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Author |
Wodak, Alex |
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Title |
Taming demons : the reduction of harm resulting from use of illicit drugs |
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Journal Article |
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Year |
1993 |
Publication |
International journal of drug policy |
Abbreviated Journal |
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Volume |
4 |
Issue |
2 |
Pages |
72-77 |
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Keywords |
AOD use; illicit drug; harm reduction; prohibition (AOD public policy); cost (economic); cost-effectiveness; impact of policy or law; HIV infection; prevention; methadone maintenance; drug substitution therapy; cost-benefit analysis; Australia |
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Abstract |
Restricting availability is the major response to illicit drugs in most Western countries including Australia. Prohibition may reduce harm when the drug in question is in low demand, controls are difficult to subvert, and when similar drugs are less toxic or unavailable. However, the health, social and economic costs of supply reduction are substantial and increasing for both injecting drug users and the general community. Population adjusted mortality of heroin users has doubled in Australia in the last decade. The possible impact of supply reduction policy on the spread of HIV infection among IDUs is an important but largely neglected consideration. The effectiveness of supply restriction policy in decreasing the availability of drugs or in reducing drug-related harm is unlikely to be increased significantly by more vigorous implementation of supply reduction or adoption of new technology. Conversely, on the basis of existing data, greater availability of HIV prevention measures attractive to the target population (including especially drug treatment such as methadone maintenance) is likely to be effective and cost-effective. The costs and benefits of innovative methods of providing currently illicit drugs to those who are determined to use them requires careful evaluation and comparison with existing policies. Policy on illicit drugs in most countries including Australia is still dominated by concern about drug use rather than focused on the need to reduce drug-related problems, which is the agreed aim of national drug policy. |
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0955-3959 (Print); 1873-4758 (Electronic) |
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50-ak |
Serial |
59514 |
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Author |
Hagan, Holly; Des Jarlais, Don C. |
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Title |
HIV and HCV infection among injecting drug users |
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Journal Article |
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Year |
2000 |
Publication |
The Mount Sinai Journal of Medicine |
Abbreviated Journal |
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Volume |
67 |
Issue |
5+6; 10/2000 |
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423-428 |
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Keywords |
intravenous injection; AOD abuse; HIV infection; hepatitis C virus; epidemiology |
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Abstract |
BACKGROUND: Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) are the two blood-borne pathogens most commonly transmitted among injection drug users via multi-person use of syringes and other injection equipment. However, important differences exist in the epidemiology of HIV and HCV within different populations of intravenous drug users. METHOD: A literature review was carried out to summarize publications describing the epidemiology and natural history of HIV and HCV in injection drug users. RESULTS: Among injection drug users worldwide, HIV prevalence varies from <5% to >80%, with annual HIV incidence between <1% and 50%. More consistency is shown in HCV prevalence (50–90%) and incidence (10–30% per year). Host, environmental and viral factors that favor rapid spread of HCV among IDUs suggest that HCV infection in a population of injection drug users may become endemic over a relatively short period of time. Lower transmission efficiency for HIV also indicates that its spread among injection drug users may be somewhat slower. CONCLUSIONS: Successful efforts to prevent transmission of blood-borne viruses among IDUs typically result in risk reduction; however, no intervention has resulted in elimination of risk behavior. To reduce HIV transmission, risk reduction may be sufficient, whereas control of HCV may necessitate the use of injection practices that guarantee elimination of exposure to equipment contaminated with even small amounts of blood. |
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50-aa |
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59504 |
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Author |
Ruoss, Brigitta |
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Title |
Transmodulationsblockade |
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Journal Article |
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2006 |
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Schweizerische Ärztezeitung |
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2006 |
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22; 05/2006 |
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972-973 |
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Keywords |
residential facility; inpatient care; AOD dependence; opioids in any form; kindling mechanism; detoxification center; voluntary treatment; chemical aversion therapy; hypnotherapy; Zobin, Michael; Moscow; Russia; letter to the editor |
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German |
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0036-7486 |
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50-o |
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59492 |
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Author |
Zobin, Michael |
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Title |
Nach der Kontroverse in der SÄZ und in Schweizer Medien : Stellungnahme des “Erfinders” der Transmodulationsblockade |
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Journal Article |
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Year |
2006 |
Publication |
Schweizerische Ärztezeitung |
Abbreviated Journal |
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31-32; 08/2006 |
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1367-1368 |
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Keywords |
residential facility; inpatient care; AOD dependence; opioids in any form; kindling mechanism; history; legal regulation; detoxification center; voluntary treatment; chemical aversion therapy; Zobin, Michael; Moscow; Russia |
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German |
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0036-7486 |
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50-p |
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59493 |
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Author |
Hämmig, Robert |
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Title |
Die “Transmodulationsblockade” oder “Zobin-Methode” : eine Replik auf den Artikel von R. Stohler und A. Moldovanyi |
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Journal Article |
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Year |
2006 |
Publication |
Schweizerische Ärztezeitung |
Abbreviated Journal |
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2006 |
Issue |
18; 05/2006 |
Pages |
788-790 |
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Keywords |
residential facility; inpatient care; AOD dependence; opioids in any form; kindling mechanism; history; legal regulation; detoxification center; voluntary treatment; chemical aversion therapy; Zobin, Michael; Moscow; Russia |
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German |
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0036-7486 |
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50-n |
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59491 |
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Author |
Stohler, Ruedi; Moldovanyi, Andreas |
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Title |
Fragwürdige Heilsversprechungen aus Moskau : die neue Wunderkur für Heroinabhängige – Dr. Zobins “Transmodulationsblockade” |
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Journal Article |
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Year |
2006 |
Publication |
Schweizerische Ärztezeitung |
Abbreviated Journal |
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2006 |
Issue |
14; 04/2006 |
Pages |
610-611 |
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Keywords |
residential facility; inpatient care; AOD dependence; opioids in any form; kindling mechanism; detoxification center; voluntary treatment; chemical aversion therapy; treatment outcome; Zobin, Michael; Moscow; Russia |
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German |
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0036-7486 |
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50-m |
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59490 |
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Author |
Swarner, Robert |
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Title |
Narcan : not a silver bullet |
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Journal Article |
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Year |
1999 |
Publication |
Harm Reduction Communication |
Abbreviated Journal |
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9 |
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6 |
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AOD overdose; overdose treatment; drug; naloxone |
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50-h |
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59485 |
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Author |
Mattick, Richard P.; Hall, Wayne |
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Title |
Are detoxification programmes effective? |
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Journal Article |
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Year |
1996 |
Publication |
The Lancet |
Abbreviated Journal |
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347 |
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97-100 |
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treatment and maintenance; detoxification; quality |
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0140-6736 |
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50-b |
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59479 |
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Author |
O'Brien, Charles P.; McLellan, Thomas |
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Title |
Myths about the treatment of addiction |
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Journal Article |
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Year |
1996 |
Publication |
The Lancet |
Abbreviated Journal |
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347 |
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237-240 |
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treatment and maintenance; addiction |
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0140-6736 |
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50-c |
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59480 |
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Author |
Nutt, David J. |
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Title |
Addiction : brain mechanisms and their treatment implications |
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Journal Article |
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Year |
1996 |
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The Lancet |
Abbreviated Journal |
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347 |
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31-36 |
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treatment and maintenance; brain function; addiction |
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0140-6736 |
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50-a |
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59478 |
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