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National Council calls for evidence based decisions in current
drug debate
The Australian National Council on Drugs, Chaired by Major Brian
Watters, considered its position on supervised injecting facilities
and the issue of Naltrexone being listed on the PBS, at its recent
meeting in Adelaide.
The Council is still deliberating some of the complex issues surrounding
supervised injecting facilities. We clearly recognise that illicit
drugs must also be seen as a global problem. In order to foster
further international cooperation, it is important that any trials
of supervised injecting facilities do not breach our international
obligations.
Major Watters stated, I wrote to the Premier of NSW in October
advising him that the trial of the supervised injecting facility
must be rigorously evaluated, in order to guide future action. If
it can then be shown that supervised injecting facilities save lives,
decrease infection rates and reduce a number of other harms to the
individual, their families and the community, then the ANCD would
support such an initiative. In effect, the ANCD would be supportive
of any proven intervention that reduces drug use and related harm.
However, the Council has also discussed information that suggests
that supervised injecting facilities may not be able to achieve
some of these outcomes, particularly the reduction of overdose deaths,
which are due to a combination of contributing factors.
On the issue of Naltrexone, the consensus opinion of the Council
was that it was premature to make statements supporting the addition
of any pharmacotherapy onto the PBS List for opioid dependence.
Major Watters stated, the Council believes it is prudent to consider
the outcome of all trials before making recommendations regarding
individual treatments. For this reason, the Council welcomes the
current trials of Naltrexone, and other pharmacotherapies such as
Buprenorphine and LAAM. At this stage however, we believe it is
too early to make an evidenced based decision.
All members of the ANCD are very concerned over the increasing
number of heroin related overdose deaths. The Executive Officer
of the ANCD, Mr Vumbaca stated, The Council is bringing together
its considerable expertise to focus on what can be done in relation
to the rising incidence of overdose deaths. In particular, the Council
is keen to develop some practical strategies for governments and
the public to consider.
16 December 1999
Further Inquiries to:
Major Brian Watters, Chairman
02 9212 4000 or 0414 780 509
Gino Vumbaca, Executive Officer
02 6279 1650 or 0408 244 552
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