Slovenia voted on cannabis cultivation and use

Prepared using news from Radiotelevizija Slovenija

Together with European elections, Slovenia voted last weekend on 4 consultative referundums, out of which 2 were related to cannabis. The voters convincingly supported the use of cannabis for medical purposes, while with regard to support for the use of cannabis for personal use, the result was closer.

The referendum questions were: Should Slovenia allow the cultivation and processing of cannabis for medical purposes on its territory? and Should Slovenia allow the cultivation and possession of cannabis for limited personal use on its territory?

According to the partial unofficial results of the consultative referendum (99.95 percent of the votes were counted), voters supported the use of cannabis for medical purposes with a two-thirds majority – 66,65% voted in favour whilce 33,35% were against.

In the consultative referendum on the use of cannabis for limited personal use, the outcome is different. 99.98 percent of the votes were counted and 51,55% voted in favour while 48,45% were against.

The Pirate Party, as the organizers of the campaign for all three consultative referendums, welcomed the results, which show voter support for all four referendum questions. However, they are disappointed by the lack of substantive discussion regarding the referendum question on the cultivation and possession of cannabis for limited personal use.

The Youth Party of Green Europe is also disappointed by the lack of opportunities for quality debate in the referendum campaign. The party, which was among the organizers of the campaign for all three referendums, warned of a large amount of intimidation in the campaign, but stressed that they were satisfied with the outcome.

 

Slovenian conference on addiction treatment

Our colleagues from the South Eastern European Adriatic Addiction Treatment Network organised the 11th Slovenian conference on addiction treatment. The Conference also included the 9th National Symposium “Hepatitis C virus infection and drug users”.

The conference was held in Ljubljana on 16 and 17 May 2024. Doctors and other involved medical staff had participated.

The conference agenda included a variety of interesting issues. A significant section was dedicated to treatment of children and adolescents using drugs.

During the session on international activities, DPNSEE Executive Director presented work of the Network, situation with harm reduction in the region, importance of civil society involvement and news from the Civil Society Forum on Drugs.

Know your options

Kralji ulice (Kings of the road) published a short informative brochure that presents addicts and/or their relatives with all the treatment options for opioid addiction in Slovenia.

The brochure was created in professional collaboration with Andrej Kastelic, Ph.D. med., spec. psych., the head of the National Centre for Treatment of Drug Addiction in Ljubljana.

It is available in 22 addiction treatment and prevention centers in Slovenia.

 

Drug consumption rooms are coming to Slovenia

After decades of advocacy by civil society, Slovenia finally approved the opening of the first drug consumption room in the country. In 2023, the Ministry of Health finally approved the opening of a supervised consumption room for two organizations – Stigma and Šent Nova Gorica. The NGO Šent Nova Gorica will open a supervised consumption room for sniffing, smoking, and injecting. Stigma plans to facilitate sniffing in the drop-in centre.

On this occasion Rights Reporter Foundation interviewed Katja Kranjc from the NGO Stigma.

The interview on this and other interesting topics of the Slovenian drug policy is available following this link>>>.

 

European civil society consultations

To facilitate meaningful civil society contributions to the 2024 high-level segment of the Commission on Narcotic Drugs (CND), the Vienna & New York NGO Committees on Drugs (VNGOC & NYNGOC) in cooperation with the UNODC Civil Society Unit organised a series of regional civil society consultations in Africa, Asia-Pacific, Europe, and the Americas. In addition, a global online survey was launched in November 2023 to further solicit broad input. The outcomes of the regional consultations in preparation of the 2024 mid-term review will feed into the global civil society contributions towards the 2024 mid-term review and will be presented to Member States in February 2024.

The European Civil Society consultations were conducted in partnership with the Civil Society Forum on Drugs in the EU (CSFD). They consisted of a series of online consultations as well as a hybrid consultation held on 16 January in Ljubljana, Slovenia.

DPNSEE Executive Director Milutin Milošević participated and contributed to this event in person.

