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Report on good practices of synthetic opioid preparedness, and needs and challenges in EU Member States. 

Viskari, I; Tammi, T 

SO-PREP, 2021. ISBN: 978-952-343-017-4

SO-PREP is a project funded by the EU and composed of the following partners: Trimbos Institute (The Netherlands), Frankfurt University of Applied Science (FRA-UAS, Germany), Finnish Institute for Health and Welfare (THL, Finland), The National Institute for Health Development (TAI, Estonia), University Ghent (Belgium) and Correlation-European Harm Reduction Network (C-EHRN, The Netherlands).

http://so-prep-project.eu/wp-content/uploads/2021/04/WP3-D3.2-Good-practices-of-synthetic-opioid-preparedness-and-needs-and-challenges-in-EU-Member-States.pdf

Report on EU Good Practices on generic health emergency preparedness protocols. 

Viskari, I; Tammi, T. 

SO-PREP, 2021. ISBN: 978-952-343-017-4

SO-PREP is a project funded by the EU and composed of the following partners: Trimbos Institute (The Netherlands), Frankfurt University of Applied Science (FRA-UAS, Germany), Finnish Institute for Health and Welfare (THL, Finland), The National Institute for Health Development (TAI, Estonia), University Ghent (Belgium) and Correlation-European Harm Reduction Network (C-EHRN, The Netherlands).

http://so-prep-project.eu/wp-content/uploads/2021/04/WP3-D3.1-EU-good-practices-of-generic-health-emergency-preparedness-protocols.pdf

Europa. How can EU countries be prepared and equipped for a continued rise in Synthetic Opioids (SO, Anm.) prevalence, use and incidents?

The SO-PREP project wants to contribute to

  • a better understanding of the current context around SO in Europe
  • better informed prepared and equipped national health systems to tackle SO in Europe
  • timely and adequate implementation of tailored responses to SO to mitigate related problems of dependence and (fatal and non-fatal) overdoses across Europe

TRIMBOS INSTITUUT, Niederlande, April 2021

http://so-prep-project.eu/

USA. New Yorks Parlament verabschiedet Gesetz zur Legalisierung von Cannabis

New York – Das Parlament des US-Bundesstaates New York hat ein Gesetz zur Legalisierung von Cannabis als Genussmittel verabschiedet. Das Parlament stimmte gestern einer entsprechenden Vorlage zu. (aerzteblatt.de, 31.03.2021)

https://www.aerzteblatt.de/nachrichten/122572/New-Yorks-Parlament-verabschiedet-Gesetz-zur-Legalisierung-von-Cannabis

USA. Progress of Four Programs from the Comprehensive Addiction and Recovery Act. 

National Academies of Sciences, Engineering, and Medicine 2021. Washington,DC: The National Academies Press. doi.org/10.17226/26060.

file:///Users/hans/Downloads/26060.pdf

USA. The Biden-Harris Administration’s Statement of Drug Policy Priorities for Year One 

(…) The priorities are: 

  • Expanding access to evidence-based treatment; 
  • Advancing racial equity issues in our approach to drug policy; 
  • Enhancing evidence-based harm reduction efforts; 
  • Supporting evidence-based prevention efforts to reduce youth substance use; 
  • Reducing the supply of illicit substances; 
  • Advancing recovery-ready workplaces and expanding the addiction workforce; and
  • Expanding access to recovery support services. 

EXECUTIVE OFFICE OF THE PRESIDENT - OFFICE OF NATIONAL DRUG CONTROL POLICY, 01.04.2021)

https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf

Norwegen. Neue Drogenpolitik in Norwegen: Gesundheit statt Bestrafung und Ächtung.

Nahezu unbeachtet von der deutschen Fachöffentlichkeit beginnt in Norwegen eine neue Epoche der Drogenpolitik, so dass der Satz: Norwegen ist aus dem Dornröschenschlaf erwacht – oder auch: besser spät als nie – durchaus berechtigt erscheint. Das Land etabliert eine neue, smarte Drogenpolitik, bei der die Gesundheit der Konsumenten und Abhängigen ganz im Vordergrund steht und auf die schädlichen Strategien der Bestrafung und Ächtung verzichtet wird. Drogenabhängige sind Kranke und keine Kriminellen, heißt die Kernbotschaft. Sie werden kriminell durch das System der punitiven, bestrafenden Drogenpolitik. (M.Klein in addiction.de, 26.03.2021)

https://www.addiction.de/drogenpolitik-in-norwegen/

USA. We Know How George Floyd Died.

The idea that drugs played a role is just a new version of an old racist myth.

