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鸦片贸易与 HIV 在金新月地区的传播。

Opium trade and the spread of HIV in the Golden Crescent.

机构信息

Aga Khan University, Karachi, Pakistan.

Afghanistan National Public Health Institute, Ministry of Health, Kabul, Afghanistan.

出版信息

Harm Reduct J. 2017 Jul 21;14(1):47. doi: 10.1186/s12954-017-0170-1.

Abstract

The Golden Crescent region of South Asia-comprising Afghanistan, Iran, and Pakistan-is a principal global site for opium production and distribution. Over the past few decades, war, terrorism, and a shifting political landscape have facilitated an active heroin trade throughout the region. Protracted conflict has exacerbated already dire socio-economic conditions and political strife within the region and contributed to a consequent rise in opiate trafficking and addiction among the region's inhabitants. The worsening epidemic of injection drug use has paralleled the rising incidence of HIV and other blood-borne infections in the region and drawn attention to the broader implications of the growing opiate trade in the Golden Crescent. The first step in addressing drug use is to recognize that it is not a character flaw but a form of mental illness, hence warranting humane treatment of drug users. It is also recommended that the governments of the Golden Crescent countries encourage substitution of opium with licit crops and raise awareness among the general public about the perils of opium use.

摘要

南亚的金新月地区包括阿富汗、伊朗和巴基斯坦,是全球主要的鸦片生产和分销地。在过去几十年中,战争、恐怖主义和政治格局的变化使得该地区的海洛因贸易十分活跃。旷日持久的冲突加剧了该地区本已严峻的社会经济状况和政治纷争,导致该地区居民的阿片类药物滥用和成瘾率相应上升。注射毒品使用的流行程度不断加剧,与该地区艾滋病毒和其他血液传播感染的发病率上升相吻合,引起了人们对金新月地区日益增长的阿片类贸易的更广泛影响的关注。解决毒品问题的第一步是认识到毒品问题不是个人品格缺陷,而是一种精神疾病,因此需要对吸毒者进行人道治疗。此外,金新月地区国家的政府还应鼓励用合法作物替代鸦片,并提高公众对鸦片使用危害的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe3e/5521118/7aa345517f09/12954_2017_170_Fig1_HTML.jpg

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