329 NGOs call for global leadership to halt global public health emergency and to end egregious human rights violations against people who use drugs.
Wednesday 1st May, Porto – As the 26th International Harm Reduction Conference comes to a close, hundreds of health professionals, academics, drug policy and human rights experts, frontline workers and people who use drugs released a statement calling on world leaders to urgently address the health and human rights crisis among people who use drugs.
Signatory NGOs shed light on the alarming public health emergency faced by people who use drugs. Between 2009 and 2015, the number of drug-related deaths rose by a worrying 60% between 2009 and 2015. In 2015 alone, this culminated in a total of 450,000 deaths – an estimated 50 deaths every hour. The target to halve the incidence of HIV among people who inject drugs by 2015, set eight years ago, was spectacularly missed by a staggering 80%, and HIV increased by one third among people who inject drugs over the same period. Furthermore, globally, six in ten people who use drugs are living with hepatitis C, while 168,000 people who use drugs were reported to have died of an overdose in 2015 alone.
Pieter Vanholder, Executive Director of the European AIDS Treatment Group stated: “ in all parts of Europe, irrespective of their drug (or drugs) of choice, the way they procure them, and the social networks in which drugs are consumed, people who use and inject drugs have consistently poor and inequitable access to HIV prevention, treatment, care, and support. They often face discrimination, marginalisation, abuse and incarceration. In prison settings access to comprehensive HIV and other blood-borne infections services is even more limited. In 2018, we published a position paper on drug policies to prevent, treat and care of HIV and other infections and a mapping on accessing to Hepatitis C services in prison settings in Europe to highlight concerns with current policies and also good practices in improving individual and public health outcomes. This is why we put our full weight behind the NGO call.”
The evidence, presented at the Conference this week, also shows that harm reduction and human rights-centred drug policies can save lives, prevent the spread of HIV and hepatitis C, and promote the dignity and empowerment of people who use drugs. But this requires leadership from both European governments and the UN. The European Union institutions and bodies play an important role in supporting the development and implementation of policies based on evidence and respect for fundamental rights.
The joint NGO statement expresses serious concerns over the ability of the UN Office of Drugs and Crime (UNODC) to adequately lead the UN response on this issue. By its very mandate and construction, the UNODC remains more attuned to the law enforcement response to drugs. As a result, UNODC leadership has consistently failed to unequivocally champion harm reduction, human rights and decriminalisation, and has lost further creditability with repeated silence in face of egregious human rights violations. Today, people who use drugs continue to be victims of incarceration, compulsory detention, denial of access to healthcare, corporal punishment, institutionalised violence, stigma and discriminations, and – in the most extreme cases – extrajudicial killings.
In response to the vacuum of political leadership, NGOs conveying in Porto have called for global leadership to protect the human rights of a ‘population under attack’ and demanded that these unacceptable human rights abuses to come to an end.
Ann Fordham, Executive Director of the International Drug Policy Consortium (IDPC), stated: ‘With just over ten years left for countries to meet their global commitment to champion health, reduce inequalities, and provide access to justice for all, as enshrined in the UN’s Sustainable Development Goals, there has never been a more urgent need to strengthen political leadership at all levels. Faced with the current crisis, complacency can no longer be tolerated’.
Read the NGO statement: https://idpc.net/alerts/2019/04/ngos-call-on-world-leaders-to-address-global-health-and-human-rights-crisis
Read the United Nations Common Position on drug policy (see Annex 1): https://www.unsceb.org/CEBPublicFiles/CEB-2018-2-SoD.pdf
Read the latest report by UNAIDS ‘Health, rights and drugs — Harm reduction, decriminalization and zero discrimination for people who use drugs’: http://www.unaids.org/en/resources/documents/2019/JC2954_UNAIDS_drugs_report_2019
Read the IDPC report ‘Taking stock: A decade of drug policy’: https://idpc.net/publications/2018/10/taking-stock-a-decade-of-drug-policy-a-civil-society-shadow-report