Harm Reduction

Chronicle AM: Canada Legalizes Marijuana! (6/20/18)

Harm Reduction (STDW) - Wed, 06/20/2018 - 19:17

Canada has become the second country to legalize marijuana after final votes in parliament Tuesday, the Supreme Court agrees to hear an Indiana asset forfeiture case, Eleanor Holmes Norton files a bill to allow marijuana in public housing in states where it's legal, and more.

[image:1 align:left]Marijuana Policy

Eleanor Holmes Norton Files Bill to Allow Marijuana Use in Public Housing Where It's Legal. Rep. Eleanor Holmes Norton (D-DC) has filed a bill that would allow residents of public housing in states and localities where marijuana is legal to use it at home without fear of being evicted. Under Norton's bill, a person may not be denied federally-assisted housing for the use of marijuana in jurisdictions where medical or recreational marijuana has been legalized. Under Norton's bill, smoking marijuana would be treated the same as smoking tobacco in federally-assisted housing. The bill is not yet available on the congressional website.

Asset Forfeiture

Supreme Court Agrees to Hear Indiana Civil Asset Forfeiture Case. The US Supreme Court has agreed to hear the case of an Indiana man who used the proceeds of his father's life insurance policy to buy a $42,000 Land Rover only to have the vehicle seized after he was caught selling heroin with it. When authorities moved to forfeit the vehicle, Tyson Timbs challenged the action and won in the Grant Superior Court, with the judge finding the vehicle was purchased legally and that its forfeiture would be "grossly disproportionate" to Timb's offense. The Indiana Court of Appeals agreed, noting that the maximum fine for Timbs' offenses was only $10,000 and suggested the seizure amounted to an "excessive fine." The state Supreme Court then reversed, Timbs appealed, and here we are.

Reproductive Rights

Federal Appeals Court Panel Rejects Wisconsin Woman's "Cocaine Mom" Lawsuit. A three-judge panel on the US 7th Circuit of Appeals on Monday dismissed a lawsuit challenging Wisconsin's "cocaine mom" law, which permits the detention of pregnant women who are suspected of abusing drugs. The panel dismissed the case because the woman, Tammy Loetscher, had moved out of the state. A US district court judge last year found the law unconstitutional and issued an injunction barring it from being enforced, but the law has remained in force while the state appealed. The appeals court panel's ruling leaves the law in force for now. "Today's decision means that all women in Wisconsin have to worry that when they seek health care, if there's even a chance they might be pregnant, the state can take them into custody, lock them up in a drug treatment program, a mental hospital or a jail -- whether or not drug treatment is really needed," said Nancy Rosenbloom, director of legal advocacy for the National Advocates for Pregnant Women, which represented Loertscher.

International

Canada Legalizes Marijuana. With final votes in the House of Commons and Senate on Tuesday, the Canadian parliament has approved the marijuana legalization bill, C-45. The bill legalizes the possession of up to 30 grams in public and allows the cultivation of up to four plants per household. It will also allow for regulated and taxed marijuana businesses, with regulations of sales left to the provinces. Provincial and territorial governments need s few weeks to prepare for retail sales, so the actual rollout of legalization is expected to happen in mid-September.

Australia Festival Pill Testing a Success, Should Be Emulated, Report Finds. A study released Wednesday by the Safety and Testing Advisory Service at Festivals and Events finds that pill testing at the Groovin the Moo festival in Canberra in April was "an overwhelming success" and the federal government should take a leadership role in introducing a plan for broader pill testing. "The pilot demonstrated that such an intervention is possible and that people are willing to use the service, despite the limitations arising from the tight timelines, inauspicious physical infrastructure and the lack of dissemination strategies on-site during the festival," the report said. Less than half the drugs tested at the festival were relatively pure.

Categories: Harm Reduction

Making Matters Worse: DEA's Move to Restrict Opioid Prescriptions Pushed Users to the Dark Web

Harm Reduction (STDW) - Sat, 06/16/2018 - 19:29

By the end of 2013, the country's quiet opioid addiction crisis was no longer so quiet. Opioid overdose deaths that year topped 16,000, more than four times the same statistic for 1999. That prompted a number of measures at the state and federal level to rein in opioid prescriptions, including a move by the DEA in October 2014 to tighten its policies around some of the most commonly prescribed opioids.

[image:1 align:left caption:true]The new DEA policy -- aimed at popular opioids such as Vicodin and Lortab -- imposed restrictions on doctors' prescribing and made it more difficult for patients to get refills. In one sense, the policy was a success: Prescriptions for those drugs decreased almost immediately. But new research adds to an increasing body of evidence that restricting opioid prescribing has not solved the opioid crisis but instead worsened it.

Since the DEA policy shift, opioid overdose deaths continued to grow with more than 40,000 fatal opioid overdoses in 2016. And while prescription opioid overdose deaths have slightly decreased -- there were about 14,000 that year -- overdose deaths from heroin and non-prescription synthetic opioids such as fentanyl went through the roof. Heroin and illicit synthetics accounted for nearly two-thirds of all opioid overdose deaths in 2016.

In the new study, published this week in the British Medical Journal, researchers examining the impact of the DEA policy shift found evidence that while the change indeed lowered prescribing rates for the opioids in question, it was also linked to an increase in illicit online sales of those drugs in Dark Web drug markets.

The researchers used software called DATACRYPTO to crawl encrypted Dark Web marketplaces where people can anonymously buy damned near anything, from drugs to guns to credit card numbers. DATACRYPTO harvested data on which drugs were for sale, their country of origin, and the number of customer comments on each seller's comments page. Researchers used that last figure as a proxy for how much of a drug that seller sold. They examined sales of prescription opioids, sedatives, stimulants, and steroids, as well as heroin. It was only with prescription opioids that they found a significant Dark Web sales bump.

Here's what they found: "The sale of prescription opioids through US cryptomarkets increased after the schedule change, with no statistically significant changes in sales of prescription sedatives, prescription steroids, prescription stimulants, or illicit opioids."

According to their data, prescription opioids doubled their market share of U.S. Dark Web drug sales thanks to the DEA policy change. By July 2016, opioids represented 13.7% of all drug sales in U.S. cryptomarkets, compared with a modeled estimate of 6.7% of all sales.

While the researchers were careful to not make claims of causation -- only correlation -- their conclusion speaks for itself: "The scheduling change in hydrocodone combination products coincided with a statistically significant, sustained increase in illicit trading of opioids through online US cryptomarkets. These changes were not observed for other drug groups or in other countries. A subsequent move was observed towards the purchase of more potent forms of prescription opioids, particularly oxycodone and fentanyl."

Not only is the DEA policy change linked to increased Dark Web opioid sales, it is also linked to a move toward more powerful, and thus more dangerous, opioids. The researchers noted that while fentanyl was the least purchased Dark Web opioid in the summer of 2014, it was the second most frequently purchased by the summer of 2016. Fentanyl killed as many people as prescription opioids that year.

