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Harm Reduction Policies Where Drugs Constitute a Security Issue

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Abstract

There is strong evidence suggesting that harm reduction policies are able to reduce the adverse health and social consequences of drug use. However, in this article I will compare two different countries to demonstrate that some social aspects lead to the adoption or rejection of harm reduction policies. In this case, countries where drugs are seen as a security concern are less likely to adopt these harm reduction policies. For that purpose, I will compare Colombia and Uruguay’s political, normative, and social aspects, which are considered drivers in the adoption of harm reduction policies, as well as how those factors influence the treatments available for substance abuse disorders.

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Notes

  1. The Colombian Drugs Observatory in “Drug Use in Colombia: Characteristics and Trend” explains that the use of legal substances is decreasing, and the use of illegal substances is increasing in Colombia from 2008 to 2013.

  2. Luz Estella Nagle explains that “the founding fathers borrowed the notion of individual guarantees of a bill of rights as appeared in the French Declaration of the Rights of Man and of the Citizens, the concept of separation of powers and the role of the judiciary.

  3. “The Spanish law, as Eder noted, remained in force, and the practices of the courts and the modes of Spanish legal thinking continued with little change until the adoption of its own codes later in the 19th century that were modelled after the Code of Napoleon.”

  4. The law 19,172 in its article 2 determines that “the State will take control of regulating the activities of import, export, planting, cultivation, harvesting, production, acquisition in any capacity, storage, marketing and distribution of cannabis and its derivatives, or hemp when appropriate, through the institutions to which it grants legal mandate.”

  5. Basuco is a mixture of cocaine, brick DUST, chalk and even volcanic ash, with residues of lead, sulfuric acid, ether, chloroform, kerosene or gasoline.

References

  1. Colombia-Settlement Patterns. Online: Encyclopedia Britannica. Retrieved February 20, 2020, from https://www.britannica.com/place/Colombia.

  2. Corte Constitucional Colombiana. Sentencia C-221 de 1994, MP Carlos Gaviria Diaz. Online. Retrieved October 22, 2019, from https://www.suin-juriscol.gov.co/viewDocument.asp?ruta=CorteConstitucional/20015890.

  3. Council on Foreign Relations. Colombia’s civil conflict. Online. Retrieved March 10, 2020, from https://www.cfr.org/backgrounder/colombias-civil-conflict.

  4. Cruz, G. M. (2017). A view from the south: The global creation of the war on drugs. Contexto Internacional, 39(3), 633–653.

    Article  Google Scholar 

  5. de Leon, P. S. A guide to Uruguay’s legal system and research. Online. Retrieved January 18, 2020, from https://www.nyulawglobal.org/globalex/Uruguay.html#THEURUGUAYANLEGALSYSTEM.

  6. Drug Policy Alliance. The international drug war. Online: Drug Policy Alliance. Retrieved January 19, 2020, from https://www.drugpolicy.org/issues/international-drug-war.

  7. Floris, S. Cannabis regulation Uruguay: Reducing harm an improving security? Online. Retrieved January 18, 2020, from https://studenttheses.universiteitleiden.nl/handle/1887/57116.

  8. Gaviria, A., Mejia, D., & Weiskopf, J. (2017). Anti-drug policies in colombia: successes, failures and wrong turns. Nashville: Vanderbilt University Press.

    Book  Google Scholar 

  9. Harm Reduction Coalition. Principles of harm reduction. Online. Retrieved January 10, 2020, from https://harmreduction.org/about-us/principles-of-harm-reduction/.

  10. Hudak, J., Ramsey, G. &Walsh, J. Uruguay's cannnabis law: Prionerring a new paradigm. Online. Retrieved February 12, 2020, from https://www.brookings.edu/research/uruguays-cannabis-law-pioneering-a-new-paradigm/.

  11. Index Mundi. Uruguay demographics profile 2019. Online. Retrieved December 6, 2020, from https://www.indexmundi.com/uruguay/demographics_profile.html.

  12. Jaramillo, J. E., Mora, L., & Cubides, F. (1986). Colonización, coca y guerrilla. Alianza Editorial Colombiana. Bogota, Colombia.

