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Since , Switzerland has experienced a flood of concentrated and cheap cocaine, part of which is sold as crack. People can be seen openly taking drugs in several cantons, with Geneva the hardest hit. This time cocaine is driving consumption. The white powder is flooding European cities and supplanting heroin. The cocaine-based product is smoked with a glass pipe and gives a powerful high. Although the drug has been consumed in Switzerland for years, its availability has exploded. The explosion in crack consumption is particularly high in Geneva, where it is sold ready for consumption by dealers of African origin coming from France. Crack users once bought cocaine in the street and bicarbonate of soda at Migros, before cooking the drug at home. The discounted crack has increased the pace of consumption. Every day, dozens of smokers gather around Quai 9, a secure centre for addicts in Geneva beside Cornavin station. Since then, the smoking room has been out of bounds to crack users, except for those who come to sleep in one of the 12 camp beds at Quai 9. This came as a shock, acknowledges Pascal Dupont, manager of Entracte, a daycare centre for drug addicts in Geneva. This epidemic is shaking the foundations of the support structures. Users stop eating, drinking and even sleeping. Their condition shocks people and they lose touch with their friends and acquaintances. He has seen some of his regulars cut their ties with the centre. Sometimes it takes a hospital visit before they start to think about getting off the drugs. Quai 9 will be expanded and have more staff. Users will have more night shelters to choose from. The idea is to offer addicts, some of whom receive no social welfare, places where they can have a break. Some of these people have no access to social welfare, such as users from France or the homeless in Geneva, who include those from a migration background. Elsewhere in Switzerland, crack is usually cooked by the user and sometimes a portion of it is sold on. Psychotropic drug users take more medicine there than elsewhere. The canton has already witnessed the early stages of the drug and has set up a dedicated working group in response. The popularity of crack in Switzerland may be partly due to precarious circumstances. Some of the people are already familiar with the drug or are on replacement medication and susceptible to relapse. What prospects have they got? In Geneva, the Quai 9 social workers bring bottles of water and food to the exhausted users taken in from the street. Emergency shelters offer respite and there are places that will take in crack users regardless of their condition, but the usual thresholds — minimum stay for example — are sometimes too high for these unstable people. The authorities in Zurich, Berne and Lausanne are also looking into the regulated sale of cocaine. This text was originally published in Swiss Review External link. Dear Swiss Abroad, what difficulties did you encounter when your foreign spouse applied for Swiss nationality? Tell us your experiences. Swiss food regulations do not allow raw milk to be sold for direct consumption. However, a loophole allows raw milk vending machines to do just that. Is Swiss neutrality misunderstood? Or has the Swiss model of neutrality now become obsolete? More: SWI swissinfo. You can find an overview of ongoing debates with our journalists here. Please join us! If you want to start a conversation about a topic raised in this article or want to report factual errors, email us at english swissinfo. SWI swissinfo. Swiss perspectives in 10 languages. Search Close. Menu Close. Search Search. About us. International Geneva. Foreign affairs. Swiss Politics. Multinational companies. Swiss Abroad. Switzerland: How To. Special reports. This content was published on March 21, - Other languages: 5. Popular Stories. More Swiss Abroad. Most Discussed. Next Previous More Debate. Hosted by: Emilie Ridard. Join the discussion. Sep 25, More Debate. Hosted by: Anand Chandrasekhar. Should raw milk sales be banned or should consumers decide? Oct 8, Hosted by: Giannis Mavris. What is the future of Swiss neutrality? Sep 13, More Debates. In compliance with the JTI standards. Follow us. Data Privacy Statement. Terms of Use. Rights to content and liability. Play SWI. External Content Your subscription could not be saved. Please try again. Almost finished We need to confirm your email address. To complete the subscription process, please click the link in the email we just sent you. Discover our weekly must-reads for free! Sign up to get our top stories straight into your mailbox. I consent to the use of my data for the SWI swissinfo. Subscribe See all newsletters. Manage my profile Log out Close. My Profile. Delete profile. Our data protection notice provides you additional information concerning data processing. More on our terms and conditions.

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Diacetylmorphine pharmaceutical heroin substitution treatment is intended for individuals with a severe heroin addiction. It is administered in specialist centres. It was first tested in Switzerland in as part of a cohort study. In the light of the positive results obtained, it was adopted as a therapeutic measure and included in the Narcotics Act in its revised version of In , some addicted persons received this treatment in 22 specialist outpatient centres and one penal institution. The FOPH is responsible for issuing licences for this treatment, for its monitoring and controlling, and for providing information pertaining to it. Further information on the various licences may be found on this page. The goals of diacetylmorphine-assisted treatment are similar to those of other substitution-based treatments:. Crime levels have been clearly reduced. Request to reduce the time limit for the dispensing of diacetylmorphine PDF, kB, Request for the exceptional dispensing of up to one month's supply of doses of diacetylmorphine PDF, kB, Notification of delegation within the framework of prescribed diacetylmorphine-assisted treatment PDF, kB, Article 3e, paragraph 3 of the Narcotics Act NarcA, Last modification Top of page. Print contact. Homepage Main navigation Content area Sitemap Search. Subnavigation Back Back Addiction counseling and therapy Substitution-assisted treatments in case of opioid dependence Diacetylmorphine-assisted heroin-assisted treatment selected. Contact information. Diacetylmorphine-assisted heroin-assisted treatment. Goals The goals of diacetylmorphine-assisted treatment are similar to those of other substitution-based treatments: to build a long-term therapeutic alliance to improve the physical and mental health of those affected and promote their social integration to facilitate low-risk use and create the conditions for permanent abstinence to distance those affected from the illegal drug scene and prevent crime associated with the supply of drugs. Diacetylmorphine-assisted treatment has been scientifically monitored and evaluated since The criteria for admission to diacetylmorphine-assisted treatment are as follows: minimum age 18 years severe heroin dependency for at least two years at least two unsuccessful treatment attempts unsatisfactory results or treatment discontinued physical, mental or social consequences of drug use. Heroin-assisted treatment in Switzerland: results of the surveys Results of , and please consult the German or French page. Legislation Diacetylmorphine-assisted treatment is strictly regulated. The legal basis is as follows:. Further information Licences for diacetylmorphine-assisted treatment Diacetylmorphine-assisted treatment is governed specifically by the Narcotics Act NarcA; RS

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