Publication date: 15/07/1998
HC 854  1997-1998
ISBN: 0102996989

By: British Colombia Health Officers Council

This report was produced by an independent group of public health officials in British Colombia and is a detailed consideration of regulatory options for currently illegal drugs. Thoughtful, detailed and logical analysis.

http://www.cfdp.ca/bchoc.pdf

Effective Drug Control:Toward A New Legal Framework' (2005)

By: The King County Bar Association

This report comes from the drug policy project of the Kings County (Seattle) Bar Association. They have produced an excellent report discussing the same issues from a slightly different perspective. Again this is a detailed and comprehensive review of regulatory options and wider policy considerations (Transform's work is referenced). They have produced a number of other useful drug law policy reports.

http://www.kcba.org/ScriptContent/KCBA/druglaw/pdf/EffectiveDrugControl.pdf

Thinking Seriously About Alternatives to Drug Prohibition

Essay by Ethan Nadelmann looking looking at frameworks for legalistion.

http://www.drugpolicy.org/library/thinking_seriously_p2.cfm

Critique of Prohibition

Drug Decriminalization in Portugal: Lessons for Creating Fair and Successful Drug Policies (2009) (Cato Institute)

By: Glenn Greenwold, for the Cato Institute, April 2009

This paper reviews the evidence surrounding Portugal's decriminalisation of personal possession of drugs since 2001. Unsurprisingly, it concludes that the change in law has been overwhelmingly successful and argues that, 'Within this success lie self-evident lessons that should guide drug policy debates around the world.'

'While there is a widespread perception that bureaucratic changes need to be made to Portugal’s decriminalization framework to make it more efficient and effective, there is no real debate about whether drugs should once again be criminalized. More significantly, none of the nightmare scenarios touted by preenactment decriminalization opponents — from rampant increases in drug usage among the young to the transformation of Lisbon into a haven for “drug tourists”—has occurred.

'The data indicates that decriminalization has had no adverse effect on drug usage rates in Portugal, which, in numerous categories, are now among the lowest in the EU, particularly when compared with states with stringent criminalization regimes. Although postdecriminalization usage rates have remained roughly the same or even decreased slightly when compared with other EU states, drug-related pathologies—such as sexually transmitted diseases and deaths due to drug usage—have decreased dramatically. Drug policy experts attribute those positive trends to the enhanced ability of the Portuguese government to offer treatment programs to its citizens—enhancements made possible, for numerous reasons, by decriminalization.'

To read the full report, click here.

Organized Crime and its Threat to Security (2009) (UNODC)

By: Antonio Maria Costa, Executive Director of the UNODC. Paper presented to the United Nations Commission on Crime Prevention and Criminal Justice, April 2009

Another interesting report from the Executive Director of the UNODC that highlights the negative consequences of the drug control system. This paper focuses on organised crime, which Costa says 'has gone global' and threatens to undermine security in 'cities, nations and entire regions'.

Costa points out that 'drug cartels are spreading violence in Central America, Mexico and the Caribbean, West Africa is under attack from narco-trafficking.'

He makes the link between the current drug control system and 'the creation of a lucrative black market for controlled substances, dominated by powerful crime cartels and resulting in unprecedented violence and corruption. The origin and the mechanics of this drug-driven crime phenomenon are easily understood. Drugs are a commodity. Their scarcity – through controls – boosts prices out of proportion to production costs...

Criminal competition for the drug markets is fierce, resulting in real wars on the streets of many cities, worldwide. Profits are ploughed back into increasing the capacity for violence and into corrupting public officials. Together, violence and corruption drive away investment and undermine governance to the point that the rule of law itself becomes questionable. A vicious circle is thus triggered, with lawlessness allowing even greater drug trafficking, with ever higher proceeds abrading the social contract between society and its elected leaders.

'The question of assessing the balance of advantages between the considerable costs of controlling drugs and the undeniable health benefits derived from it, has come up during the UNGASS review. Are the consequences so severe that the response is worse than the problem it is meant to address? This cost/benefit analysis is hard to quantify, but the issue certainly needs to be tackled head-on.'

