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In recent years the abuse of dependence-producing drugs seems to have spread among the younger generation in many countries throughout the world, bringing with it serious social problems. Twice since the end of , when the Second World War ended, Japan has had to face a critical situation caused by the mental and physical ill effects of dependence-producing drugs on her people. The abuse of stimulant drugs known as 'awakening' drugs in Japan arose in young people in and continued to , while drugs of the narcotic type, mainly heroin, were a serious problem from Nowadays in Japan, we rarely come across drug addicts even among delinquents. The abuse of stimulant drugs has also dropped sharply. Thus the nation's efforts against drug addiction have been successful, but Japan remains on its guard against the danger recurring. Before , there was hardly any drug addiction. There was some opium smoking amongst the Chinese, and there were some cases of cocaine sniffing, in all about cases of addiction. In the confusion caused by the Second World War, the population became an easy prey to the considerable quantities of drugs amphetamines and narcotics released on the market by ex-army personnel. This led to a great increase in the number of drug addicts, and most cases of narcotics offences occurred in the busiest streets and at military bases. The amphetamines abused were mainly phenyl-amino-propane and phenyl-methyl-amino-propane and of these, the latter became a major social problem. These drugs came on to the Japanese market about , for the treatment of mental diseases. During the war these drugs were used in order to increase efficiency in the services and in factories. We did not envisage that these would be the cause of a serious social problem after the war. The abuse of stimulant drugs began in a small way just after the war, amongst writers, entertainers etc. It then spread among the younger generation, and soon became a grave social evil, leading to crime and disorder; the number of addicts and of the cases of mental disorder due to drug abuse increased alarmingly. Measures to control the use of stimulant drugs have been in force since , when the abuse of these drugs first became apparent. They were designated as 'powerful drugs' and their control was incorporated in the Pharmaceutical Affairs Law. However, as the abuse of these drugs could not be entirely restricted by these measures, the manufacture of stimulant drugs in powder or tablet form was tightly controlled and only their manufacture in injection form was permitted. As injections, however, have a more immediate and lively effect, addicts used these mainly. As the vice of stimulant drug-taking became more rampant through the use of injections, the Government vetoed the manufacture of any such drugs in These control measures were quite inadequate to stem the tide of this fast spreading evil, so in the Diet established the Amphetamines Control Law. This law was prepared in accordance with the Narcotics Control Law, because stimulant drugs have the same effect of inducing dependence in spite of their medical usefulness. The objectives of the law are as follows:. To list the persons and enterprises such as manufacturers, research workers etc. To prohibit the possession of amphetamines which was not envisaged in the existing control system;. To issue transfer and receipt forms for amphetamines to be handed over to Metropolitan, Hokkaido and Prefectural Governors on delivery, to prevent diversion. With these measures we began to control the abuse of stimulants throughout Japan, after six years of disappointing results under the Pharmaceutical Affairs Law. The light punishment for violation of the drugs act did nothing to lessen the incidence of drug addiction or prevent the appearance of illicit manufacture; and as the abuse of stimulant drug-taking became even more serious and widespread, the Amphetamines Control Law was partly revised in to increase the penalties for violations. The Mental Health Law was amended to include treatment of addicts, as well as of the mentally-deranged. The new legislation was brought in to fight the ever-growing menace of stimulant drug-taking, but black markets were already established, and cases of illicit manufacture were occurring all over the country. We therefore had to institute measures to control intermediates and precursors for the manufacture of stimulant drugs. The control law was amended to this effect in , and in addition to the basic drugs the precursors for the manufacture of stimulants were also controlled. Penalties for offences were increased, with the following results:. Meanwhile public opinion against drug addiction and illicit trafficking hardened, and as from the arrest of illicit manufactures and traffickers was intensified. In the General Headquarters for the Promotion of Policy against Amphetamines was established and a nation-wide drive against these drugs was launched. Gradually surveys showed an improvement in the situation, justifying the methods used. To foster awareness of the need to improve economic and social conditions, as an indirect attack on the problem of drug abuse. This organization worked in co-operation with other bodies with an interest in the problem, and anti-drug centres were established in all prefectures. The organization aimed particulary at making social workers and teachers at all levels alive to youth. This campaign also covered prisons, factories, clubs etc. The following table shows the number of persons arrested for crimes directly or indirectly stemming from the use of stimulant drugs. Stimulant drug addicts were, at an estimate, over 1,, in number when these drugs were being most widely used; the majority of these addicts belonged to the younger age groups and were as mentally unbalanced as any mentally deranged person. For this reason it was decided in that they should be treated in mental hospitals in accordance with the Mental Hygiene Law. A series of practical measures were taken. We appointed certain persons to look after addicts, and gave them full responsibility for the medical care and welfare of their patients. A system was set up whereby any