drug situation in central asia · marijuana, cocaine, amphetamines, inhalants, sedatives or...
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CENTRAL ASIA DRUG ACTION PROGRAMME (CADAP) Phase 6
DRUG SITUATION IN CENTRAL ASIATomáš Zábranský
Viktor Mravčík
The Programme is funded by the European Union (EU)
The Programme is implemented by a Consortium of EU Member States led by Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH
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Source: UNODC. Afghan Opiate Trafficking along the Northern Route. Vienna: United Nations Office on Drugs andCrime; 2018. Available from: https://www.unodc.org/documents/publications/NR_Report_21.06.18_low.pdf.
Central Asia
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http://cadap-eu.org/
Publications
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Basic geographic and
socioeconomic data
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Drug use in the general population
• In general, surveys not implemented (cultural, political, technical factors...)
• Narcological register assumed to be the mainsource of information on drug use in a population
– obligatory registration on non-medical use of controlled substances
– registration and follow-up for approx. 3 years
– control function and restriction of human rights
– main barrier for seeking treatment
– Kazakhstan has started reform of narc. registrationrecently
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The prevalence of illicit drug use in
Tajikistan 18-64, 2018
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The prevalence of illicit drug use in
Kazakhstan 18-34, 2019
Total
(N=1500)
Gender Age groups
Male
(n=714)
Female
(n=786)
18-24
(n=491)
25-29
(n=566)
30-34
(n=443)
% 95 % CI % % % % %
Marijuana, cocaine, amphetamines, inhalants, sedatives or hypnotics, hallucinogens, opioids
Life time 11,7% (10,1 – 13,4) 18.3 5.6 9.6 14.1 10.8
Last 12 months 5,2% (4,1 – 6,4) 8.8 1.9 5.7 6.4 3.2
Last 30 days 3,2% (2,3 – 4,2) 6.0 0.6 3.3 3.5 2.7
New psychoactive substances
Life time 6,3 (5,1 – 7,6) 9.2 3.7 6.5 8.0 4.1
Last 12 months 3,4 (2,5 – 4,4) 5.6 1.4 3.9 4.2 1.8
Last 30 days 2,4 (1,6 – 3,3) 3.9 1.0 2.0 3.2 1.8
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The prevalence of substance use in
Kyrgyzstan, 16-years old, 2017ESPAD KG: Comparison of the indicators of the Kyrgyz Republic and the average indicators of the European countries, %
28.6
5.0
2.4
29.7
15.0
1.3
2.2
1.0
0.2
0.5
0.2
2.7
5.8
1.5
46.0
21.4
12.4
80.0
47.5
35.3
16.5
13.1
2.2
2.2
6.3
7.2
2.0
0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0
Smoking lifetime
Smoking in last 30 days
Daily smoking
Alcohol lifetime
Alcohol in last 30 days
Binge drinking in 30 days
Cannabis lifetime
Cannabis in last 12 months
Ecstasy lifetime
Opioids lifetime
Cocaine lifetime
Sedatives lifetime
Inhalants lifetime
Inhalants last 30 days
European average (2015) Kyrgyzstan (2017)
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Narcological register: all registered
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Narcological register: newly
registered/1000 inh.
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KZ KG
TJ UZ
Number of all patients treated by primary drug
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Narcological register: proportion of
heroin users among newly registered
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Narcological register: registered
PWIDs
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Kazakhstan Kyrgyzstan Tajikistan Uzbekistan
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Narcological register: proportion of
females users among newly registered
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Narcological register: proportion of
35+ users among newly registered
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Estimates of HRDUs: PWIDs
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Newly diagnosed HIV: proportion of
PWIDs
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HIV seroprevalence
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HCV seroprevalence
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Fatal drug overdoses
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Number of syringes distributed in NSPsCountry N of syringes N of estimated HRDU Syringes/1 est. HRDU
Kazakhstan 15,518,225 120,500 129
Kyrgyzstan 1,888,970 25,000 76
Tajikistan 5,317,238 23,100 230
Uzbekistan 5,686,216 49,000 116
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Opioid substitution treatment
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Addiction (narcological) treatment
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Quantity of seized heroin (kg)
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New psychoactive substances• NPS are a matter of concern in the whole CA region
• Indicators of supply and use in Kazakhstan and Uzbekistan
• In Kazakhstan in some regions: over 10 % of narcological patients use NPS as primary drug
• NPS internet supply snapshot 2019: 39 online shops in Russian, 15 of themshipping to Kazakhstan, 1 to Uzbekistan.
36
32
2
1
8
1
10
1
1
1
1
3
3
20
3
3
1
2
1
3
1
1
1
1
2
2
синт. катиноны
синт. каннабиноиды
арилциклогексиламины
бензодиазепины
синт.опиоиды
пиперидины&пирролидины
фенэтиламины
триптамины
фенциклидины
аминоинданы
арилалкиламины
прочие
антидепрессанты
вещества магазиныsubstances online shops
non-prescribed
antidepressants
miscellaneous
arylalkylamines
aminoindanes
phencyclidines
tryptamines
phenethylamines
piperidines & pyrrolidines
synthetic opioids
benzodiazepines
arylcyclohexylamines
synthetic cannabinoids
synthetic cathinones
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Summary• Very low prevalence of drug use in the general population
• Decline in:
– registered/treated PWUDs/PWIDs
– traditional opiate and heroin use
– overdose mortality
– heroin market
• Increase of other drugs in treatment (cannabis, pharmaceutical
drugs, NPS)
• HIV and HCV prevalence and incidence: in KZ and KG increase, in TJ
and UZ decrease
• Harm reduction and treatment services:
– relatively high provision of NSPs
– very limited provision of OST
– traditional „narcological“ treatment prevails
• Gaps in data availability and quality
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National Working GroupsRegional seminar, Tashkent, 2019
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Central Asia Drug Action Programme
Phase 6 (CADAP)
Thank you for your attention!
http://cadap-eu.org/
www.resad.cz
CADAP is implemented by a Consortium of EU Member States coordinated by giz