On International Women’s Day 2019, the Women and Harm Reduction International Network (WHRIN) wishes to highlight the lack of balance surrounding the sexual and reproductive health and parenting rights experienced by women who use drugs (WUD).

The issue of state intervention in the sexual and reproductive health and parenting rights of WUD is one of the many neglected areas related to the criminalization of drug use that disproportionally affect the lives of WUD around the world.

Due to the criminalisation of drug use, the choices WUD have regarding their sexual and reproductive health are often restricted and children are frequently removed from mothers who are competent parents. Consequently, women are often reluctant to disclose their drug use when seeking healthcare through fear of coercion and/or losing their children. Additionally, women who do venture to seek support are subject to harsher judgement and scrutiny if they are pregnant or have children.

WHRIN points out that drug use does not equate to bad decision making nor improper parenting and that all women should be free to have open and honest conversations about their sexual and reproductive health, parenting practices and drug use without fear of judgement and discrimination. Being able to seek health services, support and information without fear of reprisal is key to realising sexual and reproductive health and parenting rights for WUD.

Enforce the protection of women’s confidentiality, including the removal of any existing compulsory drug registration systems.

Include women WUD in and research or policies affecting them.

Remove any legislation that makes drug use per se an adequate justification for mandatory reporting to social services and/or the removal of children from their parents’ custody or other punishment or restrictions.

Ensure all WUD have access to good quality and non-judgemental sexual and reproductive health care.

Explore options to reform drug policy so as to better protect the human rights of WUD.

Expand resources and supports for WUD requesting parenting assistance.

Eliminate all punitive legislation associated with WUD who have children or who are pregnant.

Unfortunately, there is a long way to go before these aspirations are realised. The risk of losing sexual and reproductive and parental rights solely due to drug use is a harsh reality for many women across the world. Such loss is not only devastating for the mother as it also brings lasting negative impact on children, the family and the wider community, resulting in generations of traumatized and marginalised individuals and communities.

On International Women’s Day 2019, WHRIN asks policy makers to demonstrate commitment to upholding the sexual and reproductive and parenting rights of women who use drugs. This can be achieved by empowering choice regarding sexual and reproductive health of WUD and providing supports to WUD with children rather than punishing with either the threat of or actual loss of child custody.

The use of drugs should not equate to curtailed sexual and reproductive health options, nor does it lead to inadequate parenting. Restricting the choices WUD have over their sexual and reproductive health is unacceptable and the removal of a child from their mother solely due to the fact their mother uses drugs, is deplorable and must stop.

Women and Harm Reduction International Network's statement on International Women's Day

In January, Rita Musa, the secretary of the Drug Harm Reduction Advocacy Network (DHRAN) in Nigeria was invited to the CCM meeting on the inclusion of harm reduction services in the Nigeria’s national programme. During the meeting, the Global Fund’s country team in Nigeria, were able to convince the Nigerian government to support needle exchange pilots. The team worked closely with the Global Fund’s principal recipients (National AIDS Control Agency, NACA, FHI360 and Society of Family Health, SFH) to develop a roadmap to get three needle exchange pilot projects started in Nigeria in 2019.

This is a major milestone as the Nigerian government has always been reluctant to start a harm reduction programme due to lack of populations size estimates and epidemiology data among people who use drugs. As a result, people who use drugs were neither considered as a key population in the national programme nor represented in the CCM.

Nigerian government accepts needle exchange pilots starting 2019

Bachelet highlights major human rights situations around the world in address to the UN Human Rights Council in Geneva

“Inequalities stir grievances and unrest; fuel hatred, violence, and threats to peace; and force people to leave their homes and countries. Inequalities undermine social progress, and economic and political stability. But human rights build hope. They bind humanity together with shared principles and a better future, in sharp contrast to the divisive, destructive forces of repression, exploitation, scapegoating, discrimination – and inequalities,”

UN High Commissioner for Human Rights Michelle Bachelet addresses the 40th session of the UN Human Rights Council in Geneva, 6 March 2019

I am honoured to present to the Council the report on the work of my Office in 2018, including our 74 field presences (report A/HRC/40/3). The report outlines our efforts to assist States to uphold all human rights, at a time when humanity faces many serious challenges.

