UK

04 June 2025

Marcus Arduini Monzo is also charged with assaulting four others in Hainault attack in April last year

A man accused of murdering a 14-year-old schoolboy with a Japanese sword experienced psychotic episodes after taking cannabis, a court has heard.

Marcus Arduini Monzo, 37, believed “he was in a battle against evil forces” when he allegedly stabbed Daniel Anjorin as he walked to school in Hainault, north-east London, on April 30 last year.

He is said to have “moved quickly like a predator” behind Daniel before inflicting a “devastating and unsurvivable chopping injury” to his face and neck.

The Spanish-Brazilian national, from Newham, east London, is also accused of attacking four others, including two police officers, during a 20-minute rampage.

He has denied eight of the 10 charges against him, including murder.

A trial at the Old Bailey heard on Wednesday that Mr Monzo’s mental state had been “materially altered” by cannabis use and, at the time of the alleged attack, he had “developed a cannabis-induced fully fledged psychotic episode characterised by reality distortion symptoms”.

Tom Little KC, prosecuting, said Mr Monzo was “informed by his delusional beliefs that he and his family were in mortal danger, and that he was engaged in a battle against evil forces at a time of revelation or Armageddon”.

He said cannabis was identified in Mr Monzo’s urine and blood samples after the incident and a “large amount” of cannabis was also found in a search of his house, along with a “skinned and deboned cat”.

Mr Little, quoting forensic psychiatrist Prof Nigel Blackwood, who will later be called by the prosecution, said: “In Prof Blackwood’s opinion, cannabis misuse appears to have been the principal driver of his mental state deterioration at this time.

“The violence would not, in Prof Blackwood’s opinion, have happened in the absence of such voluntary substance misuse.”

Mr Monzo appeared in the dock wearing a bright green jumper with short, cropped hair and stubble. He looked furtively around the court at times and spoke often to security guards sitting on either side of him. Daniel’s family was also in the court.

Mr Little said Mr Monzo had left his home just before 6.30am in his van, wearing a yellow Quiksilver hoodie, black trousers, and black shoes.

He said the attack started at about 6.51am when he drove his van into Donato Iwule, a pedestrian in Laing Close, causing him to be “catapulted some distance into a garden”.

Video footage of the incident was played to the jury, in which Mr Iwule, who had been walking to a Co-op store where he worked, can be heard screaming in pain.

Mr Monzo allegedly then left the vehicle and approached Mr Iwule with a samurai sword.

Mr Little said: “Donato Iwule shouted at him ‘I don’t know you’ and the defendant said ‘I don’t care, I will kill you’.

“That comment from the defendant tells you, you may think, everything you need to know about his intention that morning.”

Mr Monzo is alleged to have swung his sword at Mr Iwule’s neck and torso, but he was able to roll away and escape over a fence.

“If he had not managed to escape, it seems inevitable that he too would have been killed,” said Mr Little.

Mr Monzo is then said to have driven further down Laing Close before exiting the vehicle.

At this time, the court heard that Daniel had left his home and was walking to school wearing sports clothes, his backpack, and headphones.

Mr Little said: “The defendant had obviously seen him and the defendant then moved quickly like a predator behind Daniel Anjorin.

“He lifted the sword above his head and then swung it downwards towards Daniel’s head and neck area.

“Daniel instantly fell to the ground. The defendant then leant over him and used the sword again to injure Daniel.”

He added: “The force used was extreme. It involved a devastating and unsurvivable chopping injury to the left-hand side of Daniel’s face and neck”.

Mr Monzo is then said to have taken off Daniel’s backpack, dragging the schoolboy’s body along the road in the process.

The court heard that emergency services had been called to the scene at this time.

Mr Monzo is said to have then attacked Pc Yasmin Margaret Mechem-Whitfield, who pursued him down a series of alleyways behind residential properties while he was still armed.

He is then alleged to have entered a nearby house where he attacked a couple in their bedroom.

Mr Little said the couple’s lives had been spared only because “their four-year-old child woke up and started crying”.

He said there were many police officers in the area at that time, and that Mr Monzo then became “surrounded in a garage area nearby to the other attacks”, where he attacked another police officer.

Mr Monzo was finally disarmed and detained after he climbed onto the roof of the garage, Mr Little said.

Asked about the attack in a police interview, Mr Monzo said his personality switched and that “something happened, like a game happening”, and it was like “the movie Hunger Games”.

Mr Little said: “He said that one of his personalities is a professional assassin.”

In court last month, Mr Monzo denied eight of the 10 charges against him but admitted two counts of having an offensive weapon – a katana sword and a tanto katana sword.

He also pleaded not guilty to the attempted murders of Mr Iwule, Sindy Arias, Henry De Los Rios Polania and Pc Mechem-Whitfield as well as wounding Insp Moloy Campbell with intent.

