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When a tank is urgently needed to transport… methadone to hospitals. A tank is urgently needed! The tank is needed to transport methadone to hospitals in Kazakhstan. Drug control authorities require paramilitary security for the transportation of drugs. However, the state is not going to allocate funds for security measures and this issue has not been resolved in 10 years. Not only did his legs get paralyzed and the temperature was high for a week, but he also had to drug himself to narcological clinic drug abuse clinic for methadone. Every day for several weeks, relatives called an ambulance so that the paramedics took Yegor to narcological clinic on a stretcher. Yegor, like many other participants in the medical program, was afraid to go to the hospital, because he understood that no one would bring him methadone there and, since he lost the use of his legs, he would not be able to come to narcological clinic himself. An ambulance from the hospital would not take him there as well. This means being able to diagnose HIV, hepatitis and tuberculosis while receiving methadone. But methadone can only be provided at the consulting room of narcological clinic, because paramilitary security is needed to deliver medicine to people at home care or in the hospital. Under such circumstances participants of the substitution therapy program, people who use psychoactive substances, coordinators of programs for outreach workers, and leaders of non-governmental organizations met at the training workshop IDUIT Kazakhstan The objective of the IDUIT workshop in Kazakhstan is to develop advocacy plan that addresses methadone delivery to hospitals and home care. Let me remind you that the program has been operating in the country for more than 10 years , and there is still no access to OST medicines in hospitals. Reasons why people die in agony in hospitals and at home without access to a vital treatment:. Prove what has already been proved, but the Ministry of Internal Affairs does not take into account any evidence anyway. The experience of introducing methadone substitution therapy was difficult in all countries; there was some resistance at the initial stage from law enforcement agencies. In Ukraine, Georgia and Moldova, there is clear progress towards lowering the level of pressure and the influence of drug control on substitution therapy programs, which has a positive impact on access to treatment and expanding the range of services e. In Moldova, treatment can also be continued in prisons. In , treatment with buprenorphine and methadone also started in Uzbekistan. One hundred and forty-seven people got access to substitution therapy services. Three years later, the Ministry of Health of Uzbekistan decided that the program was inappropriate and closed access to treatment since In the Republic of Belarus over the past few years, the number of program participants has decreased by half — from 1, to people by the fall of And this is not surprising. The substitution therapy consulting room can be located at the building of morgue and work from 6 a. The maximum dose of methadone is 20 mg. As a result, the program is 10 years old and only people out of hundreds who need treatment have access to it. This means: keep the program in pilot mode while there is international money and influence in response to the HIV epidemic. Since , it is not clear which of the pharmaceutical companies will be engaged in procurement of the drug. For already 10 years our community of people who use psychoactive substances and people living with HIV prove what has already been proved : the substitution therapy program works! Each of us is a living proof. People want to get services they need in case there is adequate access to treatment at any time, in hospitals, at home, at the regional police department, in pretrial detention centers, and prisons. The approach to substitution therapy should not be defined from the focus of HIV infection, but from the needs of people addicted to opiates. First get infected with HIV, then you might get methadone. Treatment for opiate addiction and risk reduction programs have become tools in addressing the spread of HIV. The life and health of people who use psychoactive substances is not considered to be self-sufficient value in this context. Thanks to a strong community of people living with HIV in Kazakhstan, the program persists in the country. In the context of repressive drug policies, it is difficult for people using substances prohibited by law to speak publicly and advocate for their rights. But there is no way out, we must take risks. Otherwise, torture and death in agony will continue. And this happens in countries where since year millions of dollars have been invested and paid for the jobs of hundreds of experts working in projects aimed at overcoming legal barriers and organizing services based on the community needs. The workshop participants discussed how to determine the level of risk of public actions and what tools we can use to reduce these risks. On the one hand, the status of a participant in a legal methadone program makes it possible to talk publicly about the experience of drug use and act in the interest of the community. In this way, we become less vulnerable to police pressure. However, our