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Groupe national de travail sur la politique du Centre canadien de lutte contre l'alcoolisme et les toxicomanies |
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Title |
L'échange de seringues : une façon de prévenir l'infection par le VIH liée aux drogues : document de travail sur la politique du Centre canadien de lutte contre l'alcoolisme et les toxicomanies |
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1994 |
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Pages |
9 |
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Keywords |
harm reduction; needle distribution and exchange; prevention; HIV infection; Aids; AOD use, abuse, and dependence; public policy; Canada |
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Centre canadien de lutte contre l'alcoolisme et les toxicomanies (CCLAT) |
Place of Publication |
Ottawa |
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French |
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no |
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50-f |
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50463 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Report on the risk assessment of PMMA in the framework of the joint action on new synthetic drugs |
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Report |
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Year |
2003 |
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Abbreviated Journal |
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122 |
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Keywords |
amphetamines; monitoring; risk assessment; designer drug; research chemical; report; Europe |
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Abstract |
The report assesses the risks of PMMA, especially in association with the already controlled substance PMA (para-methoxyamphetamine). PMMA, is an amphetamine-like substance very close to PMA, and is almost exclusively sold in tablet form in combination with the latter and consumed as ‘ecstasy’. It has been associated, in combination with PMA, with three deaths in the EU. PMMA is devoid of any therapeutic value. Further to the conclusions of the EMCDDA risk assessment, on 28 February 2002, the Council of the European Union adopted a unanimous decision defining the new synthetic drug PMMA (para-methoxymethylamphetamine) as a substance to be placed under control measures and criminal penalties in the EU Member States. |
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Office for Official Publications of the European Communities |
Place of Publication |
Luxemburg |
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English |
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Risk assessments |
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ISSN |
1725-4485 |
ISBN |
92-9168-137-7 |
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Call Number |
50-13429 |
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50464 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Report on the risk assessment of ketamine in the framework of the joint action on new synthetic drugs |
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Report |
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Year |
2002 |
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Abbreviated Journal |
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Pages |
116 |
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Keywords |
ketamine; monitoring; risk assessment; designer drug; research chemical; report; Europe |
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Since the mid-1990s, ketamine – widely used in human and veterinary medicine for 30 years – has been surfacing as a recreational drug. Concern over ketamine centres on its unpredictability in producing ‘near-death’ experiences. The risk-assessment exercise was carried out in 2000 in the framework of the Joint action on new synthetic drugs. In March 2001, the EU Justice and Home Affairs Council adopted formal conclusions that Member States should monitor this drug closely. This publication records the findings and conclusions of the exercise. Among others, it draws together the various elements used to assess the substance including: the final risk-assessment report; contributions from Europol and the European Agency for the Evaluation of Medicinal Products; a review of pharmacotoxicological data; epidemiological evidence on the associated public-health risks and sociological and criminological evidence. |
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Office for Official Publications of the European Communities |
Place of Publication |
Luxembourg |
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English |
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1725-4485 |
ISBN |
92-9168-123-7 |
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50-13430 |
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50465 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Report on the risk assessment of GHB in the framework of the joint action on new synthetic drugs |
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Report |
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Year |
2002 |
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Abbreviated Journal |
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Pages |
92 |
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Keywords |
amphetamines; gamma-hydroxybutyric acid; monitoring; risk assessment; designer drug; research chemical; report; Europe |
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Abstract |
Since the mid-1990s, GHB – widely used in human and veterinary medicine for 30 years – has been surfacing as a recreational drug. Some EU countries have reported worries over GHB’s surreptitious use in sexual assaults. Although the extent of this is unknown, the EMCDDA and its risk-assessment partners are recommending that Member States consider the role of GHB and other drugs in this area. The risk-assessment exercise was carried out in 2000 in the framework of the Joint action on new synthetic drugs. In March 2001, the EU Justice and Home Affairs Council adopted formal conclusions that Member States should monitor this drug closely. This publication records the findings and conclusions of the exercise. Among others, it draws together the various elements used to assess the substance including: the final risk-assessment report; contributions from Europol and the European Agency for the Evaluation of Medicinal Products; a review of pharmacotoxicological data; epidemiological evidence on the associated public-health risks and sociological and criminological evidence. |
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Office for Official Publications of the European Communities |
Place of Publication |
Luxembourg |