These include the existential threat of climate change; technological developments; unbearable civilian suffering in multiple armed conflicts; displacement; youth unemployment; structural economic injustices; xenophobia and hate speech; and – a focus of my statement today – gross inequalities.

Inequalities in income, wealth, access to resources, and access to justice constitute fundamental challenges to the principles of equality, dignity and human rights for every human being. They result from poor governance, corruption, lack of rule of law, discrimination, and weak or biased institutions: they are generated as much by violations of civil and political rights as of economic, social and cultural rights. Indeed, these two aspects feed into each other – each force intensifying the direction and strength of the other, to create a virtual cycle, or a vicious one.

Assisting States to create and maintain a positive dynamic, so that civil and political rights, and economic, social and cultural rights work in synergy for maximum positive effect, is an essential role for the United Nations as a whole. The Office participates very robustly in that task, and appreciates the genuine collaboration by many Member States.

Inequalities affect all countries. Even in prosperous States, people feel excluded from the benefits of development and deprived of economic and social rights – leading to alienation, unrest, and sometimes violence. In recent months, we have seen people across the world take to the streets to protest inequalities and deteriorating economic and social conditions. Their demands call for respectful dialogue and genuine reform. And yet, in several cases, they are being met with violent and excessive use of force; arbitrary detentions; torture; and even alleged summary or extra-judicial killings.

, for the past several months, people protesting harsh economic conditions, and bad governance, have been violently dispersed by security forces, sometimes using live ammunition. The excessive use of force, including inside hospitals, mosques and universities; arbitrary detention; torture; and a declaration of a state of emergency will have no effect on the very real underlying grievances which the protestors seek to voice. We encourage swift and meaningful reforms to combat corruption, open the civic space, and enable inclusive dialogue and greater participation by people in decision-making.

, protests against austerity measures have also been met with unacceptable violence by security forces. The Government's effort to launch a dialogue process in recent days is encouraging, but I am worried by reports of door-to-door raids, as well as intimidation and harassment of activists, human rights defenders, and lawyers representing those arrested.

, protests also broke out last month over rising food prices and corruption. At least 41 people were killed and 100 injured. The government has announced measures to curb high prices, raise wages and fight corruption. Ensuring accountability – including for alleged cases of excessive use of force by police – and a constructive dialogue will also be essential.

, the "Gilets Jaunes" have been protesting what they see as exclusion from economic rights and participation in public affairs. We encourage the Government to continue dialogue – including follow-up to the national discussions which are currently underway – and urge full investigation of all reported cases of excessive use of force.

 clearly illustrates the way violations of civil and political rights – including failure to uphold fundamental freedoms, and the independence of key institutions – can accentuate a decline of economic and social rights. It also shows how those swiftly deteriorating economic and social conditions give rise to even more protests; even greater repression; and further violations of civil and political rights – a spiral of accelerating and strongly negative trends. This situation has been exacerbated by sanctions, and the resulting current political, economic, social and institutional crisis is alarming. The unprecedented numbers of Venezuelans compelled to leave their homes and country also has serious consequences across the region. I will be further discussing this human rights situation, among other countries, on 20 March.

's very serious social and political crisis, the resumption of national dialogue could constitute a significant step to address the grave problems facing the country. These include increasing restrictions to civic space; persecution of dissenting voices; and crackdowns on press freedom, as well as austerity measures, and unemployment. The Government must ensure that dialogue is respectful, safe and inclusive of all political actors and civil society groups. It is my hope that it will lead to concrete steps to better uphold all human rights, including freedom of expression, victims' rights to truth, justice, reparation and guarantees of non-repetition, and economic and social rights.

, the devastating impact of the occupation on economic and social rights is closely interlinked with violations of civil and political rights. In Gaza, the Israeli blockade – now in its 12th year – has led to negative economic growth; environmental degradation; over 50% unemployment, even higher for youth; and the reliance of more than 70% of people on humanitarian assistance, primarily food. It could be said that the major product of Gaza's economy is despair. The end of this month will mark one year since the start of demonstrations which – as the Council's Commission of Inquiry reported – have been met with deadly, disproportionate force by the Israeli Security Forces, leading to a very high toll of killings and injuries. I was disappointed to see the immediate dismissal of that report by Israel, without addressing any of the very serious issues raised. All parties concerned should exercise restraint as the date of 30 March approaches. In the West Bank, settlements affect all aspects of Palestinians' daily lives, including significant negative impact on freedom of movement, and access to work, education and healthcare. Imposing economic hardship on Palestinians does not make Israelis safer. We regret Israel's decision to cancel the Temporary International Protective Presence in Hebron, which has helped to prevent and mitigate some human rights violations in a frequently challenging context. It will be essential to ensure continued humanitarian access and protection.