vulnerability is increasing due to the actions of medical personnel. Unfortunately, most narcologists drug abuse therapists do not want to change the approach to implementing the program they resist starting takeaway doses and other necessary services. In order to reduce the risks of provocations and conflicts with personnel or other clients of the substitution therapy program that aim to exclude the activist from the medical program, proactive people formed a group called the Kazakhstan Harm Reduction Network. The Network also advocates for the improvement of the quality of substitution therapy program. Due to the increase in the use of new psychoactive substances, information is needed for NGOs and physicians on how to help people who experience unforeseen negative side effects when using psychoactive substances of untested composition and purity. The materials used in risk reduction programs in Europe — gelatin capsules that allow a person to take the substance correctly MDMA and other salts, amphetamine as well as kits for using substances smoking — were introduced to the workshop participants. We also showed what Kazakhstan community is seeking to achieve, how substitution therapy programs should work. The video on the Medical-grade Heroin Program in Denmark was a shock to many participants. People understand that the way substitution treatment programs are organized in our countries now means humiliating and often life-disturbing control by the narcology and police. From organizations working in the field of providing support to people who use psychoactive substances, HIV prevention, protection and the restitution of rights:. People who make or influence decisions are in no hurry to create the conditions for successful work of community organizations. First of all, each one of the employees of agencies and institutions that receive resources to reduce legal barriers in the lives of people who use psychoactive substances should be at the forefront of advocacy for changes in drug policy. In the context of drug policy, different regions of the world are like different planets. When the training participants watched a video on how the heroin program in Denmark was organized, they were shocked. Unfortunately, in our EECA region, the task is to find money for the tank to deliver methadone to hospitals in Kazakhstan. Contacts for assistance in advocating access to methadone in Kazakhstan hospitals:. Opioid substitution therapy in Central Asia: towards a diverse and effective treatment for drug dependence. Authors: Latypov A. EHRN: Vilnius. The IDUIT Practical Guidance answers two questions: what to do and how to organize programs to increase the benefits and reduce the risks of using psychoactive substances. Reasons why people die in agony in hospitals and at home without access to a vital treatment: Prove what has already been proved, but the Ministry of Internal Affairs does not take into account any evidence anyway. Community Empowerment. Arnstein and came to the conclusion that advocacy activities of the community remain at the level of symbolic measures, but cannot rise to the level of civil governance. Legal reform, human rights, stigma and discrimination. Messages used in programs on HIV and tuberculosis have reinforced social stigma against people who use psychoactive substances. The name of our community is associated with problems we did not cause. Health and Support Services answers the question: What services should be implemented for people who use psychoactive substances. Service Delivery Approaches answers the question: How to develop and implement programs properly? Contacts for assistance in advocating access to methadone in Kazakhstan hospitals: Kazakhstan Harm Reduction Network, Natalia Rudokvas nataly. Call for technical assistance for organizations wishing to try themselves in alternative financing. Spelling error report The following text will be sent to our editors:. Your comment optional :. 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When a tank is urgently needed to transport… methadone to hospitals

Nur-Sultan buy MDMA pills

On August , , CARICC specialists, together with a representative of the Regional Program for Afghanistan and neighboring countries in Tashkent, conducted an assessment mission, combined with a one-day training on collecting and classifying information within the framework of the RO 'Reflex' and 'Substitution'. During the working meeting, the specialists of the Center presented the results of the RO 'Reflex' and 'Substitution. At the same time, the main attention was directed to the transportation channels in the region, including rail, road and sea routes. The parties noted that in the Central Asian region there is a multiple increase in the facts of detection of illicit trafficking in precursors, synthetic drugs and new psychoactive substances. Conducting RO 'Reflex' and 'Substitution' undoubtedly contributes to strengthening regional cooperation and provides an opportunity for the participating states of the operation to exchange significant information in real time in order to conduct joint coordinated anti-drug actions. CARICC experts conducted practical exercises on the collection and classification of information within the framework of the planned RO 'Reflex' and 'Substitution. Phase 3. The participants