Drug abuse inflicts harm on public health and safety globally each year.
It threatens development and smooth functioning of societies.
Heroin, cannabis and cocaine are the drugs most frequently reported by
people entering treatment worldwide. It is estimated only 1 in 6 problem drug
users worldwide, some 4.5 million people, receives the required treatment.
There is a wide variation from region to region. In Africa, only 1 in 18 drug
users receives treatment. In Latin America, Caribbean, Eastern and
South-eastern Europe about 1 in 11 get treatment. In North America, it is 1 in
3. Cost of treatment is estimated at USD200-USD250 billion or 0.3-0.4% of
global GDP. Research in the U.S. suggests over USD1 investment in treatment
yields a return of USD4 and USD12 in reduced crime and healthcare costs.
Globally, it is estimated drug-related deaths account for between
0.5-1.3% of all causes of death for people aged 15-64. Beyond death, there are
at least 14 million drug injecting users worldwide. Productivity lost by labour
non-participation is USD120 billion (or more) in the U.S. while it is 0.3-0.4%
of GDP in Australia and Canada.
Drug abuse and poverty are often linked in multiple ways. Drug abuse may
arise from stress with poverty, social strain and other difficult events. In
addition, there is often less access to support systems. In an inverse
direction is where drug abuse depletes users’ income leading to more crime and
other social disorders. Legalising drugs would not ensure underground markets
would cease. The “medical” cannabis program in Colorado, U.S. has led to more
car accidents with usage further increased.
What are proven measures to reduce overall cost of drug abuse?
(i) Drug prevention is
cost-effective;
(ii) Early intervention for
new users;
(iii) Drug treatment for
addicts;
(iv) Family and community
support for addicts;
(v) A more efficient justice system to deter
drug abuse and alternatives to imprisonment;
(vi) Social programs; and
(vii) policies/initiatives
against drug trafficking in all development programmes.
What about in Malaysia? It was estimated that registered drug users was
about 0.5 million in 2015 with a relapse rate of over 50%. Peer influence and
curiosity are top contributing factors, according to Dr Tam Cai Lian of Monash
University, Malaysia. This is somewhat dissimilar to other parts of the world.
But stress-related substance abuse is increasing. Treatment programmes cost
about RM300 million annually and increasing! Of the drug addicts, over 80% are
Malays with the highest numbers in PAS-led states like Kelantan and Terengganu.
References:
1. Economic
Consequences of Drug Abuse, https://www.incb.org
2. Contributory
Factors: Drug Abuse in Malaysia, https://www.incb.org
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