本文提供有关在东欧和中亚地区弱势群体获得治疗的区域建议。英语版本拥有更多信息，请阅读下文。

随时掌握与药物政策发展相关的最新信息。

On 19-21October 2014, a regional dialogue was organized in Tbilisi, Georgia. It focused on the regional proposal regarding access to treatment for vulnerable groups in Eastern Europe and Central Asia, which is being prepared by ECUO and EHRN for submission to the Global Fund (GF). Information is already available on our website regarding an initial proposal that was submitted to the GF and supported by it at the stage of an expression of interest.

The meeting of key populations, vulnerable groups, people living with HIV, governmental specialists and international agencies was very fruitful. Not only was the common goal of the future regional project agreed upon, but there was also a detailed discussion of its objectives as well as a common way of interaction between the partners.

The main issues discussed, both at the plenary session and within the working groups, were the fundamental challenges that are relevant not only to the project, but also to ensuring the viability and effectiveness of the response to the epidemic in our region.

Keep up-to-date with drug policy developments by subscribing to the IDPC Monthly Alert.

什么是艾滋病的连续性关怀，以及我们如何能够确保弱势群体获得它？

印度对药物使用的方法未能解决权利的保护在确保毒品使用者的整体福祉发挥核心作用。英语版本拥有更多信息，请阅读下文。

November 1st has been observed as International Drug Users Day since 1995. Globally, there is a growing movement by activists and policy experts calling for de-criminalisation of drug users.

India has a long history of cannabis and opium use for social, cultural, religious and medical purposes. There are several examples of the use of these substances being sanctioned by particular communities. In sharp contrast today, India’s explicit constitutional aspiration to eliminate all forms of drug use from society is possibly the single most dangerous ideal that has fueled utter disregard for the health and rights of people who use drugs in India.

Political apathy is evident from the 2014 amendment to the principal Indian drug law, NDPS Act 1985, which leaves very little space for the promotion of evidence-informed and rights-based programming for drug users. The amendment does have a few positive features in its handling of harm reduction, treatment and recasting the death penalty. However, it enhances punishment for consumption and possession of small quantities for personal use from 6 months to 1 year, which is in direct contrast to developments in countries like Portugal, Spain, Italy and even America where the War on Drugs originated. The response in India to drug use has primarily been a health services-based approach. Though it mitigates some aspects of vulnerability, this approach fails to address the central role that rights protections play in ensuring the overall wellbeing of drug users.

印度：结束对吸毒者的战争

Globally thousands of lives could be saved by simply increasing opiate users’ access to naloxone. England experienced an alarming 32% increase in opiate-overdose deaths in 2013, totalling 765 in 2013. Blenheim and IDHDP were so appalled by these figures they called a Naloxone Action Summit to see what could be changed to reduce this number of unnecessary deaths. The Summit took place on Monday 27th October and the room was packed with people who wanted to see change happen quickly.


Participants were asked a series of questions before the event and what was clear was there was marked variation of naloxone availability, ranging from nothing to wide available to all. The main barriers to availability appeared to be lethargy, lack of understanding and knowledge, competing priorities, finance and confusion, particularly what you can and can’t do currently. Nationally, the lack of clear guidance or instructions from the centre, confusion about the MHRA consultation, the October 2015 date and funding issues. The main drivers were usually champions in the area with a real desire to reduce these deaths.

The summit got off to a positive start with Professor John Strang of the National Addiction Centre setting the scene and giving a history of naloxone. The evidence has long been available but it took until 1998 for Jersey to provide naloxone to opiate users, but then we had to wait until 2010 to see Scotland launch the first national programme. He then went on to encourage us to do the things we could, like prescribe to all entering opiate substitute treatment (OST). Professor Strang also stressed the necessity of considering families as a key work-force and highlighted the great importance of normalising use of naloxone. “Why should Naloxone use be any different from the use of insulin, glucagon, the EpiPen or defibrillators?”.

John Jolly reminded us of the ACMD recommendations made in May 2012, which after a review of naloxone said that it should be more widely available in the UK, there should be less restrictions to access and more training is needed. It would appear that saying more training is needed has been used to delay the immediate implementation until after the next election – particularly as training has been going on for sometime now and continues to do so.

