harm reduction coalition

month

February 2010

18 posts

Dispatch: PLoS and NYT vs. Money; FDA vs. Flavor; Hype(r)tension > Facts & Fears > ACSH → acsh.org

The Public Library of Science is no longer considering papers built around research funded by tobacco companies. This comes at a time when the FDA’s new tobacco regulations allow for the approval of products under harm reduction claims.

However, tobacco companies have to show scientific support of their claims, and this includes being published in peer-reviewed journals.

What do you think of Public Library of Science’s decision? Is a study conducted by a tobacco company tainted?

Similarly, the organization who posted this “news” has its own skeletons in the closet. According to SourceWatch, ACSH has been accused of being a corporate front group in the guise of a neutral council on science (http://www.sourcewatch.org/index.php?title=American_Council_on_Science_and_Health).

So where do we go for our answers? Is it possible to get unbiased information anywhere? Probably not. Unfortunately, everyone has their own agenda. It’s the individual’s responsibility, then, to collect, extract, and synthesize to the best of his or her own ability. In the mean time, SourceWatch may be a good resource to utilize for evaluation of our sources.

Feb 25, 20100 notes
#harm reduction #fda #plos #public library of science #tobacco #research
“

Oh yes, that “terrible, evil” harm reduction. I spent 20 years addicted to Rx opiates and cycled my way through 13 different rehabs, several at taxpayer expense, all of which ignored the physical, medical aspects of the disorder and simply urged me to pray, turn it over to “God”, pray some more, meditate, talk about my childhood, pray some more, color pictures of flowers (art therapy) and beat empty chairs with nerf bats while railing against whatever grudges I could come up with against my parents (psychodrama), and read “literature” written by a stockbroker back in 1935 regarding his personal opinion on how to cure alcoholism (which I did not have) by finding God. I don’t think most people even realize what actually serves as abstinence based treatment in most places. Though I threw myself into this “treatment” wholeheartedly, it failed, as it does for approximately 85% or more of those who undergo it.

Finally I found methadone treatment, where I have been for almost six years now. I have gone from being unemployed, broke, sick and desperate to being a full time employee for 5 years with a college degree, I own my own home in the suburbs, take good care of my family and myself, pay all my own bills on time including my own clinic bill and have been free of all illict drugs since my first day of treatment. That I take a daily medication to control the symptoms of a chronic disorder of the brain chemistry does not mean my recovery is any less “real” or authentic than anyone else’s. The “root causes” of my addiction were not childhood traumas, character defects or spiritual maladies—it was a deficiency in endorphins (the body’s natural opiates) that I was attempting—badly—to self-medicate. Once properly treated for this disorder, I returned to the normal, law abiding life I had been raised to live. I only wish it could have been sooner, before I lost so much to the ravages of the disease and the mistreatment thereof.

”
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Why we turn our backs on drug addicts at our peril | Society | guardian.co.uk

This is a comment left on a health blog post on The Guardian’s website. A good reminder that it is important to talk to people who are directly affected whenever considering a health intervention of any kind.

Feb 25, 20101 note
#harm reduction #drug user #opiates #rehab #methadone #pills #prescription drugs
Feb 24, 2010-1 notes
Comments!

Thanks to morningstar for asking about the comments feature. I completely overlooked that option! Anyway, Disqus comments are now enabled. Hooray!

Feb 24, 20101 note
Can you implement comments? Via disquss even?

So I tried enabling comments. The theme I use has an option to let people respond to the posts. Could someone check if it is working? I can’t seem to find a comment/reply button/area, etc.

Feb 24, 20101 note
Mass. - Patrick-Murray Administration Announces 500th Narcan Pilot Overdose Reversal → mass.gov

I posted about Massachusetts last week and what a great job they were doing. Here’s the link to the official press release. Again, job well done, Massachusetts!

Feb 24, 2010-1 notes
#massachusetts #narcan #overdose prevention #drug policy #overdose reversal #boston #harm reduction
The surprising truth about heroin addiction → reason.com

In 1992 The New York Times carried a front-page story about a successful businessman who happened to be a regular heroin user. It began: “He is an executive in a company in New York, lives in a condo on the Upper East Side of Manhattan, drives an expensive car, plays tennis in the Hamptons and vacations with his wife in Europe and the Caribbean. But unknown to office colleagues, friends, and most of his family, the man is also a longtime heroin user. He says he finds heroin relaxing and pleasurable and has seen no reason to stop using it until the woman he recently married insisted that he do so. ‘The drug is an enhancement of my life,’ he said. ‘I see it as similar to a guy coming home and having a drink of alcohol. Only alcohol has never done it for me.’”

