain. Depressants are also
occasionally referred to as "downers"
as they lower the level of arousal when
taken. There are several different types
of depressants, including barbiturates,
benzodiazepines, alcohol, opioids,
cannabis, and Rohypnol.
DRUG CLASSIFICATIONS
8. EFFECTS : Instead of speeding up
most body processes, they slow them
down. Depressants are sometimes
referred to as sedatives or
tranquilizers. They lower blood
pressure and slow down brain activity,
heart rate and breathing. Depressants
generally affect the neurotransmitter
GABA.
DRUG CLASSIFICATIONS
9. Stimulants - is an overarching term
that covers many drugs including those
that increase activity of the central
nervous system and the body, drugs
that are pleasurable and invigorating,
or drugs that have sympathomimetic
effects. There are several types
of stimulants, including caffeine,
nicotine, cocaine, amphetamines, and
methamphetamines.
DRUG CLASSIFICATIONS
10. EFFECTS : Even the short-term usage
of stimulants can have adverse effects
on your health. Many users experience a
loss of appetite, increased heart rate,
elevated blood pressure and
body temperature, interrupted sleep
patterns, panic, hallucinations, and
irritability.
DRUG CLASSIFICATIONS
11. Hallucinogens - is a psychoactive
agent which can cause hallucinations,
perceptual anomalies, and other
substantial subjective changes in thoughts,
emotion, and consciousness. The common
types of hallucinogens are psychedelics,
dissociative and deliriants. Some examples
of hallucinogens include: LSD (lysergic acid
diethylamide); PCP (phencyclidine); magic
mushrooms (psilocybin); ketamine;
mescaline (peyote cactus); morning glory
seeds; datura.
DRUG CLASSIFICATIONS
Hallucinogenic drugs create most
of the same physical effects as
stimulant drugs, such as increased
heart rate, dilated pupils,
increased blood pressure and
sleeplessness
12. Club/Designer - A drug such as
MDMA (Ecstasy), GHB, Rohypnol,
ketamine, methamphetamine, and LSD that
is used by young adults at all-night dance
parties such as "raves" or "trances,"
dance clubs, and bars. Club drugs
include GHB, Rohypnol®, ketamine,
MDMA (Ecstasy), Methamphetamine,
and LSD (Acid).
DRUG CLASSIFICATIONS
EFFECTS: Euphoria, Sedation,
Confusion, Dizziness, Hallucinations,
Lowered inhibitions, Short-term
amnesia, Combativeness.
13. Opiates - Opiate is a term classically
used in pharmacology to mean a drug
derived from opium. Opioid, a more
modern term, is used to designate all
substances, both natural and synthetic, that
bind to opioid receptors in the brain.
Opiates are alkaloid compounds naturally
found in the opium poppy plant Papaver
somniferum. There are natural opiates
such as opium, morphine, and codeine.
There are also man-made opiates(referred
to as opioids in some instances), which
include demerol, oxycodone, vicodin,
fentanyl, and methadone.
DRUG CLASSIFICATIONS
EFFECTS: Because of the intense high produced
by the interaction of several opiates and the brain,
the drugs remain extremely addictive, sometimes
causing measurable symptoms of addiction in
under three days. The side effects of opiate abuse
are fairly varied and may include: Drowsiness.
Lethargy.
14. The Philippines As Target Market For Illicit Drugs
The Philippines, as a target
market for drug trafficking, is in
urgent need of a drug control policy
that deals with this problem.
A large number of Filipinos
are in jail abroad for drug trafficking
offenses – the most prominent has
been Mary Jane Veloso, though
hundreds more are in jails in
Malaysia, Indonesia, Singapore,
Hong Kong, and even Cambodia.
15. The Philippines As Target Market For Illicit Drugs
The National Anti-Drug Plan of Action
for 2015-2019 (NADPA) of the Dangerous Drugs
Board (DDB) noted that:
• African drug syndicates are known to recruit
Filipinos as drug mules
• Chinese or Filipino-Chinese drug syndicates
control the drug trade in the country –
smuggling, manufacture, and establishment of
laboratories
• 66% of all arrested drug personalities involved
in dismantled shabu (methampethamine)
laboratories since 2002 are Chinese nationals
• the Mexican Sinaloa drug cartel has been
reported to have operations since 2012
16. The Philippines As Target Market For Illicit Drugs
Since 2003, some 89 clandestine laboratories have been
dismantled. Drug manufacturing through these laboratories has changed.
