Global day FOR action

Statement from our Board member Marios Atzemis

This text is not an “anniversary” piece, nor is it a kind of report. Anniversary approaches do not suit us, nor does the cynicism that accompanies them in some cases, and an account would be too long for this occasion.

Every such day, officially called “against drugs” but those of us who are active in peer-led harm reduction call it “Global Day for Action” and for us it is a daily routine, we are given the opportunity to talk about what is of concern to us and to acknowledge the positive developments and future challenges in the field – not as self-appointed saviors, but as people who have experienced our country’s drug policies and therapeutic (or in some cases anti-therapeutic) approaches under our own skin. We also now have the appropriate peer led education, field experience and an ongoing communication, collaboration and osmosis with major civil society organizations abroad on HIV, harm reduction and drug policies.

Yet, in many cases, we are considered the most unqualified to express an opinion on the thorny field of “addictions”, and there are many times when we are tried to be displaced by people without clinical experience and lived experience or any kind of theoretical background, who think they can speak and decide for us without us. All of the above are manifestations of the multiple and multidimensional stigma that we harbour, and which at the first opportunity are indirectly emphasized by the ‘professional saviours’ to remind us that they know better than we do, and that the field of advocacy and politics is not our domain.

As far as the situation in Greece is concerned, significant breakthroughs have been made in recent years with the development of a multitude of services that have solved problems that we used to face, such as housing and having a safe place to use. We have also reached a high level of cooperation with the people who staff these serorganisation sanisations, which is to the benefit of the affected community.

However, we must point out that when we talk about the field, we are talking about something that is constantly changing, as the disparate communities of people who make up the field are always one or more steps ahead of policies and agencies. Thus, we recognize as phenomena that we are called upon to address: The proliferation of shisha (crystal methamphetamine of poor quality) and the consequent changes it has brought about in the psyche of its problematic users; synthetic opioids (which are being decimating in North America); the chemsex phenomenon; the complete absence of LGBTQ+ inclusion in services aimed at users; and the gap between medicalised harm reduction and that on a peer basis. It also shows in some cases how strong the legacy of punitive degrading ‘tough love’ practices is in some cases, and the lack of up-to-date and evidence-based practices that are not based on outdated and ineffective approaches. We should also note the presence of so many private self-proclaimed rehabilitation centres of dubious efficacy and scientific training that are not audited and that trade on the human suffering and desperation of users and their closest support context.

In conclusion, we recognize the need for our country’s alignment with the European Drug Strategy and the corresponding Action Plan, which propose the active and meaningful participation of civil society and the affected community in the design and implementation of services and policies that directly affect their lives. We will continue our work, as it were, meeting people where they are but without leaving them there…

Marios Atzemis, Harm Reduction Officer of Positive Voice – Greek Association of PLHIV

 

A quiet CND

The 66th session of the UN Commission on Narcotic Drugs (CND) was held between 13th and 17th March in hybrid format with much broader in-person participation than in the past two years. Chaired by the Colombian Ambassador Miguel Camino Ruiz Blanco, it was also the first ever CND session that was recorded on UN Web TV. Positively, a wide number of civil society organisations attended, with 135 NGOs registered, and more than 570 NGO participants following the debates both online and in person.

In a way, the CND was quiet and without many sparkles, but some statements indicate that the next one will be very intense.

As in previous years, the session was marked by ongoing clashes between more progressive member states, and those that continue to promote a war on drugs approach, resulting in new tensions and contradictions hampering the so-called ‘Vienna consensus’. This was clearly felt during the fractious negotiations of the 5 draft resolutions tabled for this CND session.

For the first time in recent history, the UN High Commissioner for Human Rights Volker Türk addressed the CND, which is an important historical development in itself. Recognising that ‘if drugs destroy lives, the same can also be true of drug policies’, Mr. Türk called for ‘transformative change’ in the global approach to drugs.

The call for change was explicitly echoed by Dr. Tlaleng Mofokeng, the UN Special Rapporteur on the right to health. After restating the known fact that criminalisation aggravates stigma and discrimination against people who use drugs, the Special Rapporteur urged States to ‘End prohibition, decriminalize drug use or the possession, purchase, or cultivation of drugs for personal use and other related activities; and introduce appropriate regulations’. Other clear and open challenges to the global drug control regime were voiced by Member States.

But if the 66th CND session witnessed some open challenges to the UN drug control regime, the status quo stroke back. At least 14 countries took the floor to express concern over the legal regulation of cannabis and the resulting contravention of the UN drug conventions. In contrast with

It was another record-breaking year for side events at this year’s CND, with 155 taking place in total, up 21 from last year. In contrast to last year, where side events remained entirely online, the 66th session saw the majority of its side events take place in-person or in a hybrid setting. Only 20 side events took place solely in an ‘online setting’, which meant that in-person attendance for events was extremely high, including from UN diplomats.

