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Nine people detained in Lithuania on suspicion of distributing drugs to minors

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The Program was designed to ensure the implementation of the provisions contained in the recommendations and resolutions of the UN, the Council of Europe and the EU as well as in the respective legislation of the Republic of Lithuania. The aim of the program is to halt and reduce the spread of drug addiction, prevent illicit drug circulation and implement the national policy priorities within the field of drug prevention and drug control through consistent and comprehensive eradication of the causes and conditions for the rise and spread of drug addiction and through rational use of financial and human resources. The Government of the Republic of Lithuania was offered to manage the implementation of the State Drug Control and Drug Prevention Program for — subsequent to annual approval of the plan for program implementation measures. The Seimas of the Republic of Lithuania provided for the Government of the Republic of Lithuania to inform the Seimas on the program implementation process and results on an annual basis. The strategic goal of the Program is to stop and reduce the spread of drug addiction, set and implement the main national policy guidelines and action plans within the field of drug prevention and drug control and to increase the efficiency of drug prevention in Lithuania. The Seimas of the Republic of Lithuania set out the following 4 priority areas for drug control and drug prevention falling within the scope of the Program:. Healthcare, rehabilitation and social integration of users of narcotic and psychotropic substances;. The attended results of implementation of the Program include stabilised and reduced pace of spread of drug addiction, drug supply and demand; establishment of an efficient drug control and prevention system; facilitated conditions enabling selection and implementation of efficient measures aimed at reducing the economic and social harm caused by drug addiction; improved cooperation between institutions and enhanced coordination of efforts in all sectors; a safer social environment for all. The main goal of the Strategy is to reduce and stop the spread of drug addiction and thus ensure state and public safety. In the total of legal acts within the field of drug control and drug prevention were approved and published. The Drug Control Department under the Government of the Republic of Lithuania noted that the provisions of the legal acts were not completely feasible. The presentation contained an annual report on measures under the National Drug Control and Drug Prevention Program for implemented in and their funding. The Commission also acquainted itself with the information contained in note No 5- 4. Attention should be drawn to the fact that by way of replies to the submitted questions the Commission received links to the information contained on an Internet homepage. The Commission submitted additional questions to the Drug Control Department under the Government of the Republic of Lithuania by note No -S of 14 June On the annual presentation and the report and received the reply by note No S - 4. Regarding the substitution therapy in Lithuania, the Commission requested the Ministry of Health for information on the implementation of substitution therapy substitution and maintenance therapy in Lithuania in by document No -S- of 21 June On information. The Commission received a written reply a No 10 - According to the data provided by the State Mental Health Center, on 31 December Lithuanian healthcare institutions had a total of 68, registered patients with addiction diseases, including 5, patients addicted to narcotic and psychotropic substances. In , a total of 63, patients with alcohol addiction problems applied for help to the relevant healthcare institutions. The respective figures were 63, in and 61, including three persons aged under 18 in For example, 4. A single company has the permit authorising it to import methadone in Lithuania. Three companies have permits for importing buprenorphine SUBUTEX , but in fact only 2 of them do so and the remaining one continues to be holder of the permit. In , 5 Lithuanian companies had licences allowing them to engage in activities related to precursors of category 1, 19 companies had registration certificates enabling them to engage in business activities associated with precursors of categories 2 and 3. Due to the increasing numbers of pharmacies in the number of valid licences authorising for activities associated with narcotic and psychotropic substances in Lithuania increased as well. In late , the total figure of issued valid licences authorising pharmacy activities associated with narcotic and psychotropic medication was of 1,, including 29 licences issued to companies engaged in wholesale trade in medications, 3 licences issued to medication- producing companies and 1, licences issued to pharmacies and their subsidiaries subsidiaries, in total. The survey results showed that 8. The survey results also showed that men Cannabis is the most widespread drug in this country. As far as the young people 15 to 34 age group are concerned, 2. The results of the survey also indicate that various drug substances are fairly easy to procure. Cannabis is most easily available: Drugs were most frequently offered in closed parties, at clubs and discos; out of the persons who had been offered drugs at least once, Comparative