This study -- one of the few that examines supply reduction (as opposed to demand reduction) as a means reducing drug use -- strongly suggests that supply-side interventions carry unintended consequences, especially the resort to more dangerous and more powerful substitutes. The study's authors refer to this effect as "the iron law of prohibition, whereby interventions to reduce supply, such as increased enforcement and changes to drug scheduling, lead to illicit markets dominated by higher potency products."

Perhaps better than restricting opioid prescriptions, which has deleterious impacts on the tens of millions of Americans suffering chronic pain, or other supply-side interventions, would be increased access to addiction treatment, as well as greatly expanded harm reduction measures to try to get people off opioids and keep them alive in the meantime.

Categories: Harm Reduction

Chronicle AM: St. Louis Ends Small MJ Prosecutions, House Passes Opioid Package, More... (6/13/18)

Harm Reduction (STDW) - Wed, 06/13/2018 - 20:26

St. Louis prosecutors will no longer go after people with less than 100 grams of marijuana, a Delaware legislator amends her legalization bill to address concerns, the House passes an opioid package, the Canadian federal government rejects some Senate marijuana amendments, and more.

[image:1 align:left]Marijuana Policy

Delaware Legalization Bill Amended. State Rep. Helene Keeley (D-Wilmington) has filed an amendment to her legalization bill, House Bill 110, aimed at addressing concerns around regulations and public safety. The amendment would more tightly regulate legal marijuana production and distribution and prohibit products that look like candy or cartoon characters. The amendment also clarifies employer protections and sets aside 10% of tax revenues to pay for drugged driving enforcement. The bill has already passed committee votes and now awaits a House floor vote.

St. Louis Ends Marijuana Prosecutions for Less Than 100 Grams. St. Louis Circuit Attorney Kim Gardner announced Tuesday that her office will stop prosecuting marijuana possession cases involving less than 3 ½ ounces (100 grams) of the weed. "Effective immediately we will no longer issue possession of marijuana cases under 100 grams as the lead charge!" Gardner wrote. Gardner said her staff would also begin reviewing and dismissing pending pot cases.

Medical Marijuana

South Carolina Voters Approve Medical Marijuana Question On Democratic Ballot. Voters in the state's Democratic primary overwhelmingly approved a non-binding question asking if they supported passing a law to allow doctors to prescribe marijuana to patients. The question passed with 81% of the vote. While medical marijuana bills have moved in the legislature, none has yet passed.

Heroin and Prescription Opioids

House Passes Package of 25 Bills Addressing Opioid Crisis. The House on Tuesday approved a package of 25 bills that nibble at the edge of the nation's opioid-related public health crisis. The bills range from addressing the disposal of opioid medications after a patient's death to encouraging overdose awareness in hospital emergency rooms to raising awareness of synthetic opioids and more. For a complete list of the bills and what they do, click on the title link.

Harm Reduction

Delaware Law Giving First Responders Immunity from Lawsuits for Administering Opioid Overdose Reversal Drug Goes into Effect. Gov. John Carney (D) on Tuesday signed into law Senate Bill 147, which provides immunity from lawsuits for public safety personnel for trying to save lives by administering Naloxone. Paramedics and police had previously been granted immunity, and laypersons also have immunity under the state's Good Samaritan law. This bill specifies that volunteer firefighters and other emergency responders will also have immunity.

International

Canadian Federal Government Rejects Some Senate Marijuana Legalization Bill Amendments. The federal government has said it accepts some 26 technical proposed amendments to the C-45 legalization bill but rejects amendments to allow provinces to bar home cultivation and prohibit producers from handing out branded merchandise. "We have looked carefully at all of the amendments that have been brought forward and today we respectfully submit to the Senate the amendments that we've accepted, and the ones that we haven't," Health Minister Ginette Petitpas Taylor told reporters Wednesday. Now, it will be up to the Senate to accept the government's position. If not, the legislative haggling could continue for some time.

Categories: Harm Reduction

Chronicle AM: CO Gov. Vetoes Pot Tasting Rooms, WV First Responders Get Naloxone, More... (6/5/18)

Harm Reduction (STDW) - Tue, 06/05/2018 - 20:53

Colorado's governor vetoes a pot tasting room bill and signs a medical marijuana in schools bill, Canada's legalization bill overcomes a last-ditch attempt to block it, and more.

[image:1 align:left caption:true]Marijuana Policy

Colorado Governor Vetoes Marijuana "Tasting Rooms" Bill. Gov. John Hickenlooper (D) has vetoed House Bill 18-1258, which would have allowed customers at marijuana retailers to consume edibles or vape on premises. Hickenlooper said the bill violated Amendment 64, which said marijuana consumption could not be done "openly" or "publicly." Hickenlooper also cited fears of stoned driving.

Medical Marijuana

Colorado Governor Signs Medical Marijuana at School Bill. Gov. John Hickenlooper (D) has signed into law House Bill 18-1286, which will allow school nurses to administer medical marijuana to students with medical marijuana patient cards. Hickenlooper said that bill would expand current law to "allow school personnel to administer medical marijuana in a non-smokable form to students qualifying for medical marijuana use."

Harm Reduction

West Virginia Begins Statewide Distribution of Naloxone to First Responders. The state Department of Health and Human Services announced Tuesday that it is beginning the distribution of the opioid overdose reversal drug to first responders. Naloxone is going out to the state police, the fire marshal's office, and emergency medical service providers, with eight high priority counties also being allocated additional doses.

 

 

 

 

International

Canada's Conservatives Thwarted in Bid to Block Legalization Bill. An attempt by Conservative senators to slow down the marijuana legalization bill failed on Monday night on 50-29 vote. Sen. Leo Housakos (C) had filed an amendment to delay passage until the government releases a report on how it will deal with marijuana-related border issues. Now, the bill is set for a final Senate vote Thursday.

 

 

Categories: Harm Reduction

Chronicle AM: Gallup: Pot Use "Morally Acceptable," Bangladeshi Drug War Killings, More... (6/4/18)

Harm Reduction (STDW) - Mon, 06/04/2018 - 20:52

Two polls illustrate the rising social acceptability of marijuana, Louisiana's medical marijuana program expands, the Bangladeshi drug war could be a cover for political assassinations, and more.

[image:1 align:right caption:true]Marijuana Policy

Gallup Poll: Two-Thirds Say Consuming Marijuana "Morally Acceptable." A large majority of Americans -- 65% -- say consuming marijuana is "morally acceptable." An even larger majority -- 78% -- say drinking alcohol is "morally acceptable." This is the first time Gallup has asked the question.

Youth Support for Marijuana Legalization at All-Time High, Poll Finds. The annual Monitoring the Future survey of secondary school students finds that 49% of 12th graders supported marijuana legalization last year, a figure the survey called a "historic high." Just a decade earlier, only 29% favored legalization, but support has grown every year since then, except for a one-point downward blip in 2015.

