First day of the CND 2020

The 63rd session of the Commission on Narcotic Drugs (CND) started on 2 March in Vienna, Austria. The CND is a functional commission of the United Nations Economic and Social Council (ECOSOC) and is the central drug policy-making body within the United Nations system. It monitors the world drug situation, develops strategies on international drug control and recommends measures to address the world drug problem.

As expected, the meeting started with an information on the coronavirus outbreak. Austrian Health Authorities have mandatory reporting cases – no travel restrictions currently. 1826 tests in Austria, 15 confirmed.

New UNODC Executive Director Ghada Waly was presented. UNODC will be launching on 26 June the World Drug Report, hoping spurring dialogue and action.

INCB President: The Board expresses its serious concern with the continued reports of great human rights violations perpetrated in the name of drug control. We call for the immediate end to extrajudicial responses to suspected drug criminality and sue. When drug control measures violate international human rights standards, they also violate the drug control conventions.

Director General of WHO (video link): The increase in the use of psychoactive drugs claims hundreds of thousands of lives every year.

Croatia on behalf of EU: [a number of Balkan states are also aligned with the statement]: The situation is worsening in many parts of the World. The EU and its MS stress the importance of rebalancing the public health and human rights aspects in our responses to the problem. The health consequences of drug use are more severe and wide-spread than we thought; NPS emerging, synthetic opioids are a serious threat as is the non-medical use of painkillers. EU’s recent reports remind us of the severity of the issue but also underscore the complexity of the problem so we need a balanced and comprehensive approach. We are planning to continue to support drug-related commitments to support human rights. We need to develop policies based on evidence-based practice. Civil society contributes valuably to complement our understanding of the world drug situation and also in designing national, regional prevention and harm reduction responses.

Side events

Shanghai Cooperation Organization and the UNODC in the Fight Against the Illicit Drug Threat: Countering Drug Trafficking via Darknet

Ghada Waly, Executive Director of the UNODC: reports show half of dark net activities are associated with drugs. International operations have had some high profile successes in closing dark nets, including Silk Road, Alpha B, and Hanza. However, more spring up in their place.

Vladimir Norov, SCO Secretary-General: According to specialist evaluations, up to 60% of transactions are of narcotic drugs, instead of cash payments crypto currency is used to settle accounts. The process leads to risk of involvement of money laundering, hinders the local authorities attempt to counter narcotic drug trafficking and hinders the stability of young people and states. This business is growing – in 2018 less than 600 million US dollars, 2019 more than 800 million US dollars a year

Drug reform: From a punitive to a supportive approach – The Norwegian proposal

Minister Bent Høie, Norway: Replacing punishment by support and decriminalising drug use was an initiative prior to UNGASS 2016. It came from civil society. In 2018 the government declared we needed to transit away from punishment into assistance, treatment and follow-up. We will conduct drug policy reform to ensure better services to people who use illicit drugs, transferring the responsibility of questions of personal use from justice to health service. A government mandated committee has concluded a report, thorough and interesting, “from punishment to support”, which will be the subject of a public hearing. On the basis of this, the government will submit a proposal to the parliament in spring 2021.

Gilberto Gerra, UNODC: The Conventions, in 1988, clearly says in art 3 that the possession for personal consumption needn’t be punished; there are alternatives. UNGASS2016 reiterates this position. It is important that what has been said by Portugal and Norway; the Conventions allow this and this is not legalisation. The motto of our programme with WHO, ten years ago, nothing less than what is provided for any other chronic disease. No stigma, no discrimination, full access to healthcare.

Devora Kestrel, WHO: We support a move away from a criminal justice approach to a social support approach. To ensure support for people who use drugs. While it is recognised that one size doesn’t fit all, drug policies are moving towards a more balanced and comprehensive approach that highlights public health and development, which is consistent with the original purpose of the Conventions: promoting the health and welfare of humankind.

Mr. Zaved Mahmood, Office of the High Commissioner for Human rights (OHCHR): The criminalization of personal drug use and possession impedes realization of the human right to health. Criminalization of possession and personal use of drugs often results in disproportionate sentencing in addition to hindering persons in need of treatment for drug use from receiving such treatment. Criminalization of drug use and minor drug offenses also aggravates the stigmatization of and discrimination against people who use drugs. Evidence indicate that decriminalization, in tandem with “the provision of a continuum of support, prevention and treatment measures, can result in a decrease in overall drug use and in the drug-induced mortality rate.” Three international drug control conventions afford flexibility to introduce non-criminal responses to the possession of drugs for personal use.

