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Activities by an organized crime group involving the illegal entry, transit or residence of migrants for a financial or material benefit. The production, transport, storage and sale of goods that are fraudulently mislabeled or fraudulent imitations of registered brands. The illicit transport, handling and sale of excise consumer goods despite a ban or outside a legal market. Excludes oil and counterfeits. The illicit trade and possession of species covered by CITES convention, and other species protected under national law. The poaching, illicit trade in and possession of species covered by CITES and other species protected by national law. Includes IUU fishing. The illicit extraction, smuggling, mingling, bunkering or mining of natural resources and the illicit trade of such commodities. The production, distribution and sale of heroin. Consumption of the drug is considered in determining the reach of the criminal market. The production, distribution and sale of cocaine and its derivatives. Consumption is considered in determining the reach of the market. The illicit cultivation, distribution and sale of cannabis oil, resin, herb or leaves. Consumption is used to determine the market's reach. The production, distribution and sale of synthetic drugs. Organized crime that results in a monetary loss via financial fraud, embezzlement, misuse of funds, tax evasion and abusive tax avoidance. Clearly defined organized crime groups that usually have a known name, defined leadership, territorial control and identifiable membership. Loose networks of criminal associates engaging in criminal activities who fail to meet the defining characteristics of mafia-style groups. Includes foreign nationals and diaspora groups. The State's role in responding to organized crime and its effectiveness. The degree to which states have put oversight mechanisms in place to ensure against state collusion in illicit activities. A country's supranational structures and processes of interaction, policy making and concrete implementation to respond to organized crime. The degree to which states are able to control their physical and cyber territory and infrastructure against organized criminal activities. Assistance provided to victims of various forms of organized crime, including initiatives such as witness protection programs. Refers to the existence of strategies, measures, resource allocation, programmes and processes that are aimed to inhibit organized crime. A human trafficking market is thought to exist within Liechtenstein, but the market is small and not consolidated. There is some evidence of local demand for trafficking victims to be exploited within sectors such as nightclubs, but it is primarily a transnational crime carried out by foreign actors and is a minimal problem within the country. Due to an effective state strategy against trafficking and smuggling, there is no evidence to suggest a market for human smuggling in Liechtenstein. Its size and location are a natural barrier to criminal activity and migration predominantly occurs through legal channels. Extortion and protection racketeering are not a major issue, although cases are reported sporadically. The market for illicit arms is small to non-existent compared to markets in neighbouring countries, and Liechtenstein has regulations to control the import, export and transit of arms. However, there is some evidence of very small-scale smuggling of firearms and ammunition. Local involvement in the arms trade is unlikely, regardless of demand, and foreign actors are assumed to be involved in the market as part of larger transnational crimes. There is no information to support the presence of counterfeit goods nor of illicit trade in excise goods in Liechtenstein. There is no evidence of an established illicit flora market in Liechtenstein, with only anecdotal cases being reported and the impact of this market continues to be insignificant in the country. But these have been minimal and were carried out by individuals rather than criminal organizations. As Liechtenstein has very few natural resources, non-renewable resource crime is not an issue. There is no well-established criminal market for heroin in Liechtenstein. It is not commonly consumed locally, nor traded internationally. While there is no organized market for cocaine, local demand is rising, especially among the youth, particularly foreign students, and online purchases are becoming more commonplace. Cannabis is the most consumed drug in Liechtenstein and its popularity is highest among youths. Most cannabis convictions are for personal consumption and only a few cases involve trafficking. Online cannabis purchases are becoming the most common way to purchase the drug and the market is fuelled by domestic demand. There has been an increase in cannabis consumption in recent years, which is reported to be caused, at least in part, by the COVID pandemic. The market for synthetic drugs is also not well-established and their use is not widespread in Liechtenstein, while the perceived availability of these drugs is similar to European averages. These attacks mostly include ransomware, trojan horses and other forms of malware. Liechtenstein has a history of facilitating tax evasion, although efforts have been made in this area in recent years. Insofar as organized criminal actors exist in the microstate, they are usually foreign criminals. Private sector actors are also known to be involved in certain criminal activities, especially in tax evasion. Moreover, local