known addict was to be reported to the medical authorities, or to the Metropolitan, Hokkaido or Prefectural Governors. The public was also asked to report an addict to the police, public procurator, or to chiefs of correctional institutions. Addicts were hospitalized in mental hospitals if beds were available. The Metropolitan, Hokkaido and Prefectural Governors were authorized to commit to hospital any addict considered dangerous to himself or others. In the case of lack of accommodation in the hospitals addicts were confined to their homes, or to any other suitable establishment. With the permission of the appropriate authorities officials and persons related to the patient would visit their homes to help and advise them. Since the establishment of this system, the treatment of addicts in mental hospitals was expanded, but it was found that there was a shortage of beds. We therefore obtained a larger allocation from the national budget, and the number of beds was increased as follows:. As the figures indicate, the number of persons needing treatment declined steadily and today applications are negligible. A survey of approximately 11, stimulant drug addicts were carried out by the Anti-Stimulant Drug Headquarters with the following results:. After the war, arrests for drug abuse numbered 1, cases a year. In the succeeding years the number of addicts increased, particularly in the poorer quarters of the large cities and around the military bases. Organizations for illicit drug trafficking also became active. At the same time that measures to control stimulant drug-taking were becoming effective, leading to a decrease in the number of users, there was a marked increase in the incidence of narcotic drug-taking, especially heroin. As a result, the Japanese people had to contend with the now more widely used narcotic drugs, rather than the stimulant, and after the war heroin was prohibited even for medicinal use. It was a difficult and very serious problem aggravated by smuggling. Heroin and morphine brought into Japan from South East Asia, were obtainable by addicts through gangs Of international smugglers who made enormous profits out of their sale. About 15 years after the war narcotics crime increased to about 2, cases a year. Another 2, addicts were discovered and it was found that this evil was spreading into all sections of society. A drive to stem this trend was undertaken by the Press, radio, television etc. In Yokohama, in July , as the supplies of drugs were stopped, addicts suffering from abstinence syndromes prowled the streets, seeking peddlers, and. The Government was thus forced to take strong counter-measures. This resulted in. To intensify the guidance and supervision of narcotics officials, to strengthen the administration of narcotics, and to prevent illegal use. Unlike stimulant-drugs, narcotics have been controlled for many years. It is said that the opium poppy was introduced to Japan from India about years ago, and cultivation was started later. We have no records of opium smoking in those days, but we know that the succeeding governments strictly controlled opium. In the death penalty was introduced for opium peddling and, in , cultivation and possession of opium was prohibited, bearing in mind the Opium War in China Qing-Country in After the Meiji Restoration of , we continued to control opium and our country participated in the International Opium Convention, signed at The Hague in and in the International opium Convention signed at Geneva in the Government promulgated the Narcotics Control Regulations. In the light of these treaties the Conventions and regulations played the main role in the control of narcotics until The occupation authorities issued several orders relating to narcotics. In , based on these orders, the Narcotics Control Regulations were revised. In , the Cannabis Control Regulations were also applied, according to the orders on cannabis issued by the occupation authorities, and the Cannabis Control Law was put into effect in At that time 1, to 1, narcotics offences occurred each year. Narcotics control officers were appointed in Police Officers, customs and maritime police officers cooperated in fighting the narcotics evil. The narcotics control officers, with their expert knowledge, came under the Ministry of Health and Welfare. They were divided into 8 sections 8 district narcotics control officers, and 3 branch officers throughout the country. The Director of the Pharmaceutical and Supply Bureau had charge of the co-ordination of the enforcement agencies. He took action as necessary, as the control authority set up by the Convention of for the Suppression of the Illicit Traffic in Dangerous Drugs. The Narcotics Control Law was later amended several times. Despite this, narcotics crimes and the number of addicts increased and became worse year by year, as indicated in the following table:. In , syndicates of illegal dealers in narcotics were most active and the number of heroin cases again showed an alarming increase. In , in order to check this serious state of affairs the Government amended the Narcotics Control Law. Its main provisions were:. Before the amendment, addicts were treated in mental hospitals according to the Mental Health Law. Under the new Law, those addicts who were dangerous to themselves or to others were to be hospitalized. In fact only a few patients were treated under this Law; therefore the hospitalization scheme was incorporated into the Narcotics Control Law, and a group of counsellors for the rehabilitation of addicts was appointed and placed in the nine districts which had the highest incidence of addiction. In the number of narcotics control officers and the budget for narcotics control investigation were greatly increased, and the number of arrests was the highest on record. The groups of gangsters engaged in smuggling were sought out and broken up and consequently the number of cases, especially of heroin addiction, dropped sharply:. Heroin addiction had by then almost disappeared but a strict watch was still kept on smuggling activities, especially in seaports and other ports. It is estimated that in , at the peak of the drug addiction crime period there were about 