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In the s, some 5, addicts roamed the streets of the hilly neighborhood, searching for their daily fix as dirty syringes piled up in the gutters. Back then, Portugal was in the grip of heroin addiction. As the government prepared to demolish Casal Ventoso in , he was working with the addicts living in the neighborhood. Some lost their arms or legs due to overusing. Nothing was working. On the other side of the Atlantic, the U. But in , Portugal took a radical step. It became the first country in the world to decriminalize the consumption of all drugs. Seventeen years on, the U. In alone, an estimated 64, Americans died from opioid overdoses—more than the combined death tolls for Americans in the Vietnam, Afghanistan, and Iraq Wars. In Portugal, meanwhile, the drug-induced death rate has plummeted to five times lower than the E. Its rate of HIV infection has dropped from Drug use has declined overall among the to year-old population , those most at risk of initiating drug use. But at the same time, he says, there are lessons to be learned from the approach of treating drug addiction as a medical issue rather than a criminal problem. For starters, its crisis escalated extraordinarily quickly. After four decades of authoritarian rule , during which it was impossible to even buy a Coca Cola, Portugal opened to the world in , perhaps embracing freedom and new markets a little too enthusiastically. Soldiers returned to Portugal from ex-colonies with a variety of drugs, just as borders opened up for travel and trade. So many years of isolation had left the country poorly equipped to tackle the influx of drugs, and it lacked adequate knowledge about the social and health risks of different drugs. The culture of liberation soon spiraled into a crisis. Since , the Crescer outreach team has walked the same route on an abandoned construction project in a Lisbon suburb. They provide heroin and cocaine addicts with what they need for safer consumption: clean needles, tinfoil and psychological support. Each year, they help about 1, users. If they want to, in their own time, we can help them stop using. Under the law, drug dealers still go to prison. But anyone caught with less than a day supply of any drug—including marijuana and heroin—is typically sent to a local commission , consisting of a doctor, lawyer and social worker, where they learn about treatment and available medical services. What matters is whether the relationship to drugs is healthy or not. Such facilities have been running in Europe since , when the first was opened in Berne, Switzerland. Evidence shows these sites can save lives , reduce public disorder associated with drugs, and lead to a drop in the behaviors linked to HIV and Hepatitis C transmission. But in the U. Legal uncertainty is part of the problem: the federal government is opposed to the opening of such facilities, and state and local lawmakers have clashed over them. Some communities have also raised concerns about the impact on their neighborhoods. According to NPR , although efforts are underway in at least 13 cities and states, all official supervised injection sites remain pending. In Portugal, too, progress has been slow—although three supervised consumption rooms will finally open in Lisbon at the start of But by eliminating the threat of criminal penalties—and along with it, a great deal of stigma—it has become easier for people to seek treatment. Yet despite some politicians pushing for a return to a more American-style war on drugs, the policies have endured—in part because the broader public supports decriminalization and a health-centered approach. While there is still a debate about the policy and how easily it could apply to other countries, it is clear that on the ground in Portugal, healthcare workers feel better equipped to help addicts. Although Fonseca says centers still lack adequate funding, two state-sponsored outreach teams—made up of psychologists, social workers and nurses—continue to travel each day to find addicts and get them the treatment they need. Portugal still has a way to go, with some people continuing to use drugs in terrible conditions. But to do so, it will have to stop treating them like criminals. Follow him on Instagram goncalo. Follow him on Twitter paulmoakley. Write to Naina Bajekal at naina. Portugal Might Have the Answer. At the height of the heroin crisis in the 90's as many as 5, drug users lived on the streets of the Casal Ventoso neighborhood shown here, January 12, Portugal made history by becoming the first country in the world to abolish criminal penalties for consumption and possession of all drugs. She and Rita, a psychologist, are a part of the first line of help in the Portuguese Harm Reduction Policy. They trade used needles for clean ones, offer tinfoil for those who smoke, and psychological and social support to almost 1, users every year. A site near Bairro da Cruz, Lisbon February 6, The kit the outreach workers give out consists of two syringes and drug paraphernalia, a condom, citric acid, distilled water and sanitation wipes. But we do not advocate consumption. We try to talk to them, help them improve their lives. The outreach team on their daily route, which include these abandoned swimming pools near Casal Ventoso, Lisbon, February 3, It is operated by the Ares do Pinhal Association, and has existed since the Casal Ventoso neighborhood was demolished. The two vans administer methadone maintenance therapy to more than 1, people every day. Opioid users who receive this treatment on the street are healthier and safer than those who do not. Paulo Lopes, the president of this NGO. Carlos right , steps into the swimming pool, which is being renovated, while other patients at Ares do Pinhal Therapeutic Community look on, March 30, TIME Ideas hosts the world's leading voices, providing commentary on events in news, society, and culture. We welcome outside contributions. Opinions expressed do not necessarily reflect the views of TIME editors.