Production is split into different stages, making detection more difficult. Labs
have been set up in warehouses, inside subdivisions and condominiums.
17. The Philippines As Target Market For Illicit Drugs
Drug arrests and seizures are only the tip of the iceberg. The
NADPA reported that 80,593 pushers and 66,154 users were arrested from
2002 to 2013. Over 10,500 kilos of shabu in powder form and 713,800 liters
of its liquid form have been seized in the same period. It is estimated that
globally, less than 10% of the total amount of illicit drugs being trafficked is
eventually seized.
18. The Philippines As Target Market For Illicit Drugs
The Philippines, with its long coastline, many ports of entry, and
with innovations in the manufacture, packaging, and transport of illicit drugs,
is not any different. This is a kin to smuggling, only that the proportion of
smuggled and non-taxed items confiscated is not immediately quantified.
19. Laws And Institutions
Republic Act 9165, the
Dangerous Drugs Act of 2002,
provides that the government shall
pursue an “intensive and unrelenting
campaign against trafficking and use
of dangerous drugs and other similar
substances” and upholds the concept
of the DDB as the primary policy-
making body in drug prevention and
control.
What are the laws and institutions
responsible for responding to the problem
of illegal drugs?
The Philippine Drug
Enforcement Agency (PDEA) is
the main implementing arm of the
Board. The DDB is made up of
17 members– secretaries of
various government departments,
the Integrated Bar of the
Philippines, and an NGO
representative.
20. Laws And Institutions
The NADPA 2015-2020 guides the
implementation of the policies, plans and programs,
and outlines the roles and responsibilities of all
agencies and the partnerships with both regional
and international organizations. Developed by the
Dangerous Drugs Board, it visualizes a “Drug-
Resistant, and eventually, Drug-Free Philippines.”
The NADPA has 5 core strategies: drug
supply reduction, drug demand reduction, alternative
development, civic awareness and regional and
international cooperation.
Not much seems to have changed in the
NADPA over the years.
21. Laws And Institutions
In November 2002, the
DDB launched a similar plan, with
the goal of making the Philippines
“drug free” by 2010 – then, as now,
a futile goal. The 5 pillars in 2002
are exactly the same as the 5
strategies.
While the current NADPA
devotes 3 paragraphs to people
who inject drugs (PWID) and notes
with concern the rise of HIV
infections among PWID in Cebu, it
is silent about known effective
strategies for reducing HIV and
Hepatitis among PWID.
22. Laws And Institutions
This approach, termed
“harm reduction,” or “reducing drug-
related harms” is a well known
public health strategy, and
comprises a set of activities that
attempt to reduce the harm brought
about by drug use, in the same way
that, for example, seat belts and
helmets are used to prevent
needless deaths and injuries from
traffic accidents. Harm reduction is
controversial to drug control
agencies, since it does not
necessarily aim towards being “drug
free.”
23. Drug Cartel
A drug cartel is any criminal organization
with the intention of supplying drug
trafficking operations. They range from
loosely managed agreements among
various drug traffickers to formalized
commercial enterprises. The term was
applied when the largest trafficking
organizations reached an agreement to
coordinate the production and distribution
of cocaine. Since that agreement was
broken up, drug cartels are no longer
actually cartels, but the term stuck and it
is now popularly used to refer to any
criminal narcotics related organization.
24. Drug Cartel
The Sinaloa Cartel, often
described as the largest and
most powerful drug
trafficking organization in the
Western Hemisphere, is an
alliance of some of Mexico’s
top capos. The coalition’s
members operate in concert
to protect themselves, relying
on connections at the highest
levels and corrupting
portions of the federal police
and military to maintain the
upper hand against rivals.
28. World Drug Report 2018
Total global opium production jumped
by 65 per cent from 2016 to 2017, to
10,500 tons, easily the highest estimate
recorded by UNODC since it started
monitoring global opium production at
the beginning of the twenty-first century.
A marked increase in opium poppy
cultivation and a gradual increase in
opium poppy yields in Afghanistan
resulted in opium production in the
country reaching 9,000 tons in 2017, an
increase of 87 per cent from the
previous year.
