EMCDDA Insights Series No. 4: Injecting Drug Use, Risk Behaviour and Qualitative Research in the Time of AIDSM. Lisbon: European Monitoring Centre for Drugs and Drug Addiction, 2001, EUR 21.00. ISBN: 92-9168-110-5.

2002 ◽  
Vol 31 (5) ◽  
pp. 1077-1077
Author(s):  
J Macleod
2004 ◽  
Vol 8 (52) ◽  
Author(s):  
◽  

The European Monitoring Centre for Drugs and Drug Addiction, the EU drugs agency, has recently published its latest scientific monograph, Hepatitis C and injecting drug use: impact, costs and policy options


Author(s):  
P. K. Mishra

<p><em>In contemporary society, the full-fledged impact of modernization and globalization, which has led to free movement of people, goods and money across the countries of the world, can be witnessed. This has also opened the economic opportunities among the individuals and the communities in the society, which has become the new of life. Society has changed over the years and activities of the people have undergone changes. Even the substances used for inebriation have changed corresponding with the dynamics of society. Traditionally used drugs, marijuana and cannabis, have been replaced by modern synthetic drugs. The proliferation of pharmaceutical industries, which manufactures narcotic drugs, has directly and indirectly encouraged the use and the abuse of the drugs due to the easy access in the market. The epidemic of illicit drug users in the global society has increased significantly and simultaneously drug use associated crimes as well in the society.</em></p><p><em>A drug is a biological substance, synthetic or natural, that is taken primarily for non-dietary needs, and it is a substance, which affects the functioning of mind and body or both. Globally according to UNODC estimate, in 2009 between, 149 and 272 people or 3.3% to 6.1% of the population aged 15-64 has used illicit substance once in previous year. Cannabis and Amphetamine Type Stimulants [ATS] are two important drugs which are commonly used world-wide.(World Drug Report,2010;pg.123) Within Asia, ATS ranks as the main drug abuse in Thailand, Japan, Republic of Korea, Philippines and also China, Myanmar and Indonesia are in the second rank according to United Nations of Development Countries   [UNODC] in 2004.  Heroin, Cocaine and other drugs kill around 0.2 million people each year and causes health problems with incurable diseases. (Changing Drug abuse patterns and law enforcement strategies;pg.-134)  The European-Monitoring Center for Drug and Drug Addiction [EMCDDA] defines the problem of Drug use as injecting drug use as ‘injecting drug use or long duration regular use of opium, cocaine and amphetamines.’ World Health Organization [WHO] defines Drug Addiction as a ‘disease’  and the American Psychiatric Association defines drug abuse as the ‘illicit consumption of any naturally occurring of pharmaceutical substance for the purpose of changing the way, in which a person feels, thinks or behaves without understanding or taking into consideration the damaging physical and mental side effects that are caused.(World Drug Report,2012;pg.125-126).</em></p><p><em>Drug Abuse is a global phenomena and it is also abused in India. India is a diverse nation and is like many other nations afflicted by drug abuse and drug addiction among the youths in the society. Drugs like opium and cannabis were traditionally used by the people, which are taken as a pain reliever by the people. ‘Ganja was consumed to worship Hindu God, Lord Shiva, during the festival of ‘Shivratri’ in India.(B. Sundas, 2011;pg.50). According to a nation-wide survey spread over 13 states by a NGO, in collaboration with the Ministry of Women and Child Development found that 32.1% children below the age of 18had tasted bhang, ganja, heroin or other forms of narcotics. (P. Mehta, 2011) In 2008, 5.3 million Indians aged 12 and older had abused cocaine in any form and 1.1 million had abused LSD at least once in the year. In 2008,453,000 Indians aged 12 and older had abused Heroin at least once in the year. In 2008,25.8 million Indians aged 12 and older had abused marijuana at least once in the year. In 2008,850,000 Indians aged 12 and older had abused methamphetamine at least once in the year.(Ibid,pg. 34-40).</em></p><p><em>Northeast has been challenged by serious problem of Drug use by the youth. Nagaland and Manipur are the two states in Manipur are the two states in North-East India, which has the highest prevalence of Intravenous Drugs (IDUs). Even cultivation of opium is done in Manipur, Nagaland and Arunachal Pradesh, and supplied to other parts of India. These are the easy routes of drug trafficking across the common borders of Myanmar and the three North-eastern States of India (Manipur, Mizoram and Nagaland). There is illicit cultivation of opium and cannabis, the heroin and the amphetamines, and the pharmaceuticals are used as illicit drugs and trafficked in the North-east India. (Drug used in Northeastern States, India;pg.xiv).</em></p>


1997 ◽  
Vol 170 (2) ◽  
pp. 181-185 ◽  
Author(s):  
José L. Ayuso-Mateos ◽  
Francisco Montañés ◽  
Ismael Lastra ◽  
Juan J. Picazo De La Garza ◽  
José L. Ayuso-Gutiérrez

BackgroundRecent surveys suggest that psychiatric patients are at increased risk of being infected with HIV, although very little information is available concerning the seroprevalence of HIV infection among this population outside the US. The aim of this study is to determine the seroprevalence of HIV-I among patients admitted to a psychiatric in-patient unit and to gather linked anonymous risk-factor information.MethodAn unlinked serosurvey was made, using HIV-1 antibody testing of remnant blood specimens collected for routine medical purposes, of patients consecutively admitted to an acute psychiatric unit in Madrid.ResultsBlood was obtained from 390 of the 477 eligible patients (81.8%). The prevalence of HIV was 5.1% (20/390). Patients aged between 18 and 39 accounted for 63.4% of the admissions and 75% of the positive results. Of the 29 patients who presented with injecting drug use, 14 were HIV-infected (48.3%; 95% CI 29.4 67.5). Of the 51 patients for whom any risk behaviour was noted on the admission chart, 18 were HIV-infected (35.3%; 95% CI 22.4 49.9).ConclusionsThis study demonstrates that there is a substantial prevalence of HIV infection in psychiatric patients admitted to an acute in-patient unit. History of injecting drug use was strongly associated with seropositivity. Clinicians recognised risk factors for HIV infection in the majority of the HIV-infected cases.


2004 ◽  
Vol 133 (1) ◽  
pp. 127-136 ◽  
Author(s):  
C. MATHEÏ ◽  
G. ROBAEYS ◽  
P. VAN DAMME ◽  
F. BUNTINX ◽  
R. VERRANDO

The prevalence of hepatitis C and related risk factors in drug users were compared in two geographic regions in Belgium, the city of Antwerp and the mixed urban–rural area of Limburg. All 310 participants were surveyed and screened for hepatitis B, hepatitis C and HIV. Prevalence rates of anti-HCV, anti-HBc and anti-HIV were 71, 62 and 4% in Antwerp and 46, 21 and 0% in Limburg respectively. Injecting drug use, duration of injecting drug use, work as a commercial sex-worker, originating from Turkey or Northern Africa, marginalization and anti-HBc positivity were identified as independent predictors for hepatitis C infection. In this study an important difference in HCV seroprevalence among drug users in a methadone maintenance programme across two geographic regions in Belgium was demonstrated. This was explained not only by variations in drug-related risk behaviour, but also by differences in sexual risk behaviour and socio-economic status.


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