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English |
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Risk assessments |
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1725-4485 |
ISBN |
92-9168-122-9 |
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no |
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Call Number |
50-13431 |
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50466 |
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Author |
Health Protection Agency; Scottish Centre for Infection and Environmental Health; National Public Health Service for Wales; Communicable Disease Surveillance Centre Northern Ireland; Centre for Research on Drugs and Health Behaviour; Unlinked Anonymous Surveys Steering Group |
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Title |
Shooting up : infections among injecting drug users in the United Kingdom 2003 |
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Report |
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Year |
2004 |
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Abbreviated Journal |
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24 |
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Keywords |
Intravenous drug user; infection; HIV infection; viral hepatitis; hepatitis C; hepatitis B; hepatitis A; needle sharing; personal hygiene; United Kingdom |
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Health Protection Agency (HPA) |
Place of Publication |
London |
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English |
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no |
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50-j |
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50467 |
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Health Protection Agency; Health Protection Scotland; National Public Health Service for Wales; Communicable Disease Surveillance Centre Northern Ireland; Centre for Research on Drugs and Health Behaviour; Unlinked Anonymous Surveys Steering Group |
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Title |
Shooting up : infections among injecting drug users in the United Kingdom 2004 |
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Report |
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2005 |
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Abbreviated Journal |
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24 |
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intravenous drug user; infection; HIV infection; viral hepatitis; hepatitis C; vaccination; hepatitis A; hepatitis B; needle sharing; personal hygiene; crack cocaine; United Kingdom |
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Health Protection Agency (HPA) |
Place of Publication |
London |
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English |
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no |
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50-k |
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50468 |
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Author |
Health Protection Agency; Health Protection Scotland; National Public Health Service for Wales; Communicable Disease Surveillance Centre Northern Ireland; Centre for Research on Drugs and Health Behaviour; Unlinked Anonymous Surveys Steering Group |
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Title |
Shooting up : infections among injecting drug users in the United Kingdom 2005 |
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Report |
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Year |
2006 |
Publication |
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Abbreviated Journal |
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Volume |
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24 |
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Keywords |
intravenous drug user; infection; HIV infection; viral hepatitis; hepatitis C; vaccination; hepatitis B; needle sharing; personal hygiene; crack cocaine; United Kingdom |
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Abstract |
Key findings: HIV: The prevalence of HIV infection among injecting drug users (IDUs) in England and Wales has increased in recent years. Overall, around one in 50 IDUs are now infected, which is still low compared to many other countries. The prevalence remains elevated among IDUs in London with around one in 25 HIV infected. The recent increase in HIV prevalence has been greatest elsewhere in England and Wales, where the prevalence has risen from around one in 400 in 2003 to about one in 65 in 2005. Hepatitis C: Overall, approaching one in two IDUs in the UK have been infected with hepatitis C, which is also low compared to many other countries. However, there are marked regional variations in hepatitis C prevalence within the UK, with the low prevalences found in some areas suggesting that hepatitis C infection is not an inevitable consequence of injecting drug use. Surveillance and research data also indicate that the overall prevalence of hepatitis C infection among IDUs has probably increased in recent years and that levels of hepatitis C transmission remain elevated. Voluntary confidential diagnostic testing: Uptake of testing for hepatitis C among IDUs in contact with drug services has increased in recent years. It is estimated, however, that almost half of those IDUs with hepatitis C in contact with these services still remain unaware of their infection. There will also be substantial numbers of current and former IDUs who are not in contact with services who will be unaware they have hepatitis C. Whilst most IDUs in contact with services report having had a test for HIV at some point, less than half of those with HIV are aware of their infection. There is therefore a need to improve the provision of voluntary confidential testing services for both hepatitis C and HIV. Vaccination: The proportion of IDUs reporting uptake of hepatitis B vaccination has increased markedly in recent years, with the prison vaccination programmes being a major factor in this increase. However, the transmission of hepatitis B continues among IDUs. There is a particular need to improve the provision of vaccinations to IDUs through needle exchange services, including the provision of the vaccines against hepatitis A and tetanus as well as that against hepatitis B. In England, the National Treatment Agency for Substance Misuse (NTA) is developing performance monitoring for the provision of vaccination by services for drug users. Bacterial infections: The ongoing occurrence of wound botulism cases indicates that the environmental contamination of heroin with bacterial spores remains a problem. There are also continuing problems with injecting site infections associated with methicillin resistant Staphylococcus aureus and severe group A streptococcal infection. Behaviours: Levels of reported needle and syringe sharing increased in the late 1990s, and since then have remained elevated with over a quarter of IDUs reporting sharing in the previous month. The sharing of other injecting equipment is more common. There are also indications that injecting into the groin (femoral vein) may be becoming more common. It is also apparent that there are a variety of individual and environmental factors that may affect injecting behaviour and hygiene, and that the effects on risk of factors such as homelessness, the injecting environment, and drugs injected need further investigation. In particular the role of crack-cocaine use, which has become more widespread, is a cause for concern. |