By Carl L. Hart (Dr. Hart is a neuroscientist who specializes in how humans respond to psychoactive drug. New York Times, 25.06.2020

https://www.nytimes.com/2020/06/25/opinion/george-floyd-toxicology-report-drugs.html

USA. Bold Steps Needed to Correct Course in US Drug Policies

The accelerating trajectory of the overdose crisis is an indictment of the legal and policy interventions deployed to address it. Indeed, at the same time as the U.S. has pursued some of the most draconian drug policies in the world, it has experienced one of the worst drug crises in its history. (Harvard Law School, USA, 22.03.2021)

https://blog.petrieflom.law.harvard.edu/2021/03/22/us-drug-policy-biden/

UN-Gremium sieht versteckte Drogenepidemie unter älteren Menschen

Wien – Die steigende Zahl an älteren Drogenkonsumenten auf der ganzen Welt muss nach Ansicht von UN-Drogenexperten zu einem Umdenken führen. Regierungen schenkten dem Problem kaum Aufmerksamkeit, obwohl es epidemische Ausmaße angenommen habe, kritisierte der Internationale Drogenkontrollrat (INCB) gestern in Wien. (aerzteblatt.de, 26.03.2021)

https://www.aerzteblatt.de/nachrichten/122431/UN-Gremium-sieht-versteckte-Drogenepidemie-unter-aelteren-Menschen

INCB. Hidden epidemic of drug use among older people highlighted by International Narcotics Control Board's Annual Report 

In its 2020 Annual Report, the International Narcotics Control Board:

highlights a global hidden epidemic: 

the use of drugs among older people;

addresses the impact of the COVID-19 pandemic on access to medicines, prevention and treatment services for people with mental health and substance abuse disorder, and on the illicit drug market;

expresses concern about the number of overdose deaths from methamphetamine and synthetic opioids and about the developments relating to the non-medical use of cannabis;

notes its ongoing concern about the high level of illicit production of opium in Afghanistan in 2020;  

urges governments to apply proportionate responses to drug-related offences based on the rule of law and human rights;  

marks the 60th and 50th anniversaries of the 1961 Single Convention on Narcotic Drugs and the 1971 Convention on Psychotropic Substances with a special report, stresses need for universal implementation. (INCB, UNIS/NAR/1435, 25.03.2021)

https://www.incb.org/incb/en/news/press-releases/2021/hidden-epidemic-of-drug-use-among-older-people-highlighted-by-international-narcotics-control-boards-annual-report.html

USA. Purdue Pharma unveils $10bn opioid settlement plan to exit from bankruptcy

Plan is backed by $4bn from Sackler family

Most parties onboard but Democratic attorneys general oppose (The Guardian, UK, 16.03.2021)

https://www.theguardian.com/us-news/2021/mar/16/purdue-pharma-10bn-opioid-settlement-plan-bankruptcy-sackler-family

USA. Pharma-Dynastie Sackler: Der Drogen-Clan 

Amerikas Opioid-Epidemie ist ungebrochen. Hauptursache ist das populäre Schmerzmittel Oxycontin. Jetzt ist die prominente US-Milliardärsfamilie Sackler, die es herstellen lässt, erstmals angeklagt. (Spiegel online, 18.02.2019)

https://www.spiegel.de/wirtschaft/drogenkrise-in-den-usa-us-familie-sackler-angeklagt-a-1253764.html

Mundipharma (Wikipedia)

Die Mundipharma GmbH ist ein mittelständisches forschendes Pharmazieunternehmen mit Sitz in Frankfurt am Main. (…) Das Unternehmen wurde 1967 in Frankfurt am Main von den Brüdern Raymond und Mortimer Sackler, den damaligen Eigentümern von Purdue Pharma, gegründet. (Wikipedia, zuletzt bearbeitet am 17.02.2021)

https://de.wikipedia.org/wiki/Mundipharma

USA. Reckitt Benckiser zahlt 700 Millionen Dollar in Opioid-Vergleich

New York – Der britische Konsumgüterkonzern Reckitt Benckiser hat sich im Streit mit US-Bundesstaaten um dubiose Marketingmethoden für ein opioidhaltiges Medikament auf einen Vergleich geeinigt. (aerzteblatt.de, 24.10.2019)

https://www.aerzteblatt.de/nachrichten/106924/Reckitt-Benckiser-zahlt-700-Millionen-Dollar-in-Opioid-Vergleich

USA. Opioidkrise in den USA: Purdue Pharma bietet mehr als zehn Milliarden Dollar für Vergleich 

Purdue gilt als Hauptverursacher der US-Opioidkrise mit Hunderttausenden Toten. Der Konzern und die Eigentümerfamilie Sackler wollen Tausende Klagen mit einem Vergleich beilegen – und haben nun nachgebessert. (Spiegel online, 16.03.2021)

https://www.spiegel.de/wirtschaft/unternehmen/purdue-pharma-bietet-mehr-als-zehn-milliarden-dollar-fuer-ocycontin-vergleich-a-6b3d0c9b-ff5a-41a6-9254-268348ae02ba

USA. Purdue Pharma Offers Plan to End Sackler Control and Mounting Lawsuits

The OxyContin maker filed its long-awaited restructuring plan in bankruptcy court. Revenue from the new company would go exclusively to abating the opioid crisis. (New York Times, USA, 16.03.2021)

https://www.nytimes.com/2021/03/16/health/purdue-sacklers-bankruptcy-opioids.html

USA. AAAP Coalition fully support President Biden’s goal to increase access to science-based opioid use disorder (OUD) treatment.

