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Author |
Carrier, Nicolas; Quirion, Bastien |
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Title |
Les logiques de contrôle de l'usage des drogues illicites : la réduction des méfaits et l'efficience du langage de la périllisation |
Type |
Journal Article |
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Year |
2003 |
Publication |
Drogues, santé et société |
Abbreviated Journal |
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Volume |
2 |
Issue |
1; 25.06.2003 |
Pages |
4-34 |
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Keywords |
public health; government and politics; law enforcement; AOD use; illicit drug; harm reduction; Canada |
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Abstract |
Dans le champ du contrôle de l’usage des drogues illicites, la réduction des méfaits est souvent pensée comme une troisième voie en regard des logiques traditionnelles du prohibitionnisme et du thérapeutique orienté vers l’abstinence. L’analyse comparative de ces trois logiques amène les auteurs à établir les limites de la rupture induite par la réduction des méfaits. Par la cartographie du territoire que colonise la réduction des méfaits, s’aperçoit non pas la disqualification du prohibitionnisme et du thérapeutique, mais l’extension des dispositifs de contrôle. Après avoir conduit cette analyse et commenté certains effets du concubinage des trois logiques, les auteurs présentent plusieurs thèses sociologiques permettant de signifier les succès politiques de la réduction des méfaits. Quelques interprétations de ces succès sont proposées. Within the context of illicit drug control, harm reduction is often regarded as the third avenue beside the traditional responses that represented the prohibitionnist model and the therapeutic model oriented towards abstinence. Through a comparative analysis of the three approaches, the authors challenge the notion that harm reduction represents a rupture regarding the traditional perspectives on drug use. On the contrary, an examination of how harm reduction strategies are implemented in the field of drug regulation illustrates instead a widening of the apparatus of control. Following a presentation of the cohabitation between these three approaches, the authors then outline a sociological framework for understanding the political appeal of harm reduction strategies. Several reasons for the success of these strategies are then proposed. En el campo del control del uso de drogas ilícitas, la reducción de perjuicios es pensada a menudo como una tercer vía en mira de las logísticas tradicionales del prohibicionismo y de lo terapeútico orientado hacia la abstinencia. El análisis comparativo de éstas tres lógicas conlleva a los autores a establecer los límites de la ruptura inducida por la reducción de los perjuicios. Por la cartografía del territorio que coloniza la reducción de perjuicios se entrevee no la discalificación del prohibicionismo y de la terapéutica, pero la extensión de los dispositivos de control. Después de haber conducido éste análisis y comentado ciertos efectos del concubinage de estas tres lógicas, los autores presentan varias tésis sociológicas que permiten significar el éxito político de la reducción de perjuicios. Algunas interpretaciones de éstos éxitos nos son propuestas |
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1703-8847 |
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Call Number |
50-13311 |
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60037 |
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Author |
Brisson, Pierre; Morissette, Carole |
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Title |
Réduction des risques et des méfaits : présentation |
Type |
Journal Article |
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Year |
2003 |
Publication |
Drogues, santé et société |
Abbreviated Journal |
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Volume |
2 |
Issue |
1; 25.06.2003 |
Pages |
1-3 |
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Keywords |
harm reduction; government and politics; public health; collaboration; AOD use; illicit drug; needle sharing; injection room; prevention; intravenous drug user; HIV infection; hepatitis C; methadone maintenance; Canada; journal article; drug substitution therapy |
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1703-8847 |
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Call Number |
50-13243 |
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60030 |
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Author |
Landry, Michel; Lecavalier, Marie |
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Title |
L'approche de réduction des méfaits : un facteur de changement dans le champ de la réadaptation en toxicomanie |
Type |
Journal Article |
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Year |
2003 |
Publication |
Drogues, santé et société |
Abbreviated Journal |
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Volume |
2 |
Issue |
1; 25.06.2003 |
Pages |
124-140 |
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Keywords |
government and politics; public policy on AOD; harm reduction; AOD use, abuse, and dependence; chemical addiction; history; AOD abstinence; Canada; Quebec |
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Abstract |
Au Québec, à la fin des années 80, l’approche de réduction des méfaits s’est conjuguée à d’autres courants qui avaient déjà commencé à y exercer leur influence pour provoquer une profonde remise en question de la philosophie de traitement et des méthodes d’intervention utilisées alors dans le domaine de la réadaptation en toxicomanie. Cet article décrit plus particulièrement l’impact de l’implantation de cette approche par le Centre Dollard-Cormier en 1997. On y affirme qu’elle a constitué un point de ralliement pour tous les intervenants de ce centre et favorisé, particulièrement à travers l’expression « haute tolérance », l’adoption de valeurs telles que la flexibilité, l’accessibilité, l’acceptation de toutes les personnes qui demandent de l’aide, quels que soient leurs motifs et la précarité de leur situation. À l’aide de l’expérience des cinq dernières années, nous établissons un bilan des forces et des limites de cette approche dans un contexte de réadaptation. Au nombre des forces, on doit compter un plus grand respect des objectifs de l’usager lui-même, notamment en ce qui concerne la consommation de substances psychoactives, une transformation des services pour les rendre plus flexibles et accessibles, et un préjugé favorable aux plus démunis. Au