DPNSEE President Nebojša Djurasović, Board Member Marios Atzemis, Executive Director Milutin Milošević and several other member organisations’ representatives participated in the event. For the first time, DPNSSE participated in the meeting in full capacity as an ECOSOC-accredited NGO.

In addition to very useful meetings with UNODC representatives, especially Ms. Fariba Soltani and Gorica Popović (including sharing about the implementation of the project for refugees from Ukraine) and colleagues from the Rome Consensus 2.0 (Marios spoke at their side event “A global call for deflection: as the new policy on policing and drugs”), Milutin participated in events organised by the EU Civil Society Forum on Drugs.

 

Second European Symposium on Drug consumption Rooms

Drug consumption rooms – special facilities that provide safe and hygienic environments for supervised drug use, protecting users from risk – are a useful element in increasing public health and safety and promoting safer drug use patterns, an expert symposium heard today.

Organised by the Council of Europe’s anti-drug Pompidou Group as part of its 50th anniversary programme and bringing together around 300 participants from 15 European countries, the symposium assessed existing support for drug consumption rooms with a view to developing similar risk-reduction mechanisms throughout Europe.

In his opening speech Council of Europe Deputy Secretary General Bjørn Berge stressed how the system put human rights at the core of drug policy. “These rooms put people first. But reaching and helping highly marginalized groups also depends upon experience and the myriad of complicating factors that exist on the ground,” he said.

Mr Berge also stressed that “The concept of human rights rests on the idea that every individual matters equally, that those rights are inalienable, and that there exists an obligation to uphold them. It seems to me that supervised drug-consumption rooms are designed to put that theory into practice”.

The Symposium gathered experts, European authorities, ministers from France and Ireland, national drug coordinators, mayors of dozens of cities which presented positive results of the DCRs they host (Brussels, Copenhagen, Strasbourg, Paris, Lille, Marseille, Liege, Lyon, Nantes, Montpellier…) and representatives from the community and civil society organisations from around Europe.

Speaking as the Project Manager at Positive Voice at the Workshop on opportunities and challenges of opening a DCR from the community and professionals’ perspective, the DPNSEE Board member Marios Atzemis said that “Every overdose death is a policy failure. Every overdose death is preventable. ” He also shared that “There is finally a light at the end of the tunnel in #Greece through the collaboration between the community of people who use drugs and Greek Government”.

At the closing of the Symposium, the participants discuss creating a European support network for Drug Consumption Rooms that would extend good practices and sustain the achieved results.

 

Too bad politics and prejudice keep getting in the way

Photo: Aris Messinis/AFP via Getty Images

DPNSEE Board member Marios Atzemis contributed to the article

“We know how to end AIDS”, published by Politico

Greece was never known for the quality of its health system. But in 2009, at least among drug users, HIV was not a major threat – just 15 were diagnosed with the virus that year.

Then came the financial crisis and the harsh austerity that followed. In 2011, another 256 drug users learned they had HIV. In 2012, the number was 484. The reason for the explosion: the Greek financial crisis and the harsh austerity measures that followed.

Marios Atzemis was one of the Greek drug users diagnosed with HIV in 2011. He had been addicted to heroin and a regular in Athens’ open-air drug markets well before the crisis. Then in 2010, street services to help drug users stay safe lost a third of their funding. Atzemis stopped seeing the vans that used to distribute fresh syringes, even as new users were entering the scene, shooting newer, cheaper drugs.

As a community of drug users, we didn’t have an effective means of defense,” said Atzemis, now a harm-reduction coordinator with the Association of People Living with HIV Greece Positive Voice) “It was very easy for us to be targeted and to be scapegoats.”

The doctor refused to put him on anti-AIDS antiretroviral medication until he got clean at a rehab clinic – even though the clinic was on the brink of being shut down for lack of funding.

For Atzemis, now 44, this was enough motivation to wean himself off the drugs. “It didn’t work the same for other people,” he said.

For better or worse, Greece shows that a country doesn’t need to fix its entire health system to deal with HIV. As a case in point, its progress on AIDS hasn’t translated into progress on correlated problems like hepatitis C. Those rates rose during the debt crisis and haven’t ebbed much; based on 2017 data, around 62 percent of drug users in Greece have tested positive for hepatitis C.

The crisis-era HIV outbreak marked “the first time that all the stakeholders – NGOs, state structures, every single one – worked together to face this epidemic,” said Atzemis. “And probably the last time.”

