Round table A on demand reduction: Report of Scientific Consultation Laura Volkov and Michel Kazatchkine.

State of the Art: recommendations are based on recognition that development and course, of substance abuse disorders are determined by interface of developmental, biological and social factors.  Range of drug use with various degrees of severity.
Dr. Linda Volkov.
1. Substance Abuse Disorder should be treated as a medical and public health issue than a criminal justice or moral issue.
2.Evidence based prevention intervention should be considered most effective way of addressing
3. Health care systems should have responsibility and capacity to deliver treatment and intervention for SUD at all levels according to severity of problem and associated health conditions. Primary healthcare system must engage in screening, early recognition and intervention for SUD and linkage to other treatment settings.
4. MOH in collaboration with other relevant ministries should be supported in coordinating and strengthening services of healthcare including allocation of necessary funds.
5. Criminal sanctions are not beneficial in addressing SUD and discourage their use
6. Call upon CND to consider developing a global integrated strategy on prevention and treatment of DUD with support of UNODC in collaboration with WHO and in close consultation with scientific community in preparation for UNGASS 2016
7. Consider the creation of a permanent scientific council with reps from scientific community to serve as advisors for CND

Please click here to read the full statement:  http://myconference.unov.org//Documents/Get/9dd91b0b-1cfc-4d4f-9afa-0f4e13dca3de

Dr. Michel Kazatchkine
Report of committee analyzing HIV/AIDS and HCV as it relates to Harm Reduction.
1. Sharing of injection equip strongly associated with risk of acquiring HIV and HCV and spread.  Criminalization, restrictive drug policies and incarceration are further drivers of both among PWID
2. Compelling evidence that NSP and OST together are effective in reducing sharing of equipment and averting HIV infection.  Reduce HIV transmission, decrease mortality, reduce dependency, reduce crime and improve quality of life
3. Harm red interventions cost effective. UNODC package of service. 2009 CND adopted in 2013. Coverage is far too low across almost all regions of the world to effectively prevent spread
4. Incarceration increases vulnerability to HIV and HCV.  Stop incarceration for minor non-violent drug related offenses.  Rights of people who use drugs in prison must be respected.  Compulsory treatment ineffective, inhumane and must be closed
5. HR for women must be tailored to meet special needs of women and include reproductive services. Sex worker sand drug users at particular risk.
6. Reform all laws and policies that hinder access  harm reduction. Align law enforcement and harm reduction
7. HCV is  rising cause of severe liver disease and premature death among PWUD and growing public health, social and economic burden, must be integrated into HR services.

Please click here to read the full statement: http://myconference.unov.org//Documents/Get/d19f05c7-8836-4254-8831-22b2ff90edd2

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