IDPC July Alert #drugpolicy

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IDPC : International Drug Policy Consortium
IDPC July 2010 Alert

Welcome to the IDPC July 2010 Alert. The International Drug Policy Consortium (IDPC) is a global network of NGOs and professional networks that work together to promote objective and open debate on drug policy. This Alert contains news, updates on the latest publications and upcoming events relevant to international drug policy, along with a special section on the 18th International AIDS Conference that took place in mid-July in Vienna, Austria.


AIDS 2010: Mainstreaming drug policy reform 

The 18th International AIDS Conference took place in Vienna from 18 to 23 July 2010.  The conference brought together some 20,000 policy makers, people living with HIV, scientists, researchers, clinicians and advocates – all committed to halting the spread of HIV.  Many issues were highlighted throughout the conference but there was one clear unifying call to address the criminalisation of key population groups most at risk from HIV – namely sex workers, men who have sex with men and people who use drugs. 

In the opening plenary, Anya Sarang, director of the Andrey Rylkov Foundation for Health and Social Justice, gave a rousing address that criticised Russia's drug policy, highlighted the human costs of the war on drugs and called for a drug policy based on human rights and harm reduction. Watch Anya's address.

The Rapporteur's session provides an overview of the conference highlights.   

The Vienna Declaration – Sign up now!
The Vienna Declaration is the official declaration of AIDS 2010, and calls for drug policies that are based on scientific evidence rather than ideology. More specifically, the Declaration calls for the decriminalisation of drug use and the meaningful involvement of affected communities in developing policies and programmes. As of today there are over 14,000 signatories including ex-President of Brazil, Fernando Henrique Cardoso, Michel Kazatchkine, the Executive Director of the Global Fund, and the First Lady of Georgia, Sandra Roelofs. The Lancet has also published the Declaration, launching a special edition dedicated to drug use, HIV and human rights at AIDS 2010. The Declaration is a live call and signatures will continue to be collected in the lead up to the next International AIDS Conference that will take place in Washington D.C. in 2012.  Sign the Vienna Declaration.

Drug Policy Networking Zone – Know your drug war
IDPC and Transform Drug Policy Foundation co-hosted the Drug Policy Networking Zone – a busy and dynamic space that was shared with the Harm Reduction and Human Rights Networking Zones. The key message of the Drug Policy Networking Zone was a call to consider the costs of the dominant approach to drug control both in monetary and human terms. The week-long event included panel discussions put together by IDPC members such as Release, the Malaysian AIDS Council, Intercambios and the Correlation Network, and other partners such as the International HIV/AIDS Alliance, the International Doctors for Healthy Drug Policies and the International Center for Science in Drug Policy. Discussions were lively and varied and involved topics as diverse as law enforcement and harm reduction, advocacy strategies, reform of the UN Drug Control Conventions and the possibilities for a regulated drugs market. IDPC launched the Drug Policy Guide in two sessions and was proud to disseminate the newly published Russian version of the Guide. See Transform's photo blog of the zone.

After the War on Drugs: Blueprint for Regulation
Transform re-launched 'Blueprint for Regulation' in two sessions, with Steve Rolles looking beyond the issues relating to the criminalisation of users and HIV to the problems created by the illegality of drug production and availability. The British Medical Journal also published a special edition to coincide with AIDS 2010 titled: 'Drug users and HIV: treat don't punish' and included an article by Steve Rolles on drug policy alternatives. Read more.


News 

IDPC new policy principles now available online!
IDPC is delighted to announce that we have updated our website content and reviewed our policy principles to summarise our members' shared position towards drug policy, in accordance with the IDPC Drug Policy Guide. For more information, visit the IDPC website.

TNI & WOLA launch website highlights the human toll of the 'war on drugs' in Latin America
The Transnational Institute (TNI) and the Washington Office on Latin America (WOLA) have launched a new website to provide up-to-date analysis of trends in drug policy reform and videos that show the human face of drug laws' collateral damage in Latin America.

New webpage on cocaine production and trafficking in the Andes Region

The Centro de Investigación 'Drogas y Derechos Humanos' (CIDDH) has developed a webpage in which the organisation intends to provide a virtual analytical, graphical and cartographic tour of the various locations involving cocaine trafficking in the Andes Region.

