Anti-prohibition conference in Mexico

The President of the ADLRF Dr Alex Wodak will be visiting Mexico this month. Other notable guests include Retired Judge James P. Gray and Ethan Nadelmann. The program can be found here. A number of Latin American countries have recently called for “regulatory or market options” for drugs to “eliminate [the] exorbitant profits of...

Workplace Drug and Alcohol Testing

The National Centre for Education and Training on Addiction (NCETA) at Flinders University have produced a rather interesting fact sheet on workplace drug and alcohol testing. Here is an excerpt: Does workplace testing improve workplace safety? Evidence is inconclusive regarding the efficacy of drug testing in reducing workplace accidents and injuries. While some studies suggest that testing can reduce injury and accident rates, more rigorous studies indicate testing has only a small effect or no effect at all. Claims that workplace testing can substantially reduce workplace injuries, accidents and compensation claims are not supported by the available research evidence. I have a number of concerns about workplace drug testing: 1. That a policy of employee drug testing may unintentionally mark satisfactory employees for punishment. In such cases, urine testing may identify model employees for disciplinary action despite their appearance, performance or behaviour in the workplace being no different to that of other employees. 2. If drug use typically caused employees to perform in a manner that was risky, drug testing would be unnecessary; a negligent worker can be disciplined regardless of their drug use. 3. The mere presence of residual drug metabolites in an employees biological matter in many instances fails to accurately reflect drug related impairment. How does identifying the presence of residual metabolites in unimpaired employees reduce risk in the workplace? 4. The consumption of other substances, such as paint, petrol, glue and gas, may also exacerbate risks in the workplace. Why are alcohol and other specific non-prescription drugs singled out? The next time your employer asks you to pee in a cup, ask them what evidence...

Minister for Health comments on heroin use in Australia

Australian Government Minister for Health explains heroin use in Australia. The number of heroin overdoses, cases of HIV and Hepatitis C have risen dramatically since the policy of drug prohibition was adopted. Source: The Sydney Morning Herald – Feb 3, 1949 Follow this link for a historical account of heroin prohibition in...

Heroin assisted treatment in Switzerland (includes video)

A note from the transcript: there is a group of people that will grow old over the course of time in this treatment. That’s a good thing. Drug dependence is a medical issue. Prolonging and improving quality of life is a central tenet of good medical treatment. For more information on heroin assisted treatment in Switzerland (and inside its prisons) click...

Heroin maintenance: the evidence

Policy should be evidence based. The Cochrane Library have recently published a review of the evidence on prescribing heroin (diamorphine). What did they find? According with the current evidence, heroin prescription should be indicated to people who is currently or have previously failed maintenance treatment, and it should be provided in clinical settings where proper follow-up is ensured. Treatment practices should always be updated to reflect the evidence. Policy that gets in the way of making these changes is bad...