NACD
Hawkins House
Hawkins St.
Dublin 2
Tel: +353 1 6354283
Email: nacd@nacd.ie
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NACD says that services for cocaine
users need to become more visible
ISSUE DATE: Thursday, 8 March 2007
All indicators show cocaine use is continuing to increase across all sections
of society and all areas of the country
The National Advisory Committee on Drugs (NACD) has today (Thursday,
8 March) said that services for cocaine users need to become more visible.
Speaking at the launch of An Overview of Cocaine
Use in Ireland II, NACD
Chairperson, Dr Des Corrigan, said that all the indicators point to a
continued increase in cocaine use and that this cocaine use crosses all
sections of Irish society. However, whilst the impact is very much experienced
nationwide, some communities are disproportionately affected.
An Overview of Cocaine Use in Ireland II looks at cocaine use in relation
to its prevalence, prevention and treatment, as well as the consequences
of its use in Ireland. The report was prepared jointly by the NACD and
the National Drugs Strategy Team (NDST) on foot of a request from Government
in late 2005, concerned with the growth of cocaine abuse in all sections
of Irish society.
The increasing prevalence of cocaine in Ireland was revealed through
examination of a range of indicators:
- Drug treatment data show the numbers seeking treatment for
cocaine use have increased exponentially between 1998 and 2003, with
a three-fold increase in those with cocaine as the primary problem and
a four-fold increase in those with cocaine as the secondary problem
drug.
- Data from An Garda Síochána show an increase in
the number of cocaine-related offences under the Misuse of Drugs
Act (MDA) from 180 in 2000 to 1,224 in 2005.
- Both Garda and Customs & Excise data show an increase in
the number of cocaine seizures. The former show an increase from
206 in 2000 to 968 in 2005. The latter show an increase from 12 in 2000 to
67 in 2004.
- Data from the Medical Bureau of Road Safety, based on road safety
tests, also indicate an increase in cocaine positive tests up to
2005.
- Hospital In-Patient Enquiry Data (HIPE) data shows that the number
of incidences of cocaine-related diagnosis in hospitals increased
from 54 in 2000 to 222 in 2004.
Speaking at the launch of the report, Noel Ahern TD, Minister with responsibility
for the National Drugs Strategy, stated that the risks associated with
cocaine use are extremely high:
“The physical
and mental health problems that arise from the use of cocaine are alarming.
Cocaine is particularly dangerous when combined with alcohol and other
substances and these real dangers associated with its use have been highlighted
in this report”.
Minister Ahern pointed out that the report highlights the fact that
cocaine use is predominantly a young adult phenomenon affecting mostly
those aged between 15 and 34.
“It is perceived that there is a significant hidden population
of so called ‘recreational cocaine users’ who do not see
themselves as having a problem. However, many of these are likely
to develop health problems in the longer term and it is important to
get credible and unambiguous health promotion and harm reduction messages
to this group.
“At the same time, we must emphasise that treatment is
available and is effective. It is clear that one of the challenges
facing service providers is to persuade cocaine users to avail
of treatment, while the continued upskilling of personnel to meet
the needs of cocaine users is also important,”
Minister Ahern said. He further indicated that
he has already funded a pilot training initiative in that regard.
Another trend highlighted by this report, according to the Chairperson
of the NACD Dr Des Corrigan, is that many problem heroin users are also
using cocaine, and that polydrug use is now common among drug-users. He
indicated that it is difficult to determine at this stage whether there
has been a significant increase nationally in drug misuse.
“Our
most recent comprehensive figures for the misuse of drugs come from the
all island Drug Prevalence Survey 2002/2003. Fieldwork for the second
such survey is currently in progress and will be completed in April, with
first reports becoming available in the autumn”.
Dr Corrigan also indicated that the findings on cocaine use in this report
were very much in line with the trends identified in a 2003 NACD report
on cocaine use:
“What makes this report different to 2003 is the
extent of information available to us on the impact of cocaine in
the community. Communities are experiencing the consequences in terms
of sharp increases in public disturbance, noise, intimidation and
violence. Individuals are experiencing the consequences in terms of
disrupted personal relationships, reduced productivity, loss of employment
and income, as well as physical and/or mental ill-health.”
Dr Corrigan explained that the physical health problems caused by cocaine
use affect the heart, lungs, brain, kidneys and nose, with intravenous
cocaine use leading to abscesses, clots, as well as a range of infections
including HIV and Hepatitis B and C. The mental health problems include
depression, anxiety, agitation, compulsive behaviour, paranoia and aggression.
The toxic effects of cocaine are heightened when it is combined with alcohol.
Ms Patricia O’Connor, Director of the NDST, added:
“It is
imperative that the information in this report be used by policy
makers, service providers, general practitioners, hospital consultants
and community groups to better understand the impact of cocaine on
individuals, families and communities. We must strive to make services
more visible and attractive to those who may need to benefit from
them.”
The thirteen recommendations in the report, principally focusing on treatment,
but also covering supply, prevention and research will now be followed
up by the relevant Departments and Agencies and others involved in the
implementation of the National Drugs Strategy.
Ends
Notes to the Editor:
- The Minister of State has responsibility for the National Drugs
Strategy and Community Affairs at the Department of Community, Rural
and Gaeltacht Affairs and for Housing and Urban Renewal at the Department
of Environment, Heritage and Local Government.
- The NACD was established
in July 2000 to advise the Irish Government in relation to the prevalence,
prevention, treatment / rehabilitation and consequences of problem
drug use in Ireland, based on the analysis of research findings and
information. The NACD is overseeing the delivery of a work programme
on the extent, nature, causes and effects of drug use in Ireland.
The NACD comprises representatives nominated from relevant agencies
and sectors, both statutory and non-statutory. The NACD reports to
the Minister of State responsible for the National Drugs Strategy.
The NACD has published several reports which are available on the
website.
- The
NDST was established in 1997 by the Government following a recommendation
in the first report of the Ministerial Task Force on Measures to
reduce the demand for Drugs published in October 1996 (chaired by
the then MOS to the Government).
The core mandate of the Team is
to effectively oversee the operation of LDTFs/RDTFs. In addition
the Team is mandated to (a) ensure effective coordination between
Departments and agencies, and identify and (b) consider policy issues
and ensure that policy is informed by the work of and lessons from
the LDTFs / RDTFs, through joint meetings with the IDG (Ref: 3.6.5
Page 121, Action 85: NDS).
The terms of reference of the NDST, as defined
in the NDS (Ref: page 121 action 85)
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