Medical Marijuana

Louisiana Governor Signs Second Medical Marijuana Expansion Bill. Gov. John Bel Edwards (D) has signed into law House Bill 579, which adds Parkinson's, glaucoma, severe muscle spasms, chronic pain and post-traumatic stress disorder to the 10 conditions currently qualifying for medical marijuana. Days earlier, he signed into law a second bill that added autism to the list of qualifying disorders.

International

Bangladeshi Drug War Used to Hide Political Assassinations. The death toll from the Bangladeshi government's bloody drug crackdown has risen to 120, and claims are coming that some of the victims are not drug users or dealers at all, but political opponents of the government. One case is that of Habibur Rahman, who police said had been killed in a gunfight with officers, but his family said Rahman, an activist with the leading opposition party, was last seen being taken away from a local mosque by men thought to be plainclothes police officers. "He was neither a drug seller nor a drug addict. It was because he was involved in politics against the government and protested about land affairs," said a relative who declined to be named for fear of retaliation.

British Home Office Scotches Plans for Glasgow Safe Injection Site. The British Home Office has refused to approve a safe injection site in Glasgow -- even though it acknowledges they are an effective harm reduction intervention. The Home Office said there is no legal framework for setting up safe injection sites and there are no plans to amend the law to do so.

Categories: Harm Reduction

Chronicle AM: CA Pays for Fentanyl Test Strips, CA Marijuana Banking Bill Advances, More... (6/1/18)

Harm Reduction (STDW) - Fri, 06/01/2018 - 20:54

The California Senate approves a bill to create financial services for the pot industry, the California public health department is paying needle exchanges to hand out fentanyl test strips, a New York bill would allow the use of CBD oil instead of opioids to treat pain, and more.

[image:1 align:left]Marijuana Policy

California Marijuana Banking Bill Passes Senate. The state Senate voted 29-6 Wednesday to approve Senate Bill 930, which would allow financial institutions to offer limited banking services to legal marijuana businesses. The bill would create limited-charter licenses for banks and credit unions allowing them to issue special checks that could be used by the industry. The measure now goes to the Assembly.

Three Out of Four Florida Democratic Gubernatorial Contenders Support Legalization. Florida Democrats are seeing a near consensus for marijuana legalization among the current crop of gubernatorial candidates. Tallahassee Mayor Andrew Gillum, Winter Park entrepreneur Chris King and former Miami Beach Mayor Philip Levine all back legalization. Former Congresswoman Gwen Graham is the outlier; she only backs decriminalization.

Medical Marijuana

New York Bill Would Allow CBD Cannabis Oil to Be Used Instead of Opioids for Pain. State Sen. George Amedore (R) on Thursday filed Senate Bill 8820, which would allow the use of CBD cannabis oil in place of opioids. Amedore is co-chair of the Senate Task Force on Opioid and Heroin Addiction and said that the evidence is clear marijuana is less harmful and addictive than opioid painkillers.

Harm Reduction

California Paying Needle Exchanges to Provide Fentanyl Test Strips. For a year now, the state public health department has been paying needle exchanges to distribute fentanyl test strips to their clients in a bid to lower overdose deaths. The tests cost $1 each. Users mix a bit of their drugs in water and then dip the strip in for a few seconds and they get results back within five minutes. About half of the state's 45 needle exchanges are distributing the strips. The state has spent $57,000 on the project so far.

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this website. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Categories: Harm Reduction

Chronicle AM: RI Senate OKs Life Sentence for ODs Bill, Guatemala's First Coca Crop, More... (5/30/18)

Harm Reduction (STDW) - Wed, 05/30/2018 - 20:09

A bill that would mandate life sentences for selling drugs involved in fatal overdoses is moving in Rhode Island, a California US attorney says he's too busy with the black market to go after legal marijuana, another Utah poll has a medical marijuana initiative winning, Guatemala gets its first coca crop and more.

[image:1 align:right caption:true]Marijuana Policy

California US Attorney Says Too Much Black Market Work to Focus on Legal Market. Sacramento-based McGregor Scott, US Attorney for the Northeastern District of California, said Tuesday there is so much marijuana being grown illegally on federal lands and trafficked to other states that he doesn't have the resources to go after state-legal marijuana operations. Scott said he would focus on interstate trafficking, organized crime, and damage to public lands.

New Jersey Legalization Advocate Wants to Tie Legalization, Medical Marijuana. State Sen. Nicholas Scutari (D-Union) is working on a plan to combine a marijuana legalization push with a bid to expand medical marijuana, but some lawmakers are warning the effort could blow up chances for either to pass this year. The medical marijuana expansion plan has broad support; the move to legalize marijuana is much more contentious.

Northern Marianas Legalization Bill Advances. The Commonwealth of the Northern Marianas Islands (CNMI) has taken another step toward legalizing marijuana. The House Committee on Judiciary and Government Operations has unanimously approved a bill that would allow adults to grow, possess, and consume marijuana and set up a system of taxed and regulated sales and production. The bill has already passed the Senate and now awaits a House floor vote.

Medical Marijuana

Yet Another Utah Poll Has Medical Marijuana Initiative Winning. A new poll from Dan Jones & Associates finds that nearly three out of four Utah residents support the Utah Patients Coalition medical marijuana initiative. The poll had 72% either "strongly" or "somewhat" in support, with 25% opposed, and only 2% undecided. While the LDS Church has come out against the measure, even 59% of self-described very active Mormons say they are for it.

Sentencing

Rhode Island Senate Approves Bill Allowing Life Sentences in Overdose Deaths. The state Senate on Tuesday approved Senate Bill 2279A, which allows prison sentences of up to life for those convicted of selling, delivering, or distributing an illegal drug that results in a fatal overdose. The bill passed 22-11 over the objections of treatment professionals, mental health advocates, and civil liberties organizations, which argued that tougher sentences will only make it harder to fight drug overdoses. "We know, based on decades of criminal justice based drug policy, that harsher penalties do not decrease drug using activity. So, this bill's disturbing message will not decrease drug use, nor drug trafficking -- the economics ensure this -- but it will further marginalize people who use drugs and increase their fears," a joint letter to the Senate said. "Use of a public health approach, not lengthy criminal sentences for users and small-time dealers, is essential for our state's ability to continue to make headway in this crisis." The bill now goes to the House.

International

Guatemalan Authorities Bust First Coca Farm. The National Civil Police announced over the weekend that they had found and destroyed a 2 ½ plot of coca plants sown between coffee plants, the first discovery of coca cultivation in the country. The crops were found in a remote area of Alta Verapaz department. Honduras recently saw its first and second discovery of coca plantings, too, suggesting that traffickers are attempting to cut risk and transport costs by planting the cocaine-producing crop nearer to US markets.

Categories: Harm Reduction

Chronicle AM: NY Dems Endorse Marijuana Legalization, Surgeon General Talks Harm Reduction, More... (5/24/18)

Harm Reduction (STDW) - Thu, 05/24/2018 - 20:40

The US Surgeon General has some surprisingly frank words about harm reduction and evidence-based drug policy, Cory Booker's Marijuana Justice Act picks up another sponsor, Arizona's Supreme Court throws out a state law criminalizing the use and possession of medical marijuana on campus and more.