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Health Protection Agency (HPA) |
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London |
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English |
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no |
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50-l |
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50469 |
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Author |
Préfecture de Police |
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Title |
Programme départemental de prévention de la toxicomanie et des dépendances pour Paris |
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Year |
2001 |
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72 |
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prevention; addiction; AOD use, abuse, and dependence; illicit drug; harm reduction; target group; cooperation; adolescent; early identification; France; Paris |
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Il est nécessaire de procéder à un état des lieux de la toxicomanie et des dépendances à Paris avant de proposer un plan d’actions. Toutefois un état des lieux objectif est délicat à réaliser puisque, par nature, la consommation de drogues illicites est un phénomène souterrain dont la connaissance ne peut être que partielle. Quant aux substances psychoactives légales (alcool, tabac, médicaments...), leur consommation fait souvent l’objet de discours de relativisation, voire de déni. En outre, la dimension parisienne rend l’entreprise de repérage particulièrement ardue. Dans ces conditions, l’état des lieux ne peut être fondé que sur des indicateurs indirects, comportant des biais non négligeables. Le ressenti des acteurs de la prévention peut aider à compléter l’analyse. La prévention de la toxicomanie et des dépendances ne peut se limiter à un simple objectif de baisse de la consommation globale ; elle doit également viser la réduction des risques. Dans ces conditions, la politique de prévention menée à Paris doit s’apprécier au regard des quatre objectifs suivants : – Prévenir la première consommation de substances psycho-actives : des effets dommageables sur la santé du consommateur peuvent en effet se faire sentir dès la première consommation, notamment dans la mesure où la composition de nombreuses substances en circulation est inconnue ; – Agir sur les consommations précoces ; la plupart des enquêtes font clairement apparaître que plus la consommation est précoce, plus le jeune présentera de risques d’entrer dans une consommation à problèmes, – Éviter, lorsque la consommation existe, le passage de l’usage occasionnel à l’usage nocif et à la dépendance ; – Enfin, réduire les risques sanitaires et sociaux liés à la consommation de produits. Le programme départemental de prévention de la toxicomanie et des dépendances doit se donner pour objectif de remédier aux faiblesses repérées dans l’état des lieux initial. Cette tâche n’a rien de simple dans un contexte où l’usage de certains produits comme le cannabis tend à s’étendre et à se banaliser, tandis que l’idée de la possible dépénalisation de son usage se répand, accréditant du même coup l’idée qu’il s’agit d’une “drogue douce” dont la consommation ne peut être qu’anodine. Le programme départemental de prévention doit également établir des priorités d’actions et de publics visés et il peut se décliner en quatre grands objectifs : – parvenir à une meilleure connaissance de la toxicomanie et des dépendances à Paris ; – organiser et conforter le réseau des intervenants ; – organiser des actions de prévention générale adaptées et orientées principalement vers les jeunes et les personnes ressources prioritaires ; – favoriser la détection précoce et se donner les moyens d’une réponse efficace. |
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Préfecture de Police |
Place of Publication |
Paris |
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French |
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50-m |
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50470 |
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Author |
MSIC Evaluation Committee |
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Title |
Final report of the evaluation of the Sydney medically supervised injecting centre |
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Report |
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Year |
2003 |
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Abbreviated Journal |
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xvi, 214 |
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harm reduction; contact center; injection room; program evaluation; Australia; Sydney |
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MSIC Evaluation Committee |
Place of Publication |
Sydney |
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English |
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50-n |
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50471 |
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Author |
Schweizerische Koordinationsstelle für stationäre Therapieangebote im Drogenbereich |
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Title |
Sechster Tätigkeitsbericht KOSTE : April 2004-März 2005 |
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2005 |
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27 |
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Keywords |
treatment and maintenance; gender; migration; patient assessment; quality; monitoring; counseling; collaboration; cooperation; coordination of activities; organizational structure; Switzerland; Koordinationsstelle für stationäre Therapieangebote im Drogenbereich (body); annual report |
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Schweizerische Koordinationsstelle für stationäre Therapieangebote im Drogenbereich (KOSTE) |
Place of Publication |
Bern |
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German |
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50-o |
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50472 |
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