Liechtenstein law firms are also suspected to be involved in these schemes. Nevertheless, violence levels have reached a record low in recent years, and there is no evidence of mafia-style groups or criminal networks operating in Liechtenstein. Likewise, there is no concrete evidence to suggest that state-embedded actors facilitate or engage in crime. The democratic process is free from any external and criminal influence. Although organized crime is not a significant issue in Liechtenstein, the government has taken a strong stance against it, given that its geographic location in the heart of Europe and its reputation as a tax haven could make it attractive to foreign criminal actors. Liechtenstein is largely free of corruption at all levels of the state. The government publishes budgets, procurement contracts and other relevant information. The country has many preventative and educational measures in place to combat corruption, which appear to be effective. The principality has made enormous strides in terms of transparency and genuine banking reform, such as reducing banking secrecy. Liechtenstein actively participates in international cooperation efforts with the UN and Europol against organized crime and is committed to furthering international justice and law. It is involved in intelligence sharing treaties and extradition agreements, and participates internationally in efforts to prevent crime. The country not only has laws in place to prosecute organized crime but also to prevent membership of criminal networks. However, in many respects, the country has been pressured into greater international cooperation. National legislation to combat organized crime is appropriately focused on money laundering, given that it is a country that attracts legal and illegal business from all over the world. Switzerland and Liechtenstein recently concluded a customs union treaty to form a common customs area. For this reason, a great number of Swiss laws are also applicable in Liechtenstein. It has only one prison, which is well equipped and meets international standards. However, due to the lack of capacity, individuals with sentences of more than two years carry out their terms in Austrian prisons. Law enforcement agencies actively cooperate with international intelligence-sharing mechanisms. Despite its potentially strategic position in Europe for criminal networks, Liechtenstein has robust territorial integrity. It cooperates well with Austria and Switzerland on border control and this makes its borders resilient. Apart from this temporary change, however, no relevant changes to territorial integrity in relation to transnational organized crime have occurred since As Liechtenstein is a leading offshore tax haven and has a reputation for tight bank secrecy laws, money laundering is a major concern for the government, which has made efforts to increase banking transparency. The country has a special analytics unit to detect money laundering, in addition to its participation in European anti-money laundering measures. The close relationships between these authorities mean that problems are managed effectively, although financial secrecy does have an impact on the exchange of information. Liechtenstein faced international pressure to improve its banking transparency in the past and has since enacted anti-money laundering measures focused on banks, investment firms and businesses such as casinos and insurance companies. The country recently passed a law targeting professionals subject to due diligence, obliging them to report any suspicious cases of corruption or money laundering to the financial intelligence unit. Moreover, Liechtenstein recently launched the Finance Against Slavery and Trafficking, a multi-stakeholder project aiming to undermine the capture and abuse of global financial flows by organized crime actors. It has also signed tax information exchange agreements with countries such as the US. That said, there are indications that Liechtenstein is still an important tax shelter and haven for the proceeds of illegal activities. Alongside its low tax rates, Liechtenstein is an easy place to establish new businesses and its economy attracts a lot of business and investment. The business environment offers opportunities for legitimate businesses to expand, as economic regulations are not restrictive. The government of Liechtenstein has put legislation and training mechanisms in place to provide effective treatment for victims of all types of crime, with a particular emphasis on sex-related crimes. The criminal procedural code enshrines victim and witness protection, and the government is very engaged in programmes to support drug users. Liechtenstein believes strongly in prevention and has many strategies in place to this end, including early education campaigns and drug-use prevention programmes. The government also created a working group to prevent corruption and the Protege working group, which educates and trains public officials and local authorities. Furthermore, any private person can report corruption directly to the anti-corruption police unit via a dedicated hotline. These measures are effective. As for the media environment, free speech is protected and there is no evidence of attacks on journalists by the state or criminal groups. However, the two main media groups are owned by the two leading political parties and the only TV and radio channels are state-owned. The criminal markets score is represented by the pyramid base size and the criminal actors score is represented by the pyramid