To achieve the 2030 Agenda, the world's States need to advance on tackling inequalities – inequalities of resources, income, power, access to justice and with respect to the basic conditions for human dignity. When States agreed to "Leave No One Behind", they made a profound commitment to address them.

Goal 16 is a clear statement that fair access to justice; effective, accountable and inclusive institutions; and sound and inclusive governance are vital, priority development issues. We need much more – and faster – work to implement that promise, by enacting laws, policies and programmes which adopt and advance the powerful synergies resulting from the interdependence of all human rights.

The right to development also makes clear that real development can only be based on civic participation. If we seek the most sustainable and effective development, we need to ensure a broad space for civil society and human rights defenders.

I am shocked by the number of killings of human rights defenders around the world – some, reportedly, by State agents, and others, insufficiently protected by the State from attack by economic or other interests. Attacks on journalists, and media freedoms, are becoming increasingly widespread. Sound, independent information is the foundation of public participation in democratic governance. Restrictions on the civic space are being enacted by numerous States, across several regions. I remain very concerned about reprisals against victims, human rights defenders and non-governmental organisations who cooperate with the UN.

Today, allow me to voice my concern at the apparently arbitrary arrest and detention, and alleged ill-treatment or torture, of several women human rights defenders in 

. The persecution of peaceful activists would clearly contradict the spirit of the country's proclaimed new reforms. We urge that these women be released.

, I call on the authorities to view critical or dissenting voices – including human rights defenders, academics and journalists – as valuable contributors to social dialogue, rather than destabilizing forces. The recent prosecution of 16 civil society activists for "attempting to overthrow the government," for their alleged roles during protests in 2013, is emblematic of many other trials lacking international due process standards.

rapid development has lifted millions of people out of poverty – and yet in some areas, communities and individuals have been left behind. My Office seeks to engage on this issue with the Government for full access to carry out an independent assessment of the continuing reports pointing to wide patterns of enforced disappearances and arbitrary detentions, particularly in the Xinjiang Uyghur Autonomous Region. This area is at the centre of the Belt and Road Initiative, enabling land corridors to Central Asia, South Asia and Europe, and I am convinced that stability and security in this region can be facilitated by policies which demonstrate the authorities' respect of all people's rights.

, where there has also been significant poverty reduction in overall terms, inequality remains a serious issue. In addition, we are receiving reports that indicate increasing harassment and targeting of minorities – in particular Muslims and people from historically disadvantaged and marginalised groups, such as Dalits and Adivasis. It appears that narrow political agendas are driving the further marginalisation of vulnerable people. I fear that these divisive policies will not only harm many individuals, but also undermine the success of India's economic growth story.

Inequalities are a driver of several of the global trends which are of greatest concern to this and other inter-governmental bodies. Involuntary and precarious 

 is a case in point. Armed conflict is frequently cited as a root cause of involuntary migration. But time and again, we see that involuntary displacement and conflict are both being driven by inequalities, and their underlying factors – including poverty, discrimination, oppression, violence, poor governance, climate change and violations of civil, political, economic, social and cultural rights.

Caught in this downward spiral, people – and especially young people – may feel oppressed and robbed of their rights, leading them to migrate, often in precarious ways, to seek a life of dignity.

This is a challenge which, together, we can address – by taking on the comprehensive and balanced human rights measures outlined in the 

 which was adopted in Marrakesh on Human Rights Day, last December.

The continuing movement of people from El Salvador, Guatemala and Honduras to the United States is a result of failure to ensure that development reaches everyone – with persistent violations of rights leading to profound inequalities. The comprehensive development plan being developed by 

is a welcome response to this challenge, very much in line with the Global Compact for Migration. In 

, too, the government is making efforts to move from an approach focused on detention and deportation of migrants to a new focus on protection of the rights of migrants, including opportunities for regularization, and alternatives to detention.

