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Official websites use. Share sensitive information only on official, secure websites. A heroin substitute that is made in Britain and mainland Europe and used in harm reduction programmes has resulted in an epidemic of addiction elsewhere, with the former Soviet state of Georgia hardest hit. They buy up pills of the synthetic opiate buprenorphine that have been prescribed to registered users in other European countries and smuggled over the Georgian border. It now poses by far the country's biggest drug problem, says Zaza Berozashvili, a legal expert on the matter in Georgia. At the end of March he addressed the Tbilisi international conference on countering terrorism and drug trafficking, which largely focused on the movement of drugs from Afghanistan through the region to the West. With buprenorphine, though, the problem is moving in the opposite direction. We know that it goes through Ancona in Italy and Igomeniza in Greece. It is creating the kind of problems here which it is being used to solve in those countries. The drug, which looks like paracetamol, is often hidden in cars coming from Italian and Greek staging posts and then driven through Turkey and over the border into Georgia. Sniffer dogs cannot detect it, and Georgian border controls rarely have the equipment to find or identify it. Other countries identified as having a problem with the drug include Finland, the Czech Republic, and Pakistan, but none of them are as badly affected as Georgia. Once in Tbilisi each pill is divided into four or even six parts, making a dose—which addicts say lasts all day—cheaper than heroin. In a culture where strong familial control similar to that in southern Italy has loaded shame on those dealing in heroin, there is a certain cachet in taking a Western drug that is seen as safer, cleaner, and more modern. But it is at least as addictive as heroin, and strong psychological dependence initially masks the physical risks and the accompanying social and eventually wider economic consequences. Unlike in the West, where the pills are taken orally, the Georgians dissolve them in water and inject them intravenously, and it is feared that the already mounting but poorly documented death toll from buprenorphine overdose will at some point be overtaken by an HIV problem. Some of those observing the problem in Georgia want the government to legalise buprenorphine there, while others call for stricter prescribing practices throughout Europe, so that harm reduction policies do not cause chaos elsewhere. As a library, NLM provides access to scientific literature. Find articles by Hannah Cleaver. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel.

Georgian drug misusers switch to Western heroin substitute

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Official websites use. Share sensitive information only on official, secure websites. Kirtadze 1,2 , A. Beselia 2,3 , T. Mgebrishvili 2,3 , T. Gvasalia 4 , M. Chokheli 5 , D. Otiashvili 2. The majority of individuals who visit nightclubs and electronic dance music festivals NEDM events use psychoactive substances PS , often multiple substances, in this setting and are under the risk of serious negative health effects. To explore the patterns of PS use and related high-risk behavior in NEDM event visitors, knowledge about and source of information on PS related harms and risk reduction practices. Qualitative study - 3 focus group discussions and 19 in-depth interviews with 30 NEDM event visitors who reported PS use at nightlife events. Data were analyzed using Nvivo-v. PS use in nightlife settings occurred in a group of friends and was perceived as an essential part of having a good time out. Respondents had a very low level of knowledge about and perception of risks associated with PS consumption. Knowledge about risk minimization strategies was very low or non-existent. Respondents indicated that they would be willing to use a simple mobile application on PS related effects, risks and risk prevention approaches. The lack of perceived risks preconditions the lack of motivation to seek information on PS associated negative effects and possible risk reduction practices. Future research should focus on identifying strategies to raise the awareness of PS users in a nightlife setting and to encourage them employing health protection strategies. Using social network infrastructure friends can be thought as one of potentially beneficial approach. Research Topics. More Research Topics. Quick Links. About NIDA. Abstracts are archived here from prior International Forums. Abstracts were reviewed by NIH staff for appropriateness to present at the Forum but are not peer-reviewed. Irma Kirtadze I. Financial Support: Open Society Foundation. Back to Search.

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