essential medicines

  • coca-peru2Global drug control policies, much like tax or climate change, impact heavily on many areas of development and inevitably on efforts to meet many of the sustainable development goals that were launched by the UN last year and came into force on 1 January. Since the mid-20th century, global drug policy has been dominated by strict prohibition and the criminalisation of drug cultivation, production, trade, possession and use, with the intention of creating a drug-free world.

  • Illegal drugs including cocaine, heroin and cannabis should be reclassified to reflect a scientific assessment of harm, according to a report by the Global Commission on Drug Policy. The commission, which includes 14 former heads of states, said the international classification system underpinning drug control is “biased and inconsistent”. A “deep-lying imbalance” between controlling substances and allowing access for medicinal purposes had caused “collateral damage”. Such damage included patients in low- and middle-income countries forced to undergo surgery without anaesthetic, to go without essential medicines and to die in unnecessary pain due to lack of opioid pain relief. (See also: What is the most dangerous drug? |Regulation on substance abuse disproportionate to health risks, says report)

  • morphine sulphateAn attack on the World Health Organization (WHO) by US politicians accusing it of being corrupted by drug companies is making it even more difficult to get morphine to millions of people dying in acute pain in poor countries, say experts in the field. Representatives of the hospice and palliative care community said they were stunned by the Congress members’ report, which they said made false accusations and would affect people suffering in countries where almost no opioids were available. “At least 5 billion people live in countries where there is limited or no availability of opioids for pain treatment,” according to the International Association for Hospice and Palliative Care (IAHCP). More than 18 million people a year worldwide die with “untreated, excruciating pain”, the organisation says.