, the new Migrant Protection Protocols which restrict access to asylum and other forms of human rights protection – and push migrants back across the border to wait for their proceedings without due process or safeguards– are a source of concern. A recent report by the Inspector General for the United States Department of Health and Human Services indicates that thousands more migrant children have been separated from their families than had been previously reported.

 about the imminent transfer of migrants from Manus Island and Nauru to new detention centres. Those people have been suffering for more than six years; more humane policies could, and should, be implemented.

I am encouraged by recent announcements from the 

 expressing interest in setting up broader channels for regular migration, as an integral element of sound migration governance. My Office looks forward to providing guidance on setting up these pathways. We also look forward to helping ensure that cooperation agreements with countries of origin and transit comply with international human rights law.

's successful programmes to help migrants integrate into the economy and society, as well as legislation in several countries – including 

 – which enable the entry and stay of migrants in vulnerable situations, based on human rights grounds. I am troubled about other aspects of European migration policies, particularly the number of fatalities in the Mediterranean. Another 226 deaths were recorded in the first two months of this year. With several NGO vessels forced to suspend operations by measures that essentially criminalise solidarity, the ancient responsibility of rescue at sea is increasingly falling on merchant vessels – which are often ill-suited to such a task. In addition, some governments have refused entry to ships.

I call on the EU and its member states to prioritize the lives and safety of migrants crossing the Mediterranean, strengthen search and rescue measures, permit NGO rescues, and coordinate swift and safe disembarkation of these human beings, while at the same time tackling the root causes of this migration.

Inequalities also undermine peace and security, by fuelling grievances, extremism and conflicts.

, the Office has been implementing an innovative approach aimed at reducing the risk of harm to civilians during counter-terrorism operations. OHCHR is working with the 

operating in Burkina Faso, Chad, Mali, Mauritania and Niger to establish a Compliance Framework to guide military operations. A training programme is underway; standard operating procedures are being developed which aim to reduce civilian harm and ensure sensitivity to gender issues; and a network of legal advisors is being established within the Joint Force to ensure the operational application of international human rights and humanitarian law.

Comprehensive efforts which take measures across the spectrum of rights – so they can work in synergy – will have the greatest impact on terrorism and conflict. We need greater investment in justice, and in upholding economic and social rights. The Office seeks to expand its engagement with Governments and civil society in the region to address a broader range of human rights issues.

 to also consider the benefits of such an approach. Last month, the Committee on Economic, Social and Cultural Rights noted the heavy-handed approach of the security forces to the crisis in the North-West and South-West regions, including destruction of medical facilities, schools, essential infrastructure and entire villages. I note the statement at this Council by the Minister of External Relations, indicating that investigations of alleged violations by security forces are underway, and sanctions will be applied. I am also concerned by alarming instances of hate speech, including by political leaders, as well as serious restrictions on the political space, with prosecutions in a military court of a number of members of opposition parties. It is essential that steps be taken now, to de-escalate the increasing crisis in the country, and prevent a further descent into violence.

, economic interests and activities appear to be a key factor driving both violence and displacement by the Myanmar military, together with the dehumanisation of the Rohingya, and long-term discrimination. I am concerned by the failure to take any meaningful measures towards the safe, dignified, voluntary and sustainable return of the Rohingya and others – in compliance with their rights to citizenship and other rights. The ceasefire agreements now in place in some regions appear to be having some positive effect. However, armed clashes in Rakhine State between the Army and the mainly Buddhist Arakan armed group are taking on new magnitude, with further impact on civilians. Establishing the conditions for the refugees to return voluntarily, in safety and dignity, must be a priority, alongside measures to ensure that the rights of ethnic and religious minorities will be fully respected – including the Rohingyas' right to self-identify as "Rohingya".

Human rights are essential to peace. This fact is almost universally acknowledged, but too often it is not translated into action. In the context of the various talks involving the 

 broadening the issues under discussion to address severe human rights violations could support concrete outcomes to benefit the population of the DPRK. It can also help the talks attain their overall objective of lasting peace and security.

 justice and accountability will remain essential to any reconciliation, and I call on the Government and other actors to provide full information to all families about what has happened to the many men, women and children who are missing, and those who are detained. I remain particularly concerned about the rising toll of civilian deaths in Idlib governorate. All parties must ensure that the thousands of civilians fleeing formerly ISIL-held territory receive adequate protection and assistance. I join the Special Envoy's call for a comprehensive political solution.