Global Commission on HIV and the Law - Get in at the start to influence its agenda!
The Global Commission on HIV & the Law, established in June 2010, is working with the World AIDS Campaign to ensure meaningful civil society engagement. The World AIDS Campaign has begun this process with a call for submissions on issues of priority for the Commission. The deadline for submission is 5th September 2010.  

Speaking out for communities affected by HIV – UNAIDS Programme Coordinating Board NGO Annual Report
The NGO Delegation to the UNAIDS Programme Coordinating Board (PCB) focused its report and consultation around civil society experiences of stigma and discrimination. This video presents excerpts of the presentation of the UNAIDS PCB NGO Delegation, followed by a slide show from the NGO Delegation and Observers at the UNAIDS PCB in June 2010. Read the NGO report

NGO Delegation to the UNAIDS Program Coordinating Board seeks new members

The NGO Delegation to the UNAIDS Program Coordinating Board (PCB), which represents the perspectives of civil society, is currently recruiting new members. The deadline for applications is 16 August 2010. For more information visit the PCB website.

Launch of the European Harm Reduction Network

The European Harm Reduction Network (EuroHRN) was recently launched to reduce the health and social harms related to drugs and the policy environment, by promoting the human rights and health of people who use drugs through collective advocacy, research and information exchange. To join please go to the EuroHRN website or email maria.phelan@ihra.net.

IHRA 'Complicity or Abolition?' report and the Early Day Motion
A very important Early Day Motion is being circulated in Parliament in response to the International Harm Reduction Association report, 'Complicity or Abolition? The Death Penalty and International Support for Drug Enforcement'. As IHRA recommended in its report, the motion 'calls on the Government to review its policies on funding for drug enforcement activities in countries which retain the death penalty.'

Methadone Man and Buprenorphine Babe – A new campaign to promote substitution therapy

This campaign aims to raise awareness on the importance of harm reduction policies and to reduce the stigma surrounding opioid substitution therapy. The campaign features two superheroes, Methadone Man and Buprenorphine Babe, who work together to help injecting drug users in distress and promote substitution therapy on a global scale. For more information, visit the campaign website.

2010 Italian Report on Drug Addictions shows decrease in drug use prevalence, but figures are not reliable

The 2010 Report on Drug Addictions, presented a few weeks ago to the Italian Parliament by Mr Berlusconi's Drug Czar Carlo Giovanardi, contains data that have triggered hot debates, and ironical comments from professionals working in the drugs field. Read more.


Latest Publications 

IDPC Drug Policy Guide now available in Russian
 
This publication, aimed at national policy makers, was created thanks to the collaborative effort of IDPC expert members and partners, and brings together global evidence and best practices on the design and implementation of drug policies and programmes at national level. The Guide is now available in English, Spanish and Russian.

IDPC Magazine – Law enforcement attitudes towards drugs in South East Europe and Eurasia

This second edition of the IDPC magazine, created in collaboration with TalkingDrugs features interviews with police officers from South East Europe and Eurasia, who were asked to express their views on their countries' law enforcement strategies, which in these regions often tend to focus on arresting drug users for possession of small amounts of illegal substances. Read the magazine.

Heroin assisted treatment, the state of play – IDPC Briefing paper

This IDPC briefing paper explores the question of heroin assisted treatment, examines the growing body of evidence emerging from its clinical use in addiction therapies, and makes recommendations for policy makers. Read the paper.

UNODC toolkit for HIV situation and needs assessment in prisons

This toolkit published by the United Nations Office on Drugs and Crime (UNODC) provides information and guidance on conducting situation and needs assessments for the prevention and treatment of HIV infection and tuberculosis in prisons, and aims to help governments set more specific targets for achieving the universal access of prisoners to evidence-based HIV prevention, treatment, care and support interventions. Read the toolkit.

