I slipped out of a stall in the dimly lit basement bathroom of a Brooklyn soul food restaurant, sliding a frosted glass dropper bottle and chubby three-milliliter pink syringe into my friend’s hand as she quickly replaced me. My mouth burned, a sore beginning to develop on the side of my tongue. I had just squirted a dose of “G”—likely a combination of GHB and its more potent precursor, GBL—into my mouth without the usual water or 7-Up chaser.

GHB and GBL are central nervous system depressants, like alcohol, and produce an alcohol-like intoxication. GHB is a chemical that occurs naturally in the human brain, while GBL is an industrial chemical that can be manually or metabolically converted into GHB. In the US, GHB tends to be more common, while GBL is bigger in Europe. G, as both chemicals are colloquially known, is usually dissolved in water, sold as a clear liquid and consumed orally.

I wasn’t able to sip it slowly like I usually do. Neither was my friend. That’s because we were at a popular New York City queer rave in mid-January called Unter, which has a harsh anti-G policy. A sign with a big slashed “GHB” was taped by the coat check, commanding partygoers to “KEEP GHB+GBL OUT!” and claiming that “GHB IS ACTIVELY HARMING THE GREATER DANCE MUSIC COMMUNITIES.”

Data on G-related harms among New Yorkers is scarce. The New York City Department of Health and Mental Hygiene was not able to comment by the time of publication. But in London, fatal G overdoses and G-involved sexual assaults have been shown to be widespread. More than a quarter of mostly-British gay men reported that they knew someone who has died from a G overdose, and the same proportion said that they had been subjected to sexual assault while using G, found

Banning GHB at raves is dangerous

By Associated Press Television News, Republic World

Ruling party lawmakers have proposed legalizing marijuana in Nepal, where it has been used for generations and was famed during the counterculture '60s.Forty-six members of the ruling Communist Party of Nepal filed the proposal in Parliament to legalize the production and use of marijuana, party lawmaker Birod Khatiwada said Monday.

He said the Himalayan country's mountainous terrain is suitable for the crop and allowing farmers to grow it would greatly benefit those who are impoverished.

“Legalizing marijuana will help the poor farmers and since most of the Western world, which was reason for making it illegal in the first place, have already ended the prohibition, Nepal should also lift the ban,” Khatiwada said.

Nepal lawmakers seek to legalize growing, using marijuana

President Donald Trump is campaigning on criminal justice reform efforts that reduce sentences for nonviolent offenders, while suggesting he’d like the American justice system to work more like ones in authoritarian countries where drug dealers are executed after “fair but quick” trials.

If those two things sound hard to square with each other, that’s because they are. But the contrast serves as an especially stark illustration of the incoherency at the core of Trumpism.

Just days after his Super Bowl ad and State of the Union speech highlighted his support for legislation that makes a modest effort to reduce prison sentences at the federal level, Trump on Monday said the best way to further reduce the quantity of fentanyl in the US is to follow China’s lead.

“States with a very powerful death penalty on drug dealers don’t have a drug problem,” Trump said during a White House event with governors. “I don’t know that our country is ready for that, but if you look throughout the world, the countries with a powerful death penalty — death penalty — with a fair but quick trial, they have very little if any drug problem. That includes China.”

(Trump made a number of other eyebrow-raising comments during the event, including saying of the coronavirus that “a lot of people think that goes away in April with the heat” and claiming the European Union “was really formed so they could treat us badly.”)

It should be noted that Trump’s claim about China and other authoritarian countries having “very little if any drug problem” is false. Records from the Chinese government indicate that there are more than 2.5 million officially registered drug users in the country, and that the total has increased significantly in recent years. (The real numbers are likely much higher since not all drug users have registered with the state.)

Trump is running on criminal justice reform but just praised China’s execution of drug dealers

George Charlton’s T-shirt is emblazoned with the words “nice people take drugs” in vibrant neon orange. George is sitting in the offices of Addaction, one of the UK’s leading drug and alcohol charities, in Redcar, in the north-east of England, looking out over the town’s esplanade and the North Sea beyond.

“I like these T-shirts,” he says. “I like to go into the Co-op on a Monday morning and have someone do a double take and say: ‘Really? Are you mad wearing that?’ It allows us to have a conversation. They’ll say: ‘You’re a decent lad,’ and I’ll say I was a problematic drug user for 15 years. Nice people do take drugs.”

George is a force of nature. He’s hard to contain. He speaks rapidly and enthusiastically about life, love and his work as a drug-user activist. He’s a qualified counsellor and offers mentoring and training to people affected by drugs.

What he defines as his life’s purpose emerged from 15 years of problematic drug use of his own. “My drug of choice was ‘more’,” he says. “It was more of anything I could get my hands on.”

He works tirelessly across the country on a range of projects but his focus at the moment is here in Redcar and Cleveland, where together with Addaction he is rolling out a pioneering project designed to save lives.

