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The southern Kyrgyz city of Osh saw violent ethnic clashes in June. But the city has other problems - it is also a major hub for Afghan heroin on its way to Europe. Rayhan Demytrie has been investigating the impact of drug trafficking on the region. An NGO runs a needle exchange programme in Osh for heroin addicts. A group of volunteers are smoking cigarettes outside a needle distribution centre in Osh. But now those who are starting up can see what it leads to and yet they still do it. Young people don't have anything to do,' she says. Osh - the centre of ethnic fighting in June between the Kyrgyz and Uzbek communities - is one of the drug capitals of Central Asia. A quarter of the world's heroin is believed to travel through Central Asia on its way to Russia and Europe. Osh is a key hub along the route. Mamasabir Burhanov, who set up the needle distribution project, says the growth in heroin users is linked to the collapse of the Soviet Union. With the collapse of the Union, the borders got much weaker. Drugs offered such good profits, and lots of people got involved in trafficking,' he said. We don't have enough resources to stop the drugs that come through our country. Most who know the region well believe that serious money is generated in the south through criminal activity, especially the drug trade. Driving through town on the way to distribute clean syringes, Oleg points to the home of a drug dealer. He's been selling hashish, opium and heroin since the early days. And what's most important is that he will keep selling it,' he says. Heroin addicts in Osh say police target them rather than their dealers. At the syringe collection point, heroin addicts were quick to condemn local police. Why don't they detain drug dealers? It means it is controlled by the police,' said another. At the city's Ministry of Internal Affairs, the deputy head of the anti-narcotics department played down the corruption allegations. Melis Mamasaliyev said there had not been any such cases this year. But he was willing to talk about successes. Since then we haven't been able to concentrate on drugs - because we've been involved in dealing with the conflict. It is true that it has been a year of political and social unrest in Kyrgyzstan. President Kurmanbek Bakiyev was ousted in popular protests in April, leaving an interim government in charge of a fragile nation. The violence in April between Kyrgyz and Uzbek residents left thousands of people displaced. A struggle developed in the south - Mr Bakiyev's home region - between the former president's supporters and new political leaders in Bishkek. Old ethnic tensions between Kyrgyz residents and ethnic Uzbeks were exploited. Organised crime, corrupt politicians and those who benefited from drug money are suspected of having played a hand in the violence. Criminal gangs who thrive on the heroin trade are believed to have influence and protection among government officials. In after noted successes, Mr Bakiyev's decision to shut down Kyrgyzstan's Drug Control Agency DCA strengthened the widespread suspicion that gangs enjoyed the patronage of powerful government figures. Vitaliy Orzaliyev, who was the deputy head of the DCA, says his agency was becoming too successful and independent. Mr Orzaliyev is now heading the unit. They were left to their own devices, and different interests were in play. They had money to support one side or the other. Regional observers say the trend in which drug gangs seek protection from figures in the government may continue. According to Paul Quinn-Judge, the Central Asia director for International Crisis Group, organised crime and narcotic groups may already be looking for a new set of patrons. Officials say drugs are flowing into Osh from Afghanistan and then on to Europe. Having very high-level protection as they had here in Kyrgyzstan, they were probably feeling rather spoiled. So we assume that the narcotics dealers are looking for a similar deal in the future,' he said. In Kyrgyzstan's recent parliamentary elections many of Mr Bakiyev's allies from the south were re-elected. They are now seeking office in a possible coalition government. It is not clear yet how high the fight against organised crime or drug trafficking will be on the new government's list of priorities. Charred scars of southern Kyrgyz violence. Crumbling community trust in Kyrgyzstan. Fear and shock as ethnic Uzbeks flee Kyrgyz clashes. Most of them are former drug addicts. Red town. New patrons. More on this story.

