Historique
Article de Périodique
The inadequate treatment of pain: Collateral damage from the war on drugs (2012)
Auteur(s) :
NICKERSON, J. W. ;
ATTARAN, A.
Année
2012
Page(s) :
e1001153 ; 4 p.
Langue(s) :
Anglais
Refs biblio. :
30
Domaine :
Autres substances / Other substances ; Drogues illicites / Illicit drugs
Discipline :
SAN (Santé publique / Public health)
Thésaurus géographique
INTERNATIONAL
Thésaurus mots-clés
TRAITE INTERNATIONAL
;
LUTTE
;
ANTALGIQUES
;
MORPHINE
;
CONTROLE DES STUPEFIANTS
;
PRODUIT ILLICITE
;
MEDICAMENTS
;
DOULEUR
;
POLITIQUE
Résumé :
Jason Nickerson and Amir Attaran examine the vast inequities in medical pain relief around the world and argue that the global control of licit narcotics be shifted from the International Narcotic Control Board to WHO.
SUMMARY POINTS:
The 1961 United Nations Single Convention on Narcotic Drugs, implemented by the International Narcotics Control Board (INCB), is still the legal foundation for international control of both licit and illicit narcotic drugs, and involves a binding system of “annual estimates” (i.e., quotas) on the amount of controlled narcotics that countries can acquire.
In practice the Single Convention and the INCB's prohibition mandate greatly outstrips its access mandate.
The INCB has frequently approved quotas of controlled narcotics grossly insufficient for the epidemiological prevalence of clinical pain, thus leaving millions of patients legally prohibited from accessing palliation such as morphine.
Given the INCB's decades-long failure to administer the supply of controlled narcotics in accordance with clinical need, we propose that all legal responsibility for licit narcotics for medical and scientific purposes be shifted to the World Health Organization.
SUMMARY POINTS:
The 1961 United Nations Single Convention on Narcotic Drugs, implemented by the International Narcotics Control Board (INCB), is still the legal foundation for international control of both licit and illicit narcotic drugs, and involves a binding system of “annual estimates” (i.e., quotas) on the amount of controlled narcotics that countries can acquire.
In practice the Single Convention and the INCB's prohibition mandate greatly outstrips its access mandate.
The INCB has frequently approved quotas of controlled narcotics grossly insufficient for the epidemiological prevalence of clinical pain, thus leaving millions of patients legally prohibited from accessing palliation such as morphine.
Given the INCB's decades-long failure to administer the supply of controlled narcotics in accordance with clinical need, we propose that all legal responsibility for licit narcotics for medical and scientific purposes be shifted to the World Health Organization.
Affiliation :
Institute of Population Health, University of Ottawa, Ottawa, Ontario, Canada