To read full article, follow this link>>>

New DPNSEE Board elected at the General Assembly

The new DPNSEE Board was elected at the General Assembly, held on 10th December 2018, in The Palace of Serbia, in Belgrade, Serbia.

The Chairman reminded the representatives of the member organisations that there is no clear procedure for this election in the Statute and proposed the following procedure:

  • Select three persons for the commission (persons who are neither nominated nor a member of organisations whose members are nominated)
  • Nominate candidates for the Board
  • Vote anonymously for seven Board members
  • Commission to count votes and declare the results

The proposed procedure was adopted by a unanimous decision.

Commission members that fulfill the criteria were selected:

  1. Olga Pateraki from Diogenis, Greece,
  2. Nataša Boškova from Coalition ‘Sexual and Health Rights of Marginalized Communities’, Macedonia and
  3. Marjana Krsmanović from Juventas Montenegro.

There were 9 candidates proposed for for the Board. Elected members of the DPNSEE Board are:

  1. Anna Lyubenova from Initiative for Health Foundation
  2. Denis Dedajić from Margina
  3. Marios Atzemis from Positive Voice
  4. Nebojša Đurasović from Prevent
  5. Safet Blakaj from Labyrinth
  6. Sanja Šišović from Cazas
  7. Vlatko Dekov from HOPS

The proposal to choose Vlatko Dekov as the President and Nebojša Đurasović as the Vice-President of the Board was adopted by a unanimous decision of all 16 member organisations representatives.

During the discussion about the elections, the proposals were made to change the Statute so that all functions other than president and vice-president become just „member“ and to extend the duration of the mandate of the Board members from two years to three. The Assembly at this meeting had 2/3 majority needed for the change of Statute. The proposed changes of the Statute were adopted by a unanimous decision.

Nebojša Đurasović proposed the new co-opting procedure – if somebody resigns from the Board during their mandate to be replaced with the first person below the line from the list of nominated but not elected persons if that person agrees. This proposal brought about a short discussion of possible issues in proposed case. On this proposed change of the Statute 14 member organisations representatives voted for and 2 against which was not sufficient majority for the Statute change, so it was not adopted.

Drug Policy Network South East Europe General Assembly 2018

With the support from the Central European Initiative (CEI) and funded through the European Union project, The Drug Policy Network South East Europe organised regular annual General Assembly on 10 December 2018 in The Palace of Serbia, in Belgrade, Serbia.

The participants at the Assembly were welcomed by Milan Pekić, Director of the Office for Combating Drugs of the Government of the Republic of Serbia. In their short opening speeches, Mr Pekić and the President of the Board of the Network Vlatko Dekov emphasized the importance of partnership in achieving the aim of effective drug policies.

The participants held voting rights from 16 out of 22 ordinary member organisations. That provided the Assembly with the right to make qualified decisions, even those related to the amendments to the Statute.

The Assembly was chaired by Anna Lyubenova, representative of the member organisation Initiative for Health Foundation from Bulgaria.

During the agenda point on membership issues, candidatures for membership from two organisations were discussed. The Assembly unanimously recognised as ordinary members Timok Youth Center from Zaječar, Serbia and Center for Human Policy from Sofia, Bulgaria. The Network now has 24 ordinary and 2 associate member organisations.

The General Assembly discussed the Operational and financial report for 2018 and elements for the Action plan and the Financial plan for 2019. The General Assembly welcomed the reports. They will be completed with the activities in December and then be adopted. The Assembly analysed the donor and funding trends and issues and concluded that, based on donor research, negotiation and exchange, no funding from EU for the Network can be expected for 2019 and some amounts can be obtained for year 2020, more project based. Funding plans and activities and possible issues that might be funded in 2019 include budget advocacy, the Network being the leader on the issue of quality of services in the region, redefining harm reduction and human rights element of the approach in work. The need for greater participation in relevant international events and DPNSEE taking role in organizing regional events were emphasized.

Nine candidates applied for elections to the DPNSEE Board. The new Board includes Anna Lyubenova from Initiative for Health Foundation, Denis Dedajić from Margina, Marios Atzemis from Positive Voice, Nebojša Đurasović from Prevent, Safet Blakaj from Labyrinth, Sanja Šišović from Cazas and Vlatko Dekov from HOPS.

The Assembly decided to keep at the current positions Vlatko Dekov as the President, and Nebojša Đurasović as Vice-President.

More information about the elections are available following this link >>>

An external consultant Jarmila Bujak Stanko facilitated the strategic workshop through which participants analysed achievement of aims and objectives of the strategic plan adopted in 2016 and indicated in which way and by which activities the priorities will be followed in the next two years.