Mr Monzo denied aggravated burglary and possession of a bladed article relating to a kitchen knife.

The trial continues.

 

Source:  https://www.telegraph.co.uk/gift/c13e61a0c544cb64

29 May 2025

Possession of hard drugs such as cocaine and heroin treated as a health issue rather than a criminal matter by UK forces

It represents a six-fold increase in drug users escaping prosecution since 2016, when the proportion was only 7.5 per cent.

In some forces, more than 80 per cent caught with cocaine, heroin or other class A drugs escaped any criminal punishment.

They were instead handed community resolutions, which do not result in a criminal record and only require an offender to accept “responsibility” for their crime, or were let off “in the public interest”.

Only a third of class A drug possession offences resulted in a charge.

The data reflects a shift by police to treat drug possession of any type as a health issue rather than criminal one and comes days after Sir Sadiq Khan, the Labour Mayor of London, called for possession of small amounts of natural cannabis to be decriminalised.

But critics have warned police against “decriminalising drugs via the back door by ignoring tens of thousands of offences”.

At least a quarter of the 43 police forces in England and Wales have adopted “diversion” schemes where users caught with small amounts of drugs like cannabis are “diverted” to treatment or education programmes rather than prosecuted, particularly for first-time offences.

Nearly three-quarters (72.1 per cent) of those caught in possession of cannabis were let off without any criminal sanctions.

Thames Valley, West Midlands and Durham are among the dozen forces to have adopted diversion schemes, which could be rolled out nationally if successful.

The Treasury and Cabinet Office have put £1.9 million into evaluating the approach in partnership with five universities, the National Police Chiefs’ Council (NPCC) and the College of Policing, the standards body for forces in England and Wales.

The College said the aim of the diversion scheme was to “reduce re-offending and wider harms by approaching substance use as a health issue rather than a criminal justice issue”.

The research will compare re-offending rates, hospital and treatment admissions with the aim of establishing “whether and how drug diversion works, for whom, when and why”.

‘Devastated by soft policy’

But Chris Philp, the Tory shadow home secretary, warned the move amounted to decriminalisation by stealth.

“Parliament has rightly legislated that certain drugs are illegal because they cause serious harm to health, lead to antisocial behaviour and fuel acquisitive crime like theft, burglary and shoplifting as addicts steal to fund buying drugs,” he said.

“Police should not be decriminalising drugs via the back door by ignoring tens of thousands of offences. People who break the law should be prosecuted, and a magistrate or judge can decide what to do.

“Options a magistrate has available include fines, community service and addiction treatment requirements as well as prison.

“We have seen many US and Canadian cities devastated by soft drugs policies. These have allowed ghettos to develop where zombified addicts loiter unpunished and law abiding members of the public fear to go. We can’t allow the UK to go the same way through weak policing.

“We need a zero tolerance approach to crime, including a zero tolerance approach to drug taking.”

But the College of Policing defended its approach and pointed to research, based on 16 different studies, that showed drug diversion had resulted in a “small but significant” reduction in drug use, particularly among young people.

The Telegraph analysis showed that Warwickshire had the lowest proportion of offenders caught with class A drugs who were let off, at just 9.2 per cent, while Dyfed Powys had the highest at 88.6 per cent.

Nerys Thomas, Director of Research at the College of Policing, said:“We are focussed on cutting crime and keeping the public safe. Class A drugs are the most harmful category and being found in possession of them is a criminal offence.

“The government has provided funding to understand what initiatives could be used to reduce offending and protect the public. This includes a piece of work between the College,  the University of Sheffield and 11 other agencies across the criminal justice system to interview hundreds of officers and drug offenders and analyse police data to understand if diversion schemes can reduce crime.

“The results of this study will be made publicly available next year.”

Source:  https://www.telegraph.co.uk/gift/6e423b9614e616f8

 

by Ch28 May 2025

Police Commissioner says drug should be Class A over long-term health impacts

Cannabis should be upgraded to a class A drug because of the harm it can cause, a policing chief has said.

As Sir Sadiq Khan calls for possession of the drug to be decriminalised, David Sidwick, Dorset’s police and crime commissioner, has urged that cannabis, currently a Class B drug, should be put on a par with crack cocaine and heroin.

Such a move would see the maximum penalties for possession increase from five to seven years in jail, while the maximum penalty for supplying cannabis would rise from 14 years in prison to life.

Sir Mark Rowley, the Met Commissioner, also opposed Sir Sadiq’s call for cannabis to be decriminalised. He pointed out that drugs were “at the centre of a lot of crime” and said drug use was one of the main drivers of antisocial behaviour.

Sir Sadiq, the Mayor of London, has proposed that the possession of small amounts of natural cannabis should no longer be a criminal offence. Dealing in or producing the drug would remain illegal.

