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This research-based, theory-driven ethnographic account of the changing underground world of drug use and associated health effects covers the essential ground in a succinct, authoritative fashion. After a thorough outline of the nature and history of drug use dynamics, the author assesses the role of youth in new drug use practices, the impact of illicit drug distribution and the war on drugs, and the public health risks of trends in drug use behavior. Additionally, it considers mechanisms for effective public health response to emergent health risks associated with changing drug use patterns. Because Singer carefully explains all technical terms, uses clarifying examples, and avoids jargon, readers will walk away from this volume with a deeper grasp of this social problem; with appreciation for how change figures into drug use practices; and with knowledge of key social, cultural, political-economic, criminal justice, and health factors. Ideal as a text in the undergraduate classroom, its targeted focus and careful exploration of new concepts and theories also make it appealing for use at more advanced levels.
This Brief explores emerging trends in drug use and distribution. This timely Brief examines recent examples of emerging drugs including salvia (from the plant Salvia divinorum), bath salts (and other synthetic stimulants) and so-called research chemicals (primarily substituted phenethylamines, synthetic cousins of ecstasy), which have tended to receive brief levels of high intensity media coverage that may or may not reflect an actual increase in their usage. Over the past decade in particular, “new” substances being used recreationally seem to come out of obscurity and gain rapid popularity, particularly spurred on by discussion and distribution over the internet. While changing trends in the drug market have always presented a challenge for law enforcement and public health officials, online forums, media coverage and other recent trends discussed in this Brief allow them to gain popularity more quickly and change more frequently. These rapid shifts allow less time for researchers to understand the potential health consequences of these substances and for law enforcement to stay abreast of abuses of legal substances. This work includes: 1) review of relevant research and literature, 2) review the Internet sources in which many deem important in influencing the emerging drug market, 3) discussion of national and international trends in use, abuse and distribution of these substances and 4) examination of current drug policy and recommendations for the future. This brief will be useful for criminology and criminal justice, sociology and public health. It will also be useful for those that deal with youth and the problems that may develop during adolescence and early adulthood.
This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.
The adulteration and fraudulent manufacture of medicines is an old problem, vastly aggravated by modern manufacturing and trade. In the last decade, impotent antimicrobial drugs have compromised the treatment of many deadly diseases in poor countries. More recently, negligent production at a Massachusetts compounding pharmacy sickened hundreds of Americans. While the national drugs regulatory authority (hereafter, the regulatory authority) is responsible for the safety of a country's drug supply, no single country can entirely guarantee this today. The once common use of the term counterfeit to describe any drug that is not what it claims to be is at the heart of the argument. In a narrow, legal sense a counterfeit drug is one that infringes on a registered trademark. The lay meaning is much broader, including any drug made with intentional deceit. Some generic drug companies and civil society groups object to calling bad medicines counterfeit, seeing it as the deliberate conflation of public health and intellectual property concerns. Countering the Problem of Falsified and Substandard Drugs accepts the narrow meaning of counterfeit, and, because the nuances of trademark infringement must be dealt with by courts, case by case, the report does not discuss the problem of counterfeit medicines.
It is increasingly recognized that various transporter proteins are expressed throughout the body and determine absorption, tissue distribution, biliary and renal elimination of endogenous compounds and drugs and drug effects. This book will give an overview on the transporter families which are most important for drug therapy. Most chapters will focus on one transporter family highlighting tissue expression, substrates, inhibitors, knock-out mouse models and clinical studies.
This paper explores the ways in which cocaine was bought, sold, and consumed in the years prior to its legal prohibition. Much previous historical inquiry has focused on chronicling anti-drug legislation with the dual intent of locating the roots of contemporary drug policy, and linking legislation to trends in drug use and drug users' experiences. This paper suggests, however, that legislative developments alone cannot account for the changing patterns of cocaine's sale and use. Making extensive use of the records of those who legally distributed cocaine, including physicians, retail druggists, and drug manufacturers, this paper contends that, prior to prohibition, patterns in the legal use and distribution of cocaine underwent a substantial transformation. As a consequence of this transformation, cocaine was, by the turn of the century, feared as a menace to society. The response to these changes was a vigorous attempt to enforce standards of appropriate use through informal controls, such as voluntary limits on drugstore cocaine sales, and more formal methods, such as police treatment of cocaine sellers and users as a public nuisance. These developments suggest that there were loosely defined ideas of "legitimate" and "illegitimate" sales and use which affected the market for cocaine, even in the absence of laws which formalized those definitions. The impact of public response made cocaine's status as a legal drug small comfort to many users.
Despite efforts to reduce drug consumption in the United States over the past 35 years, drugs are just as cheap and available as they have ever been. Cocaine, heroin, and methamphetamines continue to cause great harm in the country, particularly in minority communities in the major cities. Marijuana use remains a part of adolescent development for about half of the country's young people, although there is controversy about the extent of its harm. Given the persistence of drug demand in the face of lengthy and expensive efforts to control the markets, the National Institute of Justice asked the National Research Council to undertake a study of current research on the demand for drugs in order to help better focus national efforts to reduce that demand. This study complements the 2003 book, Informing America's Policy on Illegal Drugs by giving more attention to the sources of demand and assessing the potential of demand-side interventions to make a substantial difference to the nation's drug problems. Understanding the Demand for Illegal Drugs therefore focuses tightly on demand models in the field of economics and evaluates the data needs for advancing this relatively undeveloped area of investigation.
The 2019 World Drug Report will include an updated overview of recent trends on production, trafficking and consumption of key illicit drugs. The Report contains a global overview of the baseline data and estimates on drug demand and supply and provides the reference point for information on the drug situation worldwide.