Breaking the Taboo French Experience : One step forward , two steps backwards !
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Breaking the TabooFrench Experience:
One step forward, two steps backwards!
Hans-Fredrik GadeliusHôpital Nord MarseilleMédecins du Monde
CSAPA NordNouvelle Aube
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The origins of a taboo
• Thomas SZASZ och hans syndabock• Pharmacratie• Civilization of performance… and profit!• Drug War:1970, Nixon and UN• Back to France: Loi 70• The Big Schizophrenia: Users and drug care vs
politics, population and medias
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Drug’s In France
• Alcohol: 20 of PIB, 10 M Abuse and addiction, Taboo on drunk ladies…Traditional and Ritual
• Marijuana: 10 M Users, depenalisation ?• Opiates: 220.000, 110.000 BHD, 20.000 MTD;
Heroine : the big fear! From delinquency to disease…
• Cocaine: Better image, free base, crack• Magic shroom’s, designer drugs, misuse
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Skadereduction I Frankrike• 73: Methadone / the dealers in white• 80-90 AIDS• 87: decriminalisation of syringes• 89 :PES• 92 :ASUD• 94 :Methadone centers• 95 :Methadone on prescription• 96 : BHD on prescription, by GP’s• 01:Methadone bus• 05:Harm reduction is a public health policie
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But Big schizo strikes back
• Globally public security prevails on public health
• No real national debate on drugs• EX: Safe injection site debate…• Still fearing the medicalization of a normal
human activity• Harm reduction is still fragile
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Conclusion
• Step by step or revolution?• Stucked in medicalisation: twisting pleasure
and desease.• Policies on morality, economics, case reports
or facts?• Global report on drugs, UN• Stop drug war!?!• « Nice people take drugs! », Vienna 2011
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