Good practice guide: HIV and drug use, community responses to injecting drug use and HIV

This Guide produced by the International HIV/AIDS Alliance aims to support the scale up of community-based HIV and harm reduction programmes in developing and transitional countries. It looks at practice and research and sets out an approach to programming at the community level where communities are fighting poverty, rapid social change, inequality and sometimes restrictive political cultures. Read the guide.

Good practice guide: greater involvement of people living with HIV

This Guide, produced by the International HIV/AIDS Alliance and the Global Network of People Living with HIV (GNP+), contains information, strategies and resources to support programme officers in enabling meaningful involvement of people living with HIV in new and existing HIV programmes. Read the guide.

A strategy to halt and reverse the HIV epidemic among people who inject drugs in Asia and the Pacific 2010-2015 – WHO, UNAIDS, UNODC, Global Fund & ANPUD Report

This regional strategy is a roadmap for Member States, civil society and development agencies on how to successfully address the HIV epidemic among people who inject drugs in Asia and the Pacific. Read the report.

From coercion to cohesion: treating drug dependence through healthcare, not punishment - UNODC Discussion paper
  
This discussion paper promotes a health-oriented approach to drug dependence. It outlines a model of referral from the criminal justice system to the treatment system that is more effective than compulsory treatment, which results in less restriction of liberty, is less stigmatising and offers better prospects for the future of the individual and the society. Read the paper.

What can we learn from the Portuguese decriminalisation of illicit drugs?
Drawing upon independent evaluations and interviews conducted with 13 key stakeholders in 2007 and 2009, this paper critically analyses the criminal justice and health impacts against trends from neighbouring Spain and Italy. It concludes that contrary to predictions, the Portuguese decriminalisation did not lead to major increases in drug use. Read the paper.

Argentina: reform on the way? TNI Series on Legislative Reform of Drug policies
In August 2009, the Argentina Supreme Court declared legislation criminalising drug possession for personal consumption as unconstitutional. This TNI briefing discusses the background of that decision, the small steps taken since, but argues that there is still much to do before a genuine reform agenda can be implemented. Read the paper.

A matter of substance: Fighting drug trafficking with a susbance-oriented approach - TNI Series on Legislative Reform of Drug Policies 
This TNI paper discusses the "substance-oriented approach" Dutch authorities implemented to to scare off potential small-scale cocaine smugglers. The focus was on the drugs, rather than the couriers, and on incapacitating the smuggling route, rather than deterrence by incarceration. Read the paper.

EHRN Drug Policy Position Paper

This Eurasian Harm Reduction Network position paper is based on an evidence-informed approach and promotes the respect, observance and protection of human rights. Read the paper in English and Russian

New report recommends extensive legislative reform in 6 Central Asian countries to address HIV in prisons among people who inject drugs

This report provides recommendations to governments for legislative and policy reform to strengthen the national response to HIV and improve accessibility of evidence-based HIV services for people who use drugs and incarcerated people. Further recommendations aim to ensure that UN and other international aid organisations support countries in implementing such reforms. Read the report in English or its executive summary in Russian.

Comprehensive HIV prevention for people who inject drugs – PEPFAR report

This PEPFAR document serves as an update to the previous policy and technical guidance on the development of HIV prevention-focused programmes for people who inject drugs in an effort to reduce their risk of HIV acquisition and transmission. Read more.

Why overdose prevention matters for HIV – EHRN/OSI fact sheet

This document, prepared by overdose experts Matt Curtis and Nab Dasgupta for the Open Society Institute and the Eurasian Harm Reduction Network, presents evidence and arguments that organisations can make to AIDS funders to show that overdose prevention and response matter for HIV programming. Read the fact sheet in English and Russian.

Young people's recommendations for addiction prevention policy paper

The 'Young People's Recommendations for Addiction Prevention Policy Paper' was compiled by the Drug Policy Programme of Espolea through a series of workshops, in order to build on the current drug policy debate and contribute to the engagement of young people in dialogue around prevention, harm reduction, treatment and law enforcement. Read the paper in English and Spanish.

Lowering the threshold: models of accessible methadone and buprenorphine treatment
This report from the Open Society Institute documents low-threshold methadone and buprenorphine programmes – that is, programmes that seek, in the spirit of harm reduction, to meet patients "where they're at" and minimise bureaucratic requirements. The report is now available in Russian.


