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Harm Reduction (IDUs)
GlobalState HarmReduction_2012-1

The  Global State of Harm Reduction 2012 presents the major developments in harm reduction policy adoption and programme implementation that have occurred since 2010. It also explores several major topics for developing an integrated harm reduction response, such as effective harm reduction services for women who inject drugs; access to harm reduction services by young people; drug use among men who have sex with men and implications for harm reduction; global progress toward building an enabling policy environment for harm reduction implementation through drug decriminalisation and regulation; case studies on sustainability and scale-up of services; and promotion of harm reduction approaches in challenging environments.


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The Chinese Government’s Response to Drug Use and HIV/AIDS: A Review of Policies and Programs. Li J, Ha TH, Zhang C, et al (2010)Illicit drug use has become popular in China. Acknowledging the challenge of illicit drug use, China has adopted several new policies on the management of illicit drug use in recent years. This study reviews the current policies on drug use and assesses the harm reduction interventions among drug users in China. The review documents that the new policies on drug use provide a variety of choices of detoxification treatment for drug users. The methadone maintenance treatment and needle exchange programs have been adopted as harm reduction models in China.

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Global State of Harm Reduction 2010: Key Issues for Broadening the Response. International Harm Reduction Association (2010)In 2008 the International Harm Reduction Association (IHRA) released the Global State of Harm Reduction, a report that mapped responses to drug-related HIV and hepatitis C epidemics around the world for the first time.a The information gathered for the report provided a critical baseline against which progress could be measured in terms of the international, regional and national acceptance and action on harm reduction policies and interventions.

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Harm Reduction in Asia: Progress Towards Universal Access to Harm Reduction Services among People who Inject Drugs. Burnet Institute (2010)In 2009, the United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS in Asia and the Pacific (UNRTF) commissioned Burnet Institute, Australia, to undertake a review of policies, resources and services for injecting drug users (IDUs), in order to update the baseline assessment conducted in 2006. 

This update was designed to collect specific information regarding existing activities and conditions which facilitate or hinder the implementation of harm reduction services in the selected countries, with which to augment the annual UNGASS Country Progress Reports. The information collected will also contribute to informing the UNRTF of its effectiveness in driving the harm reduction response, and its strategic activity planning for the coming years.



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World Drug Report 2010. UNODC (2010)This World Drug Report shows the various components of the drug market, and explains the dynamics that drive them. It confirms that drug policy must stay the course we have promoted at UNODC over the past years, focussed on the four basic rights of health, development, security and human rights.

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National Harm Reduction Strategy for Drug Use and HIV 2004-2010, National AIDS/STD Programme Directorate General of Health Services, Ministry of Health & Family Welfare

In 2000-2001 the HIV prevalence rate among injecting drug users (IDUs) ranged from 1.4 - 1.7%. By 2003-2004 the HIV prevalence had increased to 4 % among IDUs
in Central Bangladesh. In one neighborhood of Dhaka it was 8.9% and this indicates a concentrated epidemic of HIV among IDUs in Dhaka City has commenced. The
National Strategic Plan for HIV/AIDS 2004 - 2010 has as an objective of the need to provide Support to the Priority Groups of People and one focus is to Provide
Support and Services to Drug Users. Five strategies for drug users had been developed and endorsed. It was felt that based on the five strategies, a comprehensive harm reduction strategy is needed to address the situation. The National AIDS/STD Programme of Bangladesh took initiative to develop a draft National Harm Reduction Strategy (NHRS) with technical assistance from UNFPA. The completed draft NHRS will provide the impetus and guidance to seek solutions to address the rapidly rising prevalence of HIV/AIDS among drug users and in turn will attempt to prevent the virus from spreading outwards to the wider community.


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World Drug Report 2010. UNODC (2010)Drug control has been on the global agenda for more than a century. As documented in the 2008 World Drug Report, the Chinese opium epidemic in the early twentieth century spurred concerted international action, chiefly in the form of a series of treaties passed over several decades. These treaties, in particular the 1961 Single Convention on Narcotic Drugs, the 1971 Con- vention on Psychotropic Substances, and the 1988 Con- vention against the Illicit Traffic in Narcotic Drugs and Psychotropic Substances, continue to define the interna- tional drug control system. The United Nations Office on Drugs and Crime (UNODC) is the guardian of these treaties and the United Nations lead agency on drug control.

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A Strategy to Halt and Reverse the HIV Epidemic among People Who Inject Drugs in Asia and the Pacific 2010-2015. WHO, USAID, UNODC, et al (2010)A strategy to halt and reverse the HIV epidemic among people who inject drugs in Asia and the Pacific, 2010–2015 A regional strategy (2010–2015) for removing the barriers to “universal access” and “harm reduction” to halt the epidemics of HIV and viral hepatitis among and from people who inject drugs (PWID) in Asia and the Pacific was developed by the United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS for Asia and the Pacific. It was developed in pursuit of the sixth Millennium Development Goal (MDG)2 which is to “Combat HIV/AIDS, malaria and other diseases”. Specifically, the targets are to “Halt and begin to reverse the spread of HIV/AIDS among 15–24-year-olds (6.1), increase condom use at high risk sex (6.2) and ensure that those who need it will have universal access to HIV/AIDS treatment including antiretroviral drugs by 2010 (6.5)”.

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Vietnam Moves Forward with Harm Reduction: An Assessment of Progress. Reid G and Higgs P (2010)

Vietnam has a long historical and cultural connection with illicit drugs. As early as the nineteenth century, British opium began flooding into southern China and then to Vietnam. By 1820, the economic strains of opium addiction resulted in the Vietnamese monarchy outlawing opium (McCoy 1991, Le 1999), but this proved
ineffective and estimates of drug use prevalence were high; by 1945 it was estimated that 2% of the population was dependent on opium (Nguyen 1998).

Source: Reid G, & Higgs P. (2010). Vietnam Moves forward with Harm Reduction: An Assessment of Progress. Global Public Health.



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