nombre des difficultés, on mentionnera l’adaptation de nos méthodes d’intervention à des objectifs variés en ce qui concerne la consommation et la conciliation de la haute tolérance avec un cadre thérapeutique qui impose des limites. Si l’approche de réduction des méfaits nous a appris à accepter toute amélioration de la situation des personnes toxicomanes comme un résultat légitime et valable en soi, notre mission de réadaptation nous invite à ne pas perdre de vue l’objectif qu’un grand nombre parmi elles poursuit néanmoins : arriver à se libérer de leur dépendance à ces substances, par l’abstinence ou autrement, et retrouver la maîtrise de leur vie. In the late 80’s, in Quebec, the harm reduction approach was mixed with other currents that had already started to influence and renew the philosophy of treatment and the methods of intervention used at the time in the field of drug abuse rehabilitation. This article will discuss the impact of the 1997 implementation of this approach at the Centre Dollard-Cormier. We assert that the care-givers of the centre rallied to the approach and that it facilitated, especially through the expression of “high tolerance”, the adoption of such values as flexibility, accessibility and acceptance of all persons who request help, whatever their motives or the precariousness of their situation. With a five-year background, we can assess the strengths and limits of the approach in the context of rehabilitation. Concerning the strengths, we must observe a higher respect of the user’s objectives, in particular those that concern the use of psychoactive substances, a transformation towards more flexible and accessible services, and a favourable prejudice towards the less fortunate. As for the difficulties, we will mention the adjustments made to our methods of intervention to meet the varied objectives of substance use and to conciliate high tolerance with the therapeutic framework. Even though the harm reduction approach has taught us to appreciate any improvement in the situation of addicted persons as a legitimate result, valid by itself, our mission requires us not to lose sight of the large number users who nevertheless pursue the objective of liberating themselves from their dependence, either by abstinence or otherwise, and take back control of their lives. En el Quebec, al final de los años 80, el enfoque de reducción de perjuicios se conjugó con otras corrientes que ya habían comenzado a ejercer su influencia, para provocar una puesta en duda profunda de la filosofía de tratamiento y de métodos de intervención que estaban en uso en el sector de la readaptación de la toxicomanía. Éste artículo describe más particularmente el impacto que tuvo la adopción de éste enfoque en el Centro Dollard-Cormier en 1997. Se afirma que se ganó la adesión de todos los trabajadores sociales que intervenían en ése Centro, y que particularmente la expresión « alta tolerancia » favoreció la adopción de valores tales como la flexibilidad, la accesibilidad, la acceptación de todas las personas que piden ayuda, cuales sean sus motivos y la precaridad de su situación. Gracias a la experiencia de los cinco últimos años, un balance de los puntos fuertes y de los límites de éste enfoque fue establecido en el contexto de la readaptación. Entre los puntos fuertes, se debe contar un respeto mayor de los objetivos proseguidos por el mismo usuario particularmente en lo que atañe al consumo de substancias psicoactivas, una transformación de los servicios para que se vuelvan más flexibles y accesibles y un prejuicio favorable a los más despojados. Entre las dificultades encontradas, se debe mencionar la adaptación de nuestros métodos de intervención a variados objetivos relativos al consumo y la conciliación de la alta tolerancia con un marco terapéutico que impone sus límites. Si el enfoque de reducción de perjuicios nos enseñó a aceptar toda mejora de la situación de las personas toxicómanas como un reslutado legítimo y válido de por sí, nuestra misión de readaptación nos invita a no perder de vista el objetivo proseguidoa pesar de todo por gran número de entre ellas : llegar a liberarse de su dependencia a estas substancias, por abstinencia o de otro modo, y volver a tener el control de su vida. |
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1703-8847 |
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50-u |
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59498 |
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Author |
Roy, Elise; Nonn, Eva; Haley, Nancy; Morissette, Carole |
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Title |
Le “partage” des matériels d'injection chez les jeunes usagers de drogues injectables à Montréal |
Type |
Journal Article |
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Year |
2003 |
Publication |
Drogues, santé et société |
Abbreviated Journal |
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Volume |
2 |
Issue |
1; 25.06.2003 |
Pages |
35-55 |
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Keywords |
needle sharing; intravenous drug user; adolescent; young adult; risk-taking behavior; Canada; Montreal; study |
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Abstract |
Cette étude visait à déterminer dans quels contextes les jeunes de la rue qui s’injectent des drogues « partagent » des matériels d’injection. Nous avons mené des entrevues en profondeur auprès de 24 jeunes (15 à 22 ans) recrutés avec l’aide d’organismes communautaires et par la technique de « snowballing ». Au moment de la première injection, ces jeunes sont peu préoccupés par les risques d’infection et s’inquiètent davantage du risque de développer une dépendance. Cependant, ceux qui persistent sont conscients des risques associés au « partage » de seringues et considèrent qu’il s’agit d’une pratique à éviter dans une ville où les programmes de prévention fournissent l’accès gratuit aux seringues. Ce n’est toutefois pas le cas pour les autres matériels d’injection. Les contextes de vulnérabilité par rapport au « partage » se constituent au carrefour de plusieurs facteurs qui sont à la fois d’ordre individuel et social. Certains moments critiques dans la trajectoire de vie des jeunes par rapport à la consommation de drogues et à la vie dans la rue ainsi qu’un degré élevé d’intimité entre partenaires d’injection les fragilisent pour ce qui est des pratiques non sécuritaires. The “sharing” of Injection Equipment Among Young Injection Drug Users in Montreal The goal of this study was to identify the contexts in which street youth who inject drugs share their injection equipment. In-depth interviews