Upcoming Events 

2nd Latin American Conference on Drug Policy
 
26 - 27 Aug 2010, Rio de Janeiro, Brazil
Intercambios, in association with Psicotropicus, will bring together public officials, scholars, advocates, and professionals to debate drug policy. The Conference hopes to send a regional call to leave behind repressive policies and to tackle drug-related issues from a health and human rights perspective. For more information, visit the conference website.

Advanced seminar on amphetamine use for Eastern Europe and Central Asia
  
1 - 3 Sept 2010, Prague, Czech Republic
This three-day training is designed to assist public health professionals in acquiring an understanding of work with stimulant users and will equip them with the skills required to analyse the local drug situation with respect to the types of stimulant drugs. Read more.

Correlation Seminar - Building capacities on hepatitis C virus: A training for trainers  
22 - 24 Sep 2010, Budapest, Hungary
The main objective of this Correlation pilot training is to test the training tool and receive feedback from potential users of the tool. Such feedback is crucial to ensure that the tool is being used and is adapted to the needs of the target group. The training tool will be completed based on the feedback from Correlation partners, the results of the training and the participants' evaluation. Read more.

5th Adriatic Drug Addiction Treatment Conference
30 Sept - 2 Oct 2010, Ohrid, Macedonia
The South Eastern European and Adriatic Addiction Treatment Network (SEEA net) 2010 Conference will focus on drug dependence treatment with co-morbidity and cooperation with existent drug prevention and treatment services, medical, social and other services and NGOs in the region, treatment of hepatitis C, different praxis through the region and treatment in prisons. For more information, visit the conference website.

Urban Drug Policies in the Globalised World

30 Sep 2010 - 2 Oct 2010, Prague, Czech Republic
Discussions at the Conference will bring up burning questions and recent developments in the field of urban drug policy and related interventions. For more information, visit the conference website

10th International Colloquium of Human Rights

9 - 16 Oct 2010, São Paulo, Brazil
This Colloquium, organised by Conectas Human Rights, will focus on the following topic: "Regional and International Human Rights Systems: Challenges for Civil Society Participation". For more information, visit the conference website.

Recovery Conference - Addiction: the case for recovery in a changing world
17 Nov 2010, London, UK
Participants will discuss the evidence base for drug and alcohol recovery models and what the implications are for therapeutic interventions. Using examples of best practice the Conference will explore how drug treatment systems can gear up for the increased demand for recovery options from the public, the political support for recovery options, and how to make this possible within the economic climate. For more information, visit the conference website.

8th National Harm Reduction Conference: Harm Reduction Beyond Borders!

18 - 21 Nov 2010, Austin, Texas, USA
The Conference will bring together approximately 1,000 drug users, ex-drug users, researchers, sex workers, social workers, doctors, politicians and community organizers from around the United States to share perspectives on Harm Reduction. For more information, visit the conference website

Correlation Seminar – Standards of outreach work with young people in Europe: what works, what doesn't?
 
18 - 20 Nov 2010, Prague, Czech Republic
This seminar organised by Correlation will focus on the current state of affairs regarding outreach work and early intervention. Read more.

Correlation Seminar – HIV/AIDS policy recommendations, reduce existing health inequalities in the EU
 
29 - 30 Nov 2010, Brussels, Belgium
The objective of the seminar organised by Correlation is to stimulate the dialogue, dissemination and advocacy relating to HIV and health inequalities in Europe. Read more.

Correlation Seminar – Training event & presentation of a new social intervention tool for online outreach
 
17 - 19 Mar 2011, Padova, Italy
Correlation's main goal is to train participants in the use and implementation of the Social Intervention Tool within their own organisation. The training will focus on different aspects of the use of online strategies, including practical use of the SIT, online communication methods and conversation techniques, and guidelines for successful implementation. Read more.

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On the street, you can see the harm caused by drug laws #drugpolicy

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On the street, you can see the harm caused by drug laws
By David Bratzer
Ottawa Citizen
July 29, 2010



Injecting some safety #harmreduction

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Injecting some safety
By Ian Mcinroy
Barrie Examiner
July 29, 2010

Medical Marijuana Dispensary Law is official!

