Illicit Drug use in the Asia Pacific Region - Burnet Institute
Illicit Drug use in the Asia Pacific Region - Burnet Institute
Illicit Drug use in the Asia Pacific Region - Burnet Institute
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Situational analysis of illicit drug issues and responses <strong>in</strong> <strong>the</strong> <strong>Asia</strong>–<strong>Pacific</strong> region<br />
222<br />
Estimat<strong>in</strong>g <strong>the</strong> production of amphetam<strong>in</strong>etype<br />
substances (ATS) is more difficult due to<br />
<strong>the</strong> clandest<strong>in</strong>e nature of <strong>the</strong>ir manufacture<br />
and lack of treatment services tailored to<br />
amphetam<strong>in</strong>e <strong>use</strong>rs . However, it is thought that<br />
amphetam<strong>in</strong>e production cont<strong>in</strong>ues to rise <strong>in</strong><br />
Myanmar, particularly <strong>in</strong> <strong>the</strong> Wa region and<br />
Sou<strong>the</strong>rn Shan State (Bezziccheri & Bazant,<br />
2004) . Amphetam<strong>in</strong>e production boomed <strong>in</strong><br />
1996 when a number of methamphetam<strong>in</strong>e<br />
laboratories moved <strong>in</strong>to Myanmar from<br />
Thailand and Ch<strong>in</strong>a . The Thai Army acc<strong>use</strong>s<br />
Myanmar of hav<strong>in</strong>g about 30 amphetam<strong>in</strong>e<br />
process<strong>in</strong>g factories <strong>in</strong> operation along its<br />
shared border areas (United Nations Office<br />
on <strong>Drug</strong>s and Crime, 2002a) .<br />
While local consumption of illicit drugs <strong>in</strong><br />
Myanmar has <strong>in</strong>creased over recent years, <strong>the</strong><br />
majority of drugs produced <strong>in</strong> <strong>the</strong> region is<br />
dest<strong>in</strong>ed for o<strong>the</strong>r markets . It is estimated<br />
that 20 per cent of <strong>the</strong> hero<strong>in</strong> available <strong>in</strong><br />
<strong>the</strong> United States of America orig<strong>in</strong>ated <strong>in</strong><br />
Myanmar (United States Department of<br />
State, Bureau for International Narcotics<br />
and Law Enforcement Affairs, 2004) .<br />
Traditionally Ch<strong>in</strong>a, India and Thailand have<br />
served as transit countries for Burmese drugs<br />
to be shipped to markets <strong>in</strong> Europe, Australia<br />
and America . However, grow<strong>in</strong>g local demand<br />
for drugs <strong>in</strong> <strong>the</strong>se countries has seen rapidly<br />
expand<strong>in</strong>g markets <strong>in</strong> <strong>the</strong> areas border<strong>in</strong>g<br />
Myanmar . The supply cha<strong>in</strong>s that have<br />
developed to feed <strong>the</strong> local markets appear<br />
to be less formalised and more dispersed<br />
than <strong>the</strong> <strong>in</strong>ternational traffick<strong>in</strong>g routes<br />
(Transnational <strong>Institute</strong>, 2003) . The trade<br />
of ATS across <strong>the</strong> border <strong>in</strong>to Thailand has<br />
also raised considerable attention and ca<strong>use</strong>d<br />
political unease between <strong>the</strong> two countries .<br />
With leadership from UNODC, Myanmar has<br />
recently developed a jo<strong>in</strong>t action plan with<br />
Ch<strong>in</strong>a, Laos and Thailand to <strong>in</strong>crease efforts<br />
to suppress <strong>the</strong> traffick<strong>in</strong>g of precursor<br />
chemicals and equipment <strong>use</strong>d <strong>in</strong> produc<strong>in</strong>g<br />
ATS along common borders . This plan reflects<br />
<strong>the</strong> <strong>in</strong>creas<strong>in</strong>g trade of precursor chemicals <strong>in</strong><br />
<strong>the</strong> region (United Nations Office on <strong>Drug</strong>s<br />
and Crime, 2005) .<br />
Arrest and seizure data<br />
Data on seizures of both precursor chemicals<br />
and amphetam<strong>in</strong>e tablets from Myanmar also<br />
suggest rapid growth <strong>in</strong> production with<strong>in</strong><br />
Myanmar . Table A9 .1 shows that seizures<br />
<strong>in</strong>creased rapidly from 1996 with a peak <strong>in</strong><br />
2001 followed by a slight reduction over <strong>the</strong><br />
subsequent two years .<br />
Table A9 .1 . Seizures of illicit drugs <strong>in</strong> Myanmar, 1996–2003<br />
Year Opium (kg) Hero<strong>in</strong> (kg)<br />
ATS<br />
(million tablets)<br />
Precursor<br />
chemicals (litre)<br />
1996 1300 504 5 .9 23,234<br />
1997 7884 1401 5 .0 78,402<br />
1998 5394 403 16 .0 85,557<br />
1999 1473 245 28 .8 57,018<br />
2000 1528 158 26 .7 86,755<br />
2001 1629 296 32 .4 174,191<br />
2002 1863 333 9 .3 26,440<br />
2003 1481 568 4 .0 36,903<br />
A reduction <strong>in</strong> hero<strong>in</strong> production is also<br />
