In 1998, the international community gathered here in New York under the slogan ‘A Drug Free World – We Can Do It!’ Since that time, rather than achieving a world without drugs, what we have witnessed instead is the increasing damage caused by punitive drug control in all corners of the world: a catalogue that includes human rights violations against people who use drugs, the spread of HIV and HCV epidemics driven by unsafe injecting, high levels of overdose in many countries, and mass incarceration as a direct result of punitive drug laws.
The world needs alternatives to these failed and counterproductive policies. In April 2016, leaders will again meet here at another UNGASS on drugs, an event that offers the opportunity to learn from the policies of the past, and build an alternative response to drug use that is rooted in science, public health, human rights and dignity.
We already know the world is going to miss the UN target of halving HIV among people who inject drugs by 2015. In fact, we're going to miss it by a staggering 80%. The world has failed people who use drugs and we must refocus our efforts. To do this, we need leadership on harm reduction. Harm reduction leadership means increasing political support and funding for harm reduction. An estimated $100 billion is spent each year on drug control, whereas harm reduction investment amounts to only $160million per year - this is only 7% of what is needed. Harm Reduction International estimates that just ten cents of every dollar spent on drug enforcement could fund the global HIV and Hepatitis C response among people who inject drugs twice over. A 10% reinvestment of current drug enforcement spending by 2020, or 10 by 20, is the collective demand of the harm reduction movement.
Harm reduction leadership also means ending the criminalisation of people who use drugs.
Finally, while we often talk about the drug policy as a shared responsibility we must also understand human rights obligations as a shared responsibility. Given the lack of prohibitions to harm reduction within the drug treaties, and the explicit endorsement of harm reduction within the UN human rights system, provision of harm reduction services cannot be seen as a policy option at the discretion of States, but must instead be understood as a core obligation of States to meet their international legal obligations. We cannot be serious about human rights if we are not serious about harm reduction.
Photo: Alissa Sadler