, I am deeply concerned by the suffering of civilians, despite the current ceasefire. This remains the world's worst humanitarian crisis. The conflict has not just killed and injured thousands of civilians. It has brought famine, deprived people of the most essential goods and services, and destroyed vital infrastructure and a unique cultural heritage. The debilitating consequences of injuries from airstrikes, shelling, landmines and acute malnutrition – especially for children – as a result of obstruction of humanitarian assistance, will scar the country's future for generations. I commend the mediation efforts of the Special Envoy, the United Nations Mission to support the Hodeidah Agreement and the continuing work of the Group of Eminent Experts. The people of Yemen deserve all the elements for lives of dignity, beginning with peace and accountability.

Amid these negative trends, there are some hopeful areas, in which far-sighted leadership seeks to advance civil, political, economic, social 

 cultural rights, to ensure a convergence of positive and constructive forces.

 reforms have sought to address a wide spectrum of human rights issues, including benefit to sustainable development. The depth and pace of Prime Minister Abiy's political and economic reforms, and the appointment of women to senior positions, could open the path to a more inclusive and effective development model, providing hope for Ethiopia's young population. My Office will continue to assist the Government to devise sound laws, mend grievances, and set up measures to prevent violence in areas of the country.

Ethiopians can be proud of the achievement of gender parity in government, as well as their first woman President and first woman Chief Justice. Elsewhere, too, we continue to make some progress with respect to women's leadership and women's equality. Last year, a woman was elected Mayor of the capital of 

 – in a region where women have the lowest levels of political representation in the world. A record number of women were elected recently to the 

, and marked important steps for diversity: they included the first Muslim American congresswoman, the first Native American congresswoman, and the youngest woman ever elected to Congress. I hail all powerful women around the world, and the model they present to the next generation.

But in many parts of the world, women are attacked, preyed upon, exploited, silenced, and robbed of their dignity and rights. Sexual violence continues to be rampant in conflict situations, with many victims targeted based on their perceived ethnic, religious, political or clan affiliation. Migrant women and girls are also at high risk of gender-based violence. Of the 25 countries with the highest rates of femicide in the world, 14 are in Latin America and the Caribbean – while one in five women in the European Union have experienced physical or sexual violence by a current or former partner.

At this session, the Council's Special Rapporteur on the situation of human rights defenders presents a report on the rising attacks on, and repression of, women's human rights defenders in the context of today's backlash against women's human rights. It makes clear that women defenders face the same risks as men, but with additional threats shaped by a view that women should be bound to the service of a male-dominated society. Physical and sexual violence, public shaming – including on the Internet – and attacks on their families and children are among the tactics increasingly used to silence women activists.

Recently a group of 30 women leaders issued an Open Letter emphasising the "urgency and peril" of the current roll-backs to hard-won rights and freedoms. I fully share their concerns, and will continue to work against gender inequalities with all the energy and principle that I can muster.

Allow me to note that during this Council session, my Office will present thematic reports and country-specific oral updates or reports, including on Afghanistan, Colombia, Cyprus, the Democratic People's Republic of Korea, the Democratic Republic of the Congo, Eritrea, Guatemala, Honduras, Iran, Libya, Myanmar, Sri Lanka, Ukraine, Venezuela and Yemen, as well as on the Occupied Palestinian Territory.

Last month, during our informal discussion, I raised the situations in a number of countries in the context of prevention and early warning of escalating human rights violations. Before closing today, I would like to add a few additional situations of increasing concern.

, escalating violence since the beginning of the year – in particular, hostilities in the city of Derna and in the south of the country – could spark an even more chaotic situation, given the increasingly fragmented political context and continuing lawlessness. Armed groups which fall outside of effective State command and control structures, but which are integrated into State institutions, continue to commit grave violations of international humanitarian and human rights law throughout the country, in almost complete impunity. The number of civilians killed and injured in 2018, as documented by UNSMIL and OHCHR, was 40% higher than in 2017. Prevention measures should be considered a matter of urgency.

I remain concerned about the ongoing tensions in Kashmir, as shelling and firing on both sides of the Line of Control continue to contribute to loss of life and displacement. I encourage both 

 to invite my Office to monitor the situation on the ground, and to assist both States to address the human rights issues that must be part of any solution to the conflict.

