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Following passage of the proposal, prosecutors will be in a position to order drug addicts to receive the treatment rather than go into rehabilitation. Methadone, which is listed as a Class 2 narcotic in Taiwan, will be an effective substitute to combat heroin addiction, Hsieh said. Hsieh dismissed concerns that the treatment would impose a financial burden on the government, saying that heroin addicts would be required to cover the costs of the treatment. Hsieh said that with its two-thirds majority in the legislature, the KMT caucus could easily have mobilized its legislators to ensure that all its bills went to committee review. In related developments, the legislature reached a cross-party agreement yesterday to suspend the plenary sessions scheduled for Friday and next week to allow legislative committees to hold additional meetings to review bills. The legislature failed to agree, however, on a proposal by the DPP to investigate the nationality status of all legislators and a similar proposal by the KMT to investigate all government officials. The Coast Guard Administration CGA is to make it compulsory for all fishing vessels with gross tonnage under 20 tonnes to install an automatic identification system AIS by next year to prevent Chinese speedboat incursions. All Taiwanese offshore fishing vessels with gross tonnage of 20 tonnes or higher have already installed an AIS, an automatic tracking system that uses transceivers on ships and is. Taipei earlier this year began offering the first 30 minutes of YouBike 2. For YouBike 2. Meanwhile, for e-bikes,. Home Taiwan News. Most Popular 1. You might also like. Front Page. About Us.

