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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
The new EU drugs strategy (2013–20) |
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Year |
2013 |
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Abbreviated Journal |
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3 |
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Keywords |
government and politics; laws and regulations; legal regulation; drug laws; strategy; illicit drug; international area; Europe; European Union |
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Abstract |
EU drugs strategies and action plans direct collective action in the field of drugs both within the European Union and at international level. They do not impose legal obligations on EU Member States but promote a shared model with defined priorities, objectives, actions and metrics for measuring performance. Member States, and also some candidate and pre-accession countries, use this framework to develop their own national policy documents, which are increasingly synchronised with the EU strategy. They remain free to emphasise different national priorities within the overall framework of an integrated, balanced andevidence-based approach to the drugs problem. |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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Call Number |
50-12847 |
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49911 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Preventing overdose deaths in Europe |
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Book Whole |
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Year |
2013 |
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5 |
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public policy on AOD; strategy; AOD overdose mortality; opioids in any form; heroin; Europe; European Union |
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Abstract |
The heroin epidemics that spread across Europe in the 1980s resulted in increasing numbers of overdose deaths among opioid users. Although the annual number of reported deaths peaked around the turn of the millennium, drug overdose still claimed more than 70 000 in Europe in the subsequent decade. Despite the fact that recent data show some promising signs, with the number of reported overdose deaths falling from around 7 700 to 6 500 between 2009 and 2011, stable or increasing death tolls continue to be reported, for example in Estonia, Sweden and the United Kingdom (Scotland). |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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English |
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Call Number |
50-12849 |
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49912 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Mass media campaigns for the prevention of drug use in young people |
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Book Whole |
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Year |
2013 |
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Abbreviated Journal |
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5 |
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Keywords |
public policy on AOD; public health; illicit drug; prevention campaign; television; evaluation; adolescent; Europe; European Union |
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Abstract |
The use of mass media campaigns as a drug prevention intervention is relatively common, but it is not without controversy. Both policy makers and practitioners have debated the effectiveness of such campaigns in reducing drug use among young people, and there is a possibility that they may be counter-productive. In Europe, more than one-third of the 30 countries affiliated to the EMCDDA report that mass media campaigns on illicit drugs are either not carried out or have been cut back, in some cases because of concerns about their safety. This analysis contributes to the debate by reviewing the available evidence on the efficacy of massmedia campaigns for drug use prevention. |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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English |
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Call Number |
50-12850 |
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49913 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Synthetic cannabinoids in Europe |
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Year |
2013 |
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Abbreviated Journal |
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5 |
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Keywords |
psychoactive substances; cannabis product; cannabinoids; smoking; tobacco in any form; AOD effects and AODR problems; adverse drug effect; AOD product advertising; AOD sales outlet; international area; Europe; European Union |
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Abstract |
Synthetic cannabinoids, or more correctly, synthetic cannabinoid receptor agonists, mimic the effect of cannabis and are the largest group of compounds monitored at European level by the EU Early warning system on new psychoactive substances (EWS). ’Legal high’ products containing synthetic cannabinoids have probably been sold as herbal smoking mixtures since at least 2006. These products do not necessarily contain tobacco or cannabis but when smoked, produce effects similar to those of cannabis. They have been subject to innovative marketing approaches and are widely available on the Internet and in some shops in urban areas (often called ’head’ or ’smart’ shops). |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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English |
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Call Number |
50-12856 |
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49914 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Synthetic drug production in Europe |
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Year |
2013 |
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5 |
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Keywords |
psychoactive substances; illegal production of drugs; AOD consumption; drug trafficking; amphetamines; MDMA; ecstasy; international area; Europe; European Union |