, several sources now estimate that up to 27,000 people may have been killed in the context of the campaign against illegal drugs since mid- 2016. Despite serious allegations of extra-judicial killings, only one case – the widely reported killing of a teenage boy – has been subject to investigation and prosecution. People who have fallen into the trap of drug reliance need help to rebuild their lives; drug policies should not be more of a threat to their lives than the drugs they are abusing. I encourage the Philippines to adopt a public health approach, and harm reduction initiatives, that comply with human rights standards, as recommended to the 2016 General Assembly Special Session. I also note that Special Rapporteurs of this Council have been subjected to threats; and opposition politicians, human rights defenders and journalists have been threatened, attacked and jailed. And I am extremely concerned by Congress consideration of measures to reintroduce the death penalty for drug related crimes, and reduce the age of criminal responsibility from 15, to 12 – or even 9 – years old. The drug policies in place in the Philippines, and its lack of respect for rule of law and international standards, should not be considered a model by any country.

We have seen that inequalities, and the failure to give equal weight and respect to all human rights, have the power to erode all three pillars of the UN: peace and security, development and human rights.

Inequalities threaten our opportunity to achieve sustainable, inclusive development. Inequalities stir grievances and unrest; fuel hatred, violence, and threats to peace; and force people to leave their homes and countries. Inequalities undermine social progress, and economic and political stability.

But human rights build hope. They bind humanity together with shared principles and a better future, in sharp contrast to the divisive, destructive forces of repression, exploitation, scapegoating, discrimination – and inequalities.

And some countries – not always the richest, in income or resources – are choosing to adopt principled and more effective policies, grounded in the full range of human rights. By taking steps to advance civil, cultural, economic, political and social rights as mutually reinforcing, they can count on building a strong basis for sustainable development and social harmony.

Our Office will always be open to assisting these endeavours.

High Commissioner Bachelet calls on States to take strong action against inequalities

The European Parliament is calling for an EU-wide policy for medical cannabis and properly funded scientific research.

Several EU countries have legalised the medical use of some form of cannabis or cannabinoids or are considering changes to their legislation.

However, the rules on which products are allowed and how they should be used vary widely, although no EU country authorises the smoking or home-growing of cannabis for medical purposes.

While the World Health Organization has officially recommended that the cannabis compound cannabidiol (CBD) should not be classified as a controlled substance, there are no EU-wide rules at the moment for either the medical or recreational use of cannabis.

Medical cannabis: MEPs call for EU-wide rules and more research

Artyom had been minding his business, waiting for a friend near a metro station in Moscow’s lugubrious suburbs.

The Russian winter had already hung its evening shadow on the city, so the 26-year-old computer technician did not immediately notice the three officers who made their way from the underpass. By the time the men were in sight, it was already too late. Artyom, who had a joint in his top pocket, knew the encounter would not end well – they “never do”. So he ran.

Freedom ended a minute later with the embrace of a dozen policemen, a broken nose and a serious head injury.

Several months later, Artyom – not his real name – was charged under the infamous article 228 of Russia’s criminal code, and accused of possession of hard drugs. Prosecutors claimed his joint was not just marijuana and tobacco, but also contained synthetic cannabinoids. They applied for a prison sentence of three years, and given Russia’s 0.1 per cent acquittal rate, certainly expected to get it.

In the end, Artyom was lucky with the judge, who saw inconsistencies in the prosecution’s case and ordered a suspended sentence and no-travel order. But others are not so lucky. According to statistics seen by 

, almost half of the 102,217 guilty verdicts handed down by Russian courts in 2017 related to cannabis and related soft drugs. That year was not an exception.

In jail for a joint: Inside Russia’s controversial war on drugs

Vienna, 26 February 2019 - Addressing the complex issues of drug abuse and crime and their harmful effects on society requires strong partnerships with civil society organizations at local, national, regional and global levels.

As part of its engagement with these important stakeholders, the United Nations Office on Drugs and Crime (UNODC) today hosted a Global Civil Society Hearing in Vienna to update Member States on the results of a recent global civil society consultation on drugs. The Hearing was organized by the Civil Society Task Force (CSTF) and supported by the Permanent Mission of Switzerland to the United Nations in Vienna.

