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Peer-Reviewed Science Must Be The Source For Policy Decisions Regarding Drug Harm-Reduction
The authors of a Reflection and Reaction comment in the March issue of The
Lancet Infectious Diseases take a hard line on some health
policy
research posted on the Internet, especially regarding evidence based
drug harm reduction. In particular, they focus on a website posted as
the Institute on Global Drug Policy
(IGDP) which prevents itself as"an online open access journal,"
but also happens to be a part of the Drug Free America Foundation, a
non-profit organization that supports "efforts to oppose policies based
on the concept of harm reduction."According to the authors, politicians
must beware the misleading intentions of sites such as this one to
prevent making improperly informed decisions about health policy.
Harm-reduction programs attempt to address the issues related to
illegal drugs by means other than total abstinence, such as needle
exchanges. According to the authors, Drs
Evan Wood, Julio Montaner, and Thomas Kerr,
British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital,
and Department of Medicine, University of British Columbia, Vancouver,
Canada, there is indeed a formidable (and expanding) mass
of evidence that these harm reduction measures are beneficial. However,
groups such as IGDP have focused their efforts in agains this effort,
including the above mentioned website, which claims to exist for the
dissemination of "opinion essays."
The authors say that this has influenced Canada's health policy
already: "The DFAF seems to have
had some recent success with this approach. In an apparent effort to
persuade Canada's Prime Minister Stephen Harper that his government
should withdraw support from North America's first medically supervised
injecting facility (SIF) in Vancouver, the website recently published a
critique of the SIF...The website has also posted a range of articles
against needle exchange and other evidence based harm reduction
programmes. The conclusions of the needle exchange articles clearly
contradict scientific consensus documents, such as a recent report by
the US Institute of Medicine."
Since these IGDP articles were published online, Canada's
new federal government announced a new anti-drug strategy that
increases law enforement efforts while perhaps endangering the future
of the Vancouver SIF. According to the authors, it is troubling that
Canada's federal health minister recently publicly referred to the IGDP
report while claiming there is "growing debate" about SIF, despite all
studies in conventional scientific publications indicating multiple
benefits with negligible negative effects.
The authors conclude, attempting to analyze the public popularity of
such actions. "It remains to be
seen whether what has been described as the Canadian federal
government's new 'ideological' opposition to harm reduction will win
them votes. Unlike in the USA, where surveys suggest the public
supports the country's 'war on drugs', recent surveys in Canada suggest
that the Canadian public is catching up to science when is comes to
support for harm reduction programmes. Although the Canadian public may
be gaining wisdom, advancing evidence-based public health will now
require that politicians are able to tell the difference between valid
peer-reviewed science and essays posted on the websites of lobby
groups."
Illicit drug addiction, infectious disease spread, and the
need for an
evidence-based response
Evan Wood, Julio S Montaner, Thomas Kerr
The Lancet Infectious Diseases, Vol 8, March 2008
Click
Here For Full Text
Written by Anna Sophia McKenney
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
Revizuite de ºtiinþã trebuie sã fie de sursã pentru deciziile privind politica de droguri rãu-reducere - Peer-Reviewed Science Must Be The Source For Policy Decisions Regarding Drug Harm-Reduction - articole medicale engleza - startsanatate