Thursday, July 29, 2010 | | 1 comments

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http://voices.washingtonpost.com/dc/2010/07/medical_marijuana_now_legal.html

Medical marijuana now legal

Medical marijuana is now legal in the District of Washington after the Democrat-controlled Congress declined to overrule a D.C Council bill that allows the city to set up as many as eight dispensaries where chronically ill patients can purchase the drug.

Del. Eleanor Holmes Norton (D) said in a statement the bill become law after Congress finished its business Monday night because neither the House nor Senate opted to intervene.

The council approved the bill in May, and under Home Rule Congress had 30 legislative days to review it.

"We have faced repeated attempts to re-impose the prohibition on medical marijuana in D.C. throughout the layover period," said Norton. "Yet, it is D.C.'s business alone to decide how to help patients who live in our city and suffer from chronic pain and incurable illnesses."

Although the bill has now cleared Congress, patients will likely have to wait at least several months before they can obtain the drug from a city-sanctioned dispensary.

Mayor Adrian M. Fenty and the Department of Health now have to establish regulations outlining who can bid for a license to open a dispensary.

The law allows patients with cancer, glaucoma, HIV/AIDS and other chronic ailments can possess up to four ounces of the drug.

Patients will not be allowed to grow their own marijuana, but licensed companies will be able to sell the drug to people who first obtain a doctor's prescription.

The council also approved a provision in the 2011 budget that calls for medical marijuana to be subject to the city's 6 percent sales tax.
Underprivileged residents who qualify will be eligible to purchase their drugs free or at reduced cost.

Under the legislation, sponsored by council members David A. Catania (I-At
large) and Phil Mendelson (D-At large), both non-profit and for-profit organizations will be eligible to operate the dispensaries.

Even after the Department of Health licenses the dispensaries and cultivation centers, they could be delayed by a zoning process in which residents could protest where the dispensaries will be located. The legislation states the dispensaries will not be allowed to be located within 300 feet of a school.

Distributors also will be limited to growing no more than 95 marijuana plants at a given location, an apparent effort to keep dispensers within federal law that heightens penalties on anyone arrested with at least 100 plants.

The law caps a years-long struggle to act on a 1998 referendum in which 69 percent of District residents voted for to allow medical marijuana. Until last year, Congress blocked the city from enacting the referendum.

City leaders, hoping to avoid the quasi-legalization of the drug, say the District will have one of the most restrictive medical marijuana laws in the country. They fear a future Congress could reverse the law if it is abused.

--Tim Craig

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Justice Rocks 2010 - Free Music Festival Aug 15!

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From: Gillian Maxwell [mailto:gillianmaxwell@telus.net]
Sent: 29 July, 2010 1:59 PM
Subject: Justice Rocks 2010 - Free Music Festival Aug 15!

 

 

From: Pivot Newswire [mailto:pryan=pivotlegal.org@mail262.us2.mcsv.net] On Behalf Of Pivot Newswire
Sent: July-29-10 1:26 PM
To: Gillian Maxwell
Subject: Justice Rocks 2010 - Free Music Festival Aug 15!

 

 

Leading Non-Profits Join Pivot in Hosting Free Music Festival

Justice Rocks 2010

FOR IMMEDIATE RELEASE: July 29, 2010

On Sunday, August 15, Pivot Legal Society will be joined by an all-star lineup of social and environmental organization in hosting the third annual Justice Rocks music festival in Strathcona Park! Everyone is welcome to join us for free day of live music, food and fun from 1pm to 8pm.

In its third year now, Justice Rocks will feature capoeria, children’s performers, break-dancers, cultural medicine cabinet, youth hip-hop, and a full line-up of local musical acts including Maria in The Shower, Abstract Random, En Karma, Corbin Murdoch and more! Visit www.justicerocks.org for the full line-up.

Justice Rocks 2010 is being co-created this year by six of BC's leading activist organizations; Amnesty International, Greenpeace, BC Civil Liberties Association, Check Your Head, Ecojustice, and Dogwood Initiative. They will be joined by 15 other non-profits organizations, each of whom will be bringing their best public engagement tools to get the crowd excited about participating in social change.?