The hearing, with the title 'Voices of Civil Society: Beyond 2019' also provided a space for civil society experts from around the world to present their work on the ground.

At the opening of the event, UNODC Executive Director Yury Fedotov said that "civil society is an indispensable partner in our efforts to promote the health and safety of individuals, their families and communities." He also thanked all the civil society organizations, and their dedicated staff, working with UNODC in the field to provide help to people in need, often in hardship conditions.

The hearing took place following the 2 nd intersessional meeting of the 62 nd session of the Commission on Narcotic Drugs (CND) and featured voices from grassroot civil society organizations from Argentina, Bosnia and Herzegovina, Colombia, Indonesia, Jordan, Nepal, the Russian Federation, South Africa and Sri Lanka, covering all aspects of the drug spectrum. Some 75 people attended the Hearing, including representatives from some 40 Permanent Missions.

UNODC hosts civil society hearing to strengthen cooperation against global drug challenges

Finland is debating the opening of its first drug consumption room to respond to high overdose death rates. Tuukka Tammi, a top researcher in the drug field in Finland, says restrictive drug laws should be reformed as well.

Drugreporter: The Finnish education system is celebrated as one of the best in the world. Does it apply to drug education too? I mean, do you think drug prevention is as good in Finland as public education in general?

Tuukka Tammi: It is true that Finnish teenagers have had excellent results in PISA studies, but on the other hand we have had one of the widest learning gaps between boys and girls in the same studies. So not everyone gets good results, and here we can see an analogy with the fact that some people are marginalised despite being a generally ‘good’ society, welfare state, or education system.

Talking specifically about our drug education system, I think its basic principle is right: we recommend that drug education is linked to normal classroom teaching and integrated into compulsory health education. Our national prevention programme also emphasises an integrated approach: drugs should be dealt with alongside alcohol, tobacco, and gambling issues. I don’t think we need separate, manualised, school-based drug prevention programmes. However, the schools may decide for themselves and they are not systematically monitored, so I am afraid all kinds of oddities may occur in reality. So to answer your question: unfortunately we are not perfect in this respect either.

Finland needs to relax its drug laws - An interview with Tuuka Tammi

By the EU Civil Society Forum on HIV/AIDS, tuberculosis (TB) and viral hepatitis; and the Civil Society Forum on Drugs

The EU Civil Society Forum on HIV/AIDS, tuberculosis (TB) and viral hepatitis and the Civil Society Forum on Drugs, expert groups to the European Commission which are comprised of leading civil society organisations at the national and regional level in the EU and neighbouring countries, are encouraged

 to note that the European Parliament has improved the Commission proposal on the European Social Fund Plus (ESF+) by suggesting to increase the budget for Health Strand

 from EUR 413 000 000 to EUR 473 000 000.

Civil society groups had expressed strong concerns over the Commission’s original proposal to cut health funding by 8% compared to the 2014-2020 period in the new merged ESF+, noting that more ambitious funding is crucial for the next Health Programme as we work to tackle increasing health inequalities in Europe.

The forums also welcome the Parliament’s position on the need 

for more ambitious political leadership and adequate technical and financial means to provide a sustainable regional response to the fight against HIV/AIDS, TB and hepatitis in Europe

 through continuous investments in innovative community-based approaches in the Union and neighbouring countries.

Civil society has long been calling on the European Commission to take a leading role in the response to HIV/AIDS, TB and viral hepatitis in the EU by putting in place political strategies to effectively combat the three epidemics within the wider European region,as with the current approach the EU would not be able to fulfil its commitment to achieve the Sustainable Development Goals (SDGs) targets and to end the epidemics of AIDS, TB and combat viral hepatitis by 2030,

” noted Marine Ejuryan, co-chair of the Civil Society Forum on HIV/AIDS, tuberculosis (TB) and viral hepatitis.

The Chair of the Civil Society Forum on Drugs, Laurène Collard echoed support for the Parliament report, while also noting the need to ensure individual drug use is treated as a health and social issue more generally: 

“Drugs are an important health and social issue for people living in the European Union, and it is of crucial importance that both the Commission and the Parliament worked to recognise this in their respective positions. Adequately and specifically funded drug policy grants are paramount for implementing the EU drug strategy and action plan, adopted by member states. Currently, budget allocated to supply reduction far outweigh those for demand reduction. This needs to be balanced, as effective prevention, harm reduction, treatment and recovery interventions, as well as social reintegration have proven to be efficient in terms of health and cost-effective: these are all priorities which need to be further bolstered.”