Memorial to a homeless

On Homelessness Day, 10 October 2022, the Kralji ulice association and the City Municipality of Ljubljana unveiled a commemorative plaque to the homeless Anton Puglje – Tonček, who died in 2020.

In Slovenia, there is still no definition of homelessness, and the number of homeless people is rising steeply. The president of Kralji Street Association, Hana Košan, thinks that the definition of homelessness should be based on the ethos that makes homeless people those without a roof over their heads, those without housing or home and those who live in unfinished but unsuitable conditions.

She stressed that the levels of poverty, social exclusion and oppression are deepening, the number of homeless people is increasing steeply, so it is high time for the state to adopt a strategy in the field of homelessness, to focus on building shelters and accessible public housing. “Homelessness cannot be a question of social or health policy only, but also of housing policy,” she said. Košan warned that everyone first needs a roof over their head, so that they can arrange their lives easily.

Ljubljana Deputy Mayor Dejan Crnek, on behalf of Mayor Zoran Janković, thanked the Kralji ulice for the initiative to put up the memorial plaque. He added that the municipality is aware of the problems pointed out by the president of the society, and that they perceive the homeless as their citizens, “for whom we must take care of as much as we can.”

He announced that the construction of a new center for the homeless on Poljanska cesta will begin at the end of next summer. It will have space for those who deal with homelessness on a daily basis, and for those who would need space for long-term progress. According to Crneko’s speeches, the municipality is aware that the capital is a place for the homeless, where they can easily earn a little more for their living, and it will remain so. At the same time, he wishes that the municipality’s cooperation with the homeless would continue to be fruitful, and the municipality will expand the resources it allocates to this issue.

 

Kralji ulice have the best world street magazine cover

Kralji ulice magazine received the award for the best street magazine cover, awarded by the International Network of Street Papers in Milan.

This year’s title was awarded to Samira Kentrić‘s cover by the public’s choice.

The magazine is published monthly in approximately 15.000 copies. It is sold in Ljubljana, Maribor, Primorje and occasionally elsewhere in Slovenia.

Homeless Help and Self-Help Association Kralji ulice is an independent non-governmental humanitarian organization founded in September 2005. It brings together experts and others who deal with homelessness and related phenomena and individuals who experience homelessness and related social exclusion.

The magazine is published as a road or street magazine. It discuss the topics of homelessness, living on the street and social exclusion.

Amendments to the Law on the Production and Trafficking of Illicit Drugs without sufficient support

The legislative procedure for the proposal for an amendment to the Law on the Production and Trafficking of Illicit Drugs, which was submitted by part of the opposition, is coming to an end. The proposal was supported on the meeting of the parliamentary Health Committee on 17 February by eight members of the parliamentary committee on health, while one more was against.

The amendment was submitted to the legislative process by the parliamentary groups SD, Levica, LMŠ, SAB and NP. On behalf of the proponents, Dejan Židan (SD) and Violeta Tomić (PS Levica) explained today that they want to clearly define that the cannabis plant is a cultivated plant, which should be separated from cannabis as an illicit drug. According to them, this would correct the error resulting from the incorrect translation of the European Convention on Narcotic Drugs, which also led to the stigmatization and criminalization of the plant.

According to the proponents, the convention clearly defines the difference between cannabis and the cultivated cannabis plant, which is crucial for defining legal economic and amateur activities that do not require a drug control system, but only define the conditions of legal activities (agriculture, industry, horticulture, etc.).

The proposal would define the conditions under which the cannabis plant can be legally grown for industrial, food and horticultural purposes. As they explained, the goal is also to avoid monopolistic, especially French pressure on the Slovenian market, which eliminates old Slovenian varieties by setting 0.2 percent THC.

Although they emphasized that the proposal did not interfere in the field of medical or recreational use, and the proponents, following the opinion of the parliamentary legislative and legal service, also submitted several amendments, a number of concerns were heard at the meeting. State Secretary at the Ministry of Health Franc Vindišar explained that the proposal was not appropriate in the government’s opinion. They estimate that “the regulation does not only concern the agricultural production of industrial hemp, but also means deregulation, sometimes legalization, which will contribute to greater use of cannabis for recreational purposes”.