"We wanted to hold an end of the summer party that brings together music and ideas for social change,” said John Richardson, Executive Director of Pivot. “Music has always been a key medium for expressing the importance of justice, and we wanted to bring that to the heart of East Van.” Justice Rocks is going to be the most memorable summer finale yet.

Join us for free rock in the park - Sunday, August 15th!

For more information, contact: Adrian Sinclair at (778) 837- 8889

Pivot Legal Society | 678 Hastings Street East

Pivot’s mandate is to take a strategic approach to social change, using the law to address the root causes that undermine the quality of life of those most on the margins. We believe that everyone, regardless of income, benefits from a healthy and inclusive community where values such as opportunity, respect and equality are strongly rooted in the law.

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US/UK: Is Drug Policy A Human Rights Abuser? #drugpolicy #humanrights

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US/UK: Is Drug Policy A Human Rights Abuser?

openDemocracy
oD Drug Policy Forum: Front Line Report - Week of July 19, 2010

Charles Shaw, 19 July 2010

A weekly summary of what's going on in drug policy and criminal justice reform in the US & UK.
See the Report here:
http://www.opendemocracy.net/charles-shaw/od-drug-policy-forum-front-line-report-week-of-july-19-2010

About the author:
Charles Shaw is a writer and activist living in the Bay Area of San Francisco. He is the author of Exile Nation: Drugs, Prisons, Politics and Spirituality and serves as editor for the Dictionary of Ethical Politics and the oD Drug Policy Forum.

Is Drug Policy A Human Rights Abuser?

Narcophobia: drugs prohibition and the generation of human rights abuses, authored by Dick Hobbs from the UK's London School of Economics
(LSE) and Brazilian journalist Fernanda Mena, further states that drug "prohibition enforcement has hindered the advancement of democracy and led to violence and increases in human rights abuses". The report attempts to demonstrate that there are global implications for drug laws as this huge global industry has devastating effects on poor producer nations, such as Burma.

Read more:
http://www.opendemocracy.net/charles-shaw/od-drug-policy-forum-front-line-report-week-of-july-19-2010

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Congress Passes Historic Legislation to Reduce Crack/Powder Cocaine Sentencing Disparity #drugpolicy

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At 10, Portugal's Drug Law Draws New Scrutiny #drugpolicy #legalization #portugal

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The Wall Street Journal
July 20, 2010

At 10, Portugal's Drug Law Draws New Scrutiny

By SUSANA FERREIRA

PORTO, Portugal—This country's move to decriminalize illicit substances—Europe's most liberal drug legislation—turns 10 years old this month amid new scrutiny and plaudits.

Portugal's decriminalization regime has caught the eye of regulators in Europe and beyond since it was implemented in 2001. Proponents credit the program for stanching one of Europe's worst drug epidemics. Critics associate it with higher crime and murder rates. Approaching a decade in force, it is providing a real-world model of one way to address an issue that is a social and economic drag on countries world-wide.

Norway's government formed a committee to look at better strategies for dealing with drug abuse and sent two delegates to Portugal in early May.
Danish politicians have also talked of moving toward full decriminalization. In March, Danish parliamentarian Mette Frederiksen of the opposition Social Democrats praised the Portuguese model.

"For us, this is about the addicts leading a more dignified life," she told Danish daily Berlingske. "We want to lower the death rates, the secondary symptoms and the criminality, so we look keenly to Portugal."

Decriminalization has been criticized by United Nations bodies. In its
2009 annual report, the International Narcotics Control Board expressed "concern" over approaches that decriminalize drugs or introduce alternative treatments. "The movement poses a threat to the coherence and effectiveness of the international drug-control system and sends the wrong message to the general public," the board wrote.

In July 2000, Portugal moved beyond previous liberalization regimes in places like the Netherlands by passing a law that transformed drug possession from a matter for the courts to one of public and community health. Trafficking remained a criminal offense but the government did away with arrests, courts and jail time for people carrying a personal supply of anything from marijuana to cocaine to heroin. It established a commission to encourage casual users to quit and backed 78 treatment centers where addicts could seek help.

