Int J Drug Policy. 2013 Jul;24(4):281-3. doi: 10.1016/j.drugpo.2012.06.007. Epub 2012 Aug 11.
The review in this issue of the International Journal of Drug Policy (Grund, Latypov, & Harris, 2013) highlights the disturbing harms caused by the increasing use of 'krokodil' by people who inject drugs (PWID) in Eurasia. The growing use of this home produced injectable opiate poses a number of challenges for harm reduction policy, particularly when situated in restrictive regulatory environments where initiatives such as Opioid Substitution Treatment (OST) are prohibited or limited. In such contexts where OST access is restricted, how can these harms be minimised, and what alternatives can be offered? This commentary addresses these questions, by offering the rarely researched case of home produced injectable opioid use in New Zealand as an example.
本期《国际毒品政策杂志》的评论（Grund、Latypov 和 Harris，2013）强调了在欧亚地区，注射吸毒者（PWID）越来越多地使用“krokodil”所造成的令人不安的危害。这种家庭生产的可注射阿片类药物的使用不断增加，给减少伤害政策带来了许多挑战，尤其是在限制严格的监管环境中，阿片类药物替代治疗（OST）等举措被禁止或限制的情况下。在这种 OST 机会受限的情况下，如何将这些危害降到最低，又有哪些替代方案？本文通过引用新西兰家庭生产的可注射类阿片使用这一鲜少被研究的案例，对这些问题进行了探讨。