AAAP - American Academy of Addiction Psychiatry, USA, 18.02.2021

https://www.aaap.org/wp-content/uploads/2021/02/AAAP-coalition.waiver.letter-2.22.2021.pdf

Drug control policies in Eastern Europe and Central Asia The economic, health and social impact (PDF) 

This Economist Intelligence Unit (EIU) report aims to capture the attention of policy-makers in four study countries in the EECA region; Belarus, Kazakhstan, Kyrgyzstan and Russia to make the case for the cost effectiveness and health gains achieved when the criminalisation of drug use is reduced, harm reduction is scaled up and stigma and discrimination towards PWID and other vulnerable populations is reduced. (EIU, UK, 01.03.2021)

https://eiuperspectives.economist.com/sites/default/files/aph_report_launch_version_01mar2021.pdf

USA. Nora’s Blog: NIH and NIDA Work to End Structural Racism in Biomedical Science

(…) Today, NIH Director Francis Collins announced UNITE, an NIH-wide initiative already underway to end structural racism in biomedical science. (NIH-NIDA, USA, 01.03.2021)

https://www.drugabuse.gov/about-nida/noras-blog/2021/03/nih-nida-work-to-end-structural-racism-in-biomedical-science

Kanada. Doctors Call For Safer Cocaine Supply

While a Canadian province mulls adding the drug to its safe supply, experts say full legalization is a better approach. (Vice, 03.03.2021)

https://www.vice.com/en/article/n7vgy8/doctors-call-for-safer-cocaine-supply

New synthetic drugs require new policies. 

Pardo, B., Taylor, J., Caulkins, J., Reuter, P., and Kilmer, B. (2021) 

Addiction, doi.org/10.1111/add.15442. 

https://onlinelibrary.wiley.com/doi/epdf/10.1111/add.15442

Norwegen. Norway proposes easing of drugs law in bid to help addicts

OSLO - Norway should loosen its strict laws against recreational drug use, switching focus to treatment rather than jail or fines for those in possession of small quantities, the minority centre-right government proposed on Friday. (Reuters, 19.02.2021)

https://www.reuters.com/article/us-norway-politics-drugs/norway-proposes-easing-of-drugs-law-in-bid-to-help-addicts-idUSKBN2AJ1FM

How Structural Racism Works - Racist Policies as a Root Cause of U.S. Racial Health Inequities. 

Bailey ZD, Feldman JM, Bassett MT. 

N Engl J Med. 2021 Feb 25;384(8):768-773. doi: 10.1056/NEJMms2025396. Epub 2020 Dec 16. PMID: 33326717.

https://www.nejm.org/doi/full/10.1056/NEJMms2025396

The opioid crisis and HIV in the USA: deadly synergies

Hodder, Sally L et al.

The Lancet, Volume 0, Issue 0 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00391-3/fulltext

Recreational Marijuana Legalization and Use Among California Adolescents: Findings From a Statewide Survey

Mallie J. Paschall, Grisel García-Ramírez, and Joel W. Grube

Journal of Studies on Alcohol and Drugs 2021 82:1, 103-111 

https://www.jsad.com/doi/full/10.15288/jsad.2021.82.103

ALTERNATIVE DEVELOPMENT - Sustainable change through development-oriented drug policy

Federal Ministry for Economic Cooperation and Development, Oktober 2020 

https://www.gpdpd.org/fileadmin/user_upload/bmz_alternative_development_.pdf

USA. Biden Quietly Announces Harm Reduction Among His Drug Priorities

With no fanfare, President Joe Biden’s administration has announced its priorities for, and some new appointees to, the White House’s Office on National Drug Policy. The wait for Biden’s pick as “drug czar” continues, however.

The priorities outlined by the ONDCP on February 3 for the administration’s first 100 days are historic: For what appears to be the first time in the drug-war body’s history, harm reduction and racial equity are explicitly included among its aims. (Filter, USA, 04.02.2021)

https://filtermag.org/ondcp-biden-priorities/

Russland. Imprisonment for up to 15 years for using the word “drug” on the Internet

On February 10 the deputies of the Russian parliament adopted, in the third and final reading, a bill to increase the sentence for “inciting use of drugs” on the Internet to 15 years. Earlier, the deputies adopted a bill on administrative fines of up to 1.5 million rubles ($20,000) for “drug propaganda” on the Internet. The moves follow an order made by President Vladimir Putin, who instructed lawmakers to take additional measures to counter drug trafficking in 2019. (Drug Reporter, Ungarn, 16.02.2021)

https://drogriporter.hu/en/imprisonment-for-up-to-15-years-for-using-the-word-drug-on-the-internet/

Systematic Evaluation of State Policy Interventions Targeting the US Opioid Epidemic, 2007-2018. 

Lee B, Zhao W, Yang K, Ahn Y, Perry BL. 

JAMA Netw Open. 2021;4(2):e2036687. doi:10.1001/jamanetworkopen.2020.36687

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2776301