analysis of drug availability data and of data on persons who had tried any kind of drug at least once showed the drug supply currently exceeds the demand. Analysis of the dynamics of spread of narcotic and psychotropic substances among pupils indicates that levels of use remained unchanged throughout the past four years In , a total of 9, persons underwent military medical examination carried out by military medical commissions further referred to as MMCs managed by the medical corps of the Lithuanian Armed Forces. The people were examined with reference to the use of narcotic and psychotropic substances in line with the requirements for selecting entrants for mandatory primary military service further referred to as MPMS , professional military service further referred to as PMS and the entrants to military education institutions. Subsequent to selecting the suitable people for military service in line with the provisions of the Military Medical Examination Commission, persons were assigned to monitoring groups due to established episodic cases of use of narcotic substances. In a total of soldiers suspected of narcotic and psychotropic substance abuse were tested. This represents Four MPMS soldiers were expelled from service for drug addiction. According to the data of the Prisons Department under the Ministry of Justice 1, out of 8, prisoners suffered from drug addiction in early This comprised In early the respective figure was 1, In , g of narcotic and psychotropic substances were withdrawn from persons in places of imprisonment or seized during substance transfer attempts. Subsequent to examination of cases associated with illegal possession of narcotic and psychotropic substances, poisonous or potent substances and illegal growing of poppies and cannabis investigated in - , the National Courts Administration announced that a total of 1, of criminal cases associated with the posession of narcotic or psychotropic substances were investigated in - In — , a total of 1, persons were sentenced for crimes associated with the possession of narcotic and psychotropic substances. Their average age was The exact number of persons responsible for committing crimes under the influence of narcotic, psychotropic or other substances affecting mental health is not known. The application of punishment was deferred in respect of persons. The property was subject to complete or partial forfeiture with respect to persons. The forfeited drugs amounted to approximately 1, kg and 65 litres. In a total of 93, offences were registered, including 1, criminal offences. They account for 1. This represents an increase by offences or by A total of criminal offences associated with narcotic and psychotropic substances were registered within the same period in The relative increase in numbers of offences associated with narcotic and psychotropic substances is Crimes account for 79 percent, and misdemeanours for 21 percent of all the registered offences associated with narcotic and psychotropic substances. A total of offences associated with distribution of narcotic and psychotropic substances were registered in they account for 43 percent of all the offences related to illicit drug circulation and approximately 30 organised groups engaged in distribution of narcotic substances were discovered. The figure is increasing at an annual rate of percent. Although 44 percent of offenders are detained for distribution of drug substances, only half of them are taken to court on drug distribution charges, since some offences are subsequently qualified by courts as representing offences associated with the possession of narcotic substances not intended for distribution. The following amounts of narcotic and psychotropic substances and their precursors of category 1 were seized from circulation in kg of minced poppies kg in ; 55 litres of poppy extract and g of poppy concentrate 53 litres and g in ; 2. Administrative action was taken against a total of persons including 33 minors in Substance seizures in included 0. In , 5 international operations were conducted, 33 persons were detained and , pills of Rohypnoli, 31 kg of amphetamine and 1 kg of heroin was seized. The officials of the Lithuanian law enforcement institutions took part in the following international projects: the Baltic Sea region project, the joint project of Russia, Sweden and Norway, the joint Lithuanian and Swedish project and the joined project of Lithuania and Poland. The Financial Crime Investigation Service under the Ministry of the Interior did not receive any information on cases of money laundering of funds from illicit drug circulation in In the Lithuanian customs detected one case of money smuggling, seized 10, EUROS and took part in 4 international customs operations targeted at drug smuggling prevention. Lithuanian customs opened 5 pre-trial investigations on drug smuggling and 1 pre-trial investigation on illicit possession of narcotic substances, 19 persons were detained in State Border Guard Service under the Ministry of Interior in participated in the operation Aguona , during which illegal planted areas, drug addict slums, etc. The year witnessed 6 cases of detention of narcotic psychotropic substances, 12 persons were detained, including 11 men and 1 woman. All the detainees were the citizens of the Republic of Lithuania, 6 criminal cases were filed. The Government of the Republic of Lithuania devoted major attention and allocated funds for the primary prevention of drug addiction among children and young people in in total - 3 