also discussed the needs of the competent authorities of the Republic of Uzbekistan for the successful implementation of regional operations. At the meeting, the parties exchanged information on the emerging drug situation in Central Asia and the European Union, discussed the relationship between the drug business and terrorism and organized crime. The European Union CADAP program aims to support the countries of Central Asia in strengthening the information system for the preparation of objective, reliable and evidence-based information on the drug situation, based on EU best practices and international standards. The activities of CADAP 7 are based on the provisions of the fundamental UN conventions that provide the international legal framework for solving the problem of drug trafficking. At the meeting, the delegations were briefed on the implementation of the UNODC Programme component and its impact on border security and cross-border cooperation in the region, activities of the established Border Liaison Offices' coordination and monitoring centers, as well as information on the results achieved, including planned activities envisaged under the Border Cooperation Component. In accordance with the program of the meeting, CARICC employees made presentations on advanced analytical software products for collecting, summarizing, analyzing and visualizing statistical data in real time, on the issue of creating a regional information and communication network with the coordinating role of CARICC, as well as optimal options for an architectural solution for creating schemes of national information communication networks, with the possibility of remote access to information. The participants stressed the importance of interaction through the expansion of international cooperation, the exchange of positive experience and the further development of relations in the field of border security and combating transnational drug crime. The event was aimed at familiarizing participants with the methods of criminal analysis and information exchange related to investigations, tools and forms of cooperation used in EU Member States in the investigation of cross-border organized crimes such as human trafficking, smuggling of migrants and excisable goods, drug smuggling, firearms, ammunition and explosives. As a result of the meeting, the participants developed a number of recommendations to simplify the exchange of information between law enforcement agencies involved in the investigation of cross-border crimes, and proposals were made to amend the relevant legislation of the Central Asian countries. The objectives of the Eurasian Forum were the exchange of expert opinion, experience and best practice on the latest achievements in the investigation of cases of laundering proceeds from crime and the financing of terrorism. Forum participants presented presentations and reports on financial investigations, in particular, its analytical tools and products, investigative and judicial practice, interaction between interested law enforcement and government agencies, as well as international cooperation. At the end of the forum, the results of the discussion of new approaches and methods in conducting financial investigations, the interaction of state bodies in combating money laundering, the exchange of experience on measures to improve the fight against the legalization of proceeds from crime were summed up. As part of the implementation of its mandate, CARICC has in recent years stepped up joint activities to provide assistance and coordination in conducting international operations aimed at identifying and eliminating transnational drug supply channels from their centers of production to global drug markets. One of the most effective practices used by law enforcement agencies in countering these threats is special operations under the 'international controlled delivery of drugs' method. As a result of operational developments carried out according to the information of the Kazakhstan side, from to the present, under the coordination of CARICC, 7 short-term anti-drug operations have been successfully carried out with the participation of law enforcement agencies of the member states of the Center, Afghanistan, as well as European countries the Netherlands, Belgium, Italy. As a result of the operations, kg of drugs heroin, mephedrone, MDMA, cannabis were seized. Similarly, in March , following the results of conducting, together with the competent authorities of Kazakhstan and Uzbekistan, an international controlled delivery along the Almaty-Tashkent route, by air in the form of a postal item, a long-term development of an international organized drug group from among the citizens of Kazakhstan and Uzbekistan was carried out, with the seizure of more than 13 kg of mephedrone. It is important to note that these operations initiated by the Kazakhstan side, complex in their design, were implemented for the first time not only in the history of the Center, but also in the practice of most of its member states. It is noteworthy that during the period of quarantine and the global transition to the online mode of national and international organizations, CARICC with the existing staff of 5 employees continued to work in person and coordinate these operations, acting as a link between the