Keep up-to-date with drug policy developments by subscribing to the IDPC Monthly Alert.

More naloxone programmes to prevent the increasing opiate-overdose deaths in England are urgently needed

Last July, I received the phone call that no parent ever wants, saying that my 15-year-old daughter, Martha, was gravely ill as a result of an ecstasy overdose. She eventually died.

I am appealing for your help to reach our £10,000 target to launch this new project because I believe Martha might still be alive today if drugs were legally regulated. Please donate what you can, so that other parents never have to feel the way I do.

We are witnessing historic changes around the world, as countries are finally beginning to explore ways of legally regulating drugs. A growing number of US states have decided to put governments rather gangsters in control of the cannabis trade, and even in the UK, the government has produced a report admitting that harsh penalties do not deter drug use.

But the biggest remaining barrier to widespread reform is many people’s fear that any move away from prohibition would endanger their children. And unscrupulous politicians and elements of the media whip up and play on this fear to further their own agendas.

This emotional response is impossible to dispel with evidence alone. We need to directly counter people’s fears by using the same kind of powerful and moving language as the fear itself. And sadly, that is something only parents like Anne-Marie can do.

 Anyone's child: Families for safer drug control

By taking part in this year's Global Drug Survey, you will be part of the biggest survey of drug use patterns in the world. Last year almost 80,000 took part in GDS2014. The target this year, with media partners in 19 countries and with the survey having been translated into 8 languages is 120,000. That’s a lot of experience, expertise and opinion to share.

Take part in the 2015 Global Drug Survey!

The first European Conference on Hepatitis C and Injecting Drug Use held in Berlin at the end of October was packed with people committed to improving access to Hepatitis C Virus (HCV) Treatment and Opiate Substitution Treatment (OST). It was clear to see that delegates felt passionately about these two important issues. Concrete steps were made for strong advocacy and strategic collaboration. Things started with an excellent overview by Dr Jorg Goiz Berlin and was followed by three good national examples of hepatitis policies; one each from Scotland, France and Germany. Seven stakeholders for the seven key messages for a better hepatitis C policy and practice:

Scale Up Harm Reduction Community Based Programmes.

Access to HCV Testing, Treatment and Care Services

Decriminalisation of People Who Use Drugs

Meaningful Involvement of High Risk Communities

Effective Targeted HCV Strategies and Action Plans

Working together for a better hepatitis policy in Europe and beyond

More than 22,000 people have disappeared since the Mexican government launched its war against drug cartels in 2006 - leaving the victims' families in limbo, wondering if they are dead or alive.

Kidnappings are a source of income for cartels, serving as a way to extort civilians but also to force people to work for them. As the Mexican government struggles to battle the cartels, there are also allegations of disappearances by the state's security forces.

"When they put the marines, army and federal police on the streets it was to create terror. Then citizens are submissive and live locked in their homes and people don't complain - despite economic problems, despite corruption amongst officials at the highest levels. We are caught in the middle trying to keep ourselves safe not only from criminals but also from [the] authorities," says Raymundo Ramos Vazquez, the director of the Human Rights Committee of Nuevo Laredo in the Mexican state of Tamaulipas, just across the border with Texas.

The disappearances in Mexico

Nick Clegg wants the UK to take a lead role in forging an alliance between European and Latin American countries aiming to reform global drugs laws focused on prohibition.

The deputy prime minister believes that the UN special session on drugs in 2016 offers a “unique opportunity” to push for alternatives to the current system. “We need to seize it,” Clegg said. “The war on drugs has failed and there are now a large number of states who agree on the need for change.”

Clegg was speaking after meeting Colombia’s president, Juan Manuel Santos, for talks about his country’s peace negotiations with the Farc guerrillas and what both see as an emerging international consensus for reform of international drugs policy.

The talks between Santos and Clegg will be seen as a significant strengthening of the emerging liberal alliance on drugs reform, a move heavily resisted by the Lib Dems’ coalition partners.

Nick Clegg and Juan Manuel Santos to lead global initiative on drugs reform

一个进步的新计划，旨在帮助聘请数千名在巴西 ‘可卡因地’ 的可卡因使用者而不强迫他们戒除毒品。英语版本拥有更多信息，请阅读下文。

There are an estimated one million crack users in Brazil, many of whom reside in Cracolândias (Cracklands)—open-air drug markets where users freely smoke in a de facto legal environment. The largest of these markets is located in São Paulo, where a new approach has recently been implemented. The Open Arms program, launched in January 2014, is a city-sponsored harm reduction initiative that provides housing, food and job training to users without asking participants to quit using.