Jamie Bridge, Vienna NGO Committee on Drugs: VNGOC has long held the position that greater attention needs to be given to health and human rights. This means providing evidence-based prevention, treatment, rehabilitation, social reintegration, mental health, harm reduction and recovery services. It means working closely with people who use, or used, drugs to ensure that services meet their needs and are fit for purpose.

Alexis Goodeel, EMCDDA: The idea is that higher penalties deter use. We studied the situation and found no direct link of causality. No clear impact of penalties on use. Recent research on what makes policy work suggest taking into account three levels: System (wording of the law, definition of legislation), Provider (criminal justice and health system), Client (experience and perceptions of the system). Punishment  has nothing to do with a medical or public health approach. Especially for women and minority populations that face bigger barriers to access to health and other services.

Reducing health risks of the use of NPS in EECA region

Organized by Estonia and Moldova and Eurasian Harm Reduction Association, with panellists from UNODC and Eurasian Network of PWUD.

Main message from the event is that users switch from traditional drugs to new substances, while appropriate harm reduction services are missing. The darknet plays a big role in the rise of NPS in the EECA. We need to be proactive about creating and implementing harm reduction initiatives on the dark web.

David Subeliani (ENPWUD): The states in general are not ready to respond to NPS posed problems. People reach for alternatives before the legal system can respond to the new market dynamics. If we squeeze out substances from markets, users will find ways to achieve similar effects with other means. I saw a fast change on the drug scenes in Easter European Member States – cities have moved on from traditional illegal drugs to whatever the market was able to provide. A very aggressive takeover on the market. It increased the risk of infections as the effects are wearing off maybe faster and users might need to administer more often.

Eliza Kurcevic (EHRA): We conducted a research with Swansea University about NPS use in Belarus and Moldova to collect data on use, needed services, etc. Our recommendations: periodic data collections from various stakeholders, research risks and consequences on NPSC consumption, adjust harm reduction programs and implement relevant interventions, adapt existing interventions and ensure effective work together with the affected populations, review repressive policies and redesign it based on evidence.

Health Responses to the Opioid Poisoning Crisis: On-the-Ground Experiences and International Implications

Fatal drug-related overdose is a pressing health crisis in North America. Highly potent synthetic opioids, including fentanyl and analogues, are increasingly present in the unregulated opioid supply and have contributed to unprecedented increases in overdose deaths. Several countries in Europe have also recently experienced a rising loss of lives from accidental opioid overdose. While the expanding opioid poisoning crisis has been a focus of international attention in recent years, discussions have primarily focused on supply reduction, rather than health, interventions.

Asma Fakhri, Coordinator, UNODC Opioid Strategy, presented UNODC strategy pulled together in response to opioid crisis. 5 pillars for balanced framework to respond to opioids.

  1. Early warning and trend analysis: generating evidence in support of effective policy decisions and operational responses
  2. Rational prescribing and access to opioid for medical and scientific use: promoting interagency cooperation in addressing the non-medical use of opioids
  3. Prevention and treatment programmes: strengthening and supporting prevention and treatment programmes related to opioids
  4. International law enforcement operations to disrupt trafficking: enhancing operational activities to prevent the diversion and trafficking of synthetic opioids
  5. Strengthening national and international counternarcotic capacity: raising awareness, sharing best practices and promoting international cooperation

Meetings

CND is an excellent opportunity to meet with those involved in drug policy from all around the World and from all sectors. Certainly, most of the short meetings in corridors were with those from our region, but also we had a good exchange with EMDCCA Director Alexis Goodeel.

Meeting with Dr Christos Koumitsidis, Greek Drug Coordinator

CND was an opportunity to meet with Dr Koumitsidis who, due to the professional obligations he has in the UK was not able to join the Dialogue we had in Belgrade in February.

Three main points characterise situation in Greece: homelessness, immigrants and cooperation between authorities and CSOs

There is no Drug strategy so far. Dr Koumitsidis expects that Government will adopt one this spring and the Action plan in summer.

He was interested to hear about experiences in other countries. We presented him the results of the recent SEE government – civil society dialogue on drugs 2020 and offered to organise the next in Greece.

