La reducción del daño es un conjunto de estrategias destinadas a paliar las consecuencias negativas del consumo de drogas, mediante la mitigación de los peligros potenciales y de los riesgos para la salud. La ONUDD ha ampliado considerablemente su programa de VIH/SIDA gracias al apoyo de los países donantes favorables a la reducción de daños, a pesar de las ambigüedades que existen sobre el tema al interior de las agencias de fiscalización de drogas de Naciones Unidas. Hay que ampliar los servicios básicos para la prevención del VIH/SIDA así como las instalaciones dedicadas a la prescripción de heroína y las salas de consumo de drogas.
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Hay que reducir los daños, ya que no podemos reducir el consumo
Peter ReuterNexos (México)
Septiembre 2011Reducir el consumo o la prevalencia no es un buen objetivo de la política antidrogas. Lo que sabemos sobre los efectos reales de esta política obliga a poner como criterio principal la reducción de daños. Debemos concentrarnos sólo en reducir las consecuencias adversas del consumo de drogas, tanto en el aspecto internacional como en los ámbitos nacionales. No es una opción, es lo único que podemos hacer.
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Uptake, benefits of and barriers to safer crack use kit (SCUK) distribution programmes in Victoria, Canada
A qualitative exploration
Andrew Ivsins, Eric Roth, Nadine Nakamura, Mel Krajden & Benedikt FischerInternational Journal of Drug Policy 22(4):292-300
July 2011Crack use is prevalent amongst street drug users in Canadian cities, and associated with severe drug use, health and social problems. Whilst few targeted interventions are available for crack use, the common use and sharing of hazardous makeshift paraphernalia are a key concern, as these risks may be associated with oral injury and blood-borne virus (BBV) transmission amongst users. Recently, distribution programmes of so-called 'safer crack use kits' (SCUKs) have been initiated in select Canadian cities, primarily to reduce the use of unsafe materials and paraphernalia sharing amongst crack users. This study explored uptake and benefits of, barriers to, and possible improvements to two recently implemented SCUK distribution programme in Victoria, Canada.
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Do crack smoking practices change with the introduction of safer crack kits?
Leslie A. Malchy, Vicky Bungay, Joy L. Johnson & Jane BuxtonCanadian Journal of Public Health 102(3):188-92.
May-June 2011Crack smoking has increased in Vancouver despite the harms associated with its use. Many people who smoke crack share their equipment, thereby increasing their risk for infectious disease. This project explored the effects of outreach distribution of "safer crack kits" on smoking practices. While kit distribution made safer use items more accessible, its impact on safer use practice was limited. Our findings highlight the need for targeted distribution of safer use items. Future research should explore the dynamics of unsafe crack smoking practices and ways to leverage safer use messaging.
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On the Frontline of Northeast India
Evaluating a Decade of Harm Reduction in Manipur and Nagaland
TNI Drug Policy Briefing Nr. 35
March 2011Conflict and underdevelopment in the region have contributed to drug consumption and production, and are hampering access to treatment, care and support for drug users. Obstacles include curfews imposed by the national government, as well as punitive actions by armed opposition groups against drug users, and discrimination and stigmatization from the local population.
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El sistema de tratamiento y apoyo social para usuarios de drogas en los Países Bajos
Repaso de novedades y el ejemplo de Amsterdam
Eberhard Schatz, Katrin Schiffer & John Peter KoolsEste informe del IDPC, escrito en colaboración con la red Correlation, examina los elementos de aplicación de la ley y de implicación comunitaria de la estrategia seguida en los Países Bajos, y aporta los datos disponibles sobre los resultados alcanzados hasta la fecha.
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From the Mountaintops
What the World Can Learn from Drug Policy Change in Switzerland
Joanne CseteOpen Society Foundations
October 2010Published by the Open Society Foundations, this report looks at how evidence-based services such as heroin treatment, injection rooms, and needle exchange can lower HIV infection rates, improve health outcomes, and lower crime rates.
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If Supply-Oriented Drug Policy is Broken, Can Harm Reduction Help Fix It?
Melding Disciplines and Methods to Advance International Drug Control Policy
Victoria Greenfield & Letizia PaoliUnited States Naval Academy Department of Economics
Working Paper 30
August 2010Critics of the international drug control regime contend that supply-oriented policy interventions are not just ineffective, but they also produce unintended adverse consequences. Research suggests their claims have merit. Lasting local reductions in opium production are possible, albeit rare; but, unless global demand shrinks, production will shift elsewhere, with little or no effect on the aggregate supply of heroin and, potentially, at some expense to exiting and newly emerging suppliers.
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Heroin Assisted Treatment
The state of play
Christopher HallamInternational Drug Policy Consortium Briefing Paper
July 2010This briefing paper explores the question of Heroin Assisted Treatment (HAT), examines the growing body of evidence emerging from its clinical use in addiction therapies, and makes recommendations for policy makers.
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The Safer Crack Use Program
Fact sheet
Toronto Public Health
June 2010This fact sheet explains the Safer Crack Use Program of the Public Health Department of Toronto (Canada). In Toronto, a range of community-based, government and institutional agencies deliver harm reduction services. As with other harm reduction measures, there is no evidence that the distribution of safer crack use kits encourages drug use. Only people who are already using crack cocaine participate in the Safer Crack Use Program.
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