Both forums are also encouraged to see some improvement in the area of 

addressing the existing obstacles to civil society participation

 in the programme, strong language on the 

SDGs as guiding framework for the implementation of the Union’s health policy

transition to people-centred integrated care

, and the Parliament’s support to the development of 

by establishing processes by which health implications can be considered and taken into account in all policies.

The forums urged the Parliament to continue to be a leader on prioritising health in the next EU budget during the inter-institutional negotiations and leave a healthy legacy for future generations by safeguarding a reinforced future Health Programme.

Civil society welcomes European Parliament push for a more ambitious EU health budget in 2021-2027 

Police tactics may disrupt drug supplies, but they cause more crime and even contribute to the use of children as a go-between in county lines, undermining Peel’s principles, says former Detective Sergeant and Chair of LEAP UK Neil Woods who argues it’s time for drugs laws to be reformed.

Skewed approach: UK drugs policy is undermining Peel’s principles of policing

Asia is characterised by some of the world’s harshest approaches to combating illicit use of drugs, an almost entirely one-dimensional security approach as opposed to a more integrated humane, political, social and security approach. The victims are mainly the urban and rural poor at the end of the chain, not the well-armed drug barons with the means to protect themselves. Have draconian measures such as extrajudicial killings, the death penalty for drug offences, compulsory detention for people who use drugs and, in some cases, corporal punishment meted out by caning, achieved the stated goal of reducing drug demand and supply in the region? Can countries in Asia claim progress is being made towards the goal of a “drug-free” region? These are important questions that governments must answer as the 10-year global drug strategy adopted at the United Nations in 2009 comes to its end. In March, governments are set to meet at a high-level UN meeting in Vienna to review progress made over the past decade and define future directions for global drug policy.

From the Philippines to Indonesia and Afghanistan, Asia's brutal drug policies have failed

Katie Tulley suffers from an incurable bladder disorder so painful that it feels “like tearing skin off your arm and pouring acid on it, 24/7,” she said. On scans, the organ looks like an open sore.

Ms. Tulley, a 37-year-old Louisianan who used to work with autistic children, manages her pain with a fentanyl patch. The opioid gives her a few precious hours out of bed to help her parents, do online volunteer work and occasionally leave home for something other than a medical visit. “I don’t get a euphoric feeling,” she said, noting that she has lowered her dose to avoid feeling woozy and impaired.

Now, because of legal concerns about overdose risk, her doctors have considered stopping her medication, even though she has never misused it. And so, when she recently discovered a suspicious lump in her belly, she found herself hoping it was cancer. “I shouldn’t ‘want’ cancer,” she said. “But at this point it’s the only way to be treated” for her pain.

As many as 18 million patients rely on opioids to treat long-term pain that is intractable but not necessarily associated with terminal illness. In 2016, seeking to curb opioid misuse, the Centers for Disease Control and Prevention introduced guidelines outlining a maximum safe dosage and strongly urging doctors to avoid prescribing for chronic pain unless death is imminent. The guidelines were supposed to be voluntary and apply only to chronic pain patients seeing general practitioners. Instead, they have been widely seen by doctors as mandatory.

As a result, thousands of pain medication recipients have had their doses reduced or eliminated. But this attempt to save people from addiction is leaving many patients in perpetual pain — and thus inadvertently ruining, or even ending, lives.

A Veterans Health Administration study found alarming rates of suicidal acts “following discontinuation of opioid therapy.” Human Rights Watch recently released a report detailing the struggles of chronic pain patients in the United States to find relief and care as a result of government efforts to reduce prescriptions.

When the cure is worse than the disease

The White House Office of National Drug Control Policy outlined on Thursday its top priorities for combating illicit drug abuse and distribution in the United States in the office's first National Drug Control Strategy.

The release of the report comes the same day that the drug control office's first permanent director since the Obama administration, Jim Carroll, was sworn-in by Vice President Mike Pence."Our No. 1 goal is to save American lives, and this comprehensive plan reaffirms President Trump's commitment to addressing the opioid crisis aggressively and in partnership with our partners across the nation," Carroll said in a statement regarding the strategy's release.

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