We also expressed concern about the situation of our member organisations and other civil society organisations from the area of drug policy in Greece.

CND opening day

NGO briefing by the Vienna NGO Committee

The briefing was a useful orientation, especially for the newcomers, to what will happen and the annual UN Commission on Narcotic Drugs and the role and involvement of civil society organisations.

Opening of the sixty-first CND Session

The opening session was held in plenary, with all national delegations and civil society representatives present and transmitted to other rooms. It included welcome messages of the CND 61 Chairperson Alicia Buenrostro Massieu, UN Secretary-General António Guterres, International Narcotics Control Board President Dr Viroj Sumyai, UNODC Executive Director Yuri Fedotov, WHO Director – General Tedros Adhanom Ghebreyesus and introductory speeches of country groupings: Group of 77 and China, Africa Group, Asia Pacific Group, Latin American and Caribbean Group (GRULAC) and European Union Group (including accession countries). The Session then continues with general debate.

It should me mentioned that Deputy Minister of Health of Bulgaria Svetlana Yordanova spoke on behalf of the European Union (Bulgaria holds presidency of the EU). She underlined that current UN Drugs Policy has been an utter failure and that EU expresses deepest regret that the UNGASS Outcome Document does not mention a moratorium on the death penalty. She said that “In 2009, we set 2019 as a target date for ourselves to eliminate cultivation of opium, coca and cannabis plants and social risks, trafficking and money laundering related to illicit drugs. We have not achieved this target: today we have an equally severe and diversified situation. The problems are evolving. We have never seen such a complex set of challenges in the drug area: NPS, the internet, trafficking, new players and increased production. EU supports bringing public health and human rights to the core of the drug policy by balancing law enforcement with equally firm health and social services and evidenced based actions.

Side events

Bringing human rights to the forefront of drug policy: Development, implementation, monitoring and evaluation

The event was organised by the governments of Malta (represented by Ambassador Keith Azzopardi), Germany (Ambassador Friedrich Dauble), Norway, the Pompidou Group of the Council of Europe (Jan Malinowski, Executive Secretary). Speakers were also Damon Barrett, Director of the International Centre on Human Rights and Drug Policy, University of Essex and Zaved Mahmoud, Office of the UN High Commissioner for Human Rights. This event was an attempt to move beyond highlighting human rights problems by examining the impact of the world drug problem on the enjoyment of human rights and exploring the application of human rights standards and tests as a basis for national and local led initiatives to incorporate human rights into drug policy development, monitoring and evaluation.

In the outcome document of the 2016 UNGASS on the world drug problem, UN member states reiterated a “commitment to respecting, protecting and promoting all human rights fundamental freedoms and the inherent dignity of all individuals and the rule of law in the development and implementation of drug policies”. In drug policy – as in all other policy areas – human rights are not a choice, they are an obligation.

Interesting points from the presentations include:

  • Human rights start in small places, close to home – Eleanor Roosevelt
  • Jan Malinowski: There is no discussion about death penalty and extrajudicial killings. CoE is condemning inhuman treatments. There must be mechanisms in place to bring to light rights issues arising from drug policy
  • Damon Barrett: There is no universal prescription due to diversity in country situations, but we have universal standards! The challenge for policy makers is to resolve the tension between human rights and drug policy in favour of human rights. Health services should be available, accessible, acceptable (by different populations) and of sufficient quality. Consider harm reduction in funding decisions.
  • Zaved Mahmood: Wrong policy decisions influence various segments of life. For instance, punishing legislation leads to overcrowded prisons. Until we address the human dimension of drug policies, those policies will fail.

The world drug perception problem

This event was organized by the Governments of Portugal, Switzerland and Uruguay and the Global Commission on Drug Policy to discuss the current perceptions but also progress already made in some countries to fight negative perceptions, stigma, discrimination and criminalization of people who use drugs, as well as possible further steps.

Speakers included Pavel Bém, Commissioner, Global Commission on Drug Policy (GCDP), Michel Kazatchkine, UN Special Envoy on HIV/AIDS for Eastern Europe and Central Asia, João Goulão, National Drug Coordinator, Portugal, Martín Rodríguez, Executive Director of the Institute for the Regulation and Control of Cannabis (IRCCA), Uruguay, Nora Kronig-Romero, Ambassador for Global Health, Switzerland and Judy Chang, Executive Director, INPUD.