  13. Mentjox, G. Colombia drug consumption up 38% since 2008: Report, Colombia Reports. Online. Retrieved September 13, 2020, from https://colombiareports.com/drug-consumption-stats-colombia/.

  14. Ministerio de Justicia de Colombia. Reporte de Drogas Colombia 2017 [Colombia Drug Report 2017]. Online. Retrieved January 19, 2020, from https://www.policia.gov.co/file/121805/download?token=ZeoeNgCa, [Translated by the author].

  15. Ministerio de Salud & UNODC (2016). Modelo Atención Integral para Transtornos por Uso de Sustancias Psicoactivas en Colombia.

  16. Pereira, C. A. Religion and the secular state: Uruguayan Report. 23, Online. Retrieved January 19, 2020, from https://www.iclrs.org/content/blurb/files/Uruguay.1.pdf.

  17. Presidency of Colombia (2003). Democratic security and defense policy.

  18. Ramirez, A. An introduction to Colombian governmental institutions and primary legal sources. Online. Retrieved January 19, 2020, from https://www.nyulawglobal.org/globalex/Colombia.html.

  19. Scoppetta, O. Consumo drogas en Colombia: Características y Tendencias. Online. Retrieved September 13, 2020, from https://www.odc.gov.co/Portals/1/publicaciones/pdf/consumo/estudios/nacionales/CO03102010-consumo-drogas-colombia-caracteristicas-tendencias-.pdf.

  20. Sondrol, Paul. (1984). Revisited? A re-examination of Uruguay’s military dictatorship. Bulletin of Latin American Research, 11(2), 187–203. https://doi.org/10.2307/3338122.

    Article  Google Scholar 

  21. Transnational Institute. About drug law reform in Uruguay, (29 June 2015). Online: Transnational Institute. Retrieved January 18, 2020, from https://www.tni.org/en/publication/about-drug-law-reform-in-uruguay.

  22. U.S. Embassy. (2016). International Religious Freedom Report, Colombia.

  23. United Nations. World drug report 2018. United Nations publication, Sales No. E.18.XI.9

  24. United Nations. World drug report 2019 (Cannabis and Hallucinogens).

  25. United Nations. World drug report 2019 (Global Overview of Drug Demand and Supply) at 43.

  26. United Nations Office on Drugs and Crime, Treatment. Online. Retrieved January 19, 2020, from https://www.unodc.org/docs/treatment/CoPro/Web_Colombia.pdf.

  27. Walsh, J., Ramsey, G. Uruguay’s drug policy: Major innovations, Major Challenges. Online. Retrieved January 18, 2020, from https://www.brookings.edu/wp-content/uploads/2016/07/Walsh-Uruguay-final.pdf.

  28. World Health Organization. (2010). ATLAS of substance use disorders resources for the prevention and treatment of substance use disorders: Uruguay. Online. Retrieved January 19, 2020, from https://www.who.int/substance_abuse/publications/atlas_report/profiles/uruguay.pdf.

  29. World Health Organization. Resources or the treatment and prevention of substance use disorder. Online. Retrieved September 13, 2020, from https://gamapserver.who.int/gho/interactive_charts/substance_abuse/bod_drug_prevalence/atlas.html.

  30. World Population Review. Colombia population 2020 (Demographics, maps, graphs). Online. Retrieved January 19, 2020, from https://worldpopulationreview.com/countries/colombia-population/.

  31. Yaffe, L. The armed conflict in Colombia: Regional analysis of the impacts of the Democratic Security Police, University of Miami (30 April 2012) at “update”, Online. Retrieved December 12, 2019, from https://scholarlyrepository.miami.edu/cgi/viewcontent.cgi?article=1757&context=oa_dissertationsviewcontent.pdf.

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Correspondence to Monica Andrea Narvaez-Chicaiza.

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Narvaez-Chicaiza, M.A. Harm Reduction Policies Where Drugs Constitute a Security Issue. Health Care Anal 28, 382–390 (2020). https://doi.org/10.1007/s10728-020-00415-9

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