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Europe has a long history of producing and consuming synthetic drugs. The region remains important today for the production of these substances, with manufacture taking place for both domestic consumption and export to other parts of the world. In terms of both production and use, three substances dominate the European market for synthetic drugs: amphetamine (usually the sulphate salt), ecstasy-type drugs, especially methylenedioxymethamphetamine (MDMA), and methamphetamine (usually the hydrochloride salt). |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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English |
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no |
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Call Number |
50-12857 |
Serial |
49915 |
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Author |
European Monitoring Centre for Drugs and Drug Addiction |
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Title |
Trends in heroin use in Europe : what do treatment demand data tell us? |
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Year |
2013 |
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Abbreviated Journal |
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5 |
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Keywords |
AOD user; AOD consumption; opioids in any form; heroin; treatment and maintenance; epidemiology; survey; statistical data; international area; Europe; European Union |
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Abstract |
The current number of problem opioid users in Europe can be estimated atabout 1.4 million, or 0.41 % of the adult population, with heroin being by far the most widely used opioid. Heroin use has developed along different timelines; several western European countries faced increases from the 1970s onward, whereas countries in Central and Eastern Europe saw a development in heroin use in the 1990s and later. Recent analyses of multiple indicators suggest that Europe may be witnessing a longer-term decline in heroin use, although countries show varying patterns and trends. |
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European Monitoring Centre for Drugs and Drug Addiction |
Place of Publication |
Lisbon |
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English |
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Call Number |
50-12860 |
Serial |
49916 |
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Author |
National Treatment Agency for Substance Misuse |
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Title |
Evidence update January 2013 : alcohol use disorders : harmful drinking and alcohol dependence |
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Year |
2003 |
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Abbreviated Journal |
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Volume |
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21 |
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AOD use, abuse, and dependence; licit drug; chemical addiction; alcohol abuse; diagnosis; identification and screening; intervention (persuasion to treatment); treatment and maintenance; United Kingdom |
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A summary of selected new evidence relevant to NICE clinical guideline 115 ’alcohol use disorders : diagnosis, assessment and management of harmful drinking and alcohol dependence’ (2011) |
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National Treatment Agency for Substance Misuse (NHS) |
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London |
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Call Number |
50-12934 |
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49920 |
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Author |
AIDS Action Committee |
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Title |
Myths and facts about syringe availability : Massachusetts campaign for responsible syringe policy |
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2004 |
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Abbreviated Journal |
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1 |
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harm reduction; intravenous drug user; needle distribution and exchange; HIV infection; government and politics; public policy; United States; Massachusetts |
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AIDS Action Committee |
Place of Publication |
Boston |
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Call Number |
50-13159 |
Serial |
49928 |
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Author |
ANCAHRD Hepatitis C Committee and Clinical Trial and Research Committee (ed) |
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Title |
A model of care for the management of hepatitis C infection in adults |
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2003 |
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68 |
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government and politics; infection; viral hepatitis; hepatitis C; treatment and maintenance; adult; Australia |
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Australian National Council on AIDS, Hepatitis C and Related Diseases (ANCAHRD) |
Place of Publication |
Canberra |
Editor |
ANCAHRD Hepatitis C Committee and Clinical Trial and Research Committee |
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English |
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Call Number |
50-13175 |
Serial |
49929 |
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Author |
Australian National Council on AIDS, Hepatitis C. and Related Diseases (ed) |
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Title |
National hepatitis C testing policy |
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Year |
2003 |
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Abbreviated Journal |
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xiii, 68 |
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Keywords |
government and politics; viral hepatitis; hepatitis C; diagnosis; strategy; international area; Australia |
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Abstract |