The section on the Surgeon General's comments has an update, including a statement from the Department of Health and Human Services on the safe injection sites mention.

[image:1 align:left caption:true]Marijuana Policy

Jeff Merkley Signs on to Federal Marijuana Justice Act. And then there were five. Sen. Jeff Merkley (D-OR) has become the fifth cosponsor of Sen. Cory Booker's Marijuana Justice Act (S. 1689). The other cosponsors are Sens. Kirsten Gillibrand (D-NY), Kamala Harris (D-CA), Bernie Sanders (I-VT), and Ron Wyden (D-OR). Representatives Barbara Lee (D-CA) and Ro Khanna (D-CA) introduced a companion measure, H.R. 4815, in the House of Representatives earlier this year that has 35 cosponsors.

New York Democratic Party Officially Endorses Marijuana Legalization. Delegates to the state Democratic convention Wednesday adopted a resolution supporting marijuana legalization: "The New York State Democratic Committee supports the legalization of marijuana which should be regulated and taxed in a manner similar to alcohol," reads a resolution. The resolution adds that legalization is "an important social justice issue."

Medical Marijuana

Arizona Supreme Court Okays Medical Marijuana on College Campuses. The court ruled Wednesday that the state can't criminally charge card-carrying medical marijuana patients for possessing and using their medicine on campus. In Arizona v. Maestas, the court held that a 2012 law banning medical marijuana on campus violated the state's protections for voter-approved laws. The Supreme Court ruling upholds an appellate court ruling that also found in Maestas' favor.

Ohio Dispensary License Announcement Delayed. The state Board of Pharmacy announced Tuesday that its planned announcement of dispensary license awards Wednesday has been postponed and that provisional licenses will instead be issued in June. Legal medical marijuana sales are supposed to begin on September 8. Stay tuned.

Pennsylvania Judge Halts Medical Marijuana Research Program. A Commonwealth Court judge has granted a temporary injunction sought by numerous dispensaries and growers and processors to halt the state's medical marijuana research program. The plaintiffs worry that the regulations for the clinical research programs would give an unfair advantage to clinical research partners and growers. The Health Department is now pondering next steps.

Hemp

Illinois Governor Gets Bill Legalizing Industrial Hemp. With a 106-3 House vote Wednesday, the legislature has approved a bill legalizing industrial hemp, Senate Bill 2298. Now it's up to Gov. Bruce Rauner (R) to sign it.

Heroin and Prescription Opioids

US Surgeon General Urges ER Docs to Advocate for Evidence-Based Opioid Treatment. US Surgeon General Dr. Jerome Adams called Wednesday on emergency room physicians to advocate more vigorously for evidence-based opioid treatment, including harm reduction measures. Adams supported such harm reduction interventions as needle exchanges and safe injection sites. [The Department of Health and Human Services has issued a statement claiming that Dr. Adams does not support safe injection sites, and contesting the evidence on them. See update below.] He urged doctors to reach out to and educate stakeholders in their communities. "We have to understand that these policy interventions look different in different parts of the country," Adams said. "We have to understand that public policy means public and that we have to be able to go there and show them that we care before we can share what we know."

Update: A Department of Health and Human Services officer contacted us on Saturday, March 26th, claiming that the report news outlets relied on, including the one we linked to, was inaccurate in stating that Dr. Adams supports safe injection sites. We do not have other reports on his speech at this time to go on. The article linked above has been updated to include a copy of the HHS statement:

"The Administration and the Surgeon General do not support so-called 'safe' injection sites as a means to combat the opioid epidemic and its consequences. In addition, there is no evidence to demonstrate that these illegal sites reduce drug use or significantly improve health outcomes for those with opioid use disorder. So-called 'safe' injection sites lack the necessary scientific support to be considered a standardized evidence-based practice in the U.S."

Another article states that Adams mentioned safe injection sites as being "part of the conversation" in some communities.

Ed: We are in a position to address the administration's characterization of the evidence on safe injection sites, and it is false to the point of absurdity. There is significant evidence that safe injection sites improve health outcomes for persons with opioid use disorders. In fact, multiple journal articles to this effect are available on the website of the National Institutes of Health, a division of Health and Human Services. Here are a few of them:

  • A 2017 study in Canadian Family Physician found that "SISs are associated with lower overdose mortality (88 fewer overdose deaths per 100 000 person-years [PYs]), 67% fewer ambulance calls for treating overdoses, and a decrease in HIV infections."
  • A 2017 article in Harm Reduction Journal notes with citations that evaluation of Vancouver's Insite program showed it was "meeting its objectives of reducing public disorder, infectious disease transmission, and overdose and was successfully referring individuals to a range of external programs, including detoxification and addiction treatment programs.". The article further states that "over 40 peer-reviewed studies have been published which speak to the many benefits and lack of negative impacts of this site."
  • A 2008 article in the American Journal of Public Health reported that the supervised injection facilities in Sydney and Vancouver were "negatively associated with needle sharing... and positively associated with less-frequent reuse of syringes... less outdoor injecting... using clean water for injection... cooking or filtering drugs prior to injecting... and injecting in a clean location," that "[b]oth... were effective gateways for addiction treatment, counseling, and other services," and that there were no "reported overdose deaths in a SIF."
  • A 2014 article in Drug and Alcohol Dependence found that "[s]eventy-five relevant articles... converged to find that SISs were efficacious in attracting the most marginalized PWID, promoting safer injection conditions, enhancing access to primary health care, and reducing the overdose frequency" and that "SISs were found to be associated with reduced levels of public drug injections and dropped syringes."
  • A 2008 article in the Canadian Medical Association Journal found "Vancouver's supervised injection site is associated with improved health and cost savings."
  • A 2010 article in Addiction found that if Vancouver's supervised injection facility "were closed, the annual number of incident HIV infections among Vancouver IDU would be expected to increase from 179.3 to 262.8. These 83.5 preventable infections are associated with $17.6 million (Canadian) in lifetime HIV-related medical care costs, greatly exceeding Insite's operating costs, which are approximately $3 million per year."
Categories: Harm Reduction

CN ON: Looking North Of The Border To Limit Heroin Deaths

Harm Reduction (MAP) - Thu, 05/24/2018 - 07:00
New York Times, 24 May 2018 - TORONTO - An aging construction worker arrived quietly in the building's basement, took his seat alongside three other men and struck his lighter below a cooker of synthetic heroin. A woman, trained to intervene in case of an overdose, placed a mask over her face as his drug cooked and diluted beneath a jumping flame. He injected himself, grew still and then told of the loss of his wife who died alone in her room upstairs - an overdose that came just a few months before this social service nonprofit opened its doors for supervised injections.
Categories: Harm Reduction

Chronicle AM: House Dems Want Action on Naloxone Pricing, German Decrim Hint, More... (5/21/18)

Harm Reduction (STDW) - Mon, 05/21/2018 - 19:20

There's too much marijuana in Oregon, Utah medical marijuana foes try another tack to block the initiative, Africa gets its first medical marijuana dispensary, and more.