Mr Sidwick sets out his demand in a foreword to a new book by Albert Reece and Gary Hulse, two Australian professors of medicine and psychiatry, who have linked cannabis to mental ill-health, autism and cancer.

He said there was growing evidence linking psychosis, cancer and birth defects to cannabis use, particularly with the development of more potent strains.

Mr Sidwick warned it was also a “gateway” drug used by crime gangs to lure in users. They then entice them on to addictive class A drugs such as crack that not only provide more profit per unit but also give the gangs greater power to leverage them into criminal activity.

“Cannabis needs to be taken seriously on a national scale because of the danger it presents, and there needs to be money put into prevention and education to ensure people are aware of these dangers,” he said.

“Currently, Class A drugs take precedence when it comes to enforcement and treatment, but it is my view that there is no point focusing on the destination of addiction if we don’t stop people getting on the first two or three carriages of the train in the first place.

“Only through reclassifying cannabis will it be treated with the severity it deserves.”

The London Drugs Commission, set up by Sir Sadiq, ruled out full legalisation of cannabis in its report because it said any benefits from tax revenues and reduced police workload were outweighed by the potential longer-term health impacts on users.

Instead, it proposed that natural cannabis would be removed from the Misuse of Drugs Act and brought under the Psychoactive Substances Act.

This would mean possession of small amounts of cannabis for personal use would no longer be a criminal offence, but importing, manufacturing and distributing the drug would remain a criminal act.

The Home Office has ruled out any reclassification of cannabis.

Mr Sidwick’s proposals have been backed by Janie Hamilton, a Dorset mother who has campaigned for upgrading cannabis to class A.

Her son James died when he was 36 after refusing treatment for testicular cancer. It followed years of battling mental illness, which his family believes was triggered by his addiction to cannabis, which he started using at 14.

Ms Hamilton said: “My beloved son James was a fun-loving, mischievous, clever, tender-hearted boy who wanted to fit in with his peers and be part of the ‘in’ crowd. This was to be his undoing.

“At the age of 14, unbeknown to us, living at a boarding school where his father taught, he started smoking cannabis. He became arrogant, rude, secretive, rebellious and unpredictable. I remember thinking how I loved him, but that I didn’t like him.

“He dropped out of university after one term and took job after job, worrying us with his bizarre behaviour. He shaved his hair, his eyebrows, cut his eyelashes and became aggressive. He would stay in his room all day and come out at midnight to shower and cook.

“One day, he came home from his job on a building site, turning in circles in the garden and all that night. He told me he had spent all his wages on cannabis. I called the doctor the next day and James was sectioned within an hour, diagnosed with schizophrenia.”

She said there had been a 16-year cycle of medical treatment, relapses and trouble with the police before her son died.

“Cannabis is everyone’s problem. It destroys lives and families. Let no one say that cannabis is harmless – cracking down on this destructive drug is one of the greatest and most urgent needs facing us all,” she said.

Source:  https://www.telegraph.co.uk/gift/32da88934bd58598

by Michael Deacon       Columnist & Assistant Editor  – The Telegraph of London (UK)        28 May 2025

The Mayor of London has called for law reform because he believes that stop-and-search powers disproportionately affect black communities

Mayor of London Sadiq Khan walking through cannabis plants at a licensed factory in Los Angeles Credit: PA

Sadiq Khan, the Mayor of London, says he believes the police should stop arresting people for possessing cannabis. Frankly, I’m shocked.

Mainly because I didn’t know the police were arresting people for it in the first place.

It certainly doesn’t smell like it. These days, practically all our towns and cities – including the one run by Mr Khan – stink of weed. Which suggests that a very large number of people now feel able to smoke it with absolutely no fear of getting arrested. Whether this is because the police can no longer be bothered to enforce the law, or they’re too busy carrying out dawn raids on the bookshelves of Spectator readers, I don’t know. But either way, it hardly seems worth clamouring for decriminalisation, when in effect we’ve already got it.

Even so, Mr Khan has backed calls to change the law. And these calls seem to have something to do with race.

According to an independent commission, set up by the Mayor, the policing of cannabis use is shamefully unjust to people who aren’t white. In a new report, the commission says: “The law with respect to cannabis possession is experienced disproportionately by those from ethnic minority (excluding white minority) groups, particularly London’s black communities. While more likely to be stopped and searched by police on suspicion of cannabis possession than white people, black Londoners are no more likely to be found carrying the drug.”

If so, that plainly is unfair. But it’s not an argument for decriminalisation. It’s an argument for stopping and searching greater numbers of white people. Which, of course, would be completely fine. Go right ahead. Even if today’s over-anxious police chiefs would probably misunderstand such an edict, and tell their officers: “When investigating crime, we must never treat any community with more suspicion than any other. Which is why, this afternoon, I’m sending you all to a WI jumble sale, to search little old ladies for machetes.”

