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Drug abuse in Pakistan - United Nations Office on Drugs and Crime

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Introducti<strong>on</strong><br />

Develop<str<strong>on</strong>g>in</str<strong>on</strong>g>g effective resp<strong>on</strong>se to the problem of drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> requires a sound underst<strong>and</strong><str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

of the nature of the problem. This fundamental c<strong>on</strong>clusi<strong>on</strong> is enshr<str<strong>on</strong>g>in</str<strong>on</strong>g>ed <str<strong>on</strong>g>in</str<strong>on</strong>g> the Declarati<strong>on</strong> of<br />

the Guid<str<strong>on</strong>g>in</str<strong>on</strong>g>g Pr<str<strong>on</strong>g>in</str<strong>on</strong>g>ciples of <str<strong>on</strong>g>Drug</str<strong>on</strong>g> Dem<strong>and</strong> Reducti<strong>on</strong>, which accompanied the <str<strong>on</strong>g>United</str<strong>on</strong>g> <str<strong>on</strong>g>Nati<strong>on</strong>s</str<strong>on</strong>g><br />

General Assembly Special Sessi<strong>on</strong> (UNGASS). At this historically important meet<str<strong>on</strong>g>in</str<strong>on</strong>g>g it was also<br />

acknowledged that success <str<strong>on</strong>g>in</str<strong>on</strong>g> the fight aga<str<strong>on</strong>g>in</str<strong>on</strong>g>st drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> requires a balanced approach that<br />

comb<str<strong>on</strong>g>in</str<strong>on</strong>g>es both supply <strong>and</strong> dem<strong>and</strong> reducti<strong>on</strong> measures. Today it is recognized that drug problems<br />

have the potential to affect all countries <strong>and</strong> therefore nati<strong>on</strong>al governments have a corresp<strong>on</strong>d<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

resp<strong>on</strong>sibility to develop sound resp<strong>on</strong>ses. This assessment study is <str<strong>on</strong>g>in</str<strong>on</strong>g>tended to<br />

help assemble the knowledge base necessary for <str<strong>on</strong>g>in</str<strong>on</strong>g>form<str<strong>on</strong>g>in</str<strong>on</strong>g>g the development <strong>and</strong> target<str<strong>on</strong>g>in</str<strong>on</strong>g>g of<br />

drug dem<strong>and</strong> reducti<strong>on</strong> measures <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>.<br />

The need for this enhanced understat<str<strong>on</strong>g>in</str<strong>on</strong>g>g was recognized by the government of <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g> who<br />

through the offices of the <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g> Anti-Narcotics Force (ANF) took a lead role <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g>stigat<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

the study <strong>and</strong> <str<strong>on</strong>g>in</str<strong>on</strong>g> its implementati<strong>on</strong>. Part of UNDCP’s role is to work <str<strong>on</strong>g>in</str<strong>on</strong>g> partnership with natio<br />

nal governments to help facilitate the development of resp<strong>on</strong>ses to drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> problems. This<br />

work is guided by the m<strong>and</strong>ates given to UNDCP by the <str<strong>on</strong>g>in</str<strong>on</strong>g>ternati<strong>on</strong>al community <strong>and</strong> by declarati<strong>on</strong>s<br />

agreed by member States com<str<strong>on</strong>g>in</str<strong>on</strong>g>g together at the Commissi<strong>on</strong> <strong>on</strong> Narcotic <str<strong>on</strong>g>Drug</str<strong>on</strong>g>s. It<br />

is therefore particularly appropriate for UNDCP to work <str<strong>on</strong>g>in</str<strong>on</strong>g> partnership with the government of<br />

<str<strong>on</strong>g>Pakistan</str<strong>on</strong>g> <strong>on</strong> this exercise that dem<strong>on</strong>strates <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>’s commitment to both the challenge <strong>and</strong><br />

the visi<strong>on</strong> expressed at UNGASS.<br />

This study takes place aga<str<strong>on</strong>g>in</str<strong>on</strong>g>st a background of c<strong>on</strong>siderable political <strong>and</strong> public c<strong>on</strong>cerns about<br />

the problems that drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> are caus<str<strong>on</strong>g>in</str<strong>on</strong>g>g with<str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>. The widespread recogniti<strong>on</strong> of the<br />

issue of drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g> the country is, by <str<strong>on</strong>g>in</str<strong>on</strong>g>ternati<strong>on</strong>al st<strong>and</strong>ards, a relatively recent phenomen<strong>on</strong>.<br />

For example, hero<str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>abuse</str<strong>on</strong>g> was largely unknown <str<strong>on</strong>g>in</str<strong>on</strong>g> the 1970s but became recognized as<br />

a major social problem dur<str<strong>on</strong>g>in</str<strong>on</strong>g>g the early <strong>and</strong> mid 1980s. Similarly, until quite recently there<br />

was no history of <str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g drug use <str<strong>on</strong>g>in</str<strong>on</strong>g> the country. Today it is accepted by all that <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g><br />

has a serious drug problem to address. However, the <str<strong>on</strong>g>in</str<strong>on</strong>g>formati<strong>on</strong> available to underst<strong>and</strong>, <strong>and</strong><br />

therefore to resp<strong>on</strong>d to the problem is poor. A number of nati<strong>on</strong>al assessments have been<br />

undertaken <str<strong>on</strong>g>in</str<strong>on</strong>g> the past that provided valuable <str<strong>on</strong>g>in</str<strong>on</strong>g>sights. In additi<strong>on</strong>, a number of more<br />

localized research projects have also been c<strong>on</strong>ducted. Despite this no good picture exists of<br />

current patterns <strong>and</strong> trends <str<strong>on</strong>g>in</str<strong>on</strong>g> drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g> the country. The last nati<strong>on</strong>al assessment dates<br />

from 1993. We know today that drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> problems have the ability to develop <strong>and</strong> change<br />

with alarm<str<strong>on</strong>g>in</str<strong>on</strong>g>g speed. There is therefore a clear need for a c<strong>on</strong>temporary underst<strong>and</strong><str<strong>on</strong>g>in</str<strong>on</strong>g>g of the<br />

current drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> problem <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>.<br />

No <strong>on</strong>e-research exercise can answer all questi<strong>on</strong>s about the nature, scale <strong>and</strong> dynamics <str<strong>on</strong>g>in</str<strong>on</strong>g><br />

patterns of drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g> any country. N<strong>on</strong>etheless, the objectives of this study were c<strong>on</strong>siderable.<br />

Underst<strong>and</strong><str<strong>on</strong>g>in</str<strong>on</strong>g>g the nature of drug problems is a complex task <strong>and</strong> the resources available<br />

are always limited. It is also important that the methods used are sound if the result<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

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