54 SESSION OF THE COMMISSION ON NARCOTIC DRUGS
!
MARCH 21
-
25, 2011
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PAGE 2
By Elisabeth Szerencsics
According to UNAIDS data, the use of contaminated injecting equipmentamong injecting drug users is one of the major routes of HIV transmissionin many countries contributing up to 10
%
of all transmissions worldwideand to more than 30
%
excluding Sub
-
Saharan Africa. Approximately threemillion people who inject drugs are living with HIV. Increased access toHIV prevention services was noted but still the median coverage in 2009 was only of 32
%
.Global estimates remark that, on average, less than two clean needles areprovided per month per person who injects drugs and there are about eightpeople on opioid substitution treatment for every 100 people who injectdrugs. The HIV epidemic in Eastern Europe and Central Asia mainly a
ff
ect people who inject drugs. In the Russian Federation, approximately 37
%
of the 1,8million people injecting drug users are living with HIV, and due HIVtransmission to their sexual partners, the number of women living withHIV is also growing.
WHY DOES THE HIV YOUTH RESPONSE MUST GET INVOLVED IN DRUGS POLICIES?
Young participants at the 54 CND. March 2011
!!!
Facing these facts, it is obvious that the response to HIV among drug usersis to o
ff
er needle/syringe
-
exchange programs and to stabilise the life of a drug user through opioidsubstitution therapy and e
ff
ective anti
-
retroviral treatment. Punitive laws such as penalties for carrying clean needles, block e
ff
ective responses to HIV.During the 54
th
Session of the CND, the resolution “Achieving zero new infections of HIV among injecting drug users and other at
-
risk populations” was finally adopted, showing concern on the fact that “the scaleand coverage of HIV
-
prevention services for injecting drug users is far away from adequate in many countries witha high prevalence of injecting drug use”. Furthermore, the resolution contains the rea
ffi
rmation of the centralimportance of promoting the involvement of persons living with or a
ff
ected by HIV and drug use in shaping responses to the HIV/AIDS epidemic as well as with civil society.In addition, the CND took note of the 2011
-
2015 UNAIDS strategy, which commits Member States to achieve zeronew infections, zero
-
AIDS
-
related deaths and the elimination of stigma and discrimination. In this sense, theresolutions requests that the UNODC scales up evidence
-
based interventions, which have shown to reduce thetransmission of HIV in injecting drug users.
How can youth movements support activists to change global drug policy?
Take a closer look at your country's drug policy and make yourself aware if it is a punitive
-
only approach for drug o
ff
ences. Get to know about punishment for possession and/or drug use and find out if they are disproportionate. Ask if harm reduction services like needle
-
exchange programs and opioid substitution programs are available or if the right to confidentiality is ensured for users of these. Summarise this information and share it with yourcolleagues and networks. Remember that lack of information is a statement too.Regardless of if you are focused on SRHR or HIV, drugs policies a
ff
ect our lives and work as youth movements.Without ensuring harm reduction services for drug users we will not be able respond e
ff
ectively to HIV! Whileduring the 54
th
Session of the CND speakers mentioned the obligation of countries to protect young people, we as young people, know that a prevention
-
only strategy is irrational and it is thus our obligation to raise our voice, givea statement and make a change.