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None the less, the report maintains that the way forward is to decriminalise possession. At the same time, though, it says producing and dealing should remain illegal. Which is odd, because it implies that the blame for the trade lies solely with the people doing the latter. But if it weren’t for all the people wishing to possess the drug, no one would produce or deal it. Ultimately, therefore, it’s their fault.

Anyway, if possession does get decriminalised, you can bet there’ll soon be calls to loosen the law further. Which would be even more unwise. Just look at what’s happened to New York, which in 2021 decided not only that people should be allowed to smoke cannabis, but that shops should be granted licences to sell it. Has this put criminals out of business, while raising lots of lovely extra cash through tax?

Funnily enough, no. Illegal vendors simply undercut the legal ones. Kathy Hochul, who is New York’s governor (and a Democrat, rather than some stereotypically stuffy Republican), has called it “a disaster”. Even The New Yorker, proud tribune of liberal America, ran a dismayed article asking: “What happened?”

All the same, the Mayor of London insists that his commission’s report makes a “compelling” case. I don’t think it does. And I especially think we could have done without the irrelevant wittering about ethnicity. We’ve got quite enough “community tensions” in this country as it is. So we certainly don’t want people thinking: “What? They want to allow possession of a dangerous drug, just because they think it will improve ‘police relations’ with ‘black communities’? That sounds awfully like special treatment. Mind you, I suppose they need to free up the cells, to make more space for middle-aged women who post problematic opinions on the internet.”

This, in short, is why Mr Khan’s plan for cannabis isn’t just naive. It’s dangerously divisive.

I note, incidentally, that the Mayor has just proposed a 20 per cent rise in London’s congestion charge. But don’t worry. I’ve prepared a report arguing that the charge is unjust, because it’s experienced disproportionately by the motoring community, while the cycling and walking communities get off scot-free. So the whole thing should be scrapped.

 

Source: (Via Drugwatch International): www.telegraph.co.uk

by Dr Max Pemberton (The Mind Doctor) in the Daily Mail on 17 March 2025

Source: Daily Mail – 17 March 2025

The ex-England football manager reflects on his personal journey, belief and resilience …

During Sir Gareth’s football career as a defender and midfielder, he played for Crystal Palace, Aston Villa and Middlesbrough and was in the England squad between 1995 and 2004. He took over as manager in 2016 and led the team to the 2018 World Cup semi-final, 2022 World Cup quarter-final and Euro finals in 2020 and 2024.

He stepped down as Manager in July 2024,  two days after England lost to Spain in the Euros.

Sir Gareth has been credited with revitalising the England team and was knighted in the King’s New Year Honours in December.

He is the latest in a line of academics, business leaders and other notable figures to deliver the Richard Dimbleby Lecture, which has been held most years since 1972 in memory of the broadcaster.

Previous speakers have included King Charles III, when he was the Prince of Wales, tech entrepreneur and philanthropist Bill Gates, and Christine Lagarde, then the managing director of the International Monetary Fund (IMF).

‘Too many young men are isolated’

Sir Gareth’s talk focused on the importance of belief and resilience for young men, and he cited three things needed to build these: identity, connection and culture.

He referred to a report, released earlier this month by the Centre for Social Justice, which said boys and young men were “in crisis”, with a “staggering” increase in those not in education, employment or training.

“Too many young men are isolated,” Sir Gareth said in his talk. “Too many feel uncomfortable opening up to friends or family. Many don’t have mentors – teachers, coaches, bosses – who understand how best to push them to grow. And so, when they struggle, young men inevitably try to handle whatever situation they find themselves in, alone.”

“Young men end up withdrawing, reluctant to talk or express their emotions,” he added. “They spend more time online searching for direction and are falling into unhealthy alternatives like gaming, gambling and pornography.”

Referencing his own experiences, he said the UK needed to do more to encourage young people – especially young men – to make the right choices in life and to not fear failure.

Rather than turning to teachers, sports coaches or youth group leaders, Sir Gareth said he feared many young men were searching for direction online. There, he said they were finding a new kind of role model, one that too often did not have their best interests at heart.

“These are callous, manipulative and toxic influencers, whose sole drive is for their own gain,” he said.

“They willingly trick young men into believing that success is measured by money or dominance, that strength means never showing emotion, and that the world, including women, is against them.”

He also said young men don’t get enough opportunities to fail and learn from their mistakes.

“In my opinion, if we make life too easy for young boys now, we will inevitably make life harder when they grow up to be young men,” he said. “Too many young men are at risk of fearing failure, precisely because they’ve had so few opportunities to experience and overcome it. They fail to try, rather than try and fail.”