were conducted among youth recruited through community groups and utilising a “snowballing” technique. We interviewed 24 youth (aged 15 to 22 years). At the time of their first injection, the youth are not very concerned with the risks of infection but worry more about developing an addiction. However, youth who continue to inject are aware of the risks associated with needle sharing and consider that, in a city where prevention programmes provide free access to syringes, this practice should be avoided. This is not the case for other injection equipment. Contexts of vulnerability associated with sharing originate when personal and social factors intersect. Certain critical moments in a youth’s life related to drug consumption and living in the streets, as well as the high level of intimacy among injection partners make youth more vulnerable to unsafe practices. El «compartimiento» de los materiales de inyección entre los jóvenes adictos de drogas inyectables en Montreal Este estudio pretendía identificar los contextos en los cuales el compartimiento del material de inyección se efectúa entre los jóvenes de la calle que se inyectan drogas. Entrevistas en profundidad han sido realizadas acerca de jóvenes reclutados a partir de organismos comunitarios y por la técnica de « snowballing ». Hemos interrogado 24 jóvenes (de 15 a 22 años). En el momento de la primera inyección se preocupan poco de los riesgos de infección, pero se inquietan sobre todo del riesgo de desarrollar una dependencia. Sin embargo, los jóvenes que persisten en la inyección están concientes de los riesgosd asociados al hecho de compartir las jeringas, y consideran que se trata de una práctica que se debe evitar en una ciudad dónde los programas de prevención procuran acceso gratis a las jeringas. No es el caso para los otros materiales de inyección. Los contextos de vulnerabilidad por respeto al hecho de compartir éste material, se constituyen en la encrucijada de varios factores a la vez de orden individual y social. Ciertos momentos críticos en la trayectoria de vida de los jóvenes en miras de su consumo de drogas y de su vida en la calle, así como un grado elevado de intimidad entre « compañeros de inyección » fragilizan a los jóvenes por respecto a prácticas poco seguras. |
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1703-8847 |
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50-g |
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59484 |
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Author |
Ferri, Marica; Bo, Alessandra |
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Title |
Focus sulle droghe 23 : Riduzione della domanda : prove globali per azioni locali |
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Journal |
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Year |
2012 |
Publication |
Focus sulle droghe : briefing dell’Osservatorio europeo delle droghe e delle tossicodipendenze |
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23; 07/2012 |
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4 |
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AOD use; AOD demand; recommendations or guidelines; treatment and maintenance; prevention; harm reduction; quality; research; communication; Europe |
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Ufficio delle pubblicazioni ufficiali delle Comunità europee |
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Bruxelles |
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Italian |
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1681-6358 |
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Auch auf Deutsch vorhanden: 50-12595; aussi disponible en français: 50-12596; also available in English: 50-12598 |
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no |
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Call Number |
50-12597 |
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59275 |
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Author |
Gossop, Michael |
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Focus sulle droghe 18 : Abuso di sostanze tra gli adulti più anziani : un problema trascurato |
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Journal |
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2008 |
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Focus sulle droghe : briefing dell’Osservatorio europeo delle droghe e delle tossicodipendenze |
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18; 01/2008 |
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4 |
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europe; addiction; journal |
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Ufficio delle pubblicazioni ufficiali delle Comunità europee |
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Bruxelles |
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Italian |
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1681-6358 |
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Auch auf Deutsch vorhanden: 50-02229; aussi disponible en français: 50-02231; also available in English: 50-02230 |
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50-02232 |
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59197 |
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Author |
Tassin, Jean-Pol |
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Focus sulle droghe 19 : Ricerca neurobiologica sulle droghe : implicazioni etiche e politiche |
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Journal |
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2009 |
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Focus sulle droghe : briefing dell’Osservatorio europeo delle droghe e delle tossicodipendenze |
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19 |
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4 |
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treatment and maintenance |
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This briefing paper for policymakers presents how new discoveries in neurobiology have the potential to transform our perception of drug addiction and its treatment, whilst also considering the ethical issues such treatment can raise. It balances an analysis of the latest developments in the field with a call for rigorous testing before implementation. |
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Ufficio delle pubblicazioni ufficiali delle Comunità europee |
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Lussemburgo |
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Italian |
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1681-6358 |
