Presentation on theme: "Vienna, Austria 4 September 2014 Stefano Berterame, Chief Narcotics Control and Estimates Section Secretariat of the International Narcotics Control Board."— Presentation transcript:
Vienna, Austria 4 September 2014 Stefano Berterame, Chief Narcotics Control and Estimates Section Secretariat of the International Narcotics Control Board Availability of internationally controlled drugs: Ensuring adequate access for medical and scientific purposes CND Intersessional Vienna, Austria 4 September 2014 Stefano Berterame, Chief Narcotics Control and Estimates Section Secretariat of the International Narcotics Control Board
Unnecessary pain and suffering for many people – 5.5 million terminal cancer patients – 1 million end-stage HIV/AIDS patients; – 0.8 million patients suffering injuries caused by accidents and violence; – Women in labour (110 million births each year) – Patients with chronic illnesses; recovering from surgery; – WHO estimates that the number of people affected “are the same in magnitude as those afflicted by conditions that are recognized as major contributors to the world’s burden of disease; in particular HIV, malaria and tuberculosis “
Availability for medical purposes 1961 Convention – Preambular paragraph: “recognizing that the medical use of narcotic drugs continues to be indispensable for the relief of pain and suffering”. – Article 9, paragraph 4, 1961 Convention, as amended by the 1972 Protocol. – INCB mandate: “ensuring their availability for such purposes”. 1971 Convention: – Use of psychotropic substances is indispensable. – Availability for such purposes should not be unduly restricted.
Preventing diversion and abuse 1961 Convention – Preambular paragraph: “Recognizing that addiction to narcotic drugs constitutes a serious evil for the individual and is fraught with social and economic danger to manking”. 1971 Convention: – Preambular paragraph “Noting with concent the public health and social problems resulting from the abuse of certain psychotropic substances” … “Considerng that rigorous measures are necessary to restrict the use of such substances to legitimate purposes”
Tons Stocks of opiate raw materials for the extraction of morphine Tons
Supply (stocks + production) of and demand for opiate raw materials expressed in morphine equivalent
Tons Stocks of opiate raw materials for the extraction of thebaine Tons
Supply (stocks + production) of and demand for opiate raw materials expressed in thebaine equivalent
Availability of opioids for pain management 2000-2002 avg – 2010-2012 avg
Availability of opioids for pain management 2010-2012 avg
Average consumption of benzodiazepines (anxiolytics) 1997-1999 and 2007-2009
Average consumption of central nervous system stimulants in Schedule IV, 1997-1999 and 2007-2009
Recommendations contained in the 2010 report on Availability
Availability of Narcotic Drugs and Psychotropic substances Correct assessment of the needs; Geographical distribution of the drugs; Affordability (coverage by the health system) Identification of obstacles in various areas (legislation, undue restrictions, etc.); Information and monitoring.
Appropriate use Training and education of health professionals; Appropriate prescription practices; Education of the public on safe use; Registration system to prevent (doctors shopping, over prescription, etc.); Encourage the use of better and safer therapeutic agents.
National control system Control and supervision of supply and consumption of internationally controlled drugs; Improve regulatory system on manufacture, export, import and distribution; Combat counterfeit drugs;
Prevention of diversion and abuse Measures against illicit manufacture and diversion narcotic drugs and psychotropic substances; Improvement of information systems and data collection; Increase regional and inter-regional cooperation.
New Report on Availability in 2016 At its 108 th session, in November 2013 the Board decided to prepare a special report to be published in 2016 as a supplement to INCB annual report for 2015. Focus on the implementation by Governments recommendations contained in the report published in 2010.
THANK YOU FOR YOUR ATTENTION ! INCB Secretariat