The ex-footballer also reflected on what his career has taught him about belief and resilience.

“If I’ve learned anything from my life in football, it’s that success is much more than the final score,” he said. “True success is how you respond in the hardest moments.”

 

Source: https://www.bbc.co.uk/news/articles/ceqjpzg0qwno

 

by Dr Max Pemberton (The Mind Doctor) in the Daily Mail on 17 March 2025.

Source: Dr Max Pemberton (The Mind Doctor) in the Daily Mail on 17 March 2025.  

This article, reporting on research by Profs Stuart Reece and Gary Hulse, is seen as seminal contribution to the current concerns about the effects of cannabis use on autism. Accordingly, NDPA has written to JF Kennedy Jnr as below:

Date: 20th April 2025

Importance: High

To Robert F. Kennedy Jnr, Secretary of Health and Human Services, Government of the United States

Sir,

I understand that you and President Trump are becoming extremely concerned about the US autism epidemic.

Please see the attached paper above suggesting that Maternal Cannabis use and CUD may be a factor.

This paper attached is independently supportive of the other Australian work by Professors Reese and Hulse.

https://www.youtube.com/watch?v=x8bDLzEInWA&t=935s

The Reese/Hulse work indicates strong concordance between Cannabis legalization States and an those same States having an increase in ASD.

Yours sincerely,

David Raynes, Senior Advisor, NDPA (UK)

UK NATIONAL DRUG PREVENTION ALLIANCE

+44 7967708568

<<<<<<<<<<<<<<<<<<<<<<<<NDPA>>>>>>>>>>>>>>>>>>>>>>>>>>

Psychiatry Research

Volume 337July 2024, 115971
Exposure to maternal cannabis use disorder and risk of autism spectrum disorder in offspring: A data linkage cohort study.

by Abay Woday Tadesse et al.    School of Population Health, Curtin University, Kent Street, Bentley, WA, 6102, Australia

Highlights

  • •     This study involved over 222,000 mother-offspring pairs.
  • •     Maternal prenatal CUD is linked to higher ASD risk, with a stronger risk in male offspring.
  • •     More research is needed to understand these gender-specific effects.

Abstract

This study aimed to investigate the association between pre-pregnancy, prenatal and perinatal exposures to cannabis use disorder (CUD) and the risk of autism spectrum disoder (ASD) in offspring. Data were drawn from the New South Wales (NSW) Perinatal Data Collection (PDC), population-based, linked administrative health data encompassing all-live birth cohort from January 2003 to December 2005. This study involved 222 534 mother-offspring pairs. . The exposure variable (CUD) and the outcome of interest (ASD) were identified using the 10th international disease classification criteria, Australian Modified (ICD-10-AM). We found a three-fold increased risk of ASD in the offspring of mothers with maternal CUD compared to non-exposed offspring. In our sensitivity analyses, male offspring have a higher risk of ASD associated with maternal CUD than their female counterparts. In conclusion, exposure to maternal CUD is linked to a higher risk of ASD in offspring, with a stronger risk in male offspring. Further research is needed to understand these gender-specific effects and the relationship between maternal CUD and ASD risk in children.

To access the full document:

Click on the ‘Source’ link below.

Source: https://www.sciencedirect.com/science/article/pii/S0165178124002567

As reports show highest rates of deaths after drug misuse among older people, experts take a look at the health risks

by Damon Syson – Daily Telegraph,  London – 12 April 2025

A recent report from the Office for National Statistics revealed that older people continue to register the highest rates of drug misuse mortality. According to the ONS, there were 1,118 deaths involving cocaine registered in 2023, which was 30.5 per cent higher than the previous year and nearly 10 times higher than in 2011.

“I actually think those figures are an underestimate,” says Dr Niall Campbell, a Priory consultant psychiatrist specialising in addictions. “When people die from drug-related causes, it’s often not recorded.”

Campbell is quick to point out that far from being the preserve of urban professionals, this phenomenon occurs throughout the UK: “A significant number of people will be partying on coke, whether it’s in central London or at a middle-class dinner party in the Cotswolds.

It’s a national problem. I have a patient in his sixties who was taking a lot of cocaine and ended up experiencing chest pains. He stopped, sought help, and he’s now much, much better. He lives in a small provincial town; he set up a Cocaine Anonymous support group there.”

The dangers of common drugs

Cocaine is by far the most serious source of concern when it comes to accidental death, but the other drugs that are commonly misused in the UK (according to the most recent ONS statistics) can also damage your health.

Used chronically, ecstasy (MDMA) depletes your serotonin levels, which can lead to depression, anxiety and lethargy.

Despite the growing numbers of people microdosing psilocybin as a treatment for depression, so-called “magic” mushrooms have been known to bring on panic attacks and can also exacerbate existing mental health problems.