The recognition that there is a need to weigh up the costs and benefits of prohibition is a positive step forward, and Transform has been calling for this for a long time, however Costa still argues that alternative options would be 'a cynical resignation of the state’s responsibility to protect the health of its citizens...'

To read the full report, click here.

A Report on Global Illicit Drug Markets 1998-2007 (2009) (European Commission)

Edited by: Peter Reuter and Franz Trautmann, co-funded by Rand Corp and Trimbos Institute, March 2009

A summary of the papers concludes that there is no evidence that the global drug problem was reduced during the UNGASS period from 1998 to 2007.

• Enforcement of drug prohibitions has caused substantial unintended harms; many were predictable.
• A major limitation for the description of problems and policies regarding the world drug problem, as well as for the assessment of the effectiveness of policies, is the weakness of existing and lack of availability of relevant data.
• Interventions against production can affect where drugs are produced, such as the changing location of coca growing within the Andean region which is plausibly related to the actions of the governments of Bolivia, Colombia and Peru to control the problem. However, there is a lack of evidence that controls can reduce total global production. The same applies to trafficking.
• The global number of users of cocaine and heroin expanded over the period. In most Western countries the number of frequent users of heroin has declined through most of the last ten years, while a serious epidemic of opiate use occurred in some countries in Eastern Europe and Central Asia.

To read the full report, click here.

Drugs and Democracy: Towards a Paradigm Shift (2009) (Latin American)

By: Latin American Commission on Drugs and Democracy, February 2009

The Latin American Commission on Drugs and Democracy was convened by former presidents Fernando Cardoso of Brazil, Cesar Gaviria of Colombia and Ernesto Zedillo of Mexico in order to evaluate the impacts of the 'war on drugs' on Latin America. They argue that prohibition has failed and are calling for a 'broad debate about alternative strategies'.

'Prohibitionist policies based on eradication of production.... [and] criminalization of consumption have not yielded the desired results.'

The statement highlights some of the negative consequences of the 'war on drugs':

• A rise in organised crime caused by the international narcotics trade
• A huge growth in drug-related violence affecting the whole of society but particularly the poor and the youth
• The criminalisation of politics and the politicisation of crime, including the 'infiltration of democratic institutions by organised crime'
• The corruption of public servants, judicial systems, governments, and those in charge of enforcing law and order

The commission calls for an open and honest debate on drug policy arguing that:

'Current drug repression policies are firmly rooted in prejudices, fears and ideological visions. The whole issue has become taboo which inhibits public debate...
'Hence, breaking the taboo and acknowledging the failure of current policies and their consequences is the inescapable prerequisite for opening up the discussion about a new paradigm leading to safer, more efficient and humane drug policies...
'The way forward lies in acknowledging the insufficient results of current policies and, without dismissing the immense efforts undertaken, launching a broad debate about alternative strategies...'

They also argue that drug policy must be evidence-based:

'A new paradigm to address the drug problem must be less centered on repressive measures and more regardful of national societies and cultures. Effective policies must be based on scientific knowledge and not on ideological biases. This effort must involve not only governments but all sectors of society...'

To read the full statement, click here.

We Can Do It Again (2008) (USA)

By: Law Enforcement Against Prohibtion and the Criminal Justice Policy Foundation. December 2008

To celebrate the 75th anniversary of the end of alcohol prohibtion in the United States, LEAP published a paper arguing that lessons need to be learned from the repeal of alcohol prohibition.

'But by learning a lesson from American history and ending today's expensive and counterproductive prohibition of drugs like we ended the earlier prohibition of alcohol, we can cut wasteful spending and generate new revenues, all while making America's streets safer. A legal and regulated drug trade will lead to far fewer people being arrested and incarcerated at taxpayer expense and will generate essential new revenues, some of which can be earmarked to finance improved drug treatment and recovery.