The General Assembly ended in a positive and friendly atmosphere with an improved sense of belonging to the Network.

DPNSEE General Assembly

The Drug Policy Network South East Europe held its 2nd regular annual General Assembly in Belgrade, Serbia from 3rd to 5th December 2017. It was the opportunity to meet, analyse the work looking back on the year that almost ended and decide about the future work.

Thanks to the generous support from the Office for combating drugs of the Republic of Serbia, the Assembly was held in the Palace Serbia, the governmental representative building. Representatives of 15 out of 22 member organisations participated, including 2 newly recognised members.

Our distinguished guests at the Assembly were His Excellency Ambassador of Portugal Augusto Saraiva Peixoto and Director of the Office for Combating Drugs of the Government of Serbia Milan Pekić.

The Assembly adopted the report about the work in 2017 and financial report presenting the Network’s main activities. The plans for 2018 were also adopted, based on the strategic priorities proposed by the Board and ideas for possible projects and partnership building.

Changes in the Board were introduced to ensure that this governing body is active in implementing the action plan. Vlatko Dekov (HOPS, FYRO Macedonia) is elected new Chairperson and Nebojša Đurasović (Prevent, Serbia) new Vice-Chair. While Denis Dedajić (Margina, Bosnia Herzegovina), Marios Atzemis (Positive Voice, Greece) and Saša Mijović (4 Life, Montenegro) remain members of the Board as Secretary, Treasurer and Member, newly elected Board member Anna Lyubenova (Initiative for Health Foundation,IHF, Bulgaria) will serve as Deputy Secretary, and Erlind Plaku (Aksion Plus, Albania) as Deputy Treasurer.

In order to establish common positions, small group work was organised on key issues for which DPNSEE will issue statements in the future. Cannabis and Drug checking were specific topics for sharing and generating ideas.

Focus on transition

Delegation of the project “Strengthening NGO capacity and promoting public Health and human rights oriented Drug Policy in South East Europe ” visits Bulgaria from 29 to 30 May. The visit is part of the efforts for the enlargement of the Network as an essential prerequisite for making it a strong and reliable partner.

The main aims of the visit are to: (a) present DPNSEE to the Bulgarian society, (b) build strong relationships, enhance contacts and improve drug policy dialogue with the relevant authorities, state institutions, policy makers and NGOs, (c) explore opportunities for partnerships and collaboration and (d) discuss possible applications of local civil society organizations for membership in DPNSEE. The experiences from Bulgaria, country that is in transition from communist to EU member state, are of interest, especially because it will hold the EU presidency in the first half of 2018.

The delegation consists of 3 people: Marios Atzemis, DPNSEE Board member, Milutin Milošević, Executive director and Sofia Galinaki, Advocacy Officer, Diogenis (DPNSEE member organisation).

The first day of the visit, the delegation had an interesting exchange with Dr Vyara Georgieva, the Chief Expert in the Ministry of Health for the programmes financed by the Global Fund to fight AIDS, Tuberculosis and Malaria and Petar Tsintsarski, Consultant for the program Prevention and Control of HIV/AIDS. The key learning points from this meeting are that the HIV/AIDS problem should be seen from various angles besides medical: cultural, social etc. and that financing services should be concentrated on the level of local communities.

During the meeting in the National Centre for Addiction with Momtchil Vassilev, Director of the National Focal Point on Drugs and Drug Addictions and Nikolay Butorin, Expert on Training Programmes, the delegation got a lot of data about drugs in the country. Improvement of Early Warning System for new psychoactive substances was an issue of joint interest.

Meeting in the National Centre for Addiction

For the second day of the visit, meetings were first scheduled with two civil society organisations: Initiative for Health Foundation and Centre for humane policy. Our colleagues gave us a realistic and open vies on the situation in the country, especially in the light of termination of the Global Fund support that will cause closing of services to drug users.

Dr Tsvetelina Raicheva, who recently directed the National Addiction Centre provided more statistics about the situation. At the Centre for the Study of Democracy the representatives of the network had a meeting with Mr. Dimitar Markov (Senior Analyst and Project Director, Law Program) and Mr. Atanas Rusev (Senior Analyst, Security Program). The Security program implements criminology research, actively contributes to the Bulgaria’s policy debate on organized crime and participates in projects on crime and security issues. The issues of inadequate funding and bureaucracy in the field of drugs were highlighted in this meeting as one of the biggest barriers at policy level. Moreover, the need for more action in the issue of immigration and its connection to drug use through several routes has to be identified and addressed.

With our friends from Initiative for Health Foundation and Centre for humane policy