Elsevier

Public Health

Volume 111, Issue 5, September 1997, Pages 271-275
Public Health

Leading article
Charting WHO—goals for licit and illicit drugs for the year 2000: are we ‘on track’?

https://doi.org/10.1038/sj.ph.1900391Get rights and content

Abstract

Both on a global and a regional basis, the World Health Organization (WHO) has set prominent goals for the turn of the millennium on the reduction of harms associated with licit and illicit drugs. Gauging what the world and its different regions are doing with respect to these specific public health goals is hindered by a conceptual problem: there is no clear concept and consistent way of defining or measuring ‘harm’ related to drugs, licit or illicit. In many instances, ‘harm’ is equated with substance use prevalence. Often, especially outside the developed world, basic harm data is not even available. Globally, a conceptually clear and consistently applied scheme of harm measurement related to licit and illicit drugs is needed, acknowledging the fact that drug-related harms occur at different individual and social levels as well as over different periods of time. Harms must also be recognized as an outcome of interactions between the substance user, the drug itself, and the physical and social environment. Looking at available macro-indicators of harm, it must be concluded with, we do not seem to be ‘on track’ globally in reducing harms related to drugs in accordance with the WHO goals. For alcohol and tobacco, trends for increased harm are just starting to show in the developing world, and will worsen over the next couple of decades. For illicit drugs, failing drug control policies have result in dramatically negative developments for public health, especially with respect to HIV infections and drug-related deaths, in the developed as well as developing world.

References (38)

  • Global Strategy for Health for All by the Year 2000

    (1981)
  • European Alcohol Action Plan

    (1993)
  • The ICD-10 Classification of Mental and Behavioral Disorders

    (1993)
  • G Edwards

    Alcohol Policy and the Public Good

    (1994)
  • R Room

    The risk of harm to oneself from drinking, Canada 1989

    Addiction

    (1995)
  • R Peto

    Mortality from Smoking in Developed Countries 1950–2000

    (1994)
  • WJ Fuchs et al.

    Harm reduction in Europe—Trend, Movement, or Change of Paradigm

    Eur Add Res.

    (1995)
  • E Drucker

    Harm Reduction: A Public Health Strategy

    Current Issues in Public Health

    (1995)
  • B Williams

    International Profile 1994

    (1994)
  • Implementation of the Global Strategy for Health for All by the Year 2000 (Vol. 1)

    (1994)
  • World Development Report 1993—Investing in Health

    (1993)
  • M Cahannes

    Trends in Alcohol and Drugs on the International Market

    Contem Drug Prob.

    (1982)
  • World Drink Trends 1993

    (1994)
  • Implementation of the Global Strategy for Health for All by the Year 2000 (Vol. 5)

    (1994)
  • Lehto J. European Trends in Alcohol Policy. Paper presented at the 21st Annual Alcohol Epidemiology Symposium: Porto,...
  • AM Harkin

    Profiles of Alcohol in the Member States of the European Region of the World Health Organization

    (1995)
  • Health in Europe

    (1994)
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