2000 Annual report on the state of the drugs problem in the

0,38
MB European Union

43
stron

4630
ID European Monitoring Centre for Drugs and Drug Addiction

2000
rok

Contents

Preface 5

Acknowledgements 6

C H A P T E R 1 7

Overall trends 7

Trends in drug use and its consequences 7

Cannabis 7

Amphetamines and ecstasy 7

Cocaine 7

Heroin 8

Multiple drug use 8

Problem drug use and demand for treatment 8

Drug-related deaths 8

Drug-related infectious diseases 9

Other morbidity 9

Trends in responses to drug use 9

Policy and strategy developments 9

Prevention 9

Reducing the harmful consequences of drug use 10

Treatment 10

C H A P T E R 2 11

Prevalence and patterns of drug use 11

Prevalence of drug use 11

Drug use in the general population 11

Drug use in the school population 13

National estimates of problem drug use 14

Health consequences of drug use 15

Demand for treatment 15

Drug-related deaths 17

Mortality among drug users 19

Drug-related infectious diseases 19

Law-enforcement indicators 20

‘Arrests’ for drug offences 21

Prison data 21

Drug-market indicators: seizures, price, purity 21

Cannabis 21

Heroin 21

Cocaine 22

Amphetamines, ecstasy and LSD 22

C H A P T E R 3 23

Responses to drug use 23

Policy and strategy developments 23

National drug policies 23

European Union Drugs Strategy (2000–04) 24

Quality assurance 25

Demand-reduction responses 25

Prevention 25

Reducing the harmful consequences of drug use 26

Treatment 27

C H A P T E R 4 29

Selected issues 29

Substitution treatment 29

Substitution substances 29

Introduction of substitution treatments in the EU 30

Extent and settings of substitution services 30

Prosecution of drug-related offences 31

Possession of heroin 31

Property offences 32

Selling drugs 32

Problems facing women drug users and their children 33

Drug use among women 33

Infectious diseases 33

Pregnancy and women with children 34

Drug treatment 34

Women-specific drug prevention 35

C H A P T E R 5 37

The drugs problem in central and eastern Europe 37

Prevalence and patterns of drug use 37

Cannabis 37

Opiates 38

Cocaine 39

Synthetic drugs 39

Other substances 40

Responses 40

Institutional and legislative responses 40

Demand and supply reduction 40

EMCDDA publications 2000 41

Reitox focal points 42