Bulletin of the World Health Organization

Articles from Vol. 91, No. 2, February

Advocates Need to Show Compulsory Treatment of Opioid Dependence Is Effective, Safe and Ethical
Zunyou Wu, the author of this round table, (1) attempts to rebut the United Nation's recent criticism of compulsory treatment centres for opioid dependence by arguing that: (i) illicit opioid dependence is not simply a health problem, since the dependent...
Arguments in Favour of Compulsory Treatment of Opioid Dependence/ Arguments En Faveur Du Traitement Obligatoire De la Dependance Aux Opioides/ Argumentos a Favor del Tratamiento Obligatorio De la Dependencia De Opiaceos
Twelve United Nations agencies, including the World Health Organization, have issued a joint statement that calls on Member States to "close compulsory drug detention and rehabilitation centers and implement voluntary, evidence-informed and rights-based...
Delivery Models of Opioid Agonist Maintenance Treatment in South Asia: A Good Beginning
An estimated 6.5 to 13.2 million people with opioid dependence, representing more than half of the world's estimated number, live in Asia. (1) Although most people in Asia who are opioid dependent use heroin or opium, the use of pharmaceutical opioids,...
Drug Control and Public Health: Getting beyond Stalemate
Robin Room is a member of a drugs policy modelling group that uses data to project what would happen to the harm caused by illicit drugs if policies or conditions changed. He talks to Fiona Fleck about alternative scenarios to today's illicit trade...
Human Resource Development and Capacity-Building during China's Rapid Scale-Up of Methadone Maintenance Treatment services/Developpement Des Ressources Humaines et Renforcement Des Competences Lors Du Developpement Rapide et
Introduction The injection of illicit drugs and the epidemic of human immunodeficiency virus (HIV) infection to which it contributes are still public health challenges in China. (1) Methadone maintenance treatment (MMT) has become a critical component...
Human Resources for Universal Health Coverage: A Call for Papers
An adequate, performing health workforce is vital for improving health service coverage and health outcomes. (1) Yet the availability, distribution, capacity and performance of human resources for health (HRH) varies widely and many countries have...
Implementing Methadone Maintenance Treatment in Prisons in Malaysia/Mise En Place Du Traitement De Maintien a la Methadone Dans Les Prisons De Malaisie/La Aplicacion del Tratamiento De Mantenimiento Con Metadona En Prisiones De Malasia
Introduction In 2005, Malaysia, a middle-income country, was in the throes of one of south-eastern Asia's most explosive epidemics of human immunodeficiency virus (HIV) infection. The epidemic was largely concentrated among people who inject drugs,...
Managing Tuberculosis in People Who Use and Inject Illicit Drugs
Introduction People who use and inject illicit drugs are at high risk of contracting tuberculosis, whether or not they are infected with the human immunodeficiency virus (HIV). Studies conducted before and after the emergence of HIV infection show...
Methadone Maintenance Treatment and Mortality in HIV-Positive People Who Inject Opioids in China/Therapie De Maintien a la Methadone et Mortalite Chez Les Personnes Seropositives Qui S'injectent Des Opioides En Chine/El Tratamiento De Mantenimiento Con Metadona En Seropositivos Que Se Inyectan Opiaceos En China
Introduction In Asian countries, including China, most epidemics of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) have stabilized. In 2011, the estimated prevalence of HIV infection in China was 0.058%,...
Methadone Maintenance Treatment in Spain: The Success of a Harm Reduction Approach/ Traitement De Maintien a la Methadone En Espagne: Le Succes D'une Approche Par Reduction Des Risques/ El Tratamiento De Mantenimiento Con Metadona En Espana: El Exito De Un Enfoque Dirigido a la Reduccion De Danos
Introduction The epidemic of dependence on illicit drugs, especially heroin, began in Spain in the late 1970s. By 1980, the incidence of heroin use had peaked. (1) In addition, the epidemic of human immunodeficiency virus (HIV) infection started...
Mitigating the Risk of HIV Infection with Opioid Substitution Treatment
Introduction Injecting drug use is a major risk factor for the acquisition and transmission of the human immunodeficiency virus (HIV) and accounts for approximately 5 to 10% of all cases of HIV infection in the world. People who inject drugs are...
Mortality among People Who Inject Drugs: A Systematic Review and Meta-analysis/Mortalite Chez Les Personnes Qui S'injectent Des Drogues : Revue Systematique et Meta-Analyse/ la Mortalidad Entre Consumidores De Drogas Inyectables: Una Revision Sistematica Y Meta-Analisis
Introduction People who use drugs, especially by injection, are at higher risk of dying from both acute and chronic diseases, many of which are related to their drug use, than people who do not use these drugs. Fatal overdose and infection with...
New Treatment Gives Hope to East Africa's Drug Users: The United Republic of Tanzania Is the First Mainland Sub-Saharan Country to Launch a National Methadone Programme as Part of Its Battle to Fight the Twin Epidemics of Heroin Addiction and HIV Infection
It was the smell of heroin that lured her. The mother of three, who lives in a poor neighbourhood in the Tanzanian commercial capital, Dar es Salaam, was selling the highly addictive drug for a dealer boyfriend. "I started craving the smell of the...
Opioid Substitution: Improving Cost-Efficiency
The United Nations Office of Drugs and Crime in its 2012 World drug report estimates that 0.6% of the world's adult population--some 27 million people--are problem users of illicit drugs. (1) This represents about 10% of all people who used illicit...
Opioid Treatment in Ukraine Risks Losing Momentum: Ukraine Has Made Progress in Introducing Opioid Substitution Therapy since 2004, but the Coverage of These Services Remains Inadequate While Injecting Drug Use Continues to Drive the Country's HIV Epidemic
Irina Sukhoparova first became aware that her daughter was taking drugs when Tatyana was in her early twenties. After the collapse of the Soviet Union in 1991, when Ukraine gained independence, small amounts of heroin started to be smuggled into the...
Prescription Opioids Costs Database
Buprenorphine, a medicine used to treat opioid dependence, is on average five to 10 times as expensive as methadone, used for the same purpose, according to the WHO Opioid Substitution Therapy and Morphine database. "Opioids are not expensive medications...
Scaling Up Opioid Dependence Treatment in Low- and Middle-Income Settings
Opioids (i.e. opium, heroin and prescription pain relievers) rank third in the world among drug classes in terms of the number of users. Opioid dependence has a worldwide prevalence that ranges from 0.6 to 0.8% and opioid consumption and the demand...
Voluntary Treatment, Not Detention, in the Management of Opioid Dependence
The compulsory treatment of opioid dependence is an approach to the management of opioid use based on detention in locked facilities resembling low security prisons where the main activities are drug education, military style drills and manual labour....
Yaws Eradication
Next month international experts and WHO technical staff meet health officials from countries where yaws is endemic, to plot the first steps towards the eradication of the disease by 2020. Yaws is a skin disease that causes lesions and rashes and later...
Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.