Under the project, a team of peers – people with lived experience of drug issues – take an intravenously administered medication called naloxone out on to the streets and train members of the community, including active drug users, in how to use it. The main life-threatening effect of an opioid overdose is to slow down or stop breathing. Naloxone blocks this effect and reverses breathing difficulties.

The majority of people who access naloxone do so through drug treatment or harm reduction services, but studies show people outside of structured drug treatment are most likely to die of a drug-related cause, so taking it out on to the streets is key.

George is joined in the Addaction offices by his team of four peers, or “naloxone champions”, dressed in matching azure hoodies. Jimmy, Chris, Andy and Nicky all pile in, laughing, talking over each other, excited about the day. Over cups of tea and chocolate biscuits, they complete a hectic “check-in”, one by one sharing with the room how they are feeling. They are “buzzing”, “excited”, “nervous” and “ready to save lives”.

'I feel like I have a purpose': People who used drugs working to save lives in the UK

Philippines officials involved in the country’s bloody drug war and a subsequent crackdown on opposition are finally facing official condemnation and repercussions from the United States. The drug war—including extrajudicial killings of people suspected to use or sell drugs by both law enforcement and vigilantes—was estimated by the country’s Human Rights Commission to have caused as many as 27,000 deaths by December 2018. It began in 2016.

On January 8, the US Senate agreed to a resolution that condemns, among other things, the state-sanctioned killings and the detention of Philippines Senator Leila De Lima, a prominent critic of the drug war. The resolution also called on President Donald Trump to impose sanctions on implicated security forces and government officials. A few weeks prior, Trump had signed a spending bill that banned officials “involved in the wrongful imprisonment” of De Lima from entering the US.

Among the Philippines officials who have now been denied US visas is Senator Ronald “Bato” dela Rosa, dubbed the “architect” of the violent crackdown led by President Rodrigo Duterte. On January 22, Dela Rosa told reporters that he believes the denial of his visa is because of his involvement in extrajudicial killings, rather than the detainment of De Lima.

It seems as though he was anticipating this. Dela Rosa missed a July 2019 boxing match in Las Vegas “because I might just be barred and be embarrassed. I had been hearing rumors even prior to the fight,” he told reporters in December, just a week before Trump signed the bill blocking his colleagues.

US finally condemns and sanctions Philippines drug warriors

MANILA (Reuters) - Colonel Romeo Caramat oversaw the bloodiest day in the blood-soaked war on drugs in the Philippines – 32 people killed in 24 hours in the province north of Manila where he was police chief in 2017.

Now the head of drug enforcement for the Philippine National Police, Caramat said that ultra-violent approach to curbing illicit drugs had not been effective.

“Shock and awe definitely did not work,” he told Reuters in an interview, speaking out for the first time on the issue. “Drug supply is still rampant.”

Caramat said the volume of crime had decreased as a result of the drug war, but users could still buy illegal drugs “any time, anywhere” in the Philippines.

He said he now favored a new strategy. Rather than quickly arresting or killing low-level pushers and couriers, he wants to put them under surveillance in the hope they lead police to “big drug bosses”.

Three and a half years after President Rodrigo Duterte launched a war on drugs in the Philippines with a call to kill addicts and traffickers, his signature policy has failed in many key objectives, according to police officers, health professionals and government officials.

Duterte’s spokesman, Salvador Panelo, did not respond to requests for comment on Caramat’s statements. But in a statement on Jan. 6 responding to a request from Reuters for comment on the anti-drug campaign, Panelo said “we are winning the war on drugs”.

Duterte, however, has repeatedly said in recent speeches and interviews that the anti-drugs campaign has fallen short, blaming endemic corruption for undermining enforcement and the absence of a death penalty for failing to deter crime.

Critics say that problems with the drug war run deeper, pointing to a failure to target high-level drug traffickers, cut the supply of drugs and invest in rehabilitation.

“Heavy suppression efforts marked by extra-judicial killings and street arrests were not going to slow down demand,” said Jeremy Douglas, the Southeast Asia and Pacific representative for the United Nations Office on Drugs and Crime (UNODC) in Bangkok.

“There has to be a focus on prevention and public health, coupled with intelligent policing that takes on transnational crime.”

Exclusive: 'Shock and awe' has failed in Philippines drug war, enforcement chief says

The International Drug Policy Consortium (IDPC) stands in support of the HIV2020 conference in Mexico City, which has been created in solidarity with communities who are unable or unwilling to participate in AIDS2020, which will be taking place in the United States.

HIV2020 is an alternative event led by key population networks – following the decision to hold AIDS2020 in San Francisco and Oakland, meaning that many individuals (including people who use drugs) will be unable to attend due to US laws and the Trump administration’s discriminatory immigration laws, detention and family separation policies, and deteriorating human rights conditions.

HIV2020 is informed by a mutually agreed upon set of values and principles:

: ensuring diverse voices are heard and reflected, including the broadening of GIPA principles to ensure the meaningful involvement of key populations. ‘Nothing about us, without us.'

-led programs and solutions that amplify community voices and show community commitments to global health and human rights responses.