[image:1 align:left caption:true]Marijuana Policy

Oregon US Attorney Warns of "Significant Overproduction" of Legal Marijuana, Will Target Diversion. US Attorney Billy Williams said last Friday that the state has a "significant overproduction" problem and that he would prioritize enforcement of overproduction, diversion to other states, and organized crime. The state currently has nearly a million pounds of marijuana buds in inventory, and it's estimated that Oregon's billion dollar a year industry includes about $300 million worth of pot to diverted to the black market.

Pennsylvania State Senator Calls on DAs to Quit Prosecuting Small-Time Pot Cases. One of the Keystone State's leading voices for marijuana law reform, state Sen. Daylin Leach (D), last Friday published an open letter to the state's district attorneys urging them to quit prosecuting pot possession and smoking cases. Leach cited the nine states that have already legalized marijuana and warned, "If people are convicted this year, and legalization occurs next year or the year thereafter, thousands of people will have a stain on their record that will be extremely difficult or impossible to remove."

Medical Marijuana

Utah Medical Marijuana Foes Sue to Block Initiative from Going to Voters. Drug Safe Utah, a group formed to oppose the medical marijuana initiative, went to court last Thursday to try to block it. In court filings, the group argued that the lieutenant governor, whose office oversees elections, doesn't have the authority to allow campaigners to gather signatures. Drug Safe Utah argued that state officials couldn't act on the initiative because it "conflicts with federal law."

Harm Reduction

House Democrats Call on Trump Administration to Lower Naloxone Price. A group of House Democrats led by Reps. Lloyd Doggett (D-TX) and Peter Welch (D-VT) have sent a letter to White House Kellyanne Conway asking for executive action to curb rising prices for naloxone, the opioid overdose reversal drug. "Federal agencies have the authority to use patented inventions… when in the interest of the public good," the lawmakers wrote. "The current opioid crisis requires invoking this provision."

International

German Drug Official Hints at Move Toward Marijuana Decriminalization. In a report released last week, German drug commissioner Marlene Mortler appeared to call for marijuana decriminalization. "Anyone caught by the police in the future for possession of cannabis for personal consumption should be allowed to choose whether to pay a fine or voluntarily seek help from the expert," she said. German drug arrests were up more than 6% last year, while marijuana arrests were up 14%. About 80% of all marijuana cases were for simple possession.

Africa Gets First Medical Marijuana Dispensary. A medical marijuana dispensary has opened in Durban, South Africa, making it the first on the continent. The store is currently only selling products without THC. "We want to break the stigma on cannabis, to showcase that cannabis can be used effectively to treat a number of conditions and to integrate medical professionals as well as traditional healers to allow the whole of South Africa a holistic approach to health care," said dispensary spokesperson Kirithi Thaver.

Categories: Harm Reduction

US: OPED: America's 150-Year Opioid Epidemic

Harm Reduction (MAP) - Sun, 05/20/2018 - 07:00
New York Times, 20 May 2018 - After the death of her father, a prominent hotel owner in Seattle, Ella Henderson started taking morphine to ease her grief. She was 33 years old, educated and intelligent, and she frequented the upper reaches of Seattle society. But her "thirst for morphine" soon "dragged her down to the verge of debauchery," according to a newspaper article in 1877 titled "A Beautiful Opium Eater." After years of addiction, she died of an overdose. In researching opium addiction in late-19th-century America, I've come across countless stories like Henderson's. What is striking is how, aside from some Victorian-era moralizing, they feel so familiar to a 21st-century reader: Henderson developed an addiction at a vulnerable point in her life, found doctors who enabled it and then self-destructed. She was just one of thousands of Americans who lost their lives to addiction between the 1870s and the 1920s.
Categories: Harm Reduction

Chronicle AM: Hemp News, San Antonio Could Finally Get a Legal Needle Exchange, More... (5/17/18)

Harm Reduction (STDW) - Thu, 05/17/2018 - 21:24

There's good and bad news on hemp today, a new Rhode Island marijuana legalization bill is filed, San Antonio moves toward the first legal needle exchange in Texas, and more.

[image:1 align:left caption:true]Marijuana Policy

Rhode Island Marijuana Legalization Bill Introduced. Sen. Joshua Miller (D-Providence) Thursday filed a bill to tax and regulate marijuana. He's been introducing similar bills since 2014. The bill would tax pot at 10% in addition to the state's 7% sales tax, as well as allowing up to another 3% in local taxes. Adults could possess up to an ounce and grow up to two plants. The bill is not yet available on the legislative web site.

Hemp

House Republicans Block Votes on Hemp Amendments. The House Republican leadership has blocked several proposed industrial hemp amendments from being considered on the House floor. Proponents had hoped to add the amendments to the farm bill now under consideration, but the House Rules Committee put the kibosh on that. Chairman Rep. Pete Sessions (R-TX) has a reputation for blocking marijuana-related measures, and he just upheld it again.

Arizona Governor Signs Hemp Bill. Gov. Doug Ducey (R) has signed into law Senate Bill 1098, which will create a state pilot program allowing the study and cultivation of industrial hemp. Growing, processing, and transporting hemp will require permits from the state Department of Agriculture.

Indiana Lawmakers Will Study Hemp -- Not Medical Marijuana -- This Summer. An interim legislative committee will spend the summer considering the legalization of hemp, but the panel "will not look into issues related to medical marijuana."

Harm Reduction

Ithaca Mayor Calls on New York Governor to Approve Safe Injection SitesThere. Mayor Svante Myrick (D) has asked Gov. Andrew Cuomo (D) to approve a safe injection site in Ithaca. The move comes after New York City announced a plan for four safe injection sites there. "The overdose crisis is statewide and the pilot intervention should be too," Myrick wrote to Cuomo. "This epidemic is also a rural epidemic and our solutions will need to address that reality. Start with Ithaca." The Ithaca Municipal Drug Policy Committee recommended in February 2016 that a supervised consumption pilot program should be implemented in Ithaca.

San Antonio Could Become First Legal Needle Exchange Site in Texas. A decade after a local prosecutor arrested three volunteers for a clean needle program, city officials are set to sing a different tune. Next week, city and county officials, health care providers, drug treatment providers, law enforcement, and nonprofits will meet to discuss how to make San Antonio the first city in the state to have a legal needle exchange program. Stay tuned.

Law Enforcement

Justice Department to Add More Than 300 New Prosecutors. DOJ announced Thursday that it is creating 311 new assistant US attorney positions, the largest increase in prosecutors in decades. More than half will focus on violent crime, 86 on civil enforcement, and 35 on immigration-related crime. Most of the new positions in civil enforcement will be focused on his department's newly created task force targeting opioids. "Under President Trump's strong leadership, the Department of Justice is going on offense against violent crime, illegal immigration, and the opioid crisis -- and today we are sending in reinforcements," Attorney Geneal Sessions said in a statement.

