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Pourquoi les médecins devraient-ils s’inscrire à une maîtrise en santé publique à temps partiel ?

Buying MDMA pills Lusaka

Young people in the Chibolya slum in Lusaka start taking drugs out of desperation. In Zambia's capital, Lusaka, minutes away from the city's commercial hub, is Chibolya - the most feared slum in the city where even the police do not dare to tread. On the way into the slum, bumpy tracks give way to a dirt path, lined with houses covered in plastic. Outside one shack, four year-old boys share a joint as the smell of cannabis drifts through the township. Inside a small wooden house, the television is blaring. People are slumped over, many passed out. This is where addicted workers come to get their morning hit of cannabis, crack cocaine or heroin before work; and where those without a job spend their day. One of the men slumped outside the shack is year-old heroin addict, Simon Banda. Nationwide figures for dependency are impossible to know, but even the Drug Enforcement Commission DEC , a government body tasked with controlling national drug trafficking, is concerned there are growing numbers of addicts in Zambia. DEC spokesperson John Nyawali says: 'The commission is extremely worried about the increasing number of teenagers abusing narcotics such as cocaine and heroin. This is an indication that Zambia is no longer a transit nation but slowly drifting to a drug consumer nation. Scott Robertson, a clinical social worker based in Lusaka, is sure that the number of people using hard drugs like heroin and cocaine is increasing. Yes,' he says. What is more, rehabilitation facilities to cope with even existing drug problems are severely lacking. The DEC does run a rehabilitation programme. But with a staff of six, Sharpz has reached full capacity - and it is struggling to find funding. Mr Banda admits that he wants help. But there is no-one to go to,' he says, resignedly. The problem is not confined to the poverty-stricken compounds. From unemployment to depression, the reasons for taking mind-numbing drugs may be different, but addiction cuts through class and colour. Drugs are often transported through Africa en route to Europe. Charlie Allan, a year-old white Zambian farmer, has spent days with the addicts in Chibolya, watching television and smoking away the pain. A heroin addict for seven years, it was the death of family members that turned him to drugs. Mr Allan sold everything in his house: Fridge, satellite dish, cooker and furniture. Then he went to the doctor to ask for Subutex, a drug to ease heroin dependency. But no other help or advice was available. A witchdoctor did tell him about a root that could help but it was not in season. Even Mr Nyawali admits that the lack of rehabilitation facilities poses a serious problem. According to Father Baxter, the issue has to be addressed nationally. Sitting on the football pitch in Chibolya, Mr Banda explains the reason for smoking his first heroin laced joint of the day. You can't walk, you can't talk'. Unless Lusaka wakes up to its drug addiction, that hit is the only 'help' he will get. Georgina Smith is a freelance journalist based in Zambia. Some names in this article have been changed. BBC Africa podcasts. Focus on Africa magazine. By Georgina Smith. Welcome to the reality of drug abuse in Lusaka. Easing the pain. You can't walk, you can't talk' Unless Lusaka wakes up to its drug addiction, that hit is the only 'help' he will get. Around the BBC.

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