30. World Drug Report 2018
The non-medical use of
pharmaceutical opioids is of increasing concern
for both law enforcement authorities and public
health professionals. Different pharmaceutical
opioids are misused in different regions. In
North America, illicitly sourced fentanyl, mixed
with heroin or other drugs, is driving the
unprecedented number of overdose deaths. In
Europe, the main opioid of concern remains
heroin, but the non-medical use of methadone,
buprenorphine and fentanyl has also been
reported. In countries in West and North Africa
and the Near and Middle East, the non-medical
use of tramadol, a pharmaceutical opioid that is
not under international control, is emerging as a
substance of concern.
67. • Geographic factors that
make patrolling and
protecting the country
from smugglers of
methamphetamine and
planters of marijuana
difficult
Factors that influence illegal drug incidence in the Philippines
68. • Economic factors
such as poverty
Factors that influence illegal drug incidence in the Philippines
69. • Social factors such as
the phenomenon of the
overseas contract
worker
Factors that influence illegal drug incidence in the Philippines
70. • Political factors such
as policies, drug laws,
and enforcement.
Factors that influence illegal drug incidence in the Philippines
71. Factors that influence illegal drug incidence in the Philippines
1. Ferdinand Dancel Aguindaldo, Vice Mayor, Pasuquin, Ilocos Norte (Running for
Mayor)
2. Jesus Celeste, 1st District Representative, Pangasinan (Did not file)
3. Marjorie Salazar, Mayor Lasam, Cagayan ((Running for Municipal Councilor)
4. Cipriano Dungao Violago Jr., Mayor, San Rafael, Bulacan (Running for Mayor)
5. Erlon Agustin, Mayor, Camiling, Tarlac (Running for Mayor)
6. Jefferson Khonghun, Mayor Subic, Zambales (Running for Vice Governor of
Zambales)
7. Jeffrey Khonghun, 1st district Representative, Zambales (Running for
Congressman)
8. Bruno Tolentino Ramos, Mayor, Bay, Laguna (Did not file)
9. Caesar Pabalete Perez, Mayor, Los Baños, Laguna (Running for Mayor)
10.Cecilio C. Hernandez, Mayor, Rodriguez, Rizal (Running for Vice Mayor)
NARCO-POLITICS as of March 2019
72. Factors that influence illegal drug incidence in the Philippines
11.Dennis Linco Hernandez, Rodriguez, Rizal (Running for Mayor)
12.Eulalio Mendoza Alilio, Mayor, Lemery, Batangas (Running for Mayor)
13.Juan Valencia Toreja, Mayor, Ibaan, Batangas (Did not file)
14.Loreto Sahagun Amante, Mayor, San Pablo City, Laguna (Running for Mayor)
15.Raul S. Palino, Mayor, Teresa, Rizal (Running for Mayor)
16.Roderick Alcantara Alcala, Mayor, Lucena City, Quezon (Running for Mayor)
17.Rommel Cruz Ayuson, Board Member, Rizal Province (Running for Board
Member)
18.Nieves Cabunalda Rosente, Mayor, El Nido, Palawan (Running for Mayor)
19.Ariel Tabugo Alagos Jr., Vice Mayor, Culasi, Antique (Running for Mayor)
20.Jed Patrick Mabilog, Mayor Iloilo City (Did not file, cannot be located)
NARCO-POLITICS as of March 2019
73. Factors that influence illegal drug incidence in the Philippines
21.Julius Ronald Pacificador, Mayor, Hamtic, Antique ((Running for Vice Mayor)
22.Mariano Malficio Malones Sr., Mayor Maasin, Iloilo ((Running for Vice Mayor)
23.Siegfredo Afluente Betita, Carles, Iloilo (Running for Mayor)
24.Franz Cabilao Sabalones, Vice Mayor, San Fernando Cebu (Did not file)
25.Vicente Loot, Mayor, Daanbantayan, Cebu (Did not file)
26.Vicente Sofronio Veloso, 3rd District Representative, Leyte (Running for
Congressman)
27.Gamar Ahay Janihim, Mayor, Zamboanga del Norte, (Running for Mayor)
28.Leonida Albor Angcap, Mayor, Midsalip, Zamboanga del Sur (Running for Mayor)
29.Crisinciano Enot Mahilac, Mayor, Misamis Occidental (Did not file)
30.David Mabal Navarro, Mayor, Clarin Miamis Occidental (Running for Mayor)
NARCO-POLITICS as of March 2019
74. 31.Ezel Tabuelog Villanueva, Mayor, Calamba, Misamis Occidental (Running for
Mayor)
32.Jason Paredes Almonte, mayor, Oroquieta City (Running for Congressman)
33.Abubakar Pendatun Maulana, Mayor, Palimbang, Sulatan Kudarat (Running for
Vice Mayor)
34.Albert Palencia, Mayor, Banga, South Cotabato (Running for Mayor)
35.Pablo Mondejar Matinong Jr, Mayor, Sto. Niño, South Cotabato (Running for
Mayor)
36.Roberto Luna, Mayor, Linging, Surigao del Sur (Running for Mayor)
37.Abdulwahab Sabal, Vice Mayor, Talitay, Maguindanao (Running for Mayor)
38.Anida Dimaukom, Vice Mayor, Datu Saudi Amptuan, Maguindanao (Running for
Mayor)
39.Arafat Alim Salic, Vice Mayor, Marawi City