million 10 thousand litas, including:. Program Item The Drug Control Department under the Government of the Republic of Lithuania used LTL 1, thousand to employ the staff of the Drug Control Department in , the staff of the Department took introductory and refresher courses for public servants, participated in international seminars and conferences, implemented strategic tasks of the Department. The reconstruction of the premises of the Drug Control Department was carried out; vehicles, organization equipment, and office furniture were purchased to ensure the activity of the Department and LTL The Government of the Republic of Lithuania provided for the measures to implement the Program in but did not allocate any funds:. Prevention activity coordination groups of municipality administration hereinafter — coordination groups aim at the coordination of the cooperation among institutions providing methodological, information, consultative, and objective assistance for prevention activity groups in schools, irrespective of their subordination or ownership types. In discussions, meetings were held in municipalities, joint projects were implemented and opinion polls conducted with the help of foreign partners and non-governmental organizations. The major part of projects and measures for the prevention of drug addiction in municipalities in were implemented by educational institutions with the funding of project activity received from the Ministry of Education and Science, Information Office of the Nordic Council of Ministers, and municipalities. Drug Control Department under the Government of the Republic of Lithuania has conducted an analysis in on the implementation of the measures for drug control and prevention of drug addiction in municipalities and the process of establishing the Commissions on Drug Control. According to the findings of the Department, in the beginning of the year , Commissions on Drug Control were in operation in 57 municipalities. It was indicated that public health centres in cities and districts also performed prevention activities in through different operations, seminars, publications, conferences, radio and television programs, consultations, exhibitions, and booklets. For example, events were held and also opinion polls conducted on the topic of the prevention of drug addiction in Utena County in The Government of the Republic of Lithuania devoted major attention and allocated funds in the amount of thousand litas to the Police Department under the Ministry of Interior in to reduce the illicit supply of narcotic and psychotropic substances. The Government of the Republic of Lithuania provided for the measures but did not allocate any funds in Over the last 5 years the number of registered criminal acts related to illicit circulation of drugs has doubled. Compared to the year the ratio of criminal acts related to illicit circulation of drugs in the total amount of registered criminal acts has grown by 0. In , criminal acts related to illicit drug circulation were registered in places of imprisonment 96 — in and — in The largest amount of drugs was found in parcels without sender address or with non-existent sender names indicated. There is no information on the percentage of persons repeatedly detained during the same year. The number of minors who have committed criminal acts related to illicit drug circulation has been increasing — 49 persons or 6 per cent of all detained persons 37 — in and 15 — in Since the spread of the substances of ATS type has been growing rapidly in Lithuania. The amount of this substance detected and seized in is 9 per cent larger than in In places of imprisonment in , 28 out of cases of seizure were of amphetamine, 45 — metamphetamine, and 5 cases of ecstasy. Cannabis is becoming increasingly popular; the popularity has increased three times since The market of poppies and their parts has decreased. The market of Diazepam and other medicinal substance users has remained stable. Over the 5 years there have been times more registered cases of the withdrawal of metamphetamine substance. There were 60 cases known in when citizens of the Republic of Lithuania were detained for illicit drug trafficking in foreign countries in 62 cases — in The measures in the area of drug control and drug addiction prevention in the State Border Guard Service under the Ministry of Interior were implemented with the help of general appropriations of the institution. In order to achieve a tactical objective of the Program to create a common system for early drug addiction diagnosing, treatment, rehabilitation and re-integration into society in order to help persons who are dependant on drugs Program Item The Government of the Republic of Lithuania has provided for the following measures to implement the Program Program Item Law of the Republic of Lithuania on Narcological Care, that legalize the treatment of children and teenagers with drug addiction disorders according to immediate medical indications in order to prevent the spread of drug addiction among children the implementation of the measures were provided for the Ministry of Health, Ministry of Justice, Drug Control Department under the Government of the Republic of Lithuania. The Ministry of Health has not provided for and has not allocated any funds from the Program for the issue of certificates of medical examination to test inebriation. Treatment is individual for every patient and its duration is different. There are differences in the duration of treatment and whether it was an inpatient