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Auch auf Deutsch vorhanden: 50-10438; aussi disponible en français: 50-10439; also available in English: 50-10441 |
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50-10440 |
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57741 |
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Author |
Hughes, Brendan |
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Title |
Focus sulle droghe 20 : Una risposta europea alla guida sotto l'effetto di droghe |
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Journal |
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2009 |
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Focus sulle droghe : briefing dell’Osservatorio europeo delle droghe e delle tossicodipendenze |
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20 |
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4 |
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AOD use and driving; Europe |
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Many of the accidents and deaths that occur on European roads are caused by drivers whose performance is impaired by a psychoactive substance. alcohol alone is estimated to account for up to 10 000 road deaths a year in the European Union, one quarter of all road deaths. No comparable figures are available for road accidents related to illicit drugs and psychoactive medicines, though these have been receiving increasing attention over the past decade. |
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Ufficio delle pubblicazioni dell'Unione europea |
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Bruxelles |
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Italian |
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1681-6358 |
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Auch auf Deutsch vorhanden: 50-10605; aussi disponible en français: 50-10606; also available in English: 50-10608 |
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50-10607 |
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57745 |
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Author |
Odenwald, Michael; Klein, Axel; Warfa, Nasir |
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Title |
Focus sulle droghe 21 : L'utilizzo di khat in Europa: implicazioni per la politica europea |
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Journal |
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Year |
2011 |
Publication |
Focus sulle droghe : briefing dell’Osservatorio europeo delle droghe e delle tossicodipendenze |
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21; 07/2011 |
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4 |
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khat in any form; laws and regulations; drug trafficking; migration; economic impact; international area; Europe; Africa |
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Khat leaves are cultivated in the highlands of the Horn of Africa, Southern Arabia and along the East African coast. In many countries, chewing khat is an age-old tradition. More recently, the mass migration of people from the Horn of Africa has been associated with the spread of khat usage to neighbouring countries, Europe and the rest of the world. Exact numbers of regular khat users on a worldwide scale do not exist, however estimates range up to 20 million. This paper presents the challenges associated with the spread of khat consumption. |
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Ufficio delle pubblicazioni dell'Unione europea |
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Bruxelles |
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Italian |
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1681-6358 |
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Notes |
Auch auf Deutsch vorhanden: 50-11975; aussi disponible en français: 50-11976; also available in English: 50-11977 |
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no |
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Call Number |
50-12532 |
Serial |
57754 |
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Author |
Ferri, Marica; Bo, Alessandra |
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Title |
Objectif drogues 23 : Réduction de la demande de drogue : preuves scientifiques mondiales pour actions locales |
Type |
Journal |
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Year |
2012 |
Publication |
Objectif drogues : briefing de l’Observatoire européen des drogues et des toxicomanies |
Abbreviated Journal |
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Volume |
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Issue |
23; 07/2012 |
Pages |
4 |
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Keywords |
AOD use; AOD demand; recommendations or guidelines; treatment and maintenance; prevention; harm reduction; quality; research; communication; Europe |
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Abstract |
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Address |
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Corporate Author |
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Thesis |
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Publisher |
Office des publications officielles des Communautés européennes |
Place of Publication |
Bruxelles |
Editor |
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Language |
French |
Summary Language |
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Original Title |
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Series Editor |
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Series Title |
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Abbreviated Series Title |
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Series Volume |
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Series Issue |
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Edition |
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ISSN |
1681-634x |
ISBN |
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Medium |
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Area |
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Expedition |
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Conference |
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Notes |
Auch auf Deutsch vorhanden: 50-12595; anche disponibile in italiano: 50-12597; also available in English: 50-12598 |
Approved |
no |
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Call Number |
50-12596 |
Serial |
59274 |
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