Regular use of cannabis, especially when smoked together with tobacco, has been linked to chronic respiratory conditions, depression, impaired memory, motor skills and cardiovascular function – and its negative effects increase as the user gets older.

The dangers of excessive ketamine use, meanwhile, are well-documented, with chronic users risking bladder damage, cognitive impairment and personality change. But the over-50s have not embraced it as a drug of choice.

Aside from its toxicity, there are two other factors that make cocaine more of an immediate cause for concern than any of these drugs. Firstly, accessibility: it is the second-most used drug in the UK after cannabis; it’s easily available, and its relative cost has gone down over the past decade.

Secondly, cocaine is frequently – and incorrectly – perceived to be less harmful than it is. “Today, what we tend to see is a lot of intermittent cocaine users,” says Campbell, who is based at Priory Hospital Roehampton. “Often they’ve stopped regular use. But for whatever reason, it has caught up with them.”

Why are so many over-50s dying from cocaine poisoning?

The ONS reported in 2019 that the reason Generation X cohort are dying in greater numbers by suicide or drug poisoning is partly because “during the 1980s and ’90s more people started using hard drugs habitually”.

“These people still feel young at heart,” says Campbell. “They think they can still do what they used to do in the old days. Unfortunately, they can’t. Even if they’re aware of the health risk – say for example another person in their group has previously had an episode – they choose to ignore it.”

In essence, a certain group, now in their fifties, have either continued to take drugs since their twenties or now occasionally dabble “for old time’s sake”.

But the body of a 55-year-old is very different to that of a 25-year-old. The stakes become much higher because of the increased vulnerability of ageing bodies to the physiological and cognitive effects of cocaine.

“The typical scenario is a group of men in their fifties who say, ‘Come on, lads, let’s go to Ibiza and party like we did in 1999,’” says Campbell. “The trouble is, their bodies can’t take it, and they end up facing severe cardiac problems, or even death. As you get older, every time you take cocaine you’re playing Russian Roulette.”

The critical factor, he adds, is the cardiac toxicity of cocaine: “Cocaine gives you a massive release of dopamine from your limbic system into your brain, and it also speeds up your heart rate. That may be survivable if you’re 20 or 30, but as you get older, your heart isn’t as robust as it was. For them, doing a line of cocaine is like putting a supercharger onto a Ford Anglia.”

How does taking cocaine affect your brain and body – and how does this change as you get older?

Older adults are more susceptible to the effects of drugs and alcohol, because as the body ages, it cannot metabolise these substances as easily as it once did.

The short-term physical effects of using cocaine include constricted blood vessels, increased heart rate and high blood pressure. These factors can dramatically increase the risk of having a heart attack.

“What we commonly see when we’re called to A&E is arrhythmias, which are irregularities of heart rhythm,” says Dr Farhan Shahid, a consultant interventional cardiologist at The Harborne Hospital, part of HCA Healthcare UK.

“What happens when you take cocaine is that you’re stimulating the body’s flight and fight response, and the heart responds appropriately by speeding up. In the older population you’re often dealing with a patient who has other underlying medical problems – which makes treating them a lot less straightforward. They may be on blood pressure tablets, for example, or they might have had a stroke in the past.”

Long-term cocaine use brings with it a whole suite of potential health problems. It can increase an individual’s chances of suffering an aneurysm, because constricting the blood vessels over a long period may reduce the amount of oxygen the brain receives. It can raise the risk of strokes and lead to impaired cognitive function. And it can also cause damage to kidneys and liver, especially when used – as it almost invariably is – in tandem with excessive amounts of alcohol.

Shahid confirms that he frequently treats patients who display the chronic effects of taking cocaine: “It might, for example, be a 56-year-old who has high blood pressure as a background, regardless of the misuse. Taking cocaine on top of that will send their blood pressure off the chart, so to speak.

Over time, they become resistant to medication, and they may require admission into hospital and intravenous medication to bring their blood pressure down.

Cocaine causes a compromise in the demand and supply of the heart muscle: it causes a constriction of the arteries and a state where the blood is thicker and has a greater predisposition to clot.

It’s also worth noting that chronic cocaine use is linked with mental health issues like anxiety, panic attacks and psychosis. Even a one-off line at a party can cause an individual to behave erratically and recklessly, leading to accident and injury.

“Cocaine-induced paranoid states get worse as you get older,” says Campbell. “I had a patient who got together with friends to relive old times. They went away for the weekend, took cocaine, and as a result, he had a huge depressive crisis. He went back to the hotel and attempted suicide. Fortunately, he didn’t succeed.”