Methadone could soon be offered to kick heroin habit

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Should the Department of Health provide free needles to drug addicts? The question recalls the mids debate over selling condoms through campus vending machines--society can't help but wonder whether such programs would encourage drug addiction and promiscuity. In early , Tainan County deputy chief executive Yen Chun-tso responded to Taiwan's problems with out-of-control drug use and drug-related transmission of AIDS by boldly proposing a policy that has some history of use abroad. In so doing, Yen has led Taiwan into a new era in disease and drug-use prevention. Yen began his career as an internist and has continued to make use of his medical training since taking up government service. When Taiwan was hit by SARS in , he established Taiwan's first fever-screening station at the clinic he was then running. Yen has been just as courageous in the fight against AIDS, and his Tainan County harm-reduction program is certain to be a model for other counties and municipalities. Fang-hua is a pharmacist who has run her own pharmacy in a seaside village in Tainan County for nearly 20 years. She knows well the importance of trust between patient and practitioner. Sometimes, Fang-hua has the syringe out even before they ask for it. Her husband, who helps mind the pharmacy, nods his agreement. And, after they've built a little trust, 'We let them know that they can get free needles,' adds her husband. Free needles are central to the harm-reduction program. Those who come in to buy 'sharpies' can instead fill out an anonymous form and get a paper bag filled with equipment that an intravenous user of heroin must have--three syringes, a tourniquet, a diluting cup, condoms and a small health-education booklet. The DOH's original plan for the harm-reduction program had called for distributing ten single-use safety needles at a time. However, after consulting with individuals with experience using intravenous drugs, the department decided instead to provide three reusable needles at a time. And, because you can only use them once, safety needles are inconvenient. When you finish, you have to go buy more or exchange them. Between November and April , Fang-hua's very ordinary pharmacy distributed nearly of the paper bags, or almost syringes. She has been to Fang-hua's pharmacy for needles many times, and often chats a bit when she comes in. That's stuff we really want to know. Encouraging the return of needles has become a key issue. Harm-reduction programs in Hong Kong, Sydney, and elsewhere have demonstrated that they can positively impact both problems very quickly. Harm-reduction programs have three components: providing drug addicts with clean needles; providing health education to IDUs; and providing substitution treatment. All three are necessary for the programs to be effective, but health education is the only uncontroversial one. While providing clean needles is an important part of preventing the transmission of AIDS--it discourages IDUs from sharing needles and spreading the disease--many people view it as encouraging drug use. Since then, the number of persons infected with HIV in these four places has grown by an average of only 1. The four areas also ranked lower in terms of the number of AIDS infections. These results demonstrate that harm reduction is an effective means of slowing the spread of AIDS, and they have prompted the Executive Yuan to extend the approach to all of Taiwan beginning this July. Yen Chun-tso, a doctor of internal medicine, has made the leap to become a public health official at the county level, where he hopes to deal with the double threat of drug abuse and AIDS. The substance of the program is an offer of free needles to attract addicts, paired with health education and substitution treatment. The program thus integrates the twin goals of fighting drug addiction and preventing AIDS. Though it seems simple, Yen explains: 'Building trust with addicts or people infected with HIV takes time, especially given that these are groups that have rejected or maintain a distance from society. Tainan County's has been the most successful of the DOH pilot programs. As of April , it had distributed nearly 15, needles, and its infection rate had fallen from fourth highest in the nation in to ninth in Although the public still has some doubts, the harm-reduction program's successes to date have been sufficient to lead the DOH, which is very concerned about the rapid spread of AIDS in Taiwan, to extend it to the whole island. As we enter June, the new national program is slated to roll out in fewer than three weeks. Personnel from health bureaus around the nation have been visiting Tainan County's 60 clean-needle exchanges to gain a little experience, making Yen's life on the front lines of Taiwan's harm-reduction effort still more hectic. Yen only took up his position as deputy chief executive of Tainan County in early , and at that time had no idea he would be thrust to the forefront of Taiwan's drug- and AIDS-prevention efforts. In fact, his concern for the prevention efforts resulted from a phone call from his mentor, former Minister of Health Twu Shiing-jer. Then, one day, my old teacher Twu Shiing-jer gave me a call. That was really a shock to me. After examining the numbers, Yen realized that the majority of new infections had resulted from intravenous injections. To better understand how people use drugs, he talked to addicts in several of the county's jails and detention centers. There he learned that the government had stepped up its drug interdiction efforts in recent years, making pharmacies a focus of its monitoring. Consequently, many IDUs no longer dared to buy needles from pharmacies, and instead were sharing needles much more frequently. Having traced the increase in HIV infections to its source, how was he reconcile the medical question with the drug enforcement issue? How was anyone to balance two major threats to public health? Yen was disheartened. In early , he began to write newspaper editorials on the subject and started researching harm-reduction programs, which had been used abroad for a number of years. Hong Kong implemented a harm-reduction policy in As with the majority of Chinese communities, it had problems with widespread opium use in the past. Then, in the s, heroin became popular. The British colonial government spent years trying to interdict the drug, which only forced it further underground and worsened the public security problem. This ultimately led the British to implement a harm-reduction program. More than 30 years later, this program initially put into place to fight drug use has had an unexpected benefit--reducing the spread of HIV through shared needles. Perhaps owing to Lee's background in public health, the two men understood each other well. Shortly after they returned to Taiwan, then-premier Frank Hsieh called an inter-departmental conference that resolved to implement a pilot harm-reduction program and requested law-enforcement agencies to 'go easy' on needle buyers. Yen gave lectures, distributed flyers, and led county public health workers into jails in which drug offenders were concentrated in a series of efforts to spread information about the program, to show goodwill, and to establish channels for communication with addicts. By talking to them, we've been able to get our message to people we can't usually reach. And word-of-mouth took the information directly into places the flyers didn't reach. It wasn't until someone was brave enough to fill out the form, and nothing happened to them, that we dared go. The second-to-last question on the free-needles form the IDUs fill out asks: 'Have you ever considered quitting drugs? Of course, in Tainan County, the deputy chief executive oversaw the program himself. He talked to county law enforcement officials directly, and asked them not to interfere with people at pharmacies. That's the main reason addicts were willing to go get needles. Once the free needles had established contact with IDUs, the program was able to move on to the distribution of methadone, which is used in substitution treatments to end the addiction to heroin. Methadone, a green liquid taken once a day, is still a controlled narcotic in Taiwan. But addicts given a daily dose of the drug are able to work and function normally, their lives undisrupted by their addiction. Getting addicts off of drugs greatly improves public security. Healthcare professionals are with them there, and so far there have been no accidents. Even in Hong Kong, where methadone has been in use for many years, there are still occasional accidents. In April, there were reports of a child dying after consuming methadone that its parents had kept in the refrigerator. We need to see if using needle collection machines can raise this rate in the future. Other issues remain. Most of those who start taking methadone stay on it for life. In terms of both government finances and social equity, we can't give it out free to everyone. The national harm-reduction program is being launched amidst both support and doubts. But Yen thinks that doubts needn't be a bad thing--they lead to discussion. Not taking action quickly is certainly the wrong choice. Richard W. Hartzell, an American-born author who has spent nearly 50 years in Taiwan, wrote that century eggs might be the most representative Taiwanese food, because they utterly baffled the imaginations of foreign observers What kind of food carries on the dietary knowledge and wisdom of past generations while also being popular with contemporary gourmets and gourmands? In February of , badminton player Chou Tien-chen announced that in early he had been diagnosed with early-stage colon cancer. While the planet finds itself sweating under the blazing sun, a feeling of fraternity is spreading across the globe like wildfire. As the host of the first Olympic games since the end of the Covid pandemic, Paris is the cent Six national scenic areas selected for Green Destinations Top Stories. Seventy locations--local health bureaus, clinics, and pharmacies--have become the front line for contacting drug addicts in Tainan County's trial harm reduction program. The photo shows a pharmacist explaining the harm reduction plan to an addict who has come to buy needles. Tainan's experience The substance of the program is an offer of free needles to attract addicts, paired with health education and substitution treatment. Related Readings. The Taste of Time: All About Black Radishes What kind of food carries on the dietary knowledge and wisdom of past generations while also being popular with contemporary gourmets and gourmands? Trending Articles. Making a Racket on the Way to Success —Badminton Player Chou Tien-chen In February of , badminton player Chou Tien-chen announced that in early he had been diagnosed with early-stage colon cancer. Winning Together! Six national scenic areas selected for Green Destinations Top Stories This website uses cookies to help us provide you with an optimal user experience. By clicking 'I agree' or by continuing to access this website, you consent to our Cookie Policy. 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Research Article - Neuropsychiatry (2016) Volume 6, Issue 4

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Harm reduction policy in Taiwan: toward a comprehensive understanding of its making and effects

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