Factors that influence illegal drug incidence in the Philippines
NARCO-POLITICS as of March 2019
75. Factors that influence illegal drug incidence in the Philippines
40.Jamal Abinal Pangandamun, Vice Mayor, Maguing, Lanao del Sur (Running for
Vice Mayor)
41.Mamaulan Abinal Mulok, Mayor, Maguing, Lanao del Sur (Running for Mayor)
42.Montasser Meling Sabal, Former mayor, Taglitay, Maguindanao (Running for Vice
mayor)
43.Ohto Caumbo Montawal,Vice Mayor, Datu Montawal (Running for Vice mayor)
44.Rasul Mabang Sangki, Mayor, Ampatuan, Maguindanao (Running for Mayor)
45.Vicman Kambang Montawal, Mayor, Datu Montawal, Maguindanao (Running for
Vice mayor)
46.Mayor Jamal Abdullah Mansul of Hadji Muhtamad, Basilan
NARCO-POLITICS as of March 2019
76. Conclusion: Drug abuse in the Philippines is
multifactorial, and there is a need to study these
different factors. Furthermore, there is an immediate
need to do an epidemiologic study of the extent of drug
abuse, which will significantly help fulfil the need for
policy, treatment, and prevention.
About 275 million people worldwide, which is roughly 5.6 per cent of the global population aged 15–64 years old, used drugs at least once during 2016. Some 31 million of people who use drugs suffer from drug use disorders, meaning that their drug use is harmful to the point where they may need treatment. Initial estimations suggest that, globally, 13.8 million young people aged 15–16 years used cannabis in the past year, equivalent to a rate of 5.6 per cent. Roughly 450,000 people died as a result of drug use in 2015, according to WHO. Of those deaths, 167,750 were directly associated with drug use disorders (mainly overdoses). The rest were indirectly attributable to drug use and included deaths related to HIV and hepatitis C acquired through unsafe injecting practices.
Opioids continued to cause the most harm, accounting for 76 per cent of deaths where drug use disorders were implicated. PWID — some 10.6 million worldwide in 2016 — endure the greatest health risks. More than half of them live with hepatitis C, and one in eight live with HIV. The headline figures for drug users have changed little in recent years, but this stability masks the striking ongoing changes in drug markets. Drugs such as heroin and cocaine that have been available for a long time increasingly coexist with NPS and there has been an increase in the non-medical use of prescription drugs (either diverted from licit channels or illicitly manufactured).The use of substances of unclear origin supplied through illicit channels that are sold as purported medicines but are destined for non-medical use is also on the increase. The range of substances and combinations available to users has never been wider.
Among the drivers of that increase were political instability, lack of government control and reduced economic opportunities for rural communities, which may have left the rural population vulnerable to the influence of groups involved in the drug trade. The surge in opium poppy cultivation in Afghanistan meant that the total area under opium poppy cultivation worldwide increased by 37 per cent from 2016 to 2017, to almost 420,000 ha. More than 75 per cent of that area is in Afghanistan. Overall seizures of opiates rose by almost 50 per cent from 2015 to 2016. The quantity of heroin seized globally reached a record high of 91 tons in 2016. Most opiates were seized near the manufacturing hubs in Afghanistan
Most of the world’s cocaine comes from Colombia, which boosted its manufacture by more than one third from 2015 to 2016, to some 866 tons. The total area under coca bush cultivation worldwide in 2016 was 213,000 ha, almost 69 per cent of which was in Colombia. The dramatic resurgence of coca bush cultivation in Colombia — which had almost halved from 2000 to 2013 — came about for a number of reasons related to market dynamics, the strategies of trafficking organizations and expectations in some communities of receiving compensation for replacing coca bush cultivation, as well as a reduction in alternative development interventions and in eradication. In 2006, more than 213,000 ha were eradicated. Ten years later, the figure was less than 18,000 ha. The result has been a perceived decrease in the risk of coca bush cultivation and a dramatic scaling-up of manufacture. Colombia has seen massive rises in both the number of cocaine laboratories dismantled and the amount of cocaine seized.
