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The Lancet August 31, Behind the beautiful touristic sand beaches, sober recovery houses provide safe havens for the thousands of people dealing with heroin addiction in Zanzibar. Amy Yee reports from Stone Town. The sober house sits behind a wall on a dirt road lined with banana and palm trees. Chickens strut in the packed dirt front yard. About 20 men sit in a circle on plastic chairs inside the modest concrete building on the outskirts of Stone Town, Zanzibar Tanzania. Inspirational signs adorn the white walls. I want to smoke. How to overcome this feeling? This is one of eight sober houses in Zanzibar. This one, run by non-profit Zanzibar Youth Forum, has treated thousands of heroin addicts since This large island off the coast of Tanzania is synonymous with a tropical paradise. Zanzibar is also lax with punishing traffickers. Zanzibar is part of Tanzania, but it also has its own Government. However, the new drug control act in Zanzibar is yet to be implemented and could be hard to enforce. Meanwhile, as mainland Tanzania cracks down on drug trafficking, the trade is migrating south to neighboring Mozambique, and then to South Africa. From there, drugs are trafficked to South Africa. Trafficking via Zanzibar has historical roots. It was so important that the Sultan of Oman moved the capital of his country from Muscat to Zanzibar in the s. Heroin use is not a new affliction in Zanzibar, but it seems to have worsened in recent years. Now, traditional sail boats carry opiates from Afghanistan to Kenya and Tanzania. The heroin trade causes pain and suffering for addicts and their families and friends. Hamdani Abeid of Zanzibar Youth Forum works as a counsellor at this sober house. About 20 recovering men who are addicted to heroin live here for months at a time. They feel lonely, so they have to share to live without feeling any stress. They can be clean for up to a year, but then they are highly susceptible to using heroin again. Saad Saleh Misarak, aged 44 years, volunteers at the sober house. He leads group meetings and mediates between residents when quotidian disputes arise. Misarak is also a recovering heroin addict and former resident of this sober house. He has been clean for 1 year. In Zanzibar, where education can be rudimentary and literacy low, some people do not know about the dangers of heroin. Nassor Mkondo, aged 47 years, a former mechanic, started using heroin years ago in Signs in this sober house in Zanzibar list rules and a daily schedule for residents. Life eventually became unman-ageable and Mkondo lost his job. His breaking point came when he crashed a car while driving under the influence of the drug. Mbarak Hamadi Simai, aged 28 years, the son of a member of parliament in Zanzibar, first used heroin when he was aged 17 years. After he was caught robbing someone on the street, he checked into the sober house. Here, Simai has made friends and talks about his addiction. I can overcome stress. More prevention programmes would help stem heroin addiction and the need for arduous recovery. To reduce heroin use in Tanzania, WHO recommended socioeconomic development in rural areas, awareness campaigns for teenagers, and discouraging use of alcohol, tobacco, and cannabis, which is associated with using other drugs. WHO also suggests more cooperation between substance-related agencies and breaking down links between drugs and crime. This sober house uses the Narcotics Anonymous Step Working Guides, which were adapted from the Alcoholics Anonymous guidelines, to overcome alcohol addiction. The step programme used by treatment centres worldwide, as well as medication assisted therapy, helps addicts to wean themselves off heroin. A sign on the wall lists rules for living in the house. Residents can participate in sports, spiritual and stress-reduction sessions, gardening, and vocational training, such as breeding chickens. There is a daily session where they talk about their emotions. But funds and resources are inadequate in Zanzibar and the road to recovery is full of hurdles. Far more support is needed, especially for HIV counselling and testing and programmes preventing relapse, which is very common. He had relapsed several times before volunteering at the sober house. When he first starting smoking and snorting heroin in , he did not know about its dangers. We want to escape reality. That euphoria made him go to dangerous lengths to feed his heroin habit. Now the thought of his son, aged 10 years, helps firm his resolve to stay clean. I want to keep him safe. Like Loading Leave a comment Cancel reply. Comment Reblog Subscribe Subscribed. Amy Yee. Sign me up. Already have a WordPress. Log in now.

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Your subscription is almost coming to an end. Your premium access has ended, but the best of Nation. Africa is still within reach. Renew now to unlock exclusive stories and in-depth features. Subscribe for a month to get full access. When one speaks about Peshawar you always think of the famous basmati rice grown in the Peshawar province in north Pakistan. But this may not be the case in Zanzibar. For many people, especially the young ones, Peshawar is a place in the old Stone Town which is famous neither for the Bismati rice or well prepared biriani plate, but drugs which has over the past few years destroyed the lives of hundreds of people in towns and villages. But this particular refreshment is not a drink, but a tiny packet of illicit drugs which is being sold in that area. In fact, many people in Zanzibar know where to get heroine, cocaine and other illicit drugs easily and yet you hear stories that there is a programme to get hold of all those engaged in the trade and the practice. During the discussion, some of the members narrated in a very sad tone shocking stories of the situation in different parts of the islands and regretted that several Isles youths are now serving long term jail sentences and others sentenced to death after being caught dealing in drug trafficking. At present the lives of thousands of people in Zanzibar have been directly or indirectly been affected by drugs, the result of which more sober houses are now being opened after short intervals on both islands of Unguja and Pemba. On the other hand, the drug abuse has resulted with an increase of HIV prevalence among people who inject drugs while their family members suffer psychologically and physically. Overall, the lack of adequate response by the authorities and the public at large has led to great frustration among affected communities as drug related problems have continued to mount and have become a key national concern. Frankly speaking, most these houses can simply be described as assembly points for those affected by the drug abuse and do not have people who are competent enough to undertake this herculean task of reforming those affected. In most of these sober houses there is a lack of a stable, alcohol and drug-free living environment and this is a serious obstacle to sustained abstinence. We must not turn a blind eye to the fact that destructive living environments can derail recovery for even highly motivated individuals. Unless there are serious interventions Zanzibar may live to regret for not responding effectively to the challenges of drug trafficking and use in the islands. Time has come to embrace a different approach and adopt policies that are based on public health, community safety, human rights and development in a mre serious manner. Unfortunately, there has been too much talking on the seriousness of the drug problem rather than taking the rights steps to rectify this sad scenario which has led to an increase of crime rate and degrading morale, social and cultural values of the people in these Indian Ocean islands. It is high time that the authorities, the police, civil societies and health officials sit together and look for ways that could help Zanzibar get away with this dangerous trend , now moving at a fast pace, which threatens the present and future generations. We regret to inform our esteemed audiences that we shall be ceasing publication across all our online media platforms with immediate effect due to the Tanzania Communications Regulatory Authority Hello Your subscription is almost coming to an end. Africa Ready to continue your informative journey with us? Renew subscription Maybe later. Hello Your premium access has ended, but the best of Nation. Reclaim your full access. Click below to renew. Other famous drug shopping bazaars in the Zanzibar Municipality have peculiar names. An open letter to Instagram vendors in Tanzania. The promise of return: A love beyond time and distance. Of late we have heard announcements of an all-out war against drug trafficking and use. Public Notice We regret to inform our esteemed audiences that we shall be ceasing publication across all our online media platforms with immediate effect due to the Tanzania Communications Regulatory Authority

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