International

Thai Interim Cabinet Approves Medical Marijuana, Decriminalizes Hemp, Kratom, Opium. The interim cabinet has approved a bill that would allow the use of marijuana for medical reasons, as well as decriminalizing the consumption of hemp, kratom, and opium. "The approval of this bill is an important matter," government spokesman Sansern Kaewkamnerd said. "Class 5 narcotics were allowed for cultivation and extraction… but not for consumption, which made it impossible to use them for research on humans. The bill now goes before the interim assembly.

Categories: Harm Reduction

Chronicle AM: New York Pot Politics, MO Cops Diverting School Funds, UK Pill Testing, More... (5/15/18)

Harm Reduction (STDW) - Tue, 05/15/2018 - 20:06

Marijuana policy is front and center in New York, Missouri cops are doing an end run around a state law requiring seized cash go the the state's schools, Britain sees its first permanent pill testing center for recreational drug users, and more.

[image:1 align:right caption:true]Marijuana Policy

New York Democratic Party About to Endorse Marijuana Legalization. The state Democratic Party is expected to pass a resolution in support of marijuana legalization at its convention next week, a party document says. The move comes as Gov. Andrew Cuomo (D) faces a primary challenge from actress Cynthia Nixon, who has embraced legalization.

New York Governor Says Marijuana Legalization Report Coming Any Day Now. A long-awaited report on the impact of marijuana legalization in other states and how New York might be effected will be released "within days," Gov. Andrew Cuomo (D) said Monday. "That report should be done shortly," Cuomo said. "How do you define shortly? It is supposed to be done by calendar, it should be done within days." Cuomo had opposed legalization, but has lately been shifting his ground. "To say well, it won't be in New York I think is to avoid reality at that point," Cuomo added. "The facts changed on this issue and the facts changed quickly."

New York City Mayor Says NYPD Will Change How It Enforces Marijuana Laws. Two days after the New York Times reported on continuing vast racial disparities in marijuana arrests in the city, Mayor Bill de Blasio announced Tuesday that the NYPD will be changing how it enforces the pot laws. "The NYPD will overhaul and reform its policies related to marijuana enforcement in the next 30 days," de Blasio said. "We must and we will end unnecessary arrests and end disparity in enforcement. It's time for those to be a thing of the past in New York City and all over this country.

Medical Marijuana

Pennsylvania Governor Okays University Research on Medical Marijuana. Gov. Tom Wolf (D) has given the go-ahead for eight universities in the state to start studying medical marijuana. It would be the commonwealth's "first step towards clinical research" on the drug. He formally declared them to be "Certified Academic Clinical Research Centers."

Asset Forfeiture

Missouri Cops Steal Money From School Kids. Under state law, money seized as asset forfeitures by police is supposed to go to the state's schools, but that's not what's happening. Missouri law enforcement agencies seized more than $19 million in the last three years, but only $340,000, or about 2%, actually made it to schools. That's because law enforcement agencies instead turn asset forfeiture cases to the federal government under an arrangement that allows 80% of the seizure to go back to the seizing law enforcement agency. A bill to limit the practice was defeated last year, but is back again this year.

International

Britain Sees First Pill Testing Center. The first pill testing center for recreational drug users in Britain has opened in Bristol. Pill testing has gone on at a number of British music festivals, but the new pop-up lab is the first permanent installation. It will be run by a charity, which will also provide drug counseling sessions.

Georgian Government Promises New Drug Policy by June. In the wake of a weekend of drug busts and mass demonstrations against them, Parliament Speaker Irakli Kobakhidze said Monday the government will adopt a new, more liberal drug policy by the end of June. He said the ruling Georgian Dream Party was split on the issue, but added that he thought an agreement could be reached. "Even though there are different positions in the ruling party, we also have the resources to achieve an agreement. We want to draft a bill and submit it in the next two weeks, which will be a precondition for adopting a law by the end of June," he said, adding the main aim of the draft is to reduce drug consumption in the country and adoption of a more humane policy.

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Categories: Harm Reduction

Chronicle AM: British Medical Journal Calls for Drug Legalization, Ohio Marijuana Init, More... (5/11/28)

Harm Reduction (STDW) - Fri, 05/11/2018 - 20:33

One of the world's most prestigious medical journals comes out for drug legalization, an Ohio legalization initiative aimed at 2019 gets initial approval, Quebec will take a look at festival pill testing, and more.

[image:1 align:right caption:true]Marijuana Policy

New Jersey Has Final Public Hearing on Marijuana Legalization Saturday. A meeting tomorrow in Paramus will be the last chance for members of the public to get their opinions on marijuana legalization heard by legislators. The Assembly Oversight, Reform, and Federal Relations Committee will take testimony from invited speakers and the public on the impact at the meeting at Bergen Community College at 10:00am.

Ohio Attorney General Okays Legalization Initiative. State Attorney General Mike DeWine (R) has certified a marijuana legalization as being "fair and truthful," the first step in putting the measure before voters. The Marijuana Rights and Regulations Act now goes to the Ohio Ballot Board, which will determine if it constitutes one or multiple ballot questions. If approved by the board, campaigners would then have to gather nearly 306,000 valid voter signatures to qualify for the ballot. But because the deadline for signatures for initiatives appearing on the 2018 ballot is July, campaigners are instead aiming for the 2019 ballot.

Medical Marijuana

Michigan to Now Regulate CBD Oil as Marijuana. State regulators announced Thursday that CBD cannabis oil products will be covered by the state's medical marijuana laws. The Department of Licensing and Regulatory Affairs declared that state law allows for the use of CBD cannabis oil -- if it comes from marijuana plants, not hemp plants. "We received lots of questions about if CBD was going to be regulated along with marijuana and how hemp plays into that," said department spokesman David Harns. "Now is the right time to send out an advisory bulletin."

Heroin and Prescription Opioids

Minnesota Senate Approves Bill to Fund Opioid Treatment With Drug Company Fees. The Senate voted 60-6 Thursday to approve Senate File 730, which would raise $20 million a year from licensing fees on drug distributors and manufacturers to fund opioid treatment. A companion measure in the House awaits a final committee vote before heading to the House floor.

International

British Medical Journal Calls for Drug Legalization. The BMJ, one of the world's most prestigious medical journals, on Thursday published an editorial calling for illegal drugs to be legalized, taxed, and regulated. The editorial cited a BMJ opinion piece by Law Enforcement Action Partnership (LEAP) UK members, as well as the recent call by the Royal Academy of Physicians for drug decriminalization. "This is not about whether you think drugs are good or bad. It is an evidence based position entirely in line with the public health approach to violent crime… The BMJ is firmly behind efforts to legalize, regulate, and tax the sale of drugs for recreational and medicinal use. This is an issue on which doctors can and should make their voices heard."

