People with drug use disorders maybe particularly vulnerable to COVID-19

The UNODC Prevention Treatment Rehabilitation Section published Suggestions about treatment, care and rehabilitation of people with drug use disorder in the context of the COVID-19 pandemic – A contribution to the health security of countries and communities. The document underlines that it is crucial to ensure drug treatment, care and rehabilitation services for people who use drugs and people with drug use disorders continue in the time of coronavirus outbreak. It is the key not only to protect the health of vulnerable populations, but also key to security and stability.

UNODC suggests that Member States and drug treatment, care and rehabilitation systems and services develop plans to ensure continuity of care for people who use drugs and people with drug use disorders, bearing in mind the following issues:

  • Address continued access to the services
  • Address the safety of the staff and the patients at the services
  • Make sure the premises of the services are clean and hygienic
  • Provide people with information on and means to protect themselves at every possible occasion
  • Continuity of low-threshold services
  • Continuity of pharmacological therapy
  • Support homeless people, including people with drug use disorders
  • Under no condition should a person be denied access to health care based on the fact that they use drugs!

To read the document follow this link>>>

COVID-19 and people who use drugs

What specific risks are people who use drugs (PWUD) likely to face during the COVID-19 pandemic? What services will they need? How will professionals working with this group adapt on the frontline? These are among the questions raised and answered in a new EMCDDA briefing.

The briefing offers information about:

  • Context – the coronavirus outbreak (COVID-19) in the EU
  • What are the particular risks for people who use drugs (PWUD) during the COVID-19 pandemic?
  • Underlying chronic medical conditions are associated with some forms of drug use and increase the risk of developing severe illnesses
  • The risk of drug overdose may be increased among PWUD who are infected with COVID-19
  • Sharing drug-using equipment may increase the risk of infection
  • Crowded environments increase the risk of exposure to COVID-19
  • Risks of disruption in access to drug services, clean drug-using equipment and vital medications
  • Implementing prevention measures against transmission of COVID-19 in settings used by PWUD
  • Guaranteeing continuity of care during the pandemic
  • Ensuring service continuity
  • Service provider protection during the pandemic – important interventions to consider

The briefing is available at the EMCDDA website following this link>>>

Global Fund response to COVID-19

Extract from the Global Fund Note on COVID-19

The escalating COVID-19 coronavirus pandemic is changing the way that we live and work. The Global Fund is adapting to the rapidly changing circumstances, to remain focused on:

  1. Maximizing impact from the current grant cycle, and
  2. Working with partners for the timely submission of high-quality grant applications, along with strong Prioritized Above Allocation Requests.

In the Guidance Note on Responding to COVID-19, the Global Fund underlined that

The Global Fund strongly encourages countries to consider and take prompt action to mitigate the potential negative consequences of COVID-19 on existing programs supported by Global Fund grants. Particular attention should be given to health worker protection, communication to affected communities, maintenance of essential services, supply chain coordination, early replenishment of stocks, disinfection of assets, waste management. Related costs may be approved by the Global Fund as eligible expenditure.

To give countries further flexibility in responding to COVID-19, the Global Fund will consider, subject to prior approval:

  • Timebound reprogramming of savings under existing grants (up to a limit of 5% of total grant value) and/or;
  • Redeployment of resources procured through existing grants, particularly infrastructure and capacities that become under-utilized because of COVID-19.

 Eligible activities include, but are not limited to:

  • Epidemic preparedness assessment;
  • Laboratory testing;
  • Sample transportation;
  • Use of surveillance infrastructure;
  • Infection control in health facilities;
  • Information campaigns.

 Where there are no savings possible in existing grants or in other exceptional circumstances, an existing grant may be re-programmed up to an additional limit of another 5% of its total value.

The Global Fund constantly monitors COVID-19 developments and is working to adapt its guidelines accordingly. Further updates will be issued in the coming weeks. Visit their website for the latest information following this link>>>.