How to counteract the damage of cocaine

“The simple answer is – stop,” says Campbell. “If you’ve taken cocaine and you’ve experienced palpitations, for example, that’s a serious red flag. A user needs to get themselves checked out. If you’re worried, talk to your doctor and be honest about it. Your GP can perform an ECG and arrange a full cardio workup.”

Anyone concerned should also take encouragement from the fact that it’s never too late to take a positive step. “With the right treatment and the cessation of the misuse, you can reverse the effects of cocaine misuse,” says Shahid. “Cocaine drives up blood pressure, so if you stop the cocaine use, you can reduce that blood pressure change, and – with the correct medications in the background – bring it down to safe levels.”

Of course, not everyone can afford to seek treatment at Priory, but as a first port of call, Campbell advises contacting Cocaine Anonymous, which he says is “free and widespread, and staffed by people who really know what they’re talking about”.

“This phenomenon is certainly a matter for concern,” he says on a final note, “and it’s on the increase, as the generation comes through that were partying in 1999. Could it get worse? I think it will, because people are reluctant to seek help. Unfortunately, they have no idea how much of a risk they’re taking.”

 

Source: https://www.telegraph.co.uk/health-fitness/conditions/ageing/the-devastating-effects-of-drug-misuse-in-the-middle-aged/

 

Kara Alexander is jailed for life after drowning her sons, aged two and five, in a bath after smoking the drug

Kara Alexander has been sentenced to life imprisonment for murdering her children

Credit: Metropolitan Police/PA

 

A judge has warned against the dangers of drugs after a skunk-smoking mother drowned her young sons in the bath.

Kara Alexander, 47, of Dagenham, east London, murdered Elijah Thomas, two, and Marley Thomas, five, in the bath at their home in Cornwallis Road, on December 15 2022.

At Kingston Crown Court on Friday she was sentenced to life imprisonment with a minimum term of 21 years and 252 days.

The judge, Mr Justice Bennathan, referred to the children’s father finding his deceased sons next to one another as “the stuff of nightmares”.

He noted that Alexander had been smoking skunk – a stronger type of cannabis – on the night she killed her children and had been “doing so every night for weeks, probably much longer”.

In his sentencing remarks, he said: “The heavy use of skunk or other hyper-strong strains of cannabis can plunge people into a mental health crisis in which they may harm themselves or others.

“If any drug user does not know that, it’s about time they did.

“At your trial, Kara Alexander, the three psychiatrists who gave evidence disagreed about a number of things, but on that they were unanimous.

“It will comfort nobody connected to this case, but if these events bring home that message to even a few people, some slight good may come from what is otherwise an unmitigated tragedy.”

The bodies of Elijah, left, and Marley, were found by their father

 Credit: Central News/Facebook

 

He said he could not reach any conclusion but, in her state at that time, she intended to kill the boys, pointing out that she had “unspeakably” held the boys under water for “up to a minute or two”.

“The bath was probably still run from their normal evening routine and I do not think for a moment that your dreadful acts were pre-meditated,” he said.

The judge said Alexander dried the boys, put them in clean pyjamas and laid them together, tucked in under duvets, on the same bunk bed.

“The next morning, their father, worried by your unusual silence, came and found them. The stuff of nightmares,” he said.

The judge said there was every sign Alexander was a “caring and affectionate” mother to both children before the events of Dec 15.

He pointed out that their father said Alexander “never shouted or raised her voice at the boys” and “never showed violence to the boys”.

Psychotic state caused by cannabis 

Mr Justice Bennathan said Alexander was in a psychotic state when she killed her sons and that it was cannabis induced.

He said she had a previous psychotic episode in 2016 in which cannabis also probably played a part, but said he cannot be sure that she was aware that cannabis could trigger another psychotic state.

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The judge said he noted that in Dec 2022, Alexander spoke regularly with two members of her social circle about her heavy cannabis use, both of them knowing that she was looking after two small children.

“And at least one of them knew of your previous psychotic episode in 2016, yet neither of them warned you of any risk or sounded any note of caution at all,” he said.

The judge said Alexander will mourn her sons for the rest of her life.

“From all that I have read and seen of you, I have no doubt that every day when you awake you will remember and grieve for the little boys whose lives you snatched away,” he said.

 

Source: https://www.telegraph.co.uk/news/2025/04/11/cannabis-killer-mother-psychotic-state/

National Crime Agency exposes increasing ketamine use in England amid surge in ‘drug cocktails’

by Tony Diver, Associate Political Editor, The Telegraph (London) 21 February 2025

 

Drug use in England

Ketamine

2023: 10,600 kilograms consumed

2024: 24,800 kilograms consumed

Hotspots: Norwich, Liverpool and Wakefield

Street value: Unknown

 

Cocaine

2023: 87,600 kilograms consumed

2024: 96,000 kilograms consumed

Hotspots: Liverpool and Newcastle

Street value: £7.7 billion

 

Heroin

2023: 25,300 kilograms consumed

2024: 22,400 kilograms consumed

Hotspots: Liverpool and Birmingham

Street value: £1.1 billion

 

Ketamine usage more than doubled in England last year amid the rising popularity of designer “drug cocktails”, The Telegraph can reveal.