'After spending a trillion tax dollars and making 39 million arrests for nonviolent drug offenses, drugs are now generally cheaper, more potent and easier for our children to access than they were 40 years ago at the beginning of the 'drug war'.

'Today's prohibition of the many so-called 'controlled substances' is similar to, but is in many respects significantly more complex than, alcohol prohibition. The wide variety of prohibited substances; their global cultivation, production and trade; the global ease of capital movement and the connection between the illegal drug trade and political insurgencies are all modern features of prohibition that our great grandparents did not have to face. Nonetheless, in so many of its essential features drug prohibition has echoed alcohol prohibition's impact on the economy, crime, public safety and public health. Alcohol prohibition involved ethnic, religious and regional prejudices, and those ugly features are dramatically worse under the racial stereotyping and disparities of today's drug enforcement.

'At a moment that is as economically threatening to millions of Americans as the Great Depression, we would do well to learn the lessons that history so clearly and compellingly provides and repeal prohibition, eliminating its numerous unintended consequences.'

To read the rest of the report, click here.

Making Drug Control 'Fit For Purpose': Building on the UNGASS Decade (2008) (UNODC)

By: Antonio Maria Costa, Executive Director of the UNODC. Paper presented to the Commission on Narcotic Drugs (CND), March 2008

The analysis is this paper is striking, not least because the head of the UN Office on Drugs and Crime (UNODC) highlights the key 'unintended consequences' of the drug control regime.

'The first unintended consequence is a huge criminal black market that thrives in order to get prohibited substances from producers to consumers, whether driven by a 'supply push' or a 'demand pull', the financial incentives to enter this market are enormous. There is no shortage of criminals competing to claw out a share of a market in which hundred fold increases in price from production to retail are not uncommon...

The second unintended consequence is what one night call policy displacement. Public health, which is clearly the first principle of drug control... was displaced into the background...

The third unintended consequence is geographical displacement. lt is often called the balloon effect because squeezing (by tighter controls) one place produces a swelling (namely an increase)in another place...

A system appears to have been created in which those who fall into the web of addiction find themselves excluded and marginalized from the social mainstream, tainted with a moral stigma, and often unable to find treatment even when they may be motivated to want it...

The concept of harm reduction is often made into an unnecessarily controversial issue as if there were a contradiction between (i) prevention and treatment on one hand and (ii) reducing the adverse health and social consequences of drug use on the other hand. This is a false dichotomy. These policies are complementary... It stands to reason, then, that drug control, and the implementation of the drug Conventions, must proceed with due regard to health and human rights.'

Unfortunately where the paper falls down, is that Costa advocates 'more of the same' rather than any consideration of alternative policy options.

Click here to read the whole paper.

Domestic Drug Markets and Prohibition (2006) (Australia)

By: Andrew Macintosh, Deputy Director of the Australia Institute. He gave this paper to Parliament House, Canberra on 3 July 2006.

In it he discusses recent trends in domestic drug markets and what they say about the effectiveness of current drug policies. To do this, he uses three illicit drugs: cannabis, heroin and methamphetamines. He concludes:

"The recent trends in the cannabis, heroin and methamphetamine markets vividly demonstrate the weaknesses in prohibition and the need for reform. Clearly neither demand-side nor supply-side drug law enforcement are an effective way of addressing drug problems....The key however is to redress the imbalance. The majority of resources should not go to drug law enforcement when we know we can get better results from investing in treatment and prevention. Further, drug laws should not be allowed to obstruct harm minimisation initiatives.... The other crucial issue is to ease the punitive pressure on drug users. For mine, the first step in this endeavour should be to adopt a Dutch-style approach, where drug use remains outlawed but police are instructed not to arrest and prosecute users".

For the rest of the paper visit here.

WHO/UNICRI Cocaine Project (1995) (Global)

By: WHO/UNICRI. The report was never formally published after the US threatened to withdraw funding for WHO research if they released it. Transnational Institute however have managed to get hold of a copy of the briefing kit and got it out into the public domain.