: ensuring communities are equal partners (or leaders) in new research, tools, policies and strategies.

Linking global, regional and local networks through activities that strengthen global, regional and national advocacy for local impact.

IDPC has already formally endorsed the conference and supports the INPUD Statement. More information about the event can be found on the official website – https://www.hiv2020.org/ – as well as on Instagram, Twitter and Facebook.

IDPC Statement of support for ‘HIV2020: Community reclaiming the response’

The UK government has announced a summit focused on reducing the impact of problem drug use that will bring together a variety of experts from across England, Scotland, Wales and Northern Ireland.

The announcement was made by Minister for Crime, Policing and the Fire Service Kit Malthouse at a meeting of the Scottish Affairs Select Committee on the 23rd of October.

The summit will be held in Glasgow, and the intention is for it to take place before Christmas. It will provide an update on Dame Carol Black’s review of drugs, which is due to report later this year.

The meeting will also provide an opportunity to discuss the issues of drug use across the UK, share best practice on common goals and identify areas for closer collaboration.

Speaking after the committee meeting, the minister said:

“The number of drug deaths across the UK is extremely concerning, particularly the figures for Scotland. We should continue to work closely at all levels and across the nations of the UK to tackle the issue of drug misuse.

Drug summit in Glasgow announced by UK government

A single dose of psilocybin, the compound found in magic mushrooms, can have anti-anxiety and anti-depressant effects which can last for nearly five years after being administered, new research suggests.

Researchers at New York University's Grossman School of Medicine said that the compound, when given to patients alongside psychotherapy, resulted in improvements in emotional and existential distress in cancer patients.

The use of the drug was first detailed in a landmark study published in the Journal of Psychopharmacology in 2016, where the new research has also been published.

It found that psilocybin "produced immediate, substantial, and sustained improvements in anxiety and depression" in cancer patients, who can often be demoralised by the disease.

A follow-up assessment half a year after the dose found up to 80% of participants had clinically significant reductions in their depression or anxiety, as well as improved attitudes toward death.

Psilocybin: Magic mushroom compound provides anti-anxiety effect that lasts years, study finds

The Colombian government has published a proposed law that will allow it to resume a controversial program of aerial fumigation of coca crops using glyphosate, a weed-killer thought to cause cancer in people exposed to it regularly and in high doses.

“The resumption of the spraying would increase the capacity of the Colombian state to confront drug trafficking in less time and in a more effective way,” said Colombia’s Ministry of Justice in a statement announcing the decree in late December.

The decree, similar in legal status to an executive order in the U.S., calls for a program of new crop-spraying flights, with national police oversight. The plans are in the final stage of their passage to law, and spraying is expected to begin “in the second half of this year,” said Ricardo Vargas, an expert in crop fumigation and coca at National University of Colombia.

The proposals by the Colombian president, Ivan Duque – after a five year hiatus in coca spraying – have been criticized by local government officials, environmentalists, drug policy experts and rural communities living under the proposed toxic flight paths.

Colombia: We’ll spray toxic chemicals to keep Americans from doing drugs

Vienna (Austria), 20 January 2020 - The United Nations Office on Drugs and Crime (UNODC), with the support of the Government of Canada, convened 50 experts from 25 countries and 5 international organisations from 14 to 16 January to contribute their expertise and experience to an initiative on how to address stigma around substance use.

Stigma is an enormous challenge in the field of psychoactive substances, including controlled substances, strongly and negatively affecting people with substance use disorders, their families and friends, as well as the services that they are offered and seek.

Research shows that stigma around substance use is much higher than that around mental health disorders and that it amplifies the negative health and social effects of substance use, including the burden of the disease and mortality.

In recognition of this situation, the Government of Canada, together with Uruguay and Bolivia, tabled a resolution at the 61st session of the Commission on Narcotic Drugs, which was endorsed with the co-sponsorship of 19 other Member States: 61/11 "Promoting non-stigmatizing attitudes to ensure the availability of, access to and delivery of health, care and social services for drug users". As a follow-up to the Resolution, UNODC, with the support of the Government of Canada, launched an initiative on how to address stigma around substance use.

Inclusion, not exclusion: UNODC addresses stigma around substance use

In June 2019, WHO announced the revision of two pain management guidelines. A full web statement on this revision can be found here.

The document “Ensuring balance in national policies on controlled substances: Guidance for availability and accessibility of controlled medicines (2011)” is being revised in accordance to the methods and procedures outlined in WHO Handbook for Guideline Development.

The new guideline will assist policy makers as well as programme managers and experts in countries in the formulation and implementation of balanced policies to ensure access to and safe use of controlled medicines while preventing their diversion, misuse and harm to health.

As part of the revision of this document, WHO is carrying out an online public hearing on the scope of the guideline on 

Additional information on how to register for this public hearing can be found here . The deadline to register interest in submitting a written or oral statement at the public hearing is 11 February.

For any further queries, please contact controlled.medicines@who.int