Some staggering figures on the global health burden related to alcohol, in the new Lancet study, below. (http://addiction-dirkh.blogspot.com/2009/06/1-in-25-global-deaths-linked-to-alcohol.html)
We (PSI) should be at least be considering how we might help reduce alcohol-related death and disability.
The report text is below.
Rob
Vodka kills more Russians than war, Lancet reports.
A team of researchers at the University of Toronto reported in Lancet that 3.8 % of global deaths could be attributed to alcohol. In Europe, the report stated, the rate of premature death from alcohol was 1 in 10 during 2004, the year studied. And in a related study, more than half of all premature deaths among adult males in Russia were attributable to booze.
The world health care burden, as spelled out by Dr. Jurgen Rehm and others at the University of Toronto, is staggering: “The costs associated with alcohol amount to more than 1% of the gross national product in high-income and middle-income countries, with the costs of social harm constituting a major proportion in addition to health costs.”
In a BBC News report,the study authors warned that the worldwide effect of alcohol-related disease was similar to that of smoking in prior decades. The report takes note of prior research indicating a health benefit from moderate drinking, stressing that any purported benefit is “far outweighed by the detrimental effects of alcohol on disease and injury.”
The Lancet study concludes that the overall mortality figures are “not surprising since global consumption is increasing, especially in the most populous countries of India and China.”
Professor Ian Gilmore of the Royal College of Physicians, quoted by the BBC, called the report “a global wake-up call,” and urged the adoption of “evidence-based measures” for reducing alcohol-related harm, such as price increases and advertising bans. “Many countries are investigating new ways to cut deaths and disease and reduce the burden on health services by using the price of alcohol to lower consumption,” Gilmore said. Pricing strategies have been used effectively in the past to lower cigarette consumption, researchers have noted.
In one of the Russian studies, Professor Richard Peto of the University of Oxford led a statistical analyses, concluding: “If current Russian death rates continue, then about 5% of all young women and 25% of all young men will die before age 55 years from the direct or indirect effects of drinking.” The Russian figures are also affected by the high rate of associated smoking in the former Soviet Union.
Peto added: “When Russian alcohol sales decreased by about a quarter, overall mortality of people of working age immediately decreased by nearly a quarter. This shows that when people who are at high risk of death from alcohol do change their habits, they immediately avoid most of the risk.”
Tuesday, June 30, 2009
Wednesday, June 24, 2009
World Drug Report 2009 released
The Report was launched in Washington, D.C., by UNODC Executive Director Antonio Maria Costa and the newly appointed Director of the United States Office of National Drug Control Policy, Gil Kerlikowske.
Download at:
http://www.unodc.org/documents/wdr/WDR_2009/WDR2009_eng_web.pdf
Download at:
http://www.unodc.org/documents/wdr/WDR_2009/WDR2009_eng_web.pdf
Monday, June 22, 2009
switching injectors away from injecting
A program in Canada managed to reduce needle sharing & reduce injecting of crack cocain by promoting smoking of cocaine as an alternative - a classic application of harm reduction principles, to shift people away from the most harmful forms/types of drug use. Admittedly, this requires a progressive enabling environment, but we should all be thinking about how to actively reduce the riskiest forms of drug use in our countries.
For details, see the article below.
Cheers
Rob
http://findings.org.uk/docs/Leonard_L_1_findings.pdf
For details, see the article below.
Cheers
Rob
http://findings.org.uk/docs/Leonard_L_1_findings.pdf
Sunday, June 21, 2009
Global State of Harm Reduction
The Global State of Harm Reduction e-tool is now live on the INTERNATIONAL HARM REDUCTION ASSOCIATION website.
If you want to know how many countries support harm reduction, have needle syringe programmes, have methadone or buprenorphine maintenance treatment or drug consumption rooms etc
http://www.ihra.net/GlobalStateofHarmReduction
http://www.ihra.net/June2009#IHRALaunches�GlobalStateofHarmReduction�E-Tool
If you want to know how many countries support harm reduction, have needle syringe programmes, have methadone or buprenorphine maintenance treatment or drug consumption rooms etc
http://www.ihra.net/GlobalStateofHarmReduction
http://www.ihra.net/June2009#IHRALaunches�GlobalStateofHarmReduction�E-Tool
Thursday, June 4, 2009
Helping drug users to stop smoking
Blog readers,
An audio and powerpoint presentation of a superb talk on helping drug users to stop smoking is (at the 2009 National Drug Treatment Conference) is at:
http://www.exchangesupplies.org/conferences/NDTC/2009_NDTC/speakers/pip_mason.html
Smoking reduction/cessation, not just for drug users, is now quite effective, with drugs that are, however, unaffordable to most people in the developing world. This is, I think, a major potential growth area for PSI.
Cheers
Rob
An audio and powerpoint presentation of a superb talk on helping drug users to stop smoking is (at the 2009 National Drug Treatment Conference) is at:
http://www.exchangesupplies.org/conferences/NDTC/2009_NDTC/speakers/pip_mason.html
Smoking reduction/cessation, not just for drug users, is now quite effective, with drugs that are, however, unaffordable to most people in the developing world. This is, I think, a major potential growth area for PSI.
Cheers
Rob
Wednesday, June 3, 2009
"Nice People Take Drugs" Campaign
A UK organization has launched a public campaign called "Nice People Take Drugs".
View the website and more info at:
http://www.release.org.uk/nice-people-take-drugs/
View the website and more info at:
http://www.release.org.uk/nice-people-take-drugs/
TRIAL TO GIVE FREE HEROIN TO HARD-CORE ADDICTS IN VANCOUVER AND MONTREAL
Two hundred drug addicts in Montreal and Vancouver will be lining up for free heroin later this year at publicly funded clinics. And they can thank the federal Conservative government, despite its hard line against hard drugs.