participants in the operations and ensuring close cooperation between the competent authorities of the parties. The holding of this event allowed the participants in the operations to make presentations and discuss the practical aspects of the interaction of the parties in the implementation of such events in order to develop appropriate recommendations. The participants of the de-briefing, expressing their full approval and support for the special operations carried out under the auspices of CARICC, expressed the opinion that their results can serve as a good example of operational work at the international level, and the results achieved should be widely applied in the practical activities of law enforcement agencies to increase the efficiency of their work. In turn, expanding the circle of participants from among international partners in conducting such operations will contribute to the successful organization and implementation of joint measures to combat drug crime. During the de-briefing, in the context of the theme of the event, the Tajik side organized a presentation of the book-monograph of the Minister of Internal Affairs of the Republic of Tajikistan, Colonel-General of Militia Rakhimzoda R. In general, the de-briefing confirmed the importance of further cooperation in combating transnational drug crime, outlined the prospects for its development in the future, and the constructive and concrete proposals made it possible not only to identify new directions in the organization of anti-drug operations, but also to begin developing specific mechanisms for their implementation in perspective. At the end of the event, it was noted that CARICC today has reached a sufficient operational and information-analytical level to ensure effective interaction at the regional and international levels, and its openness to all and readiness for close practical cooperation in the anti-drug sphere was emphasized. In the period from to , with the assistance and coordination of CARICC, these international operations were successfully implemented with the seizure of especially large consignments of opium group drugs from Afghanistan to Kazakhstan and European countries, as well as synthetic drugs from Kazakhstan to Uzbekistan. The event, which will be held in a hybrid format, will be attended by heads and employees of the competent authorities of the participating states and CARICC observers, as well as representatives of international organizations. Operations, complex in their design, were implemented for the first time not only in the practice of the Center, but also in most of its member states. During this meeting, participants in the operation are expected to make relevant presentations, exchange views, and discuss positive and problematic aspects of interaction during such activities. The de-briefing will also allow participants to develop appropriate recommendations for improving the mechanism for operational interaction at the international level. The event, which was organized in hybrid format, was attended by more than 40 delegates in person and a large number of online participants representing civil servants from Central Asia, as well as representatives of the UN structures, regional and non-governmental organizations. In her speeches, a special representative noted that as a goal reflected in the new updated joint plan of actions to implement the Global counter -terrorism strategy of the UN Central Asia, together with the UN KTU, proposes to launch a counter -terrorist network of early warning for Central Asia. This initiative should not only ensure a more complete and timely exchange of information in current unpredictable conditions, but will also serve as a platform for coordinating interaction with Afghanistan at the national, regional and international levels. Also, the participants had the opportunity to exchange opinions about the events related to security in Afghanistan and the region and get acquainted with the efforts of the governments of the five countries of Central Asia, international and regional organizations and groups of civil society to counteract current security threats. The meeting participants discussed the emerging drug situation in the CARICC region and exchanged views on the necessary measures to stabilize it. Miralizoda informed about the current activities of the Center, in particular, about the ongoing activities from to the present 7 short-term anti-drug operations with the participation of law enforcement agencies of the CARICC member states, Afghanistan, as well as European countries Netherlands, Belgium, Italy. As a result, kg of drugs heroin, mephedrone, MDMA, cannabis were seized. CARICC acted as a link between the participants in the operations and ensured close cooperation among the competent authorities of the parties. Strategic analysis is carried out on the basis of information materials prepared by the Center weekly summaries, reviews, news releases, bulletins and messages. The volume of seized drugs in compared to increased by Given the development of the drug situation in the region, a further increase in the smuggling of Afghan opiates along the Northern route is predicted. At the meeting, the parties also exchanged information on the progress of the participating states' internal procedures for agreeing on the draft