Hepatitis C is the most commonly diagnosed notifiable communicable infection in Australia. The Hepatitis C Virus Projections Working Group of the Australian National Council on AIDS, Hepatitis C and Related Diseases (ANCAHRD) released the report Estimates and Projections of the Hepatitis C Epidemic in Australia 2002 which stated that in 2001 approximately 210 000 people in Australia had hepatitis C antibodies and approximately 16 000 new infections were occurring annually. Although the virus may be cleared after infection, it persists in 65–85 per cent of those infected. Of these cases, 5–10 per cent develop cirrhosis after 20 years and 3–5 per cent develop hepatocellular carcinoma. Thus, hepatitis C represents a significant public health concern. A diagnosis of hepatitis C also has multiple implications in relation to an individual’s work, family and quality of life. Caring for a person diagnosed with hepatitis C calls for informed and sensitive management. Health professionals, infected people and the community recognise that clear and rigorous guidelines for diagnosing and monitoring hepatitis C infection are needed and that the guidelines should take account of the life of the infected individual as well as of the populations at risk and their needs. The National Hepatitis C Testing Policy has been formulated under the auspices of the Australian National Council on AIDS, Hepatitis C and Related Diseases (the Commonwealth’s principal independent advisory body on hepatitis C) and the Intergovernmental Committee on AIDS, Hepatitis C and Related Diseases (the intergovernmental committee responsible for implementation of the National Hepatitis C Strategy). The policy is intended to provide advice to government, health professionals, industry, hepatitis C–infected individuals, and the community in general, about matters associated with testing. Anti-HCV antibody testing first became available in 1990. The number of hepatitis C antibody tests carried out each year in Australia is approaching 2 million (including blood service and diagnostic testing) and about 50 000 for supplemental immunoassay tests. New technologies have offered further dimensions in testing strategies. Qualitative and quantitative nucleic acid tests (NAT) are useful in detecting infection in the early stages and in assessing clearance of the virus and the effect of treatment. Qualitative NAT can be used to determine if infants of infected mothers have been infected. Genotype testing is useful in predicting the response to treatment because some hepatitis C subtypes are more sensitive to therapy than others. In addition to these tests, short incubation immuno-assays are available and home kits are being developed for marketing. The National Hepatitis C Testing Policy offers clarification on the use of hepatitis C tests and the interpretation of diagnostic tests in the context of other laboratory tests and specific clinical situations. There are 32 recommendations. Recommendations 1 to 19 outline the principles for hepatitis C testing and emphasise the need for individuals to be informed about testing and to be tested voluntarily. Testing must be of benefit to the individual, and confidentiality must be maintained at all levels of testing. People with hepatitis C should have access to treatment and ongoing monitoring. Particular attention should be paid to groups such as Aboriginal and Torres Strait Islander peoples and people from culturally and linguistically diverse backgrounds, who may have difficulty gaining access to health services; populations at risk, such as injecting drug users and people in custodial settings, also warrant particular attention. Recommendations 20 to 29 outline diagnostic strategies. Appropriate testing standards are to be applied by all laboratories undertaking testing for hepatitis C. Minimum practices, which should be adopted by all laboratories, include the need to confirm antibody reactivity by two separate immuno-assays based on different antigens and different immuno-assay formats. Discordant test results in two immunoassays may require additional testing by qualitative NAT or referral to a reference laboratory, or both. The National Serology Reference Laboratory should keep laboratories up to date on appropriate combinations of immuno-assays, to avoid common cross-reactivity between tests. The utility of qualitative NAT in testing newly diagnosed hepatitis C sero-positive individuals and in testing infants born to hepatitis C sero-positive mothers is discussed in Chapter 6. The use of short incubation tests is not supported—except in the case of screening potential organ donors, when the tests should be performed by suitably trained laboratory personnel. Home sampling or testing is not supported for the Australian situation. The regulation of hepatitis C test kits and the supporting Quality Assurance Program are dealt with in Recommendations 30 to 32. An outline for a classification system for hepatitis C tests and test kits is presented; the system offers a choice of test protocols within a given situation and a framework for evaluation of test kits and for incorporating new technology as it emerges. The policy recommends that it be a condition of registration of hepatitis C kits by the Therapeutic Goods Administration that laboratories using the kits participate in the National Serology Reference Laboratory’s hepatitis C Quality Assurance Program. Standard and reference testing for hepatitis C should be provided by public and private sector laboratories that comply with the National Association of Testing Authorities – Royal College of Pathologists of Australasia audit and accreditation mechanisms, according to National Pathology Accreditation Advisory Committee guidelines. The National Hepatitis C Testing Policy will clarify for all concerned the testing parameters for hepatitis C and guide the approach to diagnosis and management. |
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Australian National Council on AIDS, Hepatitis C and Related Diseases (ANCAHRD) |
Place of Publication |
Canberra |
Editor |
Australian National Council on AIDS, Hepatitis C. and Related Diseases |
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Call Number |
50-13198 |
Serial |
49933 |
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