The Times noted that “nearly everything about the 44-year-old executive…seems to fly in the face of widely held perceptions about heroin users.” The reporter who wrote the story and his editors seemed uncomfortable with contradicting official anti-drug propaganda, which depicts heroin use as incompatible with a satisfying, productive life. The headline read, “Executive’s Secret Struggle With Heroin’s Powerful Grip,” which sounds more like a cautionary tale than a success story. And the Times hastened to add that heroin users “are flirting with disaster.” It conceded that “heroin does not damage the organs as, for instance, heavy alcohol use does.” But it cited the risk of arrest, overdose, AIDS, and hepatitis — without noting that all of these risks are created or exacerbated by prohibition.

Interesting piece by one Jacob Sullum for Reason Magazine.

(via privatecompendiumofself)

Feb 24, 20103 notes
Those Mexicans Will Compel You To Use Their Awesome Heroin | The Awl

patrixio:

by Choire

The LA Times is going to town on the Xalisco (north of Puerto Vallarta!) heroin dealers, in their series on the Evil Scary Super-Black-Tar Heroin, delivering an award to these dealers for Excellent Drug Business Practices. (This is part of the paper’s very dramatic MEXICO DRUG WAR extravaganza.) Our hardworking Mexican friends take phone orders; deliver by car; they are not particularly prone to violence or gun-toting; they take customer satisfaction surveys; they sell in smaller amounts; they have cut consumer prices in half; and their heroin is just better. Sounds awesome!

What does this all mean? Your mileage may vary, but it means they are creating heroin users, according to the LA Times. “Competition among the networks has reduced prices, further spreading heroin addiction.” Also: their business practices are described as “often creating demand for heroin where there was little or none.”

Does that make sense? Do people who don’t want to do heroin start doing it because it is a good bargain?

I assume that is the same sort of reasoning in which sex education makes teenagers into sluts and a lack of non-firebombed abortion clinics makes everyone kill their babies.

Meanwhile, the facts are that where these black tar heroin dealers establish themselves, the numbers of people entering drug treatment and people overdosing rise dramatically. Thing is, only one of those things is a bad thing.

Makes a very good point. While the negative result of this improved business model (increased rate of overdose) is unfortunate, the operation itself might be a good way to reduce violence associated with the drug dealing.

Feb 24, 20102 notes
My high school alma mater is mandating that all parents and students participate in SADD. What are your thoughts about what makes a good youth drug education program, and what are some of your favorites? What resources for comparative studies on youth drug education/etc. would you recommend to someone like me contemplating doing something like writing a letter as an alumni to a school publication regarding my thoughts about 1. choosing a program like SADD and 2. mandating it, someone trying to craft a good LTE piece and find a lot of good data to back up and sharpen my own thoughts?

My high school had a SADD chapter, too, but it was a voluntary, after school kind of thing. From a harm reduction standpoint, forced participation would not be the most effective way to go about the issue.

A quick Google search resulted in some claims that SADD operates on a harm reduction model. However, looking at the SADD website shows more of a harm elimination approach. Apparently, they do not believe that one can “break the law responsibly”. There are obvious legal implications of this, so the national office may be required to make this disclaimer. Local chapters may be a little more lenient/understanding, but you would have to speak with the local chapter heads for that information. Based on the website, though, the only harm reduction oriented piece is their famed Contract for Life. If your HS alma mater focuses mostly on this piece, it may not be so bad.

I could not find any data really to back up either side of the argument. There aren’t any effectiveness studies, and the SADD website only has the “latest” statistics regarding drug use. It would have been nice to see results of their efforts.

You may be interested in checking out the Safety First website. It’s a project run by the Drug Policy Alliance. Their approach to teen substance abuse is more harm reduction based.

Anyway, good luck! I will ask around the office and see what the HRC Facebook friends have to say about it.

Feb 24, 20101 note
Not reblogging every single post on the Harm Reduction Coalition's new tumblr is extremely hard!

katharinec:

I try to exert restraint by only reblogging some, but liking everything.

Are you following them yet?

Thanks for the support! Do you know of any other non-profit orgs and activist orgs that are on tumblr? It would be so great to build a network on tumblr!

Feb 22, 2010-1 notes
Proposed law allows forced detention and detox of Australian drug addicts and alcoholics | TalkingDrugs is a space to share stories and talk about drugs → talkingdrugs.org

katharinec:

Proposed state laws in Victoria, Australia will allow authorities to forcibly detain users of drugs and alcohol for a period of two weeks while they take part in a detox program. However human rights groups say that the new legislation could be used to keep binge drinkers and undesirable characters off the street.

