Chapter 4. Towards a new ‘Single Convention’1. The argument for a new comprehensive conventionIT IS BY NOW a commonplace that <strong>the</strong> greatest harm <strong>to</strong> global health from psychoactivesubstances comes from two substances, <strong>to</strong>bacco and alcohol, which are not included in<strong>the</strong> international <strong>drug</strong> <strong>conventions</strong>. 67 Even comparing substances on <strong>the</strong> basis of <strong>the</strong>range of harms associated with heavy use of <strong>the</strong> most harmful form of <strong>the</strong> substance,alcohol and <strong>to</strong>bacco are among <strong>the</strong> most harmful, 68 And a recent expert ranking, takingin<strong>to</strong> acco<strong>un</strong>t harm <strong>to</strong> o<strong>the</strong>rs, put alcohol first on <strong>the</strong> list. 69 Yet <strong>the</strong>re is no currentinternational treaty on alcohol. There is a Framework Convention on Tobacco Control(FCTC), 70 but it has few manda<strong>to</strong>ry provisions with respect <strong>to</strong> international trade ordomestic markets, and none that require criminalisation of use. 71The present <strong>drug</strong> <strong>conventions</strong> were <strong>the</strong> product of a specific his<strong>to</strong>ric era, in which <strong>drug</strong>s<strong>un</strong>der international control were viewed as entirely distinct from and much moreharmful than <strong>to</strong>bacco and alcohol 72 – a position which experts in <strong>the</strong> field did notsupport in 1910, and do not <strong>to</strong>day. 73 In <strong>the</strong> current state of psychopharmacological andepidemiological knowledge, no scientific rationale based on harmfulness can justify <strong>the</strong>inclusion of some <strong>drug</strong>s which are <strong>un</strong>der international control while excluding alcoholand <strong>to</strong>bacco. The last attempt by a committee of pharmacologists <strong>to</strong> do this was in 1957,67Lim, S.S., Vos. T., Flaxman, A.D., Danae, G. Shibuye, K et al., ‘The burden of disease and injuryattributable <strong>to</strong> 67 risk fac<strong>to</strong>rs and risk fac<strong>to</strong>r clusters in 21 regions 1990–2010: a systematic analysis’,Lancet 380;2224–2260, 2012.68Hall, W.D., Room, R. & Bondy, S. ‘Comparing <strong>the</strong> health and psychological risks of alcohol,cannabis, nicotine and opiate use’. In Kalant, H., Corrigal, W., Hall, W.D. & Smart, R. (eds.), TheHealth Effects of Cannabis, pp. 475−506. Toron<strong>to</strong>: Centre for Addiction and Mental Health, 1999.69Nutt, D., King, L.A., Phillips, L.D. et al. ‘Drug harms in <strong>the</strong> UK: A multicriteria decision analysis’.The Lancet 376 (9752):1558−65, 2010.70WHO Framework Convention on Tobacco Control. Geneva: WHO, 2003, updated 2005.http://www.who.int/fctc/text_download/en/index.html (accessed 8 July, 2012).71Room, R. ‘International control of alcohol: alternative paths forward’. Drug and Alcohol Review25:581−95, 2006.72Courtwright, David T., ‘Mr. ATOD’s wild ride: What do alcohol, <strong>to</strong>bacco, and o<strong>the</strong>r <strong>drug</strong>s have incommon?’ Social His<strong>to</strong>ry of Alcohol & Drugs 20: 105–40, 2005.http://digitalcommons.<strong>un</strong>f.edu/ahis_facpub/1 (accessed 2 July, 2012).73Babor, T., Caulkins, J., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K., Obot, I., Rehm, J.,Reuter, P., Room, R., Rossow, I. & Strang, J. Drug Policy and <strong>the</strong> Public Good, pp. 217−18. Oxford, etc.:Oxford University Press, 2010.27
and <strong>the</strong>ir effort was rejected by a successor committee in 1964. 74 In <strong>the</strong> currentintellectual ferment on <strong>the</strong> relative dangerousness of <strong>drug</strong>s, 75 no-one argues that <strong>the</strong>present arrangements are justified on <strong>the</strong> gro<strong>un</strong>ds of relative addictiveness and impac<strong>to</strong>n public health.So it is time for a new Single Convention which pulls <strong>to</strong>ge<strong>the</strong>r in<strong>to</strong> a single internationalcontrol regime <strong>the</strong> major psychoactive substances. Such a Convention would, on <strong>the</strong> onehand, streng<strong>the</strong>n <strong>the</strong> ra<strong>the</strong>r weak provisions of <strong>the</strong> Framework Convention on <strong>to</strong>bacco,and institute an international control regime on alcohol, while on <strong>the</strong> o<strong>the</strong>r handeliminating <strong>the</strong> overreaching provisions of <strong>the</strong> current international <strong>drug</strong> controltreaties.2. The issue of auspices 76New treaties are usually negotiated by a Conference of Parties assembled for thatspecific purpose. There is no necessity in international law for <strong>the</strong> negotiations <strong>to</strong> behosted by any particular entity. It was in response <strong>to</strong> a US invitation, for instance, thatconferences were convened and <strong>the</strong> original Hague Opium Convention was negotiated.Given <strong>the</strong> controversy which would be likely <strong>to</strong> surro<strong>un</strong>d <strong>the</strong> effort <strong>to</strong> negotiate a newSingle Convention, <strong>the</strong> simplest path forward might well be <strong>to</strong> proceed with anegotiating conference convened by this older path of invitation from one or moreinterested nations.However, in recent years it has been common practice <strong>to</strong> negotiate such agreements<strong>un</strong>der <strong>the</strong> auspices of an intergovernmental agency. In <strong>the</strong> United Nations system, <strong>the</strong>international <strong>drug</strong> <strong>conventions</strong> are <strong>un</strong>der <strong>the</strong> auspices of <strong>the</strong> Commission on NarcoticDrugs, which reports <strong>to</strong> <strong>the</strong> UN Economic and Social Co<strong>un</strong>cil (ECOSOC). An obviousalternative would be <strong>to</strong> take <strong>the</strong> precedent of <strong>the</strong> FCTC, which was negotiated at <strong>the</strong> callof <strong>the</strong> World Health Assembly and <strong>un</strong>der <strong>the</strong> auspices of <strong>the</strong> World HealthOrganisation. 