Want to Win the War on Drugs? Portugal Might Have the Answer
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In the '90s, Portugal had one of the worst rates of overdose deaths in Europe, as well as the highest rate of HIV among drug users. In response to this public health emergency, Portugal's government set up a group of experts to come up with a nationwide strategy. The committee proposed a raft of radical measures including the decriminalisation of all drugs for personal use. The US Presidential elections did not always depend on just these seven states. The underwater robot can operate in rough waters and conduct mapping in poor visibility. We find out how AI blurs the line between creation and automation, raising questions about the essence of art. The actress talks about doing ballet as a child, and why she eventually had to give it up. Father penguins have developed a solution to help distinguish their child from identical chicks in the colony. The British currency fell greater than expected and came up against a very strong dollar. Why legendary crime photographer Weegee offers a crucial lens to understand the American psyche. Vietnamese-American journalist W Lee Adams visits Vietnam, home to some of the world's rarest plants and animals. Market Strategist Matt Orton says he is optimistic about corporate earnings expected this week. Find out how Sweden, one of the world's biggest truck manufacturers, is trying to make the switch to electric. The actor says he did not really register him because his attention was elsewhere. The chair of the EV committee at Morningstar says it's less about the technology than the timing. The space agency hopes its X with a new design will overcome the national ban on supersonic flights over land. The World Trade Organisation's chief economist says Europe is the current weak spot in global trade. The US has issued a solar storm watch. So what damage could these explosions wreak on our vulnerable planet? With each inhalation and exhalation we have the ability to change the way we think and feel. Skip to content. US Election. Explore More. Why is ADHD so surrounded by myth? The truth about the most physically active generation. Is Gen Z the healthiest generation? Does alcohol affect male fertility? Is it possible to 'hack' your own immune system? Can science reverse the ageing process? How one woman's 'immortal' cells changed the world. How to keep recharged and avoid emotional burnout. Why a Dutch wellness trend is taking the world by storm. How did coronavirus start and spread? Why you're washing your hands wrong. What are viruses? And how do they spread? The radioactive 'capital' of the world. Japan's forest of healing. Why drinking too much water could be life-threatening. What happens when you age? Why are people in the USA living shorter lives? How to detox our food systems. Mongolia's fascinating Soviet history. A legend of contemporary art talks about his latest show. The history of swing states in the US. Watch an autonomous underwater robot in action. AI v The Mind: Meet the world's first artist robot. Father penguin uses unique call to distinguish chick. Channing Tatum and Naomi Ackie face unpopular opinions. Pound falls as UK inflation declines - 16 Oct Striking images capturing the 'dark underbelly of America'. Saving Vietnam's endangered langur monkeys. Expert says good US corporate earnings likely - 14 Oct Experience artist Es Devlin's powerful new work. Sweden's heavy goods trucks are going electric. Hugh Grant on Donald Trump's cameo in one of his films. Tesla stock sell-off after robotaxi launch - 11 Oct Nasa hopes to find a future for supersonic flight. Global trade up despite growing conflicts — 10 Oct The threat of solar storms explained. How to reset your brain with your breath.
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