BACKGROUND:
Since
early 2000, intensive policing, wide scale street drug testing, and actions
aimed at limiting the availability of specific drugs have been implemented in
Georgia. Supporters of this approach argue that fear of drug testing and
resulting punishment compels drug users to stop using and prevents youth from
initiating drug use. It has been also stated that reduction in the availability
of specific drugs should be seen as an indication of the overall success of
counter-drug efforts. The aim of the current review is to describe the
drug-related law enforcement response in Georgia and its impact on illicit drug
consumption and drug-related harm.
METHOD:
We
reviewed relevant literature that included peer-reviewed scientific articles,
stand-alone research reports, annual drug situation reports, technical reports
and program data. This was also supplemented by the review of relevant
legislation and judicial practices for the twelve year period between 2002 and
2014.
RESULTS:
Every
episode of reduced availability of any "traditional" injection drug
was followed by the discovery/introduction of a new injection preparation. The
pattern of drug consumption was normally driven by users' attempts to
substitute their drug of choice through mixing together available alternative
substances. Chaotic poly-substance use and extensive utilization of home-made
injection drugs, prepared from toxic precursors, became common. Massive random
street drug testing had little or no effect on the prevalence of problem drug
use.
CONCLUSIONS:
Intensive
harassment of drug users and exclusive focus on reducing the availability of
specific drugs did not result in reduction of the prevalence of injecting drug
use. Repressive response of Georgian anti-drug authorities relied heavily on consumer
sanctions, which led to shifts in drug users' behavior. In most cases, these
shifts were associated with the introduction and use of new toxic preparations
and subsequent harm to the physical and mental health of drug consumers.
Below: Trends in drugs injected in Georgia in 2002–2014 based on BBSS data (percentages exceed 100 % due to multiple responses, depending on a current poly-substance use by respondents)
Below: Trends in injecting drug use in Georgia 2007–2014 based on GHRN data (percentages exceed 100 % due to multiple responses, depending on a current poly-substance use by respondents)
Below: Number of patients treated for substance use disorders in 2003–2013
Below: Number of individuals tested for drugs and number of positive results, 2006–2013
- 1Addiction Research Centre - Alternative Georgia, 14a Nutsubidze Str., Office 2, 0177, Tbilisi, Georgia. dato@altgeorgia.ge.
- 2Addiction Research Centre - Alternative Georgia, 14a Nutsubidze Str., Office 2, 0177, Tbilisi, Georgia. mzia@altgeorgia.ge.
- 3Business School, Ilia State University, Tbilisi, Georgia. mzia@altgeorgia.ge.
- 4National Centre for Commercial Law, Free University, Tbilisi, Georgia. balanchivadzenino@gmail.com.
- 5Addiction Research Centre - Alternative Georgia, 14a Nutsubidze Str., Office 2, 0177, Tbilisi, Georgia. Irma@altgeorgia.ge.
- 6Business School, Ilia State University, Tbilisi, Georgia. Irma@altgeorgia.ge.
- Subst Abuse Treat Prev Policy. 2016 Jan 16;11(1):4.
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