UNODC-WHO Informal Scientific Network Statement 2021: Recommendations on Prevention, Treatment, and Care of Substance Use Disorders in Times of COVID-19.
Individuals with substance use disorders are at increased risk of contracting COVID-19 and if infected are more likely to experience negative outcomes. This vulnerability reflects both the adverse effects of the non-medical use of psychoactive substances on health, as well as associated psychosocial and structural factors, including poverty and stigma. Therefore, individuals with substance use disorders should be prioritized for COVID-19 screening and vaccination. Resources necessary to prevent infection, provide correct information, and ensure treatment, should be made available to this population. Governments need to build capacities to collect timely data on substance use and substance use disorders during the COVID-19 pandemic. Evidence-based treatment of substance use disorders, including mental health and physical comorbidities, should be considered essential, and integrated into existing health care services.
The Global State of Harm Reduction is the only report that provides an independent analysis of harm reduction in the world. Now in its the seventh edition, the Global State of Harm Reduction 2020 is the most comprehensive global mapping of harm reduction responses to drug use, HIV and viral hepatitis.
Background: Little is known about how information on direct-acting antiviral treatment for hepatitis C circulates through peer networks of people who inject drugs. In this study we aimed to explore what and how treatment-related information is shared between people undergoing treatment and their peers.
Methods: Participants were recruited from two general practice clinics and the community-based hepatitis C Treatment and Prevention Study. Semi-structured interviews were conducted with each participant (N = 20) before, during and following treatment. Interviews explored hepatitis C treatment experiences, key sources of DAA information and the impact of receiving and sharing knowledge. Inductive thematic analysis was conducted. Time sequential matrices were generated to understand thematic change over time.
Results: Fifty-four interviews were conducted with 20 participants across seven field-sites in Melbourne, Australia. Key themes were: ‘peers as a source treatment information’, ‘do it together’ and ‘becoming a treatment advocate’. Peers were a crucial trusted source of information. Positive treatment anecdotes were important for building confidence in and motivation to initiate treatment. Many participants adopted a ‘treatment advocate’ role in their close peer networks, which was described as empowering. Some participants described benefits of undertaking treatment alongside members of their close network.
Conclusion: Findings illustrate the importance of close peers in shaping treatment perceptions and engagement. This will be important in designing health promotion messaging and interventions to increase treatment uptake.
Sexual contacts are an undeniable fact among prisoners around the world. However, policy makers and prison governors as well as medical services deny the existence of same-sex-activities in prisons. Homophobia is a global concept of denial of human variety of sexual identity. Once again the resistance against the provision of evidence-based preventive strategies is politically and morally driven!
Intimate partner violence (IPV) has emerged as a serious public health issue in migrant communities in Central Asia and globally. To date, however, research on risk factors associated with male perpetration of IPV among migrants remains scant. This study aims to examine risk environment theory-driven factors associated with male perpetration of IPVin the prior 6 months.We recruited, enrolled, and surveyed a respondent-driven sample of 1342 male market workers in Almaty, Kazakhstan, that included 562 (42%) non-migrants defined as Kazakhstan citizenswho reside inAlmaty; 502 (37%) external migrants from Kyrgyzstan, Tajikistan, or Uzbekistan; and 278 (21%) internal migrants from other areas of Kazakhstan. We conducted multivariate logistic regressions to estimate the effects of physical, economic, and political risk environment factors on IPV perpetration by migration status after controlling for potentially confounding socio-demographic and psychosocial variables. A total of 170 participants (12.7%) reported ever perpetrating physical or sexual IPV and 6.7% perpetrated such IPV in the prior 6 months.
•Эпидемиология: тюрьмы, ЛУИН (люди, употребляющие инъекционные наркотики), ВИЧ
•Профилактика ВИЧ и снижение вреда среди ЛУИН в гражданском секторе и в тюрьмах
•Международный закон о правах человека и стандарты медицинских услуг в тюрьмах
•Извлечённые уроки и дальнейшие шаги
Drug demand reduction programs must be integrated into a comprehensive strategy aiming at preventing drug misuse, facilitating access to counseling, to treatment of dependence, and to rehabilitation; and establishing effective measures to reduce the adverse health and social consequences of drug misuse. The continuous and even rising spread of HIV/AIDS and other infectious diseases (e.g., hepatitis B and C) among injecting drug users is alarming. Although, in many countries the prevalence of HIV infections is decreasing due to the implementation of effective harm reduction measures, such as syringe exchange and opiate substitution treatment (OST), in other countries infections are on the rise. The lessons learnt indicate that only a comprehensive, evidence-based approach in prevention, treatment, care, and support is promising in combating the devastating effects of drug dependence.