Canada's Quebec Authorizes Research into Allowing Festival Pill Testing. The Quebec Health Ministry has announced that it has authorized a $100,000 study to examine the potential outcomes of allowing people to have their drugs tested at festivals, night clubs, and LBGT venues. The study will end in 2020 and then make recommendations to the provincial government about going ahead with a pilot pill testing program. The practice is currently illegal under Canadian law unless the federal government grants an exemption.

Categories: Harm Reduction

CN ON: Column: Enabling Drugs While Shunning Sugar

Harm Reduction (MAP) - Fri, 05/11/2018 - 07:00
Hamilton Spectator, 11 May 2018 - It'€™s all about harm reduction and improving community health outcomes No doubt some Hamiltonians are chuckling to hear city council is considering banning sugary drinks from city buildings to protect people's health.
Categories: Harm Reduction

Chronicle AM: McConnell Just Says No to Legal Weed, Walmart Tightens Prescribing, More... (5/9/18)

Harm Reduction (STDW) - Wed, 05/09/2018 - 19:52

Mitch McConnell just says no, a House committee advances a VA medical marijuana bill, Pennsylvania's governor and attorney general aren't down with a Philadelphia safe injection site, and more.

[image:1 align:left caption:true]Marijuana Policy

Mitch McConnell Confirms GOP Still the Party of "No" on Legal Marijuana. Senate Majority Leader Mitch McConnell (R-KY) said he was not interested in legalizing marijuana, even though his Democratic counterpart, Minority Leader Chuck Schumer (D-NY) has endorsed it. "I do not have any plans to endorse legalization of marijuana," McConnell said. McConnell is pushing for the legalization of hemp, though: "These are two entirely separate plants," McConnell said. "I hope everybody understands that. It is a different plant. It has an illicit cousin which I choose not to embrace."

Medical Marijuana

House Committee Advances Veterans Affairs Medical Marijuana Research Bill. The House Veterans' Affairs Committee Tuesday unanimously approved a measure that aims to increase VA research on medical marijuana. The bill would specify that the agency has the ability to research the herb for conditions including PTSD. The measure is part of a package of bills lawmakers hope to pass this month.

Missouri Senate Gives Initial Approval to Medical Marijuana Bill. The Senate Tuesday gave initial approval to House Bill 1554, which would allow people suffering from specified serious illnesses to use non-smokeable medical marijuana. The bill has already passed the House and now goes to the Senate Committee on Health and Pensions for a second reading. If it survives that, it then goes to the full Senate for a floor vote.

Utah "Right To Try" CBD Medical Marijuana Law Now in Effect. A limited medical marijuana law is now in effect. Under House Bill 195, which passed in March, terminally ill patients will be able to access CBD cannabis oil under a provision that expands the state's 2015 Right to Try Act. Also now in effect is House Bill 197, which establishes a medical marijuana cultivation program in the state. Both of these laws could soon be irrelevant, though: A much broader medical marijuana initiative will be on the ballot in November.

Heroin and Prescription Opioids

Study: Prescription Drug Monitoring Programs Have Little Effect on Overdose Deaths. A new study from Columbia University's Mailman School of Public Health finds that prescription drug monitoring programs may be only "marginally effective" in reducing drug overdose deaths. "What it really offers is this cautionary tale that says a few things. One, the amount of money and resources that are going into these programs need to be evaluated to understand what their ultimate costs are," social epidemiologist David Fink said. "Studies have come out in the past looking at reduced prescribing behavior, but we're taking it to the next level -- looking at fatal or nonfatal overdoses. And what we're seeing is that when you actually look at the literature, it isn't that strong to support" the programs. The study also found that half the studies looking at heroin overdose rates found a significant increase after prescription drug monitoring programs were implemented.

Walmart Tightens Opioid Prescription Policies. The nation's largest pharmacy chain announced Monday that beginning within 60 days, it will only fill first-time acute opioid prescriptions for a week or less nationwide. It will also limit dosages to 50 morphine milligram units per day. Walmart didn't say what it would do about patients who require greater dosages than that.

Harm Reduction

Officials in Philadelphia want a safe injection site in a bid to reduce drug overdoses that killed more than 1,200 people in the city last year, but the Democratic governor and attorney general aren't on board. A spokesman for Gov. Tom Wolf said the idea "presents a number of serious public health and legal concerns, while a spokesman for Attorney General Josh Shapiro said changes in federal law would have to come before he could support a safe injection site.

Categories: Harm Reduction

US OH: Needle Exchange Program Offers Fentanyl Test Strips

Harm Reduction (MAP) - Mon, 05/07/2018 - 07:00
The Blade, 07 May 2018 - Northwest Ohio Syringe Services has begun distributing fentanyl test strips to active users of opioids and other drugs. The exchange, a program through the Toledo-Lucas County Health Department, is part of a larger strategy of harm reduction to keep people with addiction issues healthy while using, and provide them with resources and help when they want to seek treatment. Fentanyl has become the scourge of anyone trying to fight Ohio's opioid epidemic: deadly in small quantities and appearing in an increasing number of fatal overdoses.
Categories: Harm Reduction

Chronicle AM: NYC Mayor Endorses SIFs, CO Cannabis Tasting Room Bill Passes, More... (5/4/18)

Harm Reduction (STDW) - Fri, 05/04/2018 - 20:00

Colorado could become the first state with a marijuana social consumption law, a new poll suggests New Yorkers are ready to free the weed, New York City's mayor gets behind safer injection facilities, a leading Colombian presidential contender trashes the drug war, and more.

[image:1 align:right caption:true]Marijuana Policy

Colorado Marijuana "Tasting Rooms" Bill Goes to Governor. A groundbreaking bill that would allow customers at pot shops to consume small amounts of marijuana through edibles or vaping has passed out of the legislature and is now at the desk of Gov. John Hickenlooper (D). The measure, House Bill 1258, would, if signed into law, make Colorado the first state to adopt some sort of social consumption provision for marijuana.

New York Poll Shows Strong Support for Legalization. A Quinnipiac poll released Thursday has support for legalization among New Yorkers at 63%. That's the highest ever for Quinnipiac in the state, and it's up seven percentage points from a February Siena College Research Institute poll that had support at 56%.

Medical Marijuana

Louisiana House Kills Medical Marijuana Expansion Bill. The House on Thursday voted down House Bill 826, which would have allowed any pharmacist in the state to open a medical marijuana dispensary. Instead, the state will maintain the status quo, which allows only nine pharmacies in the state to dispense medical marijuana.

New Hampshire Senate Delays Bill to Allow Patients to Grow Their Own. The Senate on Thursday refused to pass a bill that would allow medical marijuana patients to grow their own plants. Instead, the body voted to send House Bill 1476 to interim study, effectively killing it for the session.

Harm Reduction

New York City Mayor Endorses Safer Injection Facilities. Bowing to growing pressure from community activists and public health specialists, Mayor Bill de Blasio on Thursday endorsed a plan to set up at least four safe injection site pilot projects in the city after a year's worth of consultations with stakeholders. The nation's largest city now joins Philadelphia, San Francisco, and Seattle in racing to be the first to open a permitted safe injection site in the US.

