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是什么导致了澳大利亚近期海洛因供应的减少?

What caused the recent reduction in heroin supply in Australia?

作者信息

Wodak Alex

机构信息

Alcohol and Drug Service, St. Vincent's Hospital, Darlinghurst, NSW 2010, Australia.

出版信息

Int J Drug Policy. 2008 Aug;19(4):279-86. doi: 10.1016/j.drugpo.2008.03.007. Epub 2008 Jun 13.

Abstract

Heroin availability and purity decreased and prices increased in Australia suddenly in early 2001. The heroin market in Australia has still not returned to the status quo ante after more than six years. Benefits of the heroin shortage, including a substantial reduction in drug overdose deaths and property crime, are generally considered to have outweighed adverse effects which included increased use of other drugs, especially stimulants, with a subsequent increase in aggression, violence and mental illness. Some commentators attributed the heroin shortage to a combination of factors, while an influential study highlighted the importance of supply control asserting that increased funding and improved effectiveness of domestic drug law enforcement produced critical heroin seizures which disrupted major syndicates, thereby producing the heroin shortage. Evidence to support a critical role for drug law enforcement in the heroin shortage is weak with some recent evidence contradicting key assertions used to support the supply control hypothesis. Although the most likely interpretation is still a combination of multiple factors, the most important factors appear to have been a substantial recent reduction in source opium cultivation and heroin production in Burma, but probably also increased heroin consumption en route through China and a switch from heroin to amphetamine production in Burma. This interpretation is consistent with the international experience of several recent decades in numerous countries where national heroin shortages have occurred rarely and generally only briefly, notwithstanding vigorous and very well resourced supply control efforts. The recent reduction in heroin supply in Australia, the most severe, longest lasting and best-documented heroin shortage in the world, cannot be confidently attributed, solely or largely, to improved domestic drug law enforcement. At best, domestic law enforcement may have made a small contribution compared to several other factors. Evaluation of supply, demand and harm reduction should be held to the same standards.

摘要

2001年初,澳大利亚的海洛因供应量和纯度突然下降,价格上涨。六年多过去了,澳大利亚的海洛因市场仍未恢复到以前的状态。海洛因短缺带来的好处,包括药物过量死亡和财产犯罪大幅减少,总体上被认为超过了负面影响,其中包括其他药物尤其是兴奋剂的使用增加,随后攻击行为、暴力和精神疾病也有所增加。一些评论家将海洛因短缺归因于多种因素的综合作用,而一项有影响力的研究强调了供应控制的重要性,称增加资金投入和提高国内毒品执法效率导致了关键的海洛因缉获量,扰乱了主要犯罪集团,从而造成了海洛因短缺。支持毒品执法在海洛因短缺中起关键作用的证据很薄弱,最近的一些证据与用于支持供应控制假说的关键断言相矛盾。尽管最有可能的解释仍然是多种因素的综合作用,但最重要的因素似乎是最近缅甸的鸦片种植和海洛因产量大幅减少,但也可能是在途经中国时海洛因消费量增加以及缅甸从海洛因生产转向苯丙胺生产。这种解释与近几十年来许多国家的国际经验一致,在这些国家,尽管有积极且资源充足的供应控制努力,但全国性的海洛因短缺很少发生,而且通常只是短暂出现。澳大利亚最近的海洛因供应减少是世界上最严重、持续时间最长且记录最详尽的海洛因短缺,但不能仅仅或主要自信地归因于国内毒品执法的改善。与其他几个因素相比,国内执法充其量可能只做出了很小的贡献。对供应、需求和减少危害的评估应采用相同的标准。

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