height, on a scale ranging from 1 to The resilience score is represented by the panel height, which can be identified by the side of the panel. A series of 13 discussion papers, one for each illicit market considered during the development of the Index. We're constantly working to improve the Index. By participating in this survey, you will be providing us with insights and suggestions that will help us make the Index an even better resource. This report was funded in part by a grant from the United States Department of State. The opinions, findings and conclusions stated herein are those of the Global Initiative Against Transnational Organized Crime and do not necessarily reflect those of the United States Department of State. Capital Vaduz. Gross domestic product GDP No data. Income group High income. Population 39, Geography type Landlocked. Criminal markets 2. An assessment of the value, prevalence and non-monetary impacts of a specific crime type. Human trafficking 2. Human smuggling 1. Extortion and protection racketeering 2. Arms trafficking 2. Trade in counterfeit goods 1. Illicit trade in excisable goods 1. Flora crimes 1. Fauna crimes 1. Non-renewable resource crimes 1. Heroin trade 2. Cocaine trade 3. Cannabis trade 3. Synthetic drug trade 2. Cyber-dependent crimes 4. Financial crimes 6. Criminal actors 2. An assessment of the impact and influence of a specific criminal actor type on society. Mafia-style groups 1. Criminal networks 1. State-embedded actors 1. Foreign actors 3. Private sector actors 4. Political leadership and governance 9. Government transparency and accountability 8. International cooperation 7. National policies and laws 9. A state's legal action and structures put in place to respond to organized crime. Judicial system and detention 9. Law enforcement 8. Territorial integrity 9. Anti-money laundering 5. Economic regulatory capacity 8. Victim and witness support 9. Prevention 9. Non-state actors 8. Analysis Download full profile english. People A human trafficking market is thought to exist within Liechtenstein, but the market is small and not consolidated. Trade The market for illicit arms is small to non-existent compared to markets in neighbouring countries, and Liechtenstein has regulations to control the import, export and transit of arms. Environment There is no evidence of an established illicit flora market in Liechtenstein, with only anecdotal cases being reported and the impact of this market continues to be insignificant in the country. Drugs There is no well-established criminal market for heroin in Liechtenstein. Financial Crimes Liechtenstein has a history of facilitating tax evasion, although efforts have been made in this area in recent years. Criminal Actors Insofar as organized criminal actors exist in the microstate, they are usually foreign criminals. Leadership and governance Although organized crime is not a significant issue in Liechtenstein, the government has taken a strong stance against it, given that its geographic location in the heart of Europe and its reputation as a tax haven could make it attractive to foreign criminal actors. Economic and financial environment As Liechtenstein is a leading offshore tax haven and has a reputation for tight bank secrecy laws, money laundering is a major concern for the government, which has made efforts to increase banking transparency. Civil society and social protection The government of Liechtenstein has put legislation and training mechanisms in place to provide effective treatment for victims of all types of crime, with a particular emphasis on sex-related crimes. Read the analysis Listen the podcasts View all events. Next Skip. How to measure organized crime? Read more on globalinitiative. Give us feedback We're constantly working to improve the Index.

Illicit drug use

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Federal government websites often end in. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. NCBI Bookshelf. Heroin use during breastfeeding has not been systematically studied, but it has long been known that infants exposed via breastmilk can be affected and develop abstinence if breastmilk is discontinued. Heroin use by a nursing mother is generally considered to be a contraindication to breastfeeding. Mothers who discontinue heroin use and begin methadone, naltrexone or sublingual buprenorphine maintenance therapy should be encouraged to breastfeed with ongoing medical support. Heroin diamorphine by the intrathecal or epidural route is recommended for analgesia during cesarean section and for postoperative analgesia in the United Kingdom where a standardized pharmaceutical product is commercially available. Heroin diacetylmorphine is rapidly metabolized in the body to 6-monoacetylmorphine, which is about 6 times more potent than morphine; 6-monoacetylmorphine is further metabolized to morphine. All three drugs contribute to heroin's effects. Maternal Levels. The presence of morphine possibly indicated recent use of heroin. Infant Levels. A 2-month-old breastfed extent not stated infant whose mother admitted to using heroin two days prior was admitted to the hospital. The infant's stomach contents and blood were positive for opiates, but results were not quantified. A 1-month-old infant was brought to the emergency room with respiratory distress. Hair analysis of the parents and infant were all positive for morphine, codeine and the heroin metabolite 6-monoacetylmorphine as well as cocaine and its metabolite benzoylecgonine. The authors believed that the infant had been exposed