The rise in seizures of pharmaceutical opioids in Africa is mostly due to the worldwide popularity of tramadol, an opioid used to treat moderate and moderate-to-severe pain that is widely trafficked for non-medical use in the region. Tramadol is smuggled to various markets in West and Central Africa and North Africa, from where some of it is trafficked onwards to countries in the Near and Middle East. Countries in those subregions have reported the rapid expansion of the non-medical use of tramadol, in particular among some vulnerable populations. The drug is not yet under international control and is perceived by recreational users as a way of boosting energy and improving mood. However, tramadol can produce physical dependence, with WHO studies showing that this dependence may occur when it is used daily for more than a few weeks. While some tramadol is diverted from licit channels, most of the tramadol seized worldwide in the period 2012–2016 appears to have originated in clandestine laboratories in Asia.
There has been an increase in global deaths directly related to the use of drugs among older people, and an increase in drug use among older people in the few countries where information is available. This calls for targeted efforts to prevent, treat and minimize the impact of drug use among this population group. There are particular and wide-ranging health issues that arise from drug use among older users, in particular for those with a history of drug use disorders and dependence. Treatment for substance use is more complicated because there are multiple physical and mental health issues among older people who use drugs. Infrastructure is not yet in place to deal with the growing number of older drug users and their health needs over the coming decades. There is often no explicit reference to older users in drug strategies in countries with ageing populations, which is where this issue requires most attention. Specialized treatment and care programmes for older drug users are rare; most initiatives are directed towards younger people.
Treatment and care will need to incorporate specialized drug treatment programmes with mainstream health-care and social support services. Novel, integrated and multidisciplinary approaches to care are required to address the health and social needs of older drug users.
Cannabis is a common drug of choice for young people
There is evidence from Western countries that the perceived easy availability of cannabis, coupled with perceptions of a low risk of harm, makes the drug among the most common substances whose use is initiated in adolescence. Cannabis is often used in conjunction with other substances and the use of other drugs is typically preceded by cannabis use.
Many countries still fail to provide adequate drug treatment and health services to reduce the harm caused by drugs
One in six people suffering from drug use disorders received treatment for those disorders during 2016, which is a relatively low proportion that has remained constant in recent years. Some of the most adverse health consequences of drug use are experienced by PWID. A global review of services aimed at reducing adverse health consequences among PWID has suggested that only 79 countries have implemented both needle and syringe programmes and opioid substitution therapy. Only four countries were classified as having high levels of coverage of both of those types of interventions. Information on the availability of HIV testing and counselling and antiretroviral therapy remains sparse: only 34 countries could confirm the availability of HIV-testing programmes for PWID, and 17 countries confirmed that they had no such
Africa and Asia have emerged as cocaine trafficking and consumption hubs
Most indicators from North America suggest that cocaine use rose between 2013 and 2016. In 2013, there were fewer than 5,000 cocaine-related deaths in the United States, but by 2016 the figure was more than 10,000. Although many of those deaths also involved synthetic opioids and cannot be attributed exclusively to higher levels of cocaine consumption, the increase is nonetheless a strong indicator of increasing levels of harmful cocaine use.
The biggest growth in cocaine seizures in 2016 took place in Asia and Africa, reflecting the ongoing spread of cocaine trafficking and consumption to emerging markets. Although starting from a much lower level than North America, the quantity of cocaine seized in Asia tripled from 2015 to 2016; in South Asia, it increased tenfold. The quantity of cocaine seized in Africa doubled in 2016, with countries in North Africa seeing a sixfold increase and accounting for 69 per cent of all the cocaine seized in the region in 2016. This was in contrast to previous years, when cocaine tended to be seized mainly in West and Central Africa.