As he said, such important changes require an in-depth analysis in terms of potential benefits and, above all, negative health, social, security, financial and other consequences, which the proposal does not include. He assured that the terminology in Slovenian legislation is regulated in accordance with all conventions and European regulations, but at the level of the Ministries of Health and Foreign Affairs they will harmonize and ensure the translation of the convention, which was already proposed by the Health Committee. The Ministry of Health has also prepared a bill on the cultivation and trade of cannabis for medical purposes, which is currently in interdepartmental coordination.

He also criticized the proposal discussed today for being partial and for the new solutions not to be followed by a change in control and penal provisions. From the point of view of public health protection, according to him, the proposed limit of one percent THC in cannabis plants, which can be grown for seeds and fiber for industrial, food and horticultural purposes, is not particularly acceptable.

Several representatives of non-governmental organizations and institutions working in the field of health and addiction then presented their views. The proposal was largely opposed, described as ill-conceived and warned that it means liberalization in this area and leads to greater availability of cannabis, which means greater use and harmful consequences for public health, especially for children and adolescents.

The director of the National Institute of Public Health, Milan Krek, pointed out that “cannabis is the most commonly used drug in Slovenia today, ten times more used than other drugs”. However, the experience of other countries with cannabis liberalization is poor in terms of public health. According to him, the bill also “seriously interferes in the field of state security”, as it facilitates the work of organized crime in the production and trafficking of drugs in certain segments.

Robert Pavšič (LMŠ) pointed out that there are many plants whose use can have harmful consequences if misused, mentioning, among others, pears, plums, barley and poppies, as they can all be made into drugs – legally or illegally. Alcohol abuse can have dire consequences, but wine and beer are categorized as food, he added.

Like Tomić, he pointed out that today industrial hemp products sold in Slovenia mostly come from abroad. According to Tomić, Slovenian farmers are not competitive. Matjaž Grkman from the Ministry of Agriculture, on the other hand, said that Slovenian farmers, like others in the EU, could grow industrial hemp, but the problem was in the farmers’ organization itself.

 

Expert update on drug-related infectious diseases

The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) gathered the Drug-related infectious diseases (DRID) expert network to share the latest developments on drug-related infectious diseases in Europe and to identify steps needed to improve the production, availability and use of public health-oriented information at the European level.

The DRID network brings together national experts nominated by national focal points of the EU Member States, Norway and Turkey, as well as institutional partners (ECDC, WHO, Correlation). The meeting also welcomed experts from the Western Balkans (IPA7 project), the European Neighbourhood Policy countries (EU4MD project), Georgia, the United Kingdom, Australia and the United States. Participating experts come from ministries of health, public health institutes, drugs agencies, health services, universities, research institutes and civil society.

The group held an online meeting on 26-27 October 2021, focusing on:

  • The direct impact of COVID-19 on people who use drugs and the COVID‑19 vaccination campaign among this group;
  • A review of recent HIV trends and outbreaks, as well as infectious endocarditis linked to injecting drug use with a focus on risk factors and control measures in place;
  • Country experiences in the elimination of viral hepatitis as a public health threat among people who inject drugs (PWID) and related EMCDDA projects, with a focus on harm reduction and the continuum of care.

The report section on Outbreaks includes some interesting information from South East Europe.