In 2008, the last year for which figures are available, more than 40,000 people used the rehab centers and other treatment programs, according to the Institute for Drugs and Drug Addiction, a branch of Portugal's Ministry of Health. The ministry says it spends about €50 million ($64.5
million) a year on the treatment programs, with €20 million more provided through a charity funded by Portugal's national lotteries.

Before decriminalization, Portugal was home to an estimated 100,000 problem heroin users, or 1% of the country's population, says João Goulão, director of the Institute for Drugs and Drug Addiction. By 2008, chronic users for all substances had dropped to about 55,000, he says.
The rate of HIV and hepatitis infection among drug users—common health issues associated with needle-sharing—has also fallen since the law's
2001 rollout.

Portuguese and European Union officials are loath to give publicly funded treatment centers sole credit. They say the drop in problematic drug users could also be attributed to heroin's declining popularity in Portugal and the rising popularity of cocaine and synthetic drugs among young people.

At the same time, Portugal's drug-mortality rate, among Europe's lowest, has risen. Mr. Goulão says this is due in part to improved methods of collecting statistics, but the number of drug-related fatalities can also be traced to mortality among those who became addicted to heroin during the country's 1980s and 1990s epidemic.

Violent crime, too, has risen since the law's passage. According to a
2009 report by the U.N. Office on Drugs and Crime, Portugal's drug-use and murder rates rose in the years after decriminalization. The general rise in drug use was in keeping with European trends, but the U.N. noted with some alarm that cocaine use doubled and cocaine seizures jumped sevenfold from 2001 to 2006.

Murders rose 40% in the period. The report tentatively links that with drug trafficking, but points out overall murder rates in Portugal remain low.

Pedro do Carmo, deputy national director of Portugal's judiciary police, says he doesn't see link the rise in violent crime with decriminalization. Instead, he praises the program for reducing the fear and stigma attached with drug use. "Now, when we pick up an addict, we're not picking up a criminal," he says. "They are more like victims."

The Portuguese began considering drug decriminalization following a leap in heroin addiction decades ago in the country, a major entry point for drug trafficking from Latin America and North Africa.

The then-ruling Socialist Party government of Prime Minister António Guterres launched a political debate to discuss how to resolve the problem. Members of the right-wing People's Party decried any tolerance for drug use, saying it would invite drug tourism.

Mr. Guterres's government pushed through a full decriminalization law. A subsequent center-right coalition led by José Manuel Barroso, now president of the European Commission, didn't repeal it.

The legislation was the first in a series of liberal policy shifts in this predominantly Roman Catholic country. In May, President Aníbal Cavaco Silva ratified a law allowing same-sex marriage, making it the sixth European country to do so. In 2007, Portugal went from having among the toughest restrictions on abortion to among the most liberal.

Portugal's focus on close-knit community and protecting the family may be at the heart of many of these reforms, say some observers. In a 1999 report that paved the way for new drug legislation, current Portuguese Prime Minister José Sócrates implored that "drugs are not a problem for other people, for other families, for other people's children."

Portugal's rehab clinics, called Centros de Atendimento de Toxicodependentes, are central to the strategy. In the lively northern port city of Porto, dozens of patients pop in daily to the Cedofeita rehab center to pick up free doses of methadone. Others have scheduled therapy or family counseling sessions, also free.

"The more they can be integrated in their families and their jobs, the better their chances of success," says José González, a psychiatrist at Cedofeita. Mr. González says that about half of his 1,500 patients are in substitution treatment, 500 of which take methadone daily. He says there is no defined model or timeline for treatment.

The European Monitoring Centre for Drugs and Drug Addiction, a Lisbon-based European Union agency, says methadone or other substance-substitution programs are generally viewed as successful but has observed that some Portuguese are beginning to question long-term methadone therapy.

"Now that the epidemic is under control for the most part, people start asking questions," says Dagmar Hedrich, a senior scientific analyst with the EMCDDA. "The question now is what is going to happen next? There is a part of the population who do not have the possibility of leaving the treatment."
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