Pubdate: Tue, 21 Jan 2003
Source: Ottawa Citizen (CN ON)
Copyright: 2003 The Ottawa Citizen
Contact:  http://www.canada.com/ottawa/ottawacitizen/
Details: http://www.mapinc.org/media/326
Author: Jennifer Campbell, The Ottawa Citizen
Bookmark: http://www.mapinc.org/heroin.htm (Heroin)

STUDY SAYS WAR ON DRUGS IS FUTILE

Researchers Say Costly Cures Are Far More Damaging Than The Disease

The government is wasting hundreds of millions of taxpayers' dollars every 
year on a drug strategy that's not working, according to a paper published 
in today's issue of the Canadian Medical Association Journal.

In fact, Canada's drug strategy -- which the authors say keeps police busy 
and prisons full -- exists at the expense of "proven and effective 
interventions" and has done nothing to eliminate the continuing problem of 
drug addiction.

Martin Schechter, the study's senior author and head of the department of 
health care and epidemiology at the University of British Columbia, says 
the government's "war on drugs" is actually to blame for many of society's 
drug-related problems.

"If you look at all the harms associated with drug use, you need to ask 'Is 
the harm caused by the drug or the war on drugs?' " he said.

"As a drug, heroin gives a euphoric reaction and is highly addictive," Mr. 
Schechter said.

"You can say that, but if you look at the other problems -- HIV, Hepatitis 
C, bacterial infections of the heart -- all of those things are caused by 
dirty needles because the activity is confined to alleys. The violence is 
caused by money. Corruption and crime aren't a function of the drug, 
they're a function of the war on drugs."

The study, by researchers at the British Columbia Centre of Excellence in 
HIV/AIDS and the University of British Columbia, looks at one of the 
country's biggest-ever heroin seizures -- 100 kilograms of uncut heroin 
seized more than two years ago in the downtown east side of Vancouver -- 
and what effect it had on drug use and drug prices. The size of the bust 
was not far from the total amount of heroin seized by U.S. officials along 
the border with Mexico, where most of it comes into North America, for all 
of 2000.

And the conclusion? The bust had zero impact.

The researchers had ready access to users because they're taking part in an 
ongoing study of the drug population in this dangerous district. Every six 
months, they interview subjects about their real-life drug situations. They 
ask about price, quality and use.

When the heroin seizure took place during their study, they used it as a 
way of measuring the impact it had on the drug's availability on the 
streets. They interviewed more than 100 subjects before the seizure and 
more than 100 during the month following the seizure. But contrary to the 
arguments put forth by proponents of the war on drugs, the seizure had no 
effect on supply or quality.

"Our data show that the market for heroin in Vancouver's downtown east side 
was totally unaffected by the seizure," said Evan Wood, a researcher at the 
B.C. Centre of Excellence in HIV/AIDS. After the seizure, the price of 
heroin actually went down and overdoses increased slightly, he said.

American studies have shown similar results, though the U.S. government 
continues to spend $18 billion U.S. a year on efforts to control the supply 
of drugs.

But those efforts appear to be futile, Mr. Wood said, because prices for 
drugs have reached an all-time low and drug purity has reached an all-time 
high.

Mr. Wood and Mr. Schechter advocate treatment, prevention, education and 
harm reduction over enforcement strategies. The authors point out that 
while Auditor General Sheila Fraser recently estimated the annual cost to 
Canadian society from illicit drug use at $5 billion, 95 per cent of the 
$500 million spent on drug strategy goes toward enforcement.

"It's unfortunate that the government wants to spend the money in that 
way," Mr. Wood said. "Our study shows there's no evidence these methods are 
effective. Any economist will tell you that you can't control a market from 
the supply side. You have to control it from the demand side."

Mr. Schechter said he thinks the general population is ahead of the 
politicians on this issue.

"Fifty years from now, I can tell you for sure, these approaches will have 
stopped," he said. "The question is when. I'm optimistic because I see 
signs of rational behaviour happening."

He pointed to the recent election of Vancouver Mayor Larry Campbell, who 
won the vote solely on a "harm-reduction" platform.

Mr. Schechter said politicians need to start looking at drugs as a public 
health issue, accept that drug addiction exists and that it will never go 
away. He'd like to see it treated similarly to alcohol addiction.

The researchers say incarceration exacerbates the problem because diseases 
are transmitted in jails. Canadian prisoners addicted to cocaine and heroin 
are at increased risk of HIV.
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MAP posted-by: Terry Liittschwager