National Reitox academy in Croatia

The Croatian Institute of Public Health and the European Union Drugs Agency (EUDA) organized the National Reitox Academy on Science-Based Prevention on 16 September 2024 in Zagreb. DPNSEE Executive Director Milutin Milošević participated on the invitation from the Institute.

The aim of this expert meeting was to present the principles of science-based prevention and examples of quality prevention programs implemented in other countries, and to open a discussion on models for improving national prevention interventions.

Namely, epidemiological indicators of the prevalence of substance use in recent years show an increase in the consumption of addictive substances among young people. At the same time, the National Strategy for Action in the Field of Addiction by 2030 and the accompanying Action Plan, adopted in January 2024, emphasize that preventive activities need to be implemented through an integrated, multidisciplinary and science-based approach and coherent action of all departments at the national and local levels. The aforementioned strategic documents also emphasize the need to develop, implement, sustain and improve the availability of quality, scientifically based and proven effective projects and programs for the prevention of addiction and behavioral addictions. This is precisely why the National RTX Academy was held, which represents a continuation of the HZJZ’s investment in quality – proven effective prevention.

The meeting was opened by the representative of the European Union Agency for Drugs, Mr. Gregor Burkhart, MD, and welcoming speeches were given by the representative of the Ministry of Science, Education and Youth – Ms. Marijana Gojčeta, and on behalf of the Ministry of Health and the Croatian Institute of Public Health – Assoc. Prof. Dr. Sc. Krunoslav Capak, prim. MD, spec., Director of the HZJZ. Lectures and a panel discussion were given by experts in the field of prevention from the European Union Agency for Drugs, and from Estonia, Spain, Brazil, Germany, Austria, Bosnia and Herzegovina and Croatia.

The panel discussion discussed the challenges and key factors influencing the implementation of proven effective programmes and approaches, with particular emphasis on the importance of faithful implementation, inter-institutional cooperation, the need to align prevention strategies with previously conducted needs assessments, the need to conduct short-term evaluations as well as scientific evaluation studies, strengthening the implementation of prevention strategies in the environment, and the need to harmonize prevention systems.

 

Croatia presented a pilot project for the introduction of take home naloxone

Photos credit Tportal (© Hrvatski Telekom 2024)

The Croatian Institute of Public Health (HZJZ) held a presentation and education about take home naloxone that will be available from the end of September as a preventive medicine in the event of a drug overdose.

Krunoslav Capak, the director of HZJZ, in his address to the health workers, civil servants and coordinators of that program, pointed out that ‘drug use is a major health problem’ and that ‘in recent years we have seen an increase in deaths’ due to opiate overdose. In five years, Croatia had 468 cases directly related to drug use.

The head of the Department for Quality and Standards in the field of drug addiction and behavioral addictions, Josipa Lovorka Andreić, said that, according to HZJZ research, more than half of addicts have overdosed at least once, which only increases the possibility that their next overdose will be their last.

As a solution to this problem, the take home naloxone (Nyxoid) was presented. It is intended for use as emergency therapy in case of opioid overdose or suspected overdose.

The program will take place in two phases – the first will start this year within the prison system and penitentiaries, and the second next year through associations for the protection of mental health and therapeutic communities, as well as addiction prevention of county public health institutes.

The procurement of the drug begins immediately after the education. It will hopefully be available in two to three weeks. It will be issued by a doctor, and the situation will be monitored on a monthly basis by project coordinators and representatives of HZJZ.

This makes Croatia the 17th European country where naloxone will be used.

Three activists of our member organisation HELP from Split have participated in the education of coordinators for implementation of the pilot project on naloxone home doses.