suggested by a consistent decl<strong>in</strong>e <strong>in</strong> <strong>the</strong><br />
number of hero<strong>in</strong> laboratories destroyed<br />
and <strong>the</strong> number of hero<strong>in</strong> seizures by law<br />
enforcement over <strong>the</strong> past decade . Hero<strong>in</strong><br />
seizures reported by CCDAC have steadily decreased<br />
from 2234 cases <strong>in</strong> 1990 to 986 cases<br />
<strong>in</strong> 2003, while <strong>the</strong> number of laboratories<br />
destroyed has decreased from 33 to 7 over<br />
<strong>the</strong> same period (Central Committee for <strong>Drug</strong><br />
Ab<strong>use</strong> Control, 2002) .<br />
In 2003, 2625 people were arrested on drugrelated<br />
charges <strong>in</strong> Myanmar . Of <strong>the</strong>se, 196<br />
were not charged or were acquitted, <strong>the</strong><br />
rema<strong>in</strong>der were punished with sentences<br />
rang<strong>in</strong>g from treatment orders to life<br />
imprisonment or death . In 2004, 16 people<br />
(14 male and 2 female) were executed for<br />
crimes related to drugs (Central Committee<br />
for <strong>Drug</strong> Ab<strong>use</strong> Control, 2002) .<br />
Crop eradication statistics<br />
Myanmar commenced <strong>the</strong> New Dest<strong>in</strong>y<br />
Project <strong>in</strong> 2002 with <strong>the</strong> explicit goal of<br />
total opium eradication by 2015 . CCDAC<br />
reported that 2820 hectares of opium crops<br />
were eradicated <strong>in</strong> Myanmar <strong>in</strong> 2004, represent<strong>in</strong>g<br />
a 300 per cent <strong>in</strong>crease <strong>in</strong> eradication<br />
from <strong>the</strong> 2003 season (CCDAC, 2004) . The<br />
most significant eradication was <strong>in</strong> Sou<strong>the</strong>rn<br />
Shan State where 2170 hectares were eradicated;<br />
172 hectares were eradicated from <strong>the</strong><br />
Nor<strong>the</strong>rn Shan State, which was a significant<br />
reduction from 2003 . The reduction <strong>in</strong> eradication<br />
was due to ‘voluntary’ abandonment<br />
of poppy cultivation enforced by local leaders<br />
<strong>in</strong> l<strong>in</strong>e with <strong>the</strong>ir commitment to eradicate<br />
opium cultivation by April 2005 .<br />
A9 .4 <strong>Drug</strong>-tak<strong>in</strong>g practices,<br />
risk factors and trends<br />
As opium becomes less available, a number of<br />
new trends are emerg<strong>in</strong>g among drug <strong>use</strong>rs <strong>in</strong><br />
Myanmar . Several reports have highlighted <strong>the</strong><br />
shift toward hero<strong>in</strong> <strong>use</strong> and <strong>the</strong> rapid uptake<br />
of <strong>in</strong>ject<strong>in</strong>g as <strong>the</strong> preferred method of adm<strong>in</strong>istration<br />
(Aung, 2003; Birg<strong>in</strong>, 2004) .<br />
The greatest risk associated with IDU <strong>in</strong><br />
Myanmar is HIV . It is estimated that <strong>the</strong>re are<br />
between 541,100 and 832,900 people liv<strong>in</strong>g<br />
with HIV <strong>in</strong> Myanmar, or about 1 <strong>in</strong> every 29<br />
adults (Beyrer et al ., 2003) . Studies attribute<br />
30 per cent of all HIV cases <strong>in</strong> Myanmar to IDU<br />
(United Nations Office on <strong>Drug</strong>s and Crime,<br />
2002a) .<br />
HIV prevalence rates among IDUs <strong>in</strong> Myanmar<br />
are among <strong>the</strong> highest <strong>in</strong> <strong>the</strong> world . Sent<strong>in</strong>el<br />
prevalence studies and studies of IDUs at drug<br />
treatment centres show HIV prevalences of<br />
50–90 per cent (Birg<strong>in</strong>, 2004; Central Committee<br />
for <strong>Drug</strong> Ab<strong>use</strong> Control, 2002; Doradjee<br />
& Htet Doe, 2002) . This, coupled with <strong>the</strong><br />
high mobility, high imprisonment rates and<br />
needle shar<strong>in</strong>g among IDUs, all po<strong>in</strong>t to a<br />
cont<strong>in</strong>ually expand<strong>in</strong>g HIV epidemic .<br />
Needle shar<strong>in</strong>g is <strong>the</strong> norm <strong>in</strong> Myanmar . Factors<br />
such as poor access to clean needles and<br />
poor knowledge about HIV risks lead many<br />
IDUs to shar<strong>in</strong>g <strong>the</strong>ir <strong>in</strong>ject<strong>in</strong>g equipment .<br />
Studies show that, as services to drug <strong>use</strong>rs<br />
such as needle and syr<strong>in</strong>ge programs <strong>in</strong>crease,<br />
needle shar<strong>in</strong>g is decreas<strong>in</strong>g; but even with<br />
<strong>the</strong> <strong>in</strong>creased availability of services to IDUs<br />
<strong>in</strong> Myanmar, <strong>the</strong> majority (66%) of <strong>use</strong>rs still<br />
report shar<strong>in</strong>g needles (Doradjee & Htet Doe,<br />
2002) .<br />
223<br />
Country profiles: Myanmar