International

Leading Colombian Presidential Candidate Calls for End to Drug War. Gustavo Petro, the former mayor of Bogotá and one of the leading contenders in presidential elections set for the end of this month, has denounced Colombia's militarized drug war and its subservience to US drug war interests. "The militaristic approach to drugs has been effective," he said on May Day, adding that the country should instead implement "social policies in the regions where drugs are cultivated and help people escape the mafia."

Categories: Harm Reduction

NYC Mayor de Blasio Endorses Safe Injection Site Plan

Harm Reduction (STDW) - Fri, 05/04/2018 - 00:16

Just a day after close to a hundred community activists, reform advocates, and local elected officials took to the streets outside New York City's City Hall Wednesday to demand that Mayor Bill de Blasio (D) move on a long-delayed feasibility study on safe injection sites, the mayor has moved -- and further than they expected.

[image:1 align:left caption:true]On Thursday evening, the mayor's office announced de Blasio's support for a plan to open four of the sites, which the office refers to as Overdose Prevention Centers, a year from now, after a period of consultation with stakeholders.

"After a rigorous review of similar efforts across the world, and after careful consideration of public health and safety expert views, we believe overdose prevention centers will save lives and get more New Yorkers into the treatment they need to beat this deadly addiction," de Blasio said in a statement.

Safe injection sites (SISs) -- or safe injection facilities or supervised injection facilities or supervised consumption sites or overdose prevention centers -- allow drug users to inject (or sometimes inhale) their own drugs under medical supervision. They typically also have a social services component that aims to assist drug users in finding drug treatment and other services.

Operating in around 90 cities in Europe, Australia, and Canada, they are a proven harm reduction intervention. Numerous peer-reviewed scientific studies have shown they reduce public disorder; increase access to treatment, reduce the risk of HIV, Hep C, and bacterial infections; reduce drug overdose deaths; and reduce medical costs thanks to a reduction in disease and overdose, while at the same time increasing access to cost-saving preventive healthcare. What SISs don't do, the studies have found, is increase crime, injection drug use, or the initiation of new drug users.

Yet no such sites operate in the United States. Pushes are underway in several cities, including Philadelphia, San Francisco, and Seattle, but all have faced challenges ranging from moralism and NIMBYism to the fact that they would appear to violate federal law. Just this week, DEA spokesman Melvin Patterson said they violate the Controlled Substances Act and are "subject to being prosecuted." Given the proclivities of the Trump administration, that is probably not a threat to be taken lightly.

Still, the cities are willing to push on the issue, the American Medical Association has endorsed the notion, and legislatures in a number of states are pondering bills to allow them. And now, with the country's largest city coming on board, momentum for the sites is only growing stronger.

In New York City, where the SIF NYC Campaign, a coalition of dozens of community, drug reform, public health, medical, and religious groups has been pressuring the administration to act for months, the mayor's announcement was greeted with relief.

"Mayor de Blasio's embrace of safer consumption spaces is a critical step forward in preventing overdose deaths in New York City. We know that safer consumption spaces are an evidence-based solution that can help dramatically in saving lives, reducing criminalization, and improving public health," said Kassandra Frederique, New York state director at the Drug Policy Alliance. "New York can and must be a leader now in saving lives by opening safer consumption spaces swiftly."

That will take some political acumen in dealing with city district attorneys and the state Health Department, which answers to Gov. Andrew Cuomo, with whom de Blasio's relations are strained at best. It will also take some political fortitude in taking on the Sessions Justice Department and the DEA.

De Blasio's announcement marks the successful culmination of the campaign to bring the city on board with safe injection sites as a harm reduction and overdose prevention measure, but it's just the beginning of the fight to actually get them up and running.

Categories: Harm Reduction

Chronicle AM: Workplace Drug Testing for Marijuana Begins to Fade, NYC Safer Injection Site Rally, More... (5/3/18)

Harm Reduction (STDW) - Thu, 05/03/2018 - 19:44

Pre-employment workplace drug testing for marijuana appears to be going out of style, a federal appeals court disappoints on scheduling cannabinoids, a Vermont saliva drug testing bill is killed, and more.

[image:1 align:left caption:true]Marijuana Policy

Clock Ticking on Connecticut Marijuana Legalization Study Bill. With the state's legislative session set to end next Wednesday, time is running out for House Bill 5394, which directs state agencies to develop a plan to legalize and regulate marijuana sales. The bill has passed out of the Appropriations Committee and awaits a House floor vote. Activists are urging state residents to contact their legislators this week to prod them.

Medical Marijuana

Federal Appeals Court Upholds DEA Rule on Marijuana Extracts. A three-judge panel on the US 9th Circuit Court of Appeals has upheld a DEA rule stating that marijuana extracts, including non-psychoactive CBD, are Schedule I substances. The Hemp Industries Association and others had challenged the rule, arguing that DEA overstepped its bounds by scheduling substances, such as cannabinoids, that were not classified as illicit under the Controlled Substances Act.

Louisiana Medical Marijuana Expansion Bill Advances. A bill that would allow the use of medical marijuana for children with severe autism has passed the House and, now, a vote in the Senate Health and Welfare Committee. House Bill 627 now heads for a Senate floor vote.

Heroin and Prescription Opioids

Iowa Legislature Approves Prescription Monitoring Bill. The House on Wednesday gave final approval to the legislature's policy response to the opioid crisis, passing a bill that will require doctors to register prescriptions with the state's drug monitoring program within 24 hours. The bill now goes to the governor's desk.

Drug Testing

Employment Drug Testing for Marijuana Going Out of Favor. The Associated Press is reporting that numerous employers are "dropping marijuana from the drug tests they require of prospective employees." Testing for pot excludes too many potential workers, employers told the AP. Companies in labor-intensive industries -- hoteliers and home health care providers and employers with many warehouse and assembly jobs -- are most likely to drop marijuana testing. By contrast, businesses that contract with the government or that are in regulated industries, like air travel, or that have safety concerns involving machinery, are continuing marijuana tests, employment lawyers said.

Vermont Saliva Drug Testing Bill Dies. A bill that would have allowed police to obtain saliva for testing from motorists suspected of drugged driving is dead for the year. House Bill 237 had passed the House with law enforcement support, but was killed on a 4-1 vote in the Senate Judiciary Committee Wednesday. Both the Vermont ACLU and the state's Defender General Office had threatened legal action if it became law.

Harm Reduction

NYC Council Member Arrested in Protest Calling for Action on Safer Injection Sites. Dozens of community activists, social advocates, and elected political figures rallied outside New York City's City Hall Wednesday to demand the long-delayed release of a feasibility study on safe injection sites in the city. As many as a dozen people were arrested for obstructing traffic, including NYC Council Member Stephen Levine.

Categories: Harm Reduction
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