 

Instructions on coronavirus in Serbian

Together with our member organisations Prevent and Re Generation, DPNSEE have prepared information and instructions for protection against coronavirus in Serbian for people in risk from vulnerable populations we support. We used several sources: INPUD, Leafly, Crew and BesD.

The instructions are printed in 500 – 2.000 copies to share to the key populations.

These instructions will be available in various institutions and civil society organisations in Serbia. We expect that they will be adjusted to local languages in some other countries of South East Europe.

General harm reduction tips for people who use drugs
General prevention measures against coronavirus COVID-19
Instructions for people who take drugs snorting
Instructions for people who use cannabis
Instructions for people who go clubbing
Instructions for sex workers

Together against coronavirus

On the initiative from civil society organisations, following the DPNSEE Public appeal to protect vulnerable groups from coronavirus COVID-19, a meeting was called by the Office for Combating Drugs of the Government of Republic of Serbia to discuss the measures to protect people who use drugs and other connected vulnerable groups. The meeting was held on 13 March with representatives of the Office, Ministry of Health, Special Hospital for Addictions and four civil society organisations.

All participants agreed that vulnerable groups need to be supported for their personal and protection of the entire society. Conclusions include

  • By noon on Monday 16 all service providers will send estimations of their needs for materials they need to protect the key populations they serve and their staff. The Office for Combating Drugs will collect them and send a joint request to the Ministry of social affairs. Once they are provided, they will be distributed to the organisations.
  • The Office will also request for an information about the needs of the shelters for children, young people and elderly and try to organise support to them.
  • Funds for the additional support will be requested from the project supported by the Global Fund and Ministry of Health, at least for the staff supporting the key affected populations.
  • Civil society organisations are preparing specific instructions for people who use drugs and other vulnerable populations and share them both through social networks and printed materials.

 

Javni poziv za zaštitu ranjivih grupa od korona virusa COVID-19

The Public appeal to protect vulnerable groups from coronavirus COVID-19 which DPNSEE issued on 2 March 2020 was translated into Croatian, Montenegrin and Serbian and circulated across the region.

Here are these versions:

Public appeal to protect vulnerable groups from coronavirus COVID-19

To:

National health authorities and institutions

National drug agencies and responsible

National social services

Civil society organisations

 

The World Health Organization (WHO) has declared a public health emergency of international concern over a new coronavirus, which causes an illness officially known as COVID-19 that has killed more than 2,900 people worldwide. As of 1 March, the outbreak has affected an estimated 87,000 people in at least 30 countries globally. The key issues are how transmissible this new coronavirus is between people and what proportion become severely ill and end up in hospital.

Outbreak of the epidemic in Italy, neighbouring country to our region, brought the virus to our region. First cases were reported at the bordering cities of Trieste and Gorizia near Slovenia, but also in Austria, Croatia, Romania, North Macedonia and Greece. It is pretty realistic that they will appear in other South East European countries.

We believe that the health systems in South East Europe countries and wider are well prepared and will react efficiently, without panic but also taking situation seriously.

Still, Drug Policy Network South East Europe shares concern that the health systems may not have fully in their sight the key populations we are supporting (people who use drugs, sex workers, LGBTI and MSM, homeless, etc.) and that these populations, being side-lined in the community, may not be well informed about the threat and measures they should take to protects themselves.

Governments have to ensure that all individuals have the opportunity to remain healthy and educated. Alongside preparedness measures, countries must ensure efforts to achieve a truly inclusive universal health coverage grounded on rights-based laws, policies and procedures by prioritizing and protecting vulnerable groups.

To combat stigma and discrimination and achieve universal health coverage vulnerable populations are faced with, we must not divide ourselves further. Viruses don’t discriminate on the basis of race, religion, gender identity, lifestyle or sexual orientation.