The trial - which will offer the drug in pill and injectable forms as well - builds on a similar heroin experiment last year that found most participants committed far fewer crimes and their physical and mental health improved.
The three-year medical trial will put Canada on the leading edge of international addictions research "for a population that is in desperate need for alternate health options," said Michael Krausz, the lead investigator.
But the project is only proceeding with the blessing of, and $1-million in funding from, the Canadian Institutes of Health Research, an agency of Health Canada.
The federal Conservative government is currently fighting Vancouver's supervised-injection facility, Insite, in court. Prime Minister Stephen Harper has argued that taxpayer money should not fund drug use, but should be spent on prevention and treatment.
The heroin trial goes even further than Insite, not only providing a safe place to inject, but also the heroin itself.
The drug is legally purchased in Europe and brought to Canada under armed guard.
The trial is called SALOME, the Study to Assess Longer-term Opioid Medication Effectiveness, and it will build on a similar heroin experiment that wrapped up last summer. The North American Opiate Medication Initiative (NAOMI) was also funded by the Canadian Institutes of Health Research with the approval of Health Canada
The NAOMI trial was criticized by some addictions physicians but drew no comment from the federal government, which paid more than $8-million for the research.
"It's been disappointing," said Martin Schechter, who led NAOMI and is also working on SALOME. Dr. Schechter said European health authorities are very interested in the work, but Canadian authorities will not acknowledge it.
"There's a lot invested in NAOMI. We did everything we could to translate the information for decision-makers to make them understand what it meant," he said.
Dr. Krausz, a leading addictions researcher, has conducted another heroin trial in Germany, the largest such randomized clinical trial in Europe.
The Canadian research aims to determine if medically prescribed heroin is a safe and effective treatment and if users will accept the drug in pill form instead of injecting it.. It will also measure whether a licenced narcotic, Hydromorphone, can be used instead of heroin.
His team is now recruiting about 200 severe heroin addicts who have failed to respond to existing treatments and they expect to have the clinics in Vancouver and Montreal open by this fall.
Last week, Dr. Krausz's medical team sat down with Vancouver philanthropists asking for additional support for the clinics that will distribute both heroin and a legal narcotic substitute to hard-core addicts. Organizers say one business leader immediately offered a cheque for $100,000.
Trish Walsh, executive director of the InnerChange Foundation, who arranged last week's fundraiser with top Vancouver business and community leaders, said the 30 people who gathered in a corporate boardroom understood that the city cannot ignore its drug-addicted population.
"We have been sleepwalking right through the middle of this crisis."
Health Minister Leona Aglukkaq did not return calls, but her press secretary, Josee Bellemare, offered an e-mailed statement on the minister's behalf: "Our government recognizes that injection drug users need assistance. That's why we are investing in prevention and treatment, to help people recover from their drug addictions."
The trial - which will offer the drug in pill and injectable forms as well - builds on a similar heroin experiment last year that found most participants committed far fewer crimes and their physical and mental health improved.
The three-year medical trial will put Canada on the leading edge of international addictions research "for a population that is in desperate need for alternate health options," said Michael Krausz, the lead investigator.
But the project is only proceeding with the blessing of, and $1-million in funding from, the Canadian Institutes of Health Research, an agency of Health Canada.
The federal Conservative government is currently fighting Vancouver's supervised-injection facility, Insite, in court. Prime Minister Stephen Harper has argued that taxpayer money should not fund drug use, but should be spent on prevention and treatment.
The heroin trial goes even further than Insite, not only providing a safe place to inject, but also the heroin itself.
The drug is legally purchased in Europe and brought to Canada under armed guard.
The trial is called SALOME, the Study to Assess Longer-term Opioid Medication Effectiveness, and it will build on a similar heroin experiment that wrapped up last summer. The North American Opiate Medication Initiative (NAOMI) was also funded by the Canadian Institutes of Health Research with the approval of Health Canada
The NAOMI trial was criticized by some addictions physicians but drew no comment from the federal government, which paid more than $8-million for the research.
"It's been disappointing," said Martin Schechter, who led NAOMI and is also working on SALOME. Dr. Schechter said European health authorities are very interested in the work, but Canadian authorities will not acknowledge it.
"There's a lot invested in NAOMI. We did everything we could to translate the information for decision-makers to make them understand what it meant," he said.
Dr. Krausz, a leading addictions researcher, has conducted another heroin trial in Germany, the largest such randomized clinical trial in Europe.
The Canadian research aims to determine if medically prescribed heroin is a safe and effective treatment and if users will accept the drug in pill form instead of injecting it.. It will also measure whether a licenced narcotic, Hydromorphone, can be used instead of heroin.
His team is now recruiting about 200 severe heroin addicts who have failed to respond to existing treatments and they expect to have the clinics in Vancouver and Montreal open by this fall.
Last week, Dr. Krausz's medical team sat down with Vancouver philanthropists asking for additional support for the clinics that will distribute both heroin and a legal narcotic substitute to hard-core addicts. Organizers say one business leader immediately offered a cheque for $100,000.
Trish Walsh, executive director of the InnerChange Foundation, who arranged last week's fundraiser with top Vancouver business and community leaders, said the 30 people who gathered in a corporate boardroom understood that the city cannot ignore its drug-addicted population.
"We have been sleepwalking right through the middle of this crisis."
Health Minister Leona Aglukkaq did not return calls, but her press secretary, Josee Bellemare, offered an e-mailed statement on the minister's behalf: "Our government recognizes that injection drug users need assistance. That's why we are investing in prevention and treatment, to help people recover from their drug addictions."
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