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This study is an important first step in the development of a national policy on illegal drugs. It assesses two recent cost-effectiveness studies on cocaine control policy: one by RAND, Controlling Cocaine: Supply Versus Demand Programs, and the other by the Institute of Defense Analyses, An Empirical Examination of Counterdrug Interdiction Program Effectiveness.
This report offers one of the most comprehensive insights into global trends in international culture, production, seizure and price of illicit drugs. It examines trends in the world's four major markets: opium and heroin, coca and cocaine, cannabis, and amphetamine-type stimulants. This edition provides an in-depth examination of the link between transnational organized crime and drug trafficking. A detailed statistical appendix on production, prices and consumption completes this book, which gives the reader a comprehensive picture of the world's drug problem.
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.
Substance use and drug policy are clearly in the national spotlight. Provisional data from the Centers for Disease Control and Prevention suggest that drug overdose deaths in 2018 exceeded 68,000, of which more than 47,000 involved opioids. Although heroin, prescription opioids, and synthetic opioids (such as fentanyl) receive most of the attention, deaths involving methamphetamine and cocaine are both on the rise. In addition, more than 25 percent of the U.S. population lives in states that have passed laws that allow for-profit firms to produce and sell marijuana for nonmedical purposes to adults ages 21 and older. To better understand changes in drug use outcomes and policies, policymakers need to know what is happening in the markets for these substances. This report updates and extends estimates of the number of users, retail expenditures, and amount consumed from 2006 to 2016 for cocaine (including crack), heroin, marijuana, and methamphetamine in the United States, based on a methodology developed by the RAND Corporation for the Office of National Drug Control Policy. The report also includes a discussion of what additional types of data would help quantify the scale of these markets in the future, including the new types of information produced by the legalization of marijuana at the state level.
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.
This volume provides a summary of the most current information about stimulant dependence and its treatment. In addition, it sheds light on how the epidemiology of cocaine, amphetamine and methamphetamine abuse and dependence have substantial differences in geographic distribution, and how treatments are evolving to help these complex patients benefit from emerging pharmacological and behavioral therapies. Also, the editors provide literature that discusses, among many topics: the recent shift to more humane responses within the criminal justice system that is useful in obtaining treatment for the estimated 1.6 million cocaine and half-million methamphetamine users who abuse these drugs each day in the U.S., and also key treatment considerations, such as HIV comorbidity and polydrug abuse.
This report documents the development of a two-state Markovian model of the demand for cocaine and includes the estimation of incidence, prevalence, cohort retention, and consumption. The Markovian model is required to fit (1) the overall prevalence data; (2) the fraction of all users who are heavy users in 1985, 1988, and 1990; and (3) the fraction of a cohort of initiates that is still using drugs ten years later, the ten-year cohort retention rate. The study states that the incidence of new users into light cocaine use has varied greatly over the years and is an input to the model; however, the model cannot predict future prevalence--it can only project prevalence given a hypothetical incidence scenario. The model also demonstrates that the fraction of all cocaine users who are heavy users has varied greatly over time, and that peak heavy usage followed peak incidence by about ten years. Consequently, the effect on heavy usage of government programs that reduce incidence (such as prevention programs) will only be realized many years later.
A comprehensive and critical review of recent literature regarding the relationships between physical illness and drugs of abuse, describing the association between each of the principal classes of illicit drugs (cocaine, marijuana, opioids, and common hallucinogens and stimulants) and the major categories of physical illness.
"In an arena of public policy where misinformation and disinformation reigns, ... facts are desperately needed, and Cocaine Changes gives us a bucketful of them. Anyone who values rationality and is concerned about the harmful efforts of our misbegotten drug policy should read this book." ?Ira Glasser, Executive Director, ACLU"I know of no other book that offers so much information on the subject so clearly and calmly presented. For anyone interested in the natural history of cocaine use in America now, Cocaine Changes provides the best, most comprehensive available resource." ?Lester Grinspoon, M.D., Harvard Medical School "This book puts the cocaine scare of the 1980s to the test and places cocaine in a more realistic perspective. By examining the lives of hundreds of heavy users, it discovers that even among this group, cocaine use is not always cocaine abuse." ?Kevin B. Zeese, Drug Policy Foundation "This provocative study challenges many of the prevailing myths about cocaine and crack use, and is essential reading for any researchers, educators, policymakers, law enforcement personnel, or concerned citizens who wish to make informed judgments." ?Patricia G. Erickson, Ph.D., Head, Drug Policy Research Program (Canada) "This book puts the cocaine scare of the 1980s to the test and places cocaine in a more realistic perspective. By examining the lives of hundreds of heavy users, it discovers that even among this group, cocaine use is not always cocaine abuse." ?Kevin B. Zeese, Vice-President and Counsel, Drug Policy Foundation