or outpatient treatment and what rehabilitation program was applied for a particular person. For example, according to Vilnius Centre for Addictive Disorders, the duration of inpatient treatment in the Centre is An average duration of inpatient abstinence treatment from drug dependence is An average duration of inpatient psychotherapy treatment Minnesota Program is Outpatient treatment and rehabilitation of patients had a different duration in different rehabilitation programs. In , new cases of HIV HIV — human immunodeficiency virus infection were identified cases — in , cases — in Similarly to the previous year, in the most common reason for the spread of HIV in Lithuania person was the use of intravenous drugs, 83 out of persons contracted HIV in this way in The average age of persons who contracted HIV in due to the use of intravenous drugs was 30 years. In the period of — the mortality rate resulting from the use of narcotic or psychotropic substances doubled from 23 to 45 cases per year , in the period the rate became stable from 35 to 38 cases. In , 40 cases of death were registered. Appendix 1 of the above mentioned Order on the Procedure for the Application of Substitution Therapy to Patients Dependant on Opioids requires that a patient and a doctor conclude the agreement establishing rights and obligations of both parties. Side effects and consequences of its use are introduced to the patient. According to point 6 Appendix 3 of this Order The Procedure of Methadone Prescription, Storage and Accounting in Healthcare Institutions the senior doctor or a person appointed by his order is in charge of the rational use, storage, issuing to patients and accounting of Methadone. Point 1. Patients treated with substitution therapy are subject to the same social restrictions as other persons included in narcological register monitoring group. Patient treatment plan is revised every three months under the control of CCD. The conclusions of the Commission about the efficiency of the treatment are included in medical documents. Methadone dose is determined by the doctor of the patient based on objective and subjective symptoms of clinical abstinence. Individual dose of the day determined individually and ranging from 20 to mg can be adjusted as the treatment progresses. Various sources recommend an average methadone dose of approximately 80 mg which effectively blocks receptors of opioids. In , methadone solution was not being prepared in the Republic of Lithuania. The solution ready for use was imported manufacturer — Nygomed Pharma, Norway. CCD establishes priorities of the substitution therapy. CCD also makes decisions on the procedure for take-away of medications medications personally issued to patients for home use. Pursuant to point 8. However, the Inspection is not authorised to check the concentration of methadone solution and the procedure for storage and disposal of narcotic and psychotropic substances in Centres of Addictive Disorders, Mental Health Centres, hospitals and pharmacies. The State Medicines Control Agency and the Department of Pharmacy under the Ministry of Health of the Republic of Lithuania do not perform the assessment of prescription and use of narcotic and psychotropic substances in the Republic of Lithuania. In there were cases recorded when public pharmacies did not respect psychotropic medications storage requirements. Pharmacies were authorised to eliminate the drawbacks. In the implementation of the procedure for storage, issuance and disposal of narcotic and psychotropic substances in Vilnius and Kaunas Centres for Addictive Disorders was not checked. Moreover, in , the implementation of the procedure for storage, issuance and disposal of narcotic and psychotropic substances in institutions subordinate to the Police Department under the Ministry of the Interior was not checked. Calculations made on the basis of final diagnosis. In , 41 outpatients addressed personal healthcare institutions due to the poisoning with narcotics and psychodisleptics according to TLKT40 number of cases - In , in healthcare institutions among patients under 18 undergoing treatment from drug addiction 54 were children, of these 12 were girls. Among patients — children 28 children 51 percent were taking opioids heroin , 16 children The State Medical Audit Inspection under the Ministry of Health informed the Commission that in it did not perform any checks with regard to legitimacy and validity of medical prescriptions for narcotic and psychotropic substances. According to the data of the Ministry of Health, in Centres of Addictive Disorders hereinafter referred to as CAD state budget funds were allocated only for the implementation of Programme measures intended for adults, but no funds were allocated to provide services for children except Kaunas CAD — approximately LTL 32, State budget funds were allocated to activities of these institutions through county administrations. While Vilnius CAD was allocated state budget funds through the municipality. In , the Government of the Republic of Lithuania allocated LTL , for the implementation of the task of the Programme — development of a system conforming with the EU requirements for the collection and the analysis of objective information on drug prevention and drug control Programme item However, even though the Government of the Republic of Lithuania provided for measures for part of the Programme item In , the Government of the Republic of Lithuania Programme item The above mentioned measure was prepared by the Drug