Agreement on the exchange and protection of classified information within the framework of CARICC, previously approved at the CNC meeting on November 23, The parties discussed the information of CARICC and UNODC on the financial stability of the Center, exchanged views on the issue of making voluntary contributions to its activities, as well as amending the statutory documents of the Center. As a result of the event, an agreement was reached to hold a regular meeting of the CNC in Almaty in the second half of Mittal made a presentation of the World Drug Report, according to which about million people around the world used drugs over the past year, while more than 36 million people suffered from drug use disorders. Over 1. It is estimated that more than 11 million people inject drugs worldwide, half of whom are living with hepatitis C. Opioids continue to account for the largest number of drug use-related illnesses. Although this is only a small part of total drug sales, there is an upward trend, with a fourfold increase between and mid and between mid and Overall, the World Drug Report provides a global overview of the supply and demand for opiates, cocaine, cannabis, amphetamine-type stimulants and new psychoactive substances NPS , and their impact on health, taking into account the possible impact of the COVID pandemic. Miralizoda R. Attention is drawn to the negative impact on the global drug situation of various negative processes taking place today. Under these conditions, for all countries of the world community, United Nations research, reflected in the World Drug Report, is of priority importance, which allows:. It was noted that the internal anti-drug policy of the CARICC member states is based on improving the effectiveness of drug prevention, treatment and rehabilitation of drug addicts, combating drug trafficking, strengthening interagency cooperation, with the active involvement of public institutions. At the same time, the importance of developing common approaches to assessing the volume of heroin trafficking along this route was emphasized, and the readiness of the Center for open cooperation in this direction was confirmed. In this regard, CARICC, being one of the most significant projects of the UN Office on Drugs and Crime in Central Asia, within the framework of its mandate, provides assistance, coordination and support to the efforts of the countries of the region in the fight against drug trafficking. In modern conditions of the development of the drug situation, the development of optimal measures in the analysis and forecasting of the drug situation is of particular relevance. In this regard, the World Drug Report will set the stage for further joint efforts in the fight against trafficking, both at the regional and international levels. Erkaboev A. Ergazin A. The Conference was attended by the Commissioner for Human Rights in the Republic of Kazakhstan, the leadership and staff of the Ministry of Internal Affairs of the Republic of Kazakhstan, the office of Drug Enforcement Agency DEA , representatives of the authorities of Almaty and public organizations, as well as experts from region of drug prevention programs, experts in the field of drug treatment and psychiatric care. The participants discussed the latest trends related to illicit trafficking in narcotic drugs and psychotropic substances in Central Asia and new threats in the field of illicit drug trafficking, as well as preventive measures aimed at reducing the demand for drugs. In turn, Mr. Erkaboev informed about the role of the Center in the fight against international drug trafficking and expressed interest in strengthening cooperation by assisting in the training and advanced training of specialists in combating drug trafficking. Following the meeting, the participants emphasized the importance of interaction through the expansion of international cooperation, the exchange of positive experience in the field of combating drug trafficking and preventing drug addiction. Log in Login Username. Remember Me. Log in Log in with Facebook. Legal Basis. Competent Agencies. News Reports Events Articles. Drug situation. Breaking news Rate this item 1 2 3 4 5 0 votes. Read times. Image Gallery proflady. Read more Friday, 22 July On the participation of CARICC in the regional seminar for the heads of the investigative departments of the border services and law enforcement agencies of the Central Asian states. Wednesday, 20 July The Center held a de-briefing based on the results of special anti-drug operations using the 'international controlled delivery' method. Thursday, 14 July On the upcoming de-briefing on the results of the implementation of international anti-drug operations under the coordination of CARICC. Under these conditions, for all countries of the world community, United Nations research, reflected in the World Drug Report, is of priority importance, which allows: - timely determine the general directions for the implementation of a unified and balanced drug policy; - establish effective state and social control over the development of the drug situation; - progressively seek its stabilization and limit the negative impact on the state of internal and external security of countries, the health and well-being of citizens.

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