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The managers at Caucedo Multimodal are proud of their international connections. Running the biggest port in the Dominican Republic, located just east of the capital, Santo Domingo, is busy work. Read the full investigation here. Transnational entrepreneurs have taken note of this promise. As have transnational drug traffickers. This year has marked a serious uptick in cocaine seizures. Just over 7. In the largest haul that month, just under 1. This was not business as usual. Caucedo is by far the single biggest point of cocaine confiscation in the Dominican Republic. Furthermore, shipments seized out at sea or on uninhabited beaches where cocaine is brought ashore are usually on their way to Caucedo, to be temporarily stashed or to be moved on again in another container ship. Colombia and Venezuela are only about a thousand miles 1, kilometers away. The crews, so-called transportistas , are often a mix of Dominicans , Venezuelans , and Colombians. In some cases, authorities tipped off to arriving boats end up confronting traffickers in forested areas or communities close to shore, suggesting the traffickers are quick to move off the open beaches. The report details how authorities have traced the journey of specific drug packages through the Dominican Republic by tracking the distinctive stamps traffickers use to identify the multiple drug bundles within large shipments. In one case, authorities were able to connect two parts of a single shipment, separated after a partial seizure at sea, by matching the stamps at a later date. They realized that the unintercepted part of the shipment had been smuggled into the port on the very same day. The vast majority of cocaine moving through the Dominican Republic is bound for the growing European market , where DNCD intelligence helped various governments seize 6 tons of the drug last year. The container was in transit from Guatemala to Belgium, a fact that authorities said complicated their investigation. Trucks have recently been used to move cocaine within the port. One attempt to do so in March of this year ended in gunfire when anti-narcotics authorities surprised a group of Caucedo port employees and truckers in the process of moving cocaine from a container onto a truck. Realizing they had been caught, the criminals shot at authorities and fled to nearby woods. Later, traffickers reintroduce the cocaine to the port inside the modified containers with the help of complicit truck drivers. Caucedo port authorities admit that drugs get through and shipments are contaminated in spite of strong security measures. For example, criminals have made rapid advances in cloning the single-use, heavy-duty seals that secure containers before they embark on each leg of their journey. Cloning a seal requires that drug traffickers have access to shipping documents and then gain access to the containers themselves. These steps almost always require the assistance of a corrupt port employee. In January , five Caucedo employees were arrested after authorities found kilograms of cocaine hidden in the bottom of a container loaded with cacao destined for France. Experts who spoke to InSight Crime confirmed that Caucedo is highly vulnerable to staff corruption, amid other security challenges. How vulnerable are they? And while initiatives to raise public security force salaries are gaining momentum, low pay remains a glaring vulnerability. To win that renown, it must handle more containers more quickly. But like other global ports, Caucedo cannot afford to scan every container passing through its docks. Stopping containers is not seen as a good thing. In response, a spokesperson for Caucedo said the port has maintained high-security standards and has worked with authorities to prevent illegal activities, but declined to discuss specifics, citing security and reputational concerns. But like almost every other port in the world, authorities there are being outsmarted by the cunning of criminal networks. Subscribe to our newsletter to receive a weekly digest of the latest organized crime news and stay up-to-date on major events, trends, and criminal dynamics from across the region. Donate today to empower research and analysis about organized crime in Latin America and the Caribbean, from the ground up. Skip to content. Stay Informed With InSight Crime Subscribe to our newsletter to receive a weekly digest of the latest organized crime news and stay up-to-date on major events, trends, and criminal dynamics from across the region.

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The profile of the modern drug tourist is more heterogeneous, and legal restrictions on the purchase and personal use of recreational drugs may limit the extent to which this travel motivation surfaces during the pre-travel health consultation. The unwary drug tourist may not be cognizant of the risks associated with such activity, which include detention and incarceration in a foreign country, often with very strict drug laws for which conviction may be associated with severe penalties; the need for emergency medical evacuation from remote areas; or being subject to the threat of local criminal organizations or corrupt law enforcement officials. Other health risks include the risk of exposure to blood—borne viruses such as HIV and hepatitis C, drug-induced psychosis, risky sexual practices and inadvertently contributing to local crime, poverty and social inequality among host communities. This article will explore the current status of drug tourism, also called narcotourism, with a focus on the profile of modern drug tourists, drug tourism destinations, health risks and prevention strategies. Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:. Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account. Choose this option to get remote access when outside your institution. Enter your library card number to sign in. If you cannot sign in, please contact your librarian. Many societies offer single sign-on between the society website and Oxford Academic. 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Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Advertisement intended for healthcare professionals. Sign in through your institution. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents Funding. Journal Article. The highs and lows of drug tourism: a travel medicine perspective. Oxford Academic. Google Scholar. Karl K Maxemous. Ramez E Nossier. Yen-Giang Bui, MD. Revision received:. Select Format Select format. Permissions Icon Permissions. Issue Section:. You do not currently have access to this article. Download all slides. Sign in Get help with access. International Society of Travel Medicine members Sign in through society site. Institutional access Sign in through your institution Sign in through your institution. 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Leveraging community advisory boards within travel medicine to help reduce malaria incidence in refugees, immigrants and migrants visiting friends and relatives abroad: reflections from the Minnesota Malaria Community Advisory Board on patient-provider interactions. Methaemoglobin as a surrogate marker of primaquine antihypnozoite activity in Plasmodium vivax malaria: A systematic review and individual patient data meta-analysis. A mobile telehealth program for behavioral treatment of urinary incontinence in women Veterans: Qualitative evaluation of MyHealth e Bladder. Citing articles via Web of Science Latest Most Read Most Cited Characteristics of aircrew who flew while infectious with mpox during the multi-country mpox outbreak, United States, may 10—September 30, Characterising global risk profiles of Mpox clade Ib importation. Disseminated histoplasmosis in a Congolese migrant under long term steroid hormone replacement therapy. 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