Control Department under the Government of the Republic of Lithuania ;. The Drug Control Department under the Government of the Republic of Lithuania analysed the information about epidemiological indicators and included it in its annual report, as well as initiated a representative survey of harmful habits that was carried out by the survey group RAIT ;. Following the Order of the Minister of Health the programme for promotion of healthy way of living for school children was prepared and implemented in The above mentioned measure overlaps with the measure of illicit drug circulation control measure ;. On the basis of reports lodged by Education Departments of municipalities the Ministry of Education and Science performed the data analysis only about the projects implemented by Education Departments of town and district municipalities as well as individual schools other educational institutions — collegiums, universities — were not surveyed. The Drug control Department collected information about prevention projects implemented in and published it in its internet database of projects ;. The Government of the Republic of Lithuania included provisions on international co-operation Programme item 29, Programme chapter VIII into the priority direction of research and information system development. The above mentioned provisions envisage facilitation of international co-operation on all levels by promoting the development of direct contacts between institutions responsible for drug addiction prevention and drug control and their representatives and relevant institutions of other countries. However, in the Government of the Republic of Lithuania did not allocate funds for these measures Programme item 29, Programme chapter VIII to responsible executive institutions:. The total funding allocated to the implementation of Programme measures amounted to LTL 11,, The State Drug Control and Drug Prevention Program implementing the policy and principles of drug control and prevention of drug addiction includes priority areas and provides for the main directions to carry out drug control and prevention of drug addiction. The analysis of the funding of measures shows that the following major tasks provided for in Item Promotion of international cooperation in the area of drug control and prevention of drug addiction based on regional and national projects and programs. Item The Government of Lithuania provided for the implementation measures but did not allocate any funds to implement the main tasks provided for in the Item Ensuring coordination of efforts, effective management and control of the state bodies responsible for drug prevention and drug control item Creation of favourable conditions for the substitution of criminal charges by alternative treatment programmes in cases where substance abusers are charged with minor offences item The Government of the Republic of Lithuania provided for the measures for implementation of the Program in but only allocated partial funding to:. The Drug Control Department under the Government of Lithuania submitted the following conclusions and recommendations:. With the view of ensuring effective use of assignations allocated for the purpose of implementation of primary prevention of drug addiction, the management of such assignations should be centred in the hands of a single institution. This would allow to implement the main primary prevention priorities consistently, ensure the quality and continuity of the program and implement harmonised methods for the evaluation of effectiveness of the program measures. The procedures for the financing, accounting and control of the State Drug Control and Drug Prevention Program should be established in order to use the assigned allocations in a targeted and economic way so that the funds were not used to finance the measures falling within the scope of other programmes. In order to encourage the local municipal institutions to implement the Drug Control and Drug Prevention Programs in local communities, cooperation of financial and human resources is needed with the needs of the local community taken into consideration. Bearing in mind the continuity of the State Drug Control and Drug Prevention Program for — we propose to discuss the possibility to draft and approve the implementation measures for the programme for — The measures for implementation to be established by the institutions should be based on the evaluation of the effectiveness of the attained results. The strategic goals of the program which were intended to stop and reduce the spread of drug addiction, to establish and implement the state policy areas and guidelines for action within the field of drug prevention and control and to increase the effectiveness of drug addiction prevention in Lithuania are essentially right but in implementing the Program the following failures took place:. Therefore, we think that we continue to face the following most important tasks:. The Program remains to contain 4 priority areas for drug control and prevention:. Recommendation should be made to the Government of the Republic of Lithuania to allocate the required funding for the implementation of the priority areas for drug control and prevention. In the Government of the Republic of Lithuania allocated a total of 11 million and 91 thousand litas for the implementation of the Program. Information system development and research received thousand litas or 4 percent, but the funds were not indented for research.

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