Groups such as Youthlaw and the Human Rights Law Resource Centre warn that the Severe Substance Dependence Treatment Bill could be used inappropriately. The experts who support the bill say that these are measures that could save lives. However there is little evidence that involuntary attention – especially in young people – is a necessary or effective form of treatment for the addiction of alcohol or drug dependence.

In Victoria there are already long waiting lists for detox programmes and treatment for substance abuse. Human rights groups are advising the government that it would make more sense to improve access to voluntary treatment rather than take spaces away from people who do actually want treatment.

This is exactly the kind of thing that actually ends up exacerbating the problem. I wonder if there is anything done after the 2-week detox to ensure or help these individuals from relapsing or OD-ing. Detox of the non-alcoholics in this group are prime candidates for overdose, unfortunately.

Feb 22, 2010-1 notes
Feb 19, 20103 notes
#Olympics 2010 #Vancouver #harm reduction #safe sex #SafeGames 2010 #sex workers #condoms #Canada
“…Yet in every other field of medicine, harm reduction is the default approach. If a person is overweight and has elevated blood sugar and is at risk of developing adult onset diabetes, a physician might recommend a strict diet and exercise program. But if the patient cannot or will not comply with the recommendations, the physician doesn’t send him away to return when he is ready to accept the diagnosis and be compliant. Rather, the physician might start drug therapy while continuing to work with the patient on his resistance to, or problems with, the diet and exercise regimen. This is harm reduction. We accept the refusal or inability of the patient to do the best thing, and try our hardest to do the next best thing.” —Dr. Alexander DeLuca, Abstinence vs. Harm Reduction – a False Dichotomy
Feb 19, 20101 note
#harm reduction #abstinence #drug users #medicine
Daily Herald | Police: Round Lake Park couple overdoses on spiked heroin → dailyherald.com

A married couple faces criminal drug charges after overdosing on heroin laced with a painkiller stronger than morphine, Round Lake Park police said…

Lisa A. Knowles, 37, and her 43-year-old husband, James, were charged with unlawful possession of a controlled substance, unlawful possession of drug paraphernalia and unlawful possession of a hypodermic needle.

The suburbs of Chicago don’t kid around, huh? Because arresting users is a surefire way to help them to stop using, right?

Alright, again, being too harsh on the police. They’re just enforcers. It’s those pesky lawmakers.

Feb 19, 20104 notes
#drug policy #drug users #overdose #overdose prevention #laced heroin #harm reduction
“

FLINT, Michigan — Police are investigating the details of a man’s death that occurred 3 p.m. today at 1310 Huron Street.

The man, in his 50s according to scanner traffic, died of a heroin overdose, and was pronounced dead at Hurley Medical Center, said Flint police Sgt. David Forystek.

A male suspect is in custody in relation to the death, said Flint police Sgt. David Forystek.

Forystek said he might seek homicide charges against the suspect following further investigation in what could be the first Flint homicide case of the year.

”
—

Man dies of drug overdose, could lead to homicide charge | Flint News - - MLive.com

So, basically, the police must be jonesing for a homicide case? Maybe that’s being too harsh, though. It doesn’t seem like any other details have been released.

What’s slightly more bothersome is that the man died in the hospital. Do you think they had access to Naloxone?

While this isn’t a high-profile story or anything, I would be pretty interested in following it closer and seeing what the details of homicide charges are.

Feb 19, 20101 note
#drug overdose #heroin overdose
Fighting the opiate crisis in Mass. - The Boston Globe → boston.com

Yesterday, I had the pleasure of meeting the Oakland branch of the Harm Reduction Coalition. One of them worked for years in Massachusetts, working with needle exchange programs and underground Naloxone distribution. The Naloxone distribution went “aboveground” in 2008, and this Op-Ed goes into further detail about the why, the what, and the how.

Massachusetts is doing great things with overdose prevention. Job well done!

Feb 17, 20101 note
#overdose prevention #naloxone #opiates #heroin #massachusetts #drug policy
Feb 16, 20103 notes
#heroin #overdose #drug overdose
So Many Ways to Die by Accident in New York City - NYTimes.com → nytimes.com

“The number of accidental drug overdoses — officially referred to as unintentional drug poisoning deaths — was 607 in 2008. Like the number of other accidental deaths, the drug overdose numbers have been ‘pretty steady’ since the 1990s, said Daliah Heller, an assistant commissioner in the health department.

In 2007, drug overdoses began to be coded differently and were reclassified as accidental deaths to bring the city in line with national standards for reporting vital statistics, Ms. Heller said. ‘Previously, those deaths were in the natural death category as related to chronic drug use,’ she said.”

Could 607 deaths have been avoided?

Maybe not all 607 lives could have been spared, but some of them could have had a chance.

Feb 16, 20104 notes
#overdose #overdose prevention #harm reduction #accidents #new york
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