In 2011, an HIV outbreak among PWID was detected in Athens, Greece (Paraskevis et al., 2011). After a combination of prevention and ‘seek-test-treat’ interventions were implemented (including scaled-up NSP, testing, linkage to AOT and antiretroviral treatment (ART), HIV incidence declined (Sypsa et al., 2017) from 7.8/100 person-years in 2012 to 1.7/100 person-years in 2013. However, preliminary data from the latest round of the ARISTOTLE study, conducted in 2018-20 (Roussos et al., 2021) among 681 PWID who were included in previous rounds, suggest that HIV prevalence increased from 14.2 % (2012-13) to 22 % (2018-20). While incidence estimates never returned to their 2011-12 levels, they ranged from 1.52 to 2.04/100 person-years, indicating ongoing transmission. The prevalence of homelessness (25.6 %) and cocaine injecting (28.1 %) had increased over the period. Predictors of seroconversion included lower education, larger network size and daily drug use. The authors concluded that the current level of prevention and treatment services was below levels that would be required to bring transmission down to pre-outbreak levels. They also noted that the COVID‑19 pandemic has severely impacted HIV prevention services for PWID, which could increase the risk of HIV transmission in this population. The study team conducted a similar study in Thessaloniki, the second-largest city in the country, where 1 101 PWID were recruited during 2019-20. They found high HIV incidence among the study population, suggesting that an outbreak was occurring at a time when COVID‑19 controls measures were in place. The authors highlighted that immediate interventions were required to control transmission.

Following the DRID meeting, national experts from three additional EU countries have reported signals of increased HIV transmission among people who use drugs. In Sofia, Bulgaria, reports indicate that the pandemic seems to have worsened a situation that was already deteriorating with respect to harm reduction funding. According to data from the laboratory at the State Psychiatric Hospital for Treatment of Drug Addiction and Alcoholism in Sofia, reported by the national expert, the positivity rate for HIV infection among PWID in the capital of Bulgaria was significantly higher in 2019-20 (12.8-14.5 %) than in the previous years (when positivity rates were between 3-6 %). A parallel increase in HBV positivity (HBsAg) was also noted from 2019 (5.9 %) to 2020 (7.6 %). This comes after the Global Fund ended its financial support to harm reduction services in 2017. It consequently led to a disruption in needle and syringe programmes, and a reduction by more than half in the number of PWID being tested annually. The National Centre of Public Health and Analysis is organising a meeting with stakeholders and decision-makers to initiate legal changes in order to ensure sustainable financial support for harm reduction services.

The national expert from Slovenia reported that, by November 2021, four new HIV diagnoses among PWID were reported to the National Institute of Public Health among a total number of 28 reported new HIV diagnoses during 2021. This raised concerns that HIV infections might have started to spread more during the COVID‑19 pandemic among PWID in the country. Since 1986, when HIV reporting became mandatory in Slovenia, a total of 29 HIV infections among PWID have been reported, and such a high number of cases (four) were reported only once before, in 1996. The importance of reaching a good coverage of harm reduction services for PWID was re-emphasised.

To read full report from this meeting and get the information from expert update, follow this link>>>.

 

Services in Slovenia well organised

Drop-in centres in Slovenia have been closed by the decision of the Ministry of Labour, Family and Social Affairs since the beginning of the COVID-19 epidemic.

In Ljubljana, the Association for Harm Reduction Stigma continues to distribute sterile injecting equipment. The mobile outreach service (a van) continues to operate in the central part of Slovenia.

Injecting drug users have access to sterile injecting equipment but security measures are introduced: clients and staff have to keep 1.5 m distance from each other. All other information and counselling are available via telephone or online.

Drug testing, performed by Association Drogart, is open, but in smaller scale as before and with more safety measures.

OST is working, users get their take home medicine for a week, some even for two or three weeks. OST delivery was organised in a very good way since the first indications that the epidemic can hit Europe appeared.

One of the problems is closure of public transportation, which means that some persons cannot reach the OST clinics. For some of them, Association for harm reduction Stigma can deliver their methadone.

The greatest challenge is to support homeless people because they have nowhere to go (all daily care programs are closed, as well as public toilettes, due to safety reasons). There are negotiations with local authorities and ministries on how to deal with this situation.

Night shelters and safe houses for women are still open. However, it is very problematic because staff and clients have no safety masks. The use of disinfectants is mandatory.

The shelter in Ljubljana, run by the organisation Krali ulice, received new furniture. A special shelter for homeless people who may be infected with coronavirus is ready if this happens.