Stanley Greene

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Many aspects of the workplace require alertness, accuracy, and quick reflexes. An impairment to these qualities can cause incidents, and interfere with the accuracy and efficiency of work. Impairment may be the result of many situations including fatigue or stress. Situations where problematic substance use may result in issues at work include:. Note that substance use is often thought of as an addiction or dependence, but use can be anywhere on the spectrum or scale from recreational to frequent to problematic. As a result, there are varying impacts on lives and work. A person may use a substance casually for years with no progress to harmful use, may be at different points of the spectrum at different times, etc. For example, while impaired:. This document discusses issues such as how problematic substance use may affect the workplace, and possible costs to an organization. The following table is a general summary of common substances and their effects. Sometimes, regular use of substances can change our brain function and structure so that there is no control over the need to use substances, regardless of the possibility of harm. These changes to our brain function may result in a health condition called substance use disorder. Substance use disorder is a medically diagnosed condition, not a choice, weakness, or moral failing. The risk of substance use disorder and how fast a person becomes addicted varies by substance. Some substances, such as opioid painkillers, have a higher risk and cause the disorder more quickly than others. Substance use addiction is not a choice. When a person is affected by substance use disorder, they crave the drug and are not concerned about its harmful effects. The drug becomes the focus of their feelings, thoughts, and activities. Substance use disorder is actually very complex, and people develop the disorder for many reasons, including:. Substance use disorder is a treatable medical condition. No one chooses to become addicted. Do not think it is a simple matter of a person not having the willpower to control themselves. Understand that when an individual seeks help or treatment, this journey may have many routes, and healing may take some time. Recurrence is common. The economic impacts of substance use in Canada on a workplace or industry have been traditionally difficult to measure. Many costs are hidden by general absenteeism or illnesses, 'unnoticed' lack of productivity, or inability or reluctance to link substance use directly with causes of incidents. Costs to a business may be both direct and indirect. The impacts of substance use that have been reported include:. Various and numerous organizational, personal and social factors can play a major role in why a person may choose to use a substance. In general, however, some work-related factors can include:. The workplace can be an important place to help address substance use issues. Employers and employees can collaborate to design a management of impairment policy that outlines what is an acceptable code of behaviour and what is not. The main goal is that workplaces are encouraged to establish a procedure or policy so that help can be provided in a professional and consistent manner. It is important for supervisors and managers to have a resource or procedure that they can rely on if the need arises. Employees need to know that everyone will be treated the same way. These actions help to reduce the stigma associated with substance use. When stigma is reduced, it is hoped that people will seek help without fear, and will speak openly about substance use issues. Early treatment and support are encouraged. In addition, managers and supervisors should be educated in how to recognize and manage substance use issues, and employees should be offered educational programs. Recall it is not the role of the supervisor or employer to diagnose a possible substance use or dependency problem. By establishing or promoting programs such as an Employee Assistance Program EAP , employers can help employees more directly or provide referrals to community services. Note that under federal, provincial, and territorial human rights legislation, substance use disorder is considered a disability. Discrimination based on disability is not legal. Employers have a duty to accommodate disabilities to the point of undue hardship. Undue hardship is considered on a case-by-case basis. Please see the OSH Answers Impairment at Work — Policy and Recognition for details to be included in a management of impairment in the workplace policy. Situations where problematic substance use may result in issues at work include: any impact on a person's judgment, alertness, perception, motor coordination or emotional state that also impacts working safely or safety-sensitive decisions, after-effects of substance use hangover, withdrawal affecting job performance, illness or injury, absenteeism, or reduced productivity, preoccupation with obtaining and using substances while at work, interfering with attention and concentration, illegal activities at work, including selling illicit drugs to other employees, and psychological or stress-related effects due to substance use by a family member, friend or co-worker that affects another person's job performance. For example, while impaired: Does the person have the ability to perform the job or task safely e. Is there an impact on cognitive ability or judgement? Category Examples Examples of General Effects Alcohol beer, wine, spirits impaired judgement, slowed reflexes, impaired motor function, sleepiness or drowsiness, coma, overdose may be fatal Benzodiazepines medication for sleep disorders, seizures, anxiety disorders including panic attacks confusion, dizziness, drowsiness, memory loss, slurred speech, muscle weakness, and loss of coordination and balance. Fact sheet last revised: It may also include delusions, hallucinations, sudden anxiety, euphoria, restlessness, agitation. LSD lysergic acid diethylamide , PCP phencyclidine , mescaline, magic mushrooms active ingredients psilocybin and psilocin , salvia.

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