International

International — Drug Control Policies Around The World

How are SALOME and NAOMI trials related?

"The NAOMI study provided injectable HDM to a small group of participants. An unexpected finding was that many participants couldn’t tell the difference between the effects of diacetylmorphine and HDM.

"However, the small number of participants receiving HDM did not permit researchers to draw any definite and scientifically valid conclusions as to the efficacy of HDM as a treatment option.

"Therefore, the SALOME investigators designed a study to test this hypothesis.

What is the SALOME clinical trial?

"The Study to Assess Longer-term Opioid Medication Effectiveness (SALOME) is a clinical study that tests alternative treatments for people with chronic heroin addiction who are not benefiting sufficiently from available treatments such as oral methadone.

"SALOME compared two medications – diacetylmorphine, the active ingredient of heroin, and hydromorphone (HDM), a legal, licensed pain medication.

Heroin Assisted Treatment in Switzerland

"Based on its 1992 call for proposals, the Federal Office of Public Health authorized HAT trials in Zürich, Bern, Basel, and Geneva involving about 1,000 persons in the first instance (Bammer et al. 2003). Studies of HAT continued in Switzerland beyond the first trials. The full results of this work are beyond the scope of this paper, but what may be hundreds of peer-reviewed journal articles on the trials, as well as a book produced by FOPH (Rihs-Middel et al.

Swiss Harm Reduction Policy

Swiss Harm Reduction Policy: "The activities of the FOPH [Federal Office of Public Health] in the area of harm reduction up until now have proved to be effective and will be continued. Nevertheless, because of changes in the nature of the substances consumed, of the patterns of consumption and of the target groups, it is necessary to adapt the concept of harm reduction in order to take it on to a further stage.

Cost of Substance Abuse in Canada

Cost of Substance Abuse in Canada: "In 2006 a team of researchers published estimates of the social costs of substance abuse in Canada across several domains based on 2002 data (Rehm et al., 2006). Total costs of substance abuse for all substances (including tobacco) were estimated to be $39.8 billion in 2002, which translates into $1,267 per capita.

HIV and Injection Drug Use in Eastern Europe, Russia, and Central Asia

"By far the highest prevalence of HIV among PWID [People Who Inject Drugs] is in South-West Asia and in Eastern and South-Eastern Europe, with rates that are, respectively, 2.4 and 1.9 times the global average. Together, those two subregions account for 49 per cent of the total number of PWID worldwide living with HIV. Although the prevalence of HIV among PWID in East and South-East Asia is below the global average, 24 per cent of the global total of PWID living with HIV reside in that subregion.

Swiss National Drugs Policy and "Four Pillar Model"

Swiss National Drugs Policy and "Four Pillar Model": "The vision towards which the federal government is directing its efforts is a reduction in drug-related problems in Switzerland. This vision is to be implemented by achieving three goals:
"– reducing the consumption of drugs
"– reducing the negative consequences for drug users
"– reducing the negative consequences for society as a whole.

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