(Stigmatization and Inhumane Treatment of Krokodil Users) "In Russia and many other post-Soviet countries, the old ideology lingers on in narcological institutes, out of sync with modern public and mental health concepts (Grund et al., 2009). Many narcologists continue to view addiction as criminal or moral deviance and not as a disease. Narcological dispensaries continue to share information with law enforcement (Mendelevich, 2011). The threat of removal of child custody rights may impede women’s access to health care in particular (Shields, 2009).
International — Drug Control Policies Around The World
(Harms Associated with Krokodil Use) "In recent years, harm reduction and drug treatment services from Russia, Ukraine, Georgia and Kazakhstan began reporting severe health consequences associated with krokodil injecting. Although serious localized and systemic harms have previously been associated with injecting homemade opiates and stimulants in the region (Grund, 2002; Volik, 2008), the harms associated with krokodil injecting are extreme and unprecedented.
(Krokodil - Reasons and Risks) "In sum, these observations suggest that the relatively limited availability of black market opiates and stimulants and the relative ease of harvesting legal precursors to powerful analogues from the countryside and pharmacies inspired and sustained a Soviet-style homemade drug culture in the Eastern European region that remains radically different from those observed in countries where narco-traffickers dominate the production and distribution of drugs (Booth, Kennedy, Brewster, & Semerik, 2003; Grund et al., 2009; Grund, 2005; Subata &
(Prevalence of Krokodile Use) "The estimated number of PWID in Russia was close to 2 million in 2008 (Mathers et al., 2008). 2.3% of the Russian population uses opioids annually and 1.4% heroin, compared to an annual prevalence of 0.4% opioid use in Western and Central Europe (UNODC, 2012).
(Krokodil Production) "In considering the drug krokodil, two aspects are of importance, its pharmacology and its chemistry. The short half-life, limited high after the impact effect and, in particular the need for frequent administration may narrow the attention of users on the (circular) process of acquiring, preparing and administering the drug, leaving little time for matters other than avoiding withdrawal and chasing high, as reported in several popular magazines (e.g. Shuster, 2011; Walker, 2011).
(Impact of the Eurozone Economic Downtown on IDU-Related HIV) "Trends in infectious diseases hold particular interest.
(Rise in Problem Drug Use in Greece Attributable to Eurozone Economic Downturn) "According to the latest data from the Greek Documentation and Monitoring Centre for Drugs, the number of persons with problematic drug use (heroin as the primary addictive substance) rose by 11.6% between 2008 and 2010 (from 20,181 cases in 2008 to 22,515 cases in 2010)53,54; among those aged 35 to 64 years, the increase was far more intense at 88.2% (from 4875 cases in 2008 to 9176 cases in 2010).
(Availability of Harm Reduction Services in Central Asia) "With financial support from national Global Fund grants and cooperation from international organisations, prevention efforts are scaling-up across central Asia, largely concentrating on IDUs and female sex workers.
(Prevalence of IDU-Related HIV in Prisons in Central Asia) "HIV testing within prison populations has been widespread in central Asia, reflecting sentinel surveillance and mandatory testing policies. HIV prevalence among prisoners ranges from 2% in Kazakhstan to nearly 7% in Tajikistan (figure 2).
(Prevalence of Hepatitis C Related to Injection Drug Use in Central Asia) "Prevalence of hepatitis C virus (HCV) and of syphilis among IDUs can indicate the extent of risky injecting and sexual behaviours respectively.