组图：在巴西‘可卡因地‘ 的伤害减少

四大支柱十三年前就通过了。它们今天的地位如何？英语版本拥有更多信息，请阅读下文。

What happened to North America's boldest drug policy experiment?

In 2001, after much campaigning by activists, academics and public health officials, Vancouver's municipal council approved the boldest, most progressive drug policy in North America: 

A Framework For Action: A Four-Pillar Approach to Vancouver's Drug Problems.

The philosophy was simple but revolutionary: government should lessen the harms associated with drug use, even if those drugs are illegal. Heroin prescription, methadone maintenance and supervised injection are some of the ideas you will find in the document's 36 recommendations.

was passed over 13 years ago. Where do they stand today? This is our season-opening 5-part series, 

podcasted on iTunes and syndicated at the University of British Columbia, the University of Victoria and Simon Fraser University.

To read the articles and listen to the files, click on the links below or go to the series page.

 Prevention, treatment, harm reduction, and enforcement—Vancouver’s four pillars. It’s the most progressive drug plan of any city in North America. But its authors fear that the pillars are crumbling. More >>

 Do you remember DARE? It’s a drug education program, but researchers say that it doesn’t work because it exaggerates the harms of drug use. We profile people who say we need to try something new: tell kids the truth. More >>

When somebody decides that it’s time to kick drugs, who is there to help them? In this explosive expose, we reveal a chronically underfunded drug treatment system that is dominated by unregulated flop houses, questionable pharmacists and dogmatic providers. More >>

 This summer, an activist named Ann Livingston signed a lease for a bubble tea cafe in the heart of the busiest drug market in suburban Vancouver. Ann has one goal: invite the drug users in and start a political movement. The Bubble Helping Centre in Surrey is to be that movement’s headquarters. But how will the neighbourhood react? More >>

: The authors of Vancouver drug policy always wanted to end the ‘War on Drugs’ but they made a compromise. While their fight against prohibition has stalled, Seattle is forging ahead. Will Seattle's compromise get any closer? More >>

四大支柱再访：由五部分组成的关于温哥华的毒品政策

尽管国家的艾滋病毒感染率较低，在重点人群和在某些地区，如城市环境和巴布亚省，艾滋病给这些人和地区带来了很重的负担。英语版本拥有更多信息，请阅读下文。

A delegation of the UNAIDS Programme Coordinating Board (PCB) conducted a field visit to Indonesia from 22 to 24 October to see how the country has implemented an integrated and decentralized response to AIDS that has accelerated the strategic use of HIV treatment, increased testing and counselling and strengthened HIV prevention services for key populations.

Indonesia demonstrates how a multisectoral approach to HIV, combined with consistent leadership at all levels, is helping the country to stabilize the epidemic, accelerate treatment and provide innovative and comprehensive HIV services. The country’s AIDS response is guided by an investment strategy, developed with support from UNAIDS, which focuses resources and efforts where they are most needed.

According to national estimates, 638 000 people are living with HIV across Indonesia, and latest national data show that new infections are stabilizing, although there are increases among men who have sex with men. Indonesia’s epidemic is largely concentrated among key populations, including sex workers and their clients, men who have sex with men, people who inject drugs and transgender people. While national HIV prevalence is low, a higher burden of HIV is found among key populations and in certain geographic areas, such as urban settings and in the Papua provinces.

领导和专注于关键受影响的人群形成了印尼应对艾滋病毒的框架

在这个展示中，Kasia Malinowska-Sempruch 问及联合国大会关于药品的特殊会议是否能成为一个改变世界毒品政策的机会。英语版本拥有更多信息，请阅读下文。

This plenary session from the 10th National Harm Reduction Conference, Baltimore, features Kasia Malinowska-Sempruch, Director of the Global Drug Policy Program, Open Society Foundations. In this presentation, Kasia poses the question "Is the 2016 United Nations General Assembly Special Session (UNGASS) on Drugs an Opportunity to Change the World?".

News