40, drug addicts and about 60, habitual users of drugs which were not dependence-producing. About 1, addicts per year were hospitalized before , and a greater number of potential addicts were given addiction treatment. Patients were kept in hospital for 30 to 40 days and were discharged as soon as the physical and mental crises were over and the pains of abstinence had disappeared. In , the Narcotics Control Law was amended and compulsory hospitalization was established. About mental hospitals throughout Japan were designated as addict treatment centres under the Ministry of Health and Welfare Ordinance. However, because of the specific treatment necessary for addict patients, it was found necessary to establish mental institutions specializing in this treatment, and nine of these institutions, with a total of beds, were organized to provide such facilities. In consequence of tighter control, the number of addicts treated recently in hospital amounts to about per year. Heroin addiction seems to have decreased remarkably. The treatment period in hospital has been increased to days, in the hope of obtaining a complete cure. Following the introduction of the report system in the Narcotics Control Law amendment, the number of addicts has only been about persons a year since Under the report system about 10, ex-addicts were registered by the Ministry of Health and Welfare and in our opinion a great number of addicts were rehabilitated, so that the present number of addicts is very small. We would like to mention here the contribution of the counsellors for narcotic addicts. The counsellor system was started in , when the Narcotics Control Law was amended. They are appointed by the Metropolitan, Hokkaido and Prefectural Governors and are chosen for their integrity and dedication to this service. As long ago as certain citizens living in the delinquent quarters of the towns rebelled against drug-taking and all its evils and tried to eradicate it. They tried to enlighten, guide and assist addicts and obtained good results. Now there are counsellors in the delinquent areas. The survey of narcotics addicts under the Japan-U. Since the Japan-U. Kennedy, in , joint research work has been fostered in the fields of science, culture and economy. The joint research problem of abuse of narcotics and other drugs has also been undertaken in the medical field since April There are two groups: the medical and the pharmacological. The former group has dealt with the theme of the socio-psycho-medical survey of drug abuse. In a Japanese clinical group made a detailed investigation and statistical study of the living conditions of a group of 1, narcotics addicts, and ex-addicts known to the Ministry of Health and Welfare. As already mentioned, after the amendment of the Narcotics Control Law of , there was a marked improvement in the narcotics situation. This was borne out in the following analysis of the group. The following figures illustrate how the amendment of the Narcotics Control Law in influenced the situation with regard to narcotics abuse. Most of the heroin addicts were found among the younger generation having become addicted in the last years. As regards the post-amendment situation, the year-old group had the maximum number of addicts 99 persons These figures show that while heroin addicts among the younger generation decreased, medicinal narcotics addicts increased. The relapse rate in Japan is very low, being As to the motives for withdrawal, such measures as compulsory hospitalization and fear of penal servitude acted as a deterrent and we had From these figures it can be seen that hospitalization and treatment under the Narcotics Control Law is extremely effective in the treatment of addiction. However, there are still medicinal drug addicts and persons engaged in illicit medical practices to be found and we are determined to master this problem. Cannabis is controlled by the Cannabis Control Law of Cases of cannabis crime in Japan are generally of foreign origin and the situation is being closely watched. There has been an increase in cannabis offences lately and in the number of arrests of foreign sailors and soldiers on leave from the Vietnamese war fronts who import cannabis into Japan. Cases of abuse of sleeping drugs and tranquillizers have been observed amongst juvenile delinquents. Under the Pharmaceutical Affairs Law, the Minister for Health and Welfare has designated sleeping drugs as habit-forming drugs, and has prohibited the sale of these drugs to minors. Tranquillizers have been designated as 'potent drugs' and a doctor's prescription has been made compulsory for their purchase. This has reduced sales. We cannot find any abuse of LSD but in view of the unfortunate results of its use in some European countries and in the United States of America a strict watch is being kept. In conclusion, we think we can state that the drugs problem is under control thanks to the strong line taken to eradicate addiction, loyally supported by public opinion, good treatment arrangements in rehabilitation centres and a great improvement in the standard of living of the Japanese people. Those suffering from this condition take from to microgrammes per day, frequently and regularly. In the opinion of Dr. Burgess University of California , this group of users is untreatable because they are so subjectively convinced that theirs is a better way of living. Journal of Amer. Hlth ,Ass. United Nations. Office on Drugs and Crime. Site Search. Topics Crime prevention and criminal justice. Introduction II. Narcotics, especially heroin, In percentages Subjects who used narcotics most frequently, and type of narcotics used V. Other drugs VI. Introduction In recent years the abuse of dependence-producing drugs seems to have spread among the younger generation in many countries throughout the world, bringing with it serious social problems. The history of dependence-producing drugs in Japan can be divided into four phases: First period:. United Nations Office on Drugs and Crime.
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Buying Heroin Japan
A review of drug abuse and counter measures in Japan since World War II
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