The latest GCDP report on the issue The World Drug Perception Problem: Countering Prejudices About People Who Use Drugs was published in 2017.

Interesting points from the presentations include:

  • Michel Kazatchkine: presented an interesting fact from the report that “UNODC estimates only 11.6% of those who used drugs in 2016 are considered to suffer problematic drug use or addiction. The most common pattern of drug use is episodic and non-problematic.” and that “Legal status of #drugs rarely correspond to potential harms, not based on scientific evidence.”
  • Martín Rodriguez: “There have been no episodes of violence between the people who use or in the surroundings of the sale places” (in Uruguay, who legalised sale of cannabis) and “Before the sale of recreational cannabis in pharmacies started, almost ¾ were against it; 6 months later and due to the positive experiences, this has fallen to 43%”
  • Nora Kronig-Romero: The main factors leading the Swiss population to approve drug policy reform was failure of law enforcement only approach and experiences with small projects of harm reduction. Direct democracy contributed to an informed discussion about drugs, drug perception and drug policy in Switzerland.
  • João Goulão: “Problematic drug use reached all parts of society and that led to a change in the popular view of drug use – changing perceptions about people who use drugs”
  • Judy Chang – We don’t believe in reducing a behaviour to an identity. We prefer the phrase “people who use drugs” to more stigmatising language but emphasise drug dependency is not incompatible with a person living a happy and fulfilled lives

A note from this side event is available at the CND blog.

Pre-CND events

Sunday 11 March was full of preparatory events for the 61st Session of the UN Commission on Narcotic Drugs. Here is an information about a few of them where DPNSEE participated.

IDPC pre-meeting with member organisations

The International Drug Policy Consortium held a day-long meeting with member organisations representatives to help them oriented to the CND participation and agree on approach and actions.

In the morning, two separate sessions were held. One was the orientation session for new CSO representatives. They also had an opportunity to learn about the CND through a webinar which is available at the IDPC website.

The other session was intended to those who already had experience with CND. It was a strategy discussion, focused on the substantive details of tabled resolutions, with overview of member states dynamics at the CND, detailed review of CND resolutions and discussion on other key issues for CND 2018.

In the afternoon session, participants from the second morning session informed others about their discussion on resolutions (and resolutions themselves) to inform collective thinking on advocacy, strategy and the work of the network during CND and beyond. This session also included presentation of the IDPC 5-year Strategy and opportunities for collaboration, a report from the civil society meeting held at the end of 2017 in Berlin and presentation of the IDPC Members Survey results.

There are a few interesting things from this event.

An interesting proposed resolution is the one from the CND Chairperson addressing the Preparations for the sixty-second session of the Commission on Narcotic Drugs, in 2019. The resolution already includes various positive elements, but should be strengthened my emphasising the role of the UN Secretary-General, references to civil society participation, active participation of all UN member states (not only 53 CND countries) and mentioning harm reduction in country presentations at the CND debate. This is very important because it is obvious that unrealistic targets of a “drug-free world” declared in 2009 Plan of Action will not be achieved. The world now have two possible ways forward: either continue with same policies that have proven insufficient (promoted by countries with rigid and conservative approach) or promote an active approach which bring public health and human rights to core of drug policy.

WHO proposes 12 substances for control – 6 of them are fentanyl based.

There will be 95 side events at CND – an invitation was shared to go to those which are critical. The same goes for some of the exhibitions of “usual suspects” (Russia, Singapore, Bahrain, Turkey… and especially Iran).

IDPC Asks from the Strategy include:

  • Move away from drug-free world targets
  • Reflect the UN goals of promoting health, human rights, development, peace and security
  • Reflect the realities of drug policies on the ground, both positive and negative – the elephant in the room
  • End punitive approaches and put people and communities first

Deadline for comments to the IDPC Strategic Plan is end of April.

SSDP Rally

Students for Sensible Drug Policy Austria organised a rally in the Vienna’s Sigmund Freud Park in the afternoon and evening. It was the first local CSOs event related to UN Commission on Narcotic Drugs held annually in this city. Besides stands which promoted new approach to drug policy and abandoning the “drug war”, several speakers addressed the public, including representatives of Anyone’s Child: Families for Safer Drug Control, INPUD, Global Drug Survey, Veterans for Medical Marijuana, ENCOD — European Coalition for Just and Effective Drug Policies, ARGE CANNA and LISTE PILZ.