77 There is a strong case for putting public health at <strong>the</strong> heart of <strong>the</strong> newconvention, and this would argue for WHO auspices. Ano<strong>the</strong>r international conventionwhich involves psychoactive substances, <strong>the</strong> International Convention against Doping inSport 2005, 78 was negotiated <strong>un</strong>der <strong>the</strong> auspices of <strong>the</strong> United Nations Education,74Room, R. Alcohol and <strong>drug</strong> disorders in <strong>the</strong> International Classification of Diseases: a shiftingkaleidoscope, Drug and Alcohol Review 17:305−17, 1998.75E.g., Caulkins, J.P., Reuter, P., Coulson, C. ‘Basing <strong>drug</strong> scheduling decisions on scientific ranking ofharmfulness: false promise from false premises; with comments and a response’, Addiction106(11):1886−98, 2011.76This section draws on pp. 140−1 in: Room, R., Fischer, B., Hall, W., Len<strong>to</strong>n, S. & Reuter, P. CannabisPolicy: Moving beyond Stalemate. Oxford: <strong>Beckley</strong> Fo<strong>un</strong>dation Press and Oxford University Press, 2010,which considered potential auspices for a new Framework Convention on Cannabis Control.77Room, 2006.78http://portal.<strong>un</strong>esco.org/en/ev.php-URL_ID=31037&URL_DO=DO_TOPIC&URL_SECTION=201.html (accessed 2 July, 2012).28
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In the 1971 Convention the followin
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4.1.3 Option 2 - changes to Preambl
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separate estimates and statistical
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After ‘scientific research’, in
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would also include transforming a d
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(c) subject to the provisions of th
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endangered’ by a Party’s failur
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Article 9. Composition and Function
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2. The Board shall, in respect of c
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for the right of the INCB to establ
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) Subject to the deductions referre
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excess quantity must be deducted fr
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prohibition in Article 31(1)(b) aga
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4.8 Article 20 - statistical return
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separate returns would be required
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4.9.1 General comments on Article 2
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distributors), and any quantity tak
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a) The quantity consumed, within th
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Article 21 bis. Limitation of Produ
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to engage in cultivation; and culti
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the purposes of Option 2. However,
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in Article 29 to manufacture of mor
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) (i) Require medical prescriptions
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4.15 Article 31(1) - international
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commercial use. Export to a state o
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would automatically mean that posse
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preparatory acts, conspiracy and at
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offering for sale, distribution, 17
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Article 36. Penal Provisions1. a) S
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Article 36. Penal Provisions1. a) S
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Conference would have intended to a
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drugs (in more than small quantitie
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substances into its country or one
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apply to Schedule 1 substances. In
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substances (of more than a small qu
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1. The Parties shall require that t
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individuals may lawfully obtain, us
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4. The Parties shall furnish to the
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2. In subparagraph (b):a) after ‘
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obligations on Parties in respect o
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penalise preparatory acts in connec
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accordance with subparagraph (a) of
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Article 3(1)(c)(iii) warrants speci
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uncertainty. Accordingly, Article 3
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Consequently, Parties would also no
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…4. d) The Parties may provide, e