On our side, DPNSEE and our member organisations, especially those who provide services to people who use drugs and other connected vulnerable groups, are ready to play they role in overall efforts to fight the problems caused by this epidemic. We have already started prevention activities and are preparing for situation when/if epidemics escalates.

DPNSEE is a regional network with a wealth of experience from around the region. We think that this is the situation when we all should act together, for the benefit of all members of our societies.

 

Drug Policy Network South East Europe

2 March 2020

 

You can download the Appeal following this link>>>

Ready for COVID-19?

In December 2019, a novel coronavirus (2019-nCoV) was first isolated from three patients with pneumonia, connected to the cluster of acute respiratory illness cases from Wuhan, China. Coronaviruses are zoonotic, meaning they are transmitted between animals and people. More about the virus is available in the video bellow.

According to the latest epidemiological data on 25 February, the total number of COVID-19 cases has reached 80,407 globally, and 2,708 people have died from the virus, which puts the mortality rate at nearly 3.4%. This is an emerging, rapidly evolving situation with ongoing outbreak investigations. More about the virus is available at the World Health Organisation webpage following this link>>> and at the webpage of the European Centre for Disease Prevention and Control.

Outbreak of the epidemic in Italy, neighbouring country to our region, saw 322 cases in a very short period of time, with 11 deaths, while cities of Cremona and Brescia turned into quarantine. First cases were also reported in Croatia, Romania, North Macedonia and Greece and also in Austria. It is pretty realistic that they will appear in other South East European countries.

In the exchange which the DPNSEE Board had, we expressed concern that the health systems may not have fully in their sight the key populations we are supporting (and people with substance use disorder, especially heroin users, are usually in a weak health conditions), that these populations, being side-lined in the community, may not be well informed about the threat and measures they should take to protect themselves and that our organisations, especially those who provide services to people who use drugs and other connected vulnerable groups should also play they role in overall efforts to fight the problems caused by this epidemic.

DPNSEE invited its member organisations to act locally but also to act together, share experiences, actions and results they achieve.

We see our role in three dimensions:

  1. While the coronavirus is still a threat, you may participate in calming the situation and avoiding panic which may occur, inform people you are supporting about the protective measures against the coronavirus and make all necessary steps internally to be prepared for possible dark scenarios.
  2. If COVID-19 cases appear in your country, you may intensify communication and advising the key populations, activate full spectrum of protection measures for your staff and establish close cooperation with authorities, especially national and local public health authority to advice on necessary steps.
  3. If you find yourself locked in a quarantine area, please fully respect all necessary advices and make sure that your people are safe, but also offer services other than your ordinary actions to support overall efforts of overcoming the critical situation.

DPNSEE invites authorities to pay specific attention to vulnerable populations, which may remain invisible in situations when major efforts are needed for an effective respond to the crisis.

The corona virus COVID-19 is a serious treat, but not more dangerous than usual influence we face every winter. With good preparations and respecting necessary prevention measures, its effects may be reduced and minimised. DPNSEE wants to ensure that people we serve, our staff and societies in general are prepared to fight this challenge.

To read the letter that DPNSEE sent to its member organisations follow this link>>>

Consultations on reaction to the coronavirus outbreak

Last two days, the DPNSEE Board had on-line communications, including a few experts from inside the Network, on the threat of coronavirus outbreak in South East Europe following the first cases which appeared in neighbouring Italy. The first case of the virus were also reported in Croatia. Those participating shared information about situation in their countries.

The Board agreed that if the situation in our region escalates in our countries, we need to see if the health system is ready to respond in such a way that the services we provide to key affected populations are not jeopardized. There may be issues with accessing drop-in centres, protection of users and our staff working there, distribution of substitution therapy and access to it, etc. In addition, it may be good to take measures in the drop-in centres already now to advise the users about prevention measures because they may not be informed and be cut from regular information channels through media.

A Letter to member organisations inviting them to prepare for the coronavirus outbreak with brief instructions is being prepared and will be shared as soon as possible.