to heroin and cocaine chronically via the placenta, breastmilk and inhalation of smoked heroin and cocaine. A paper from reported a breastfed newborn infant whose mother began using heroin as a snuff for abdominal pain. She continued to use the snuff and became dependent. Her breastfed extent not stated, but probably nearly exclusive infant slept excessively, but when awake would curl up with abdominal cramps and cry continuously until breastfed. When the mother was deprived of the drug, the infant would yawn, sneeze, sweat, cry and have cramps in addition to occasional diarrhea. The mother was arrested and the infant was examined by the prison physician. Upon examination, the infant was 'pale and flabby looking. The infant slept for most of the day then awoke with sweating and cramps. The infant was treated with camphorated tincture of opium paregoric and tincture of nux vomica containing strychnine three times daily. After 4 days of therapy, the infant reportedly appeared more cheerful and had no more cramps. A 2-month-old breastfed extent not stated infant presented to the hospital with irritability and a high-pitched cry. He developed hypertonia and opisthotonos and had an increased respiration and heart rate. Laboratory tests revealed a severe metabolic alkalosis. His mother admitted to using heroin 2 days prior to admission for the first time since delivery. The infant's stomach contents and blood were positive for opiates as was the breastmilk and urine of the mother. The infant developed bilateral pulmonary infiltrates and had two positive sweat tests, indicating cystic fibrosis. The authors attributed the infant's metabolic alkalosis to the profuse sweating from heroin withdrawal in the presence of undiagnosed cystic fibrosis. An 8-year-old girl was brought to a hospital in Iran by her aunt. The girl's mother had used heroin throughout pregnancy and lactation. She continued to breastfeed the child up to the time of admission to prevent heroin withdrawal. The girl had also not been enrolled in school to avoid signs of withdrawal in the child. Both mother and child were treated with buprenorphine for opiate dependence. Cyanosis, fixed and constricted pupils, muscular hypotony and respiratory failure were found on physical examination. Free and conjugated morphine and codeine were found in the infant's urine. Hair analysis of the infant was positive for morphine, codeine and 6-monoacetylmorphine as well as cocaine and its metabolite benzoylecgonine. The authors believed that the infant had been exposed to heroin and cocaine chronically via the placenta, breastmilk, and inhalation of smoked heroin and cocaine. Heroin and morphine can increase serum prolactin. One nursing mother was using heroin as a snuff and had an adequate milk supply. When she switched to using morphine by injection, her milk supply seemed to diminish and she needed to breastfeed more frequently. The amenorrhea-galactorrhea syndrome with 'copious galactorrhea' was reported in 3 heroin-dependent women in their early 20's. Serum prolactin was not measured, but all had hypoestrogenism and low gonadotropin levels. Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U. Attribution Statement: LactMed is a registered trademark of the U. Department of Health and Human Services. Turn recording back on. Help Accessibility Careers. Search term. Heroin Last Revision: June 15, Estimated reading time: 4 minutes. CASRN: Drug Levels and Effects Summary of Use during Lactation Heroin use during breastfeeding has not been systematically studied, but it has long been known that infants exposed via breastmilk can be affected and develop abstinence if breastmilk is discontinued. Drug Levels Heroin diacetylmorphine is rapidly metabolized in the body to 6-monoacetylmorphine, which is about 6 times more potent than morphine; 6-monoacetylmorphine is further metabolized to morphine. Effects in Breastfed Infants A paper from reported a breastfed newborn infant whose mother began using heroin as a snuff for abdominal pain. Effects on Lactation and Breastmilk Heroin and morphine can increase serum prolactin. References 1. Lichtenstein PM. Infant drug addicts. N Y Med J ; The effects of maternal narcotic addiction on the newborn. Am J Obstet Gynecol ; Breastfeeding: Neglect or excessive support? A case report of child abuse by a negligent heroin-dependent mother. Addict Health ; Academy of Breastfeeding Medicine Clinical Protocol Breastfeeding in the setting of substance use and substance use disorder Revised Breastfeed Med ; National Institute for Health and Clinical Excellence. Simultaneous analysis of frequently used licit and illicit psychoactive drugs in breast milk by liquid chromatography tandem mass spectrometry. J Pharm Biomed Anal ; Heroin withdrawal leads to metabolic alkalosis in an infant with cystic fibrosis. Eur J Pediatr ; Acute heroin intoxication in a baby chronically exposed to cocaine and heroin: A case report. J Med Case Rep ; Endocrine studies in heroin addicts. Psychoneuroendocrinology ; Prolactin and thyrotropin pituitary response to thyrotropin releasing hormone in young female heroin addicts. Drug Alcohol Depend ; Opiates, prolactin, and the dopamine receptor. J Clin Endocrinol Metab ; Galactorrhea-amenorrhea syndrome associated with heroin addiction. Substance Identification Substance Name Heroin. In this Page. Drug Levels and Effects Substance Identification. Bulk Download. LactMed Support Resources. Related information. Recent Activity. Clear Turn Off Turn On. Follow NCBI.

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