Some of the key conclusions of the report were:

• "Health problem; from the use of legal substances, particularly alcohol and tobacco, are greater than health problems from cocaine use.
• Few experts describe cocaine as invariably harmful to health. Cocaine-related problems are widely perceived to be more common and more severe for intensive, high-dosage users and very rare and much less severe for occasional, low-dosage users. " (pg. 1)

The report highlights the criticism that supply reduction and enforcement policies are not working and that alternatives needs to be explored.

"The largest future issue is whether international organisations, such as WHO and the United Nations Drug Control Programme, and national governments will continue to focus on supply reduction approaches such as crop destruction and substitution and law enforcement efforts in the face of mounting criticism and cynicism about the effectiveness of these approaches. Countries such as Australia, Bolivia, Canada and Colombia are now interested in examining a range of options to legalize and decriminalize the personal use and possession of cocaine and other related products. There needs to be more assessment of the adverse effects of current policies and strategies and development of innovative approaches." (pg. 30)

"The studies identified strict limitations to drug control policies which rely almost exclusively on repressive measures. Current national and local approaches which over-emphasize punitive drug control measures may actually contribute to the development of heath-related problems. An increase in the adoption of more humane, compassionate responses such as education, treatment and rehabilitation programmes is seen as a desirable counterbalance to the overreliance on law enforcement measures." (pg. 29)

The study also points out that 'anti-drug' campaigns are not necessarily effective, especially when they are not rooted in fact.

"Despite a broad range of educational and prevention approaches, most programmes do not prevent myths but perpetuate stereotypes and misinform the general public. Such programmes rely on sensationalized, exaggerated statements about cocaine which misinform about patterns of use, stigmatize users, and destroy the educator's credibility. This has given most education campaigns a naïve image and has reduced confidence in the quality and accuracy of these campaigns…" (pg. 23)

With regards to who uses cocaine, the study says,

"It is not possible to describe an "average cocaine user". An enormous variety was found in the types of people who use cocaine, the amount of drug used, the frequency of use, the duration and intensity of use, the reasons for using and any associated problems they experience." (pg. 1)

For the whole report click here.

The minutes of the meeting at which the US representative threatened to withdraw funding also make interesting reading.

"The United States Government had been surprised to note that the package seemed to make a case for the positive uses of cocaine, claiming that use of the coca leaf did not lead to noticeable damage to mental or physical health, that the positive health effects of coca leaf chewing might be transferable from traditional settings to other countries and cultures, and that coca production provided financial benefits to peasants...

"... it [the US] took the view that the study on cocaine, evidence of WHO's support for harm-reduction programmes and previous WHO association with organizations that supported the legalization of drugs, indicated that its programme on substance abuse was heading in the wrong direction. The press package undermined the efforts of the international community to stamp out the illegal cultivation and production of coca, inter alia through international conventions.

"The United States Government considered that, if WHO activities relating to drugs failed to reinforce proven drug control approaches, funds for the relevant programmes should be curtailed. In view of the gravity of the matter, he asked the Director-General for an assurance that WHO would dissociate itself from the conclusions of the study and that, in substance abuse activities, an approach would not be adopted that could be used to justify the continued production of coca."

A summary of the minutes can be found here.

Harm Reduction

Preventing Harm from Psychoactive Substances (2005)

By: The city of Vancouver

This report, the drugs prevention strategy for the city of Vancouver, Canada, also contains calls for regulated drug markets based around a public health model of drug control. Not as detailed as the above on regulatory options but significant in that it is an official municipal drug strategy. It also cites the Transform report. Well worth a look, particularly for those working in Uk local government drug policy.

http://www.city.vancouver.bc.ca/fourpillars/pdf/PrevHarmPsychoSubUse.pdf

The government produced a document entitled "Harm Reduction: Tackling drug use and HIV in the developing world" in 2005.

To read this click here (pdf).

Misc

Room for Manoeuvre (March 2000)