Malaysia and harm reduction: The challenges and responses
Malaysia and harm reduction: The challenges and responses
复制标题
DOI：
10.1016/j.drugpo.2006.12.015
复制
发表时间：
2007-03-01
影响因子：
4.4
通讯作者：
Sran, Sangeeta Kaur
中科院分区：
文献类型：
--
作者：
Reid, Gary;Kamarulzaman, Adeeba;Sran, Sangeeta Kaur
在马来西亚，对非法毒品使用的反应在很大程度上是惩罚性的，马来西亚政府目前的目标是在2015年前实现无毒社会。本文件概述了2004年为期3周的案头情况评估的结果。2005年审查的其他事件也被包括在内，以描述最近的政策发展并审查这些发展是如何发生的。尽管有惩罚性的毒品政策，但该国吸毒者的数量大幅增加。三分之二以上的艾滋病毒/艾滋病病例发生在注射吸毒者中，报告的病例数量呈指数增长。此外，数据表明，高风险的药物使用做法很普遍。马来西亚最近才开始采取减少危害的举措。替代疗法的成功试点，特别是美沙酮和丁丙诺啡，是迅速发展这种干预措施的真正希望所在。2005年，政府宣布将允许美沙酮维持方案在试点阶段之后继续实施，并将建立针头和注射器交换方案，以满足注射吸毒者的需要。(C)2007爱思唯尔B.V保留所有权利。
In Malaysia the response to illicit drug use has been largely punitive with the current goal of the Malaysian government being to achieve a drug-free society by 2015. This paper outlines the results of a desk-based situation assessment conducted over a 3-week period in 2004. Additional events, examined in 2005, were also included to describe more recent policy developments and examine how these came about. Despite punitive drug policy there has been a substantial rise in the number of drug users in the country. Over two-thirds of HIV/AIDS cases are among injecting drug users (IDUs) and there has been an exponential rise in the number of cases reported. Further, data suggest high risk drug use practices are widespread. Harm reduction initiatives have only recently been introduced in Malaysia. The successful piloting of substitution therapies, in particular methadone and buprenorphine, is cause for genuine hope for the rapid development of such interventions. In 2005 the government announced it will allow methadone maintenance programmes to operate beyond the pilot phase and needle and syringe exchange programmes will be established to serve the needs of IDUs. (C) 2007 Elsevier B.V All rights reserved.