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Sugar addiction: pushing the drug-sugar analogy to the limit

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I cannot stress enough how challenging a context it is. This, coupled with inequality, extreme poverty, exclusion, and the lack of mental health support result in many people who use drugs in Colombia being severely marginalised and under-served. It was refreshing and inspiring to find a place where people who use drugs — many of whom have been victims of this stigma and violence — are treated with dignity and compassion, where they feel accepted and not judged, and where abstinence is not imposed as a goal. However, when someone in Sucre dies because of drugs, the whole community is affected as friends and family, first responders and professional workers simultaneously, and this takes a toll. In the last year, people who inject drugs have accessed the services; an average of people attend the point of care daily. This marks a huge achievement and is hopefully testament to a change in attitude towards people who use drugs in Sucre. Life on the street limits access to health services, hygienic spaces for injection, and access to food in dignified conditions, while exposing individuals to theft and violence. In addition to overdose, people who inject drugs are at increased risk of HIV and hepatitis B and C, often transmitted through shared needles, as well as tuberculosis. Stigma and discrimination further undermine access to the health system and mental health services. For example, people are frequently denied entry to hospitals because of their appearance, or are treated so poorly that they avoid going. In this struggle to access the right to health, many die from advanced diseases and lack of care and attention. A spate of deaths in Sucre in April and May had a massive impact on me. You feel the loss of each person individually, and know that the world is not a better place without them. The overwhelming nature of the grief and the despair at the complete abandonment and neglect of people who use drugs in Cali began to feel too heavy. There was no time to process or heal because then somebody else would die. But in this context we are dealing with so many tragic deaths. Feelings fluctuate between deep sadness, rage, anger and hopelessness. Sometimes there is a degree of solace to be found in the knowledge that people passed away with dignity, that they were being accompanied by staff at Viviendo who were doing everything within their power to help. But for the most part, it is hard to accept deaths that are entirely preventable by better drug policy and government support. For members of the team who have worked in Sucre for a long time, these can be people that they have known for years. They are connected in the community. It is a very complicated grief. This is a spiritual object made by weaving a design on a wooden cross, to this we attached the names of people in the community who had died. I will never forget seeing someone picking them up one by one, as they brought memories of all his peers who had passed away. The cumulative impact of having known and lost so many people is intense and leaves a huge mark. Clearly, so much more needs to be done. The World Health Organisation acknowledges that removing punitive laws, policies and practices, reducing stigma and discrimination, community empowerment, and addressing violence are each necessary to prevent more deaths. For decades, drug policy in Colombia has prioritised a punitive approach to drugs over policies based in harm reduction and public health. In a context where stigmatising and even killing people who use drugs has sometimes been the default, this is a remarkable achievement. This website uses cookies to ensure you get the best experience on our website. Learn more. Accept Decline. However, when someone in Sucre dies because of drugs, the whole community is affected as friends and family, first responders and professional workers simultaneously, and this takes a toll In the last year, people who inject drugs have accessed the services; an average of people attend the point of care daily. Latest Articles. Transform announces new trustees 3rd October Our vision for regulated cannabis in the UK 15th August What about the kids? Regulating adult-only cannabis access 6th August

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