The largest and most accurate study of its kind, conducted on behalf of the National Crime Agency (NCA), has exposed a dramatic rise in the popularity of the drug.

Almost 25 tonnes of ketamine were consumed in England last year, up from 10.6 tonnes in 2023.

The drug is now more popular than heroin, with the worst hotspots in Norwich, Liverpool, and Wakefield.

The findings are revealed in Home Office data, seen by The Telegraph, which will form part of the NCA’s annual threat assessment next week.

The agency, dubbed Britain’s FBI, will warn of a rise in the use of several recreational drugs in Britain, including a 10 per cent increase in cocaine.

The sharp increase in the prevalence of ketamine on Britain’s streets is thought to be driven by drug cocktails, including “pink cocaine” – a combination of ketamine and other substances taken by Liam Payne, the One Direction star, before his death last year.

Payne, who fell to his death from a hotel balcony in Argentina in October last year, had taken a mixture of methamphetamine, ketamine and MDMA along with crack cocaine and benzodiazepine before he died, a toxicology report found.

Liam Payne reportedly had ‘pink cocaine’ along with other drugs in his system when he fell to his death in Buenos Aires Credit: Marc Piasecki/GC Images

Mixing ketamine and other drugs can produce hallucinogenic effects, but presents a greater risk to partygoers because the substances can be laced with even stronger narcotics including fentanyl.

The Home Office sampled wastewater from 18 treatment plants across England and Scotland over three years to build the most accurate picture of drug consumption in Britain ever compiled.

The samples, which covered wastewater from more than a quarter of the population, were analysed and scaled up by scientists from Imperial College London.

Previous estimates were based on the quantity of drugs seized by police and self-reported drug surveys, which are less accurate.

The final report found that almost 100 tonnes of cocaine were consumed in England alone last year, up from 88 tonnes in 2023.

Liverpool and Newcastle were the heaviest consumers of cocaine. Usage peaked in London during Christmas, the Euro 2024 football tournament and the Eurovision song contest.

Adjusted for purity, quantities of cocaine consumed in England last year had an estimated street value of £7.7 billion.

That figure is almost double the NCA’s previous estimate and the equivalent of £100 spent on cocaine each year by every person in the country.

Over the same period, heroin consumption is estimated to have decreased by 11 per cent, from 25,300 kilograms in 2023 to 22,400 kilograms in 2024. The highest rates were measured in wastewater from Liverpool and Birmingham.

Experts have previously warned of the dangers of trendy designer drug cocktails, including pink cocaine and “Calvin Klein” or “CK”, which refers to a mixture of cocaine and ketamine.

The combination of drugs can make it more difficult for users to know what substances they have taken.

CK, which is growing in popularity in the UK, has been blamed for overdoses among young people in nightclubs.

It comes as in this week’s Crime and Policing Bill, the Government will propose banning “cuckooing” – when criminals seize a vulnerable person’s home and use it as a drug den or for other illegal activity.

The Home Secretary will also propose new measures to jail those convicted of using children for crime Credit: Jacob King

Yvette Cooper, the Home Secretary, will also propose a new offence of child criminal exploitation, which is thought to affect around 14,500 children each year.

Under the new measures, people convicted of using children for crime, including county lines drug dealing, will face ten years in prison.

Ms Cooper said: “The exploitation of children and vulnerable people for criminal gain is sickening and it is vital we do everything in our power to eradicate it from our streets.

“As part of our Plan for Change, we are introducing these two offences to properly punish those who prey on them, ensure victims are properly protected and prevent these often-hidden crimes from occurring in the first place.

“These steps are vital in our efforts to stop the grooming and exploitation of children into criminal gangs, deliver on our pledge to halve knife crime in the next decade and work towards our overall mission to make our streets safer.”

Ministers and the NCA are also concerned about the rise of drug importers, who bring classified substances into the UK through weaker entry points and sell them to distributors around the country.

Source: https://www.telegraph.co.uk/news/2025/02/21/true-scale-uk-illegal-drug-use/

by Ioulia Kondratovitch – UNODC

Globally, the number of people who used drugs rose to 292 million in 2022 – a 20 per cent increase over 10 years.  The UN Office on Drugs and Crime’s (UNODC) 2024 World Drug Report shows that the emergence of new synthetic opioids and a record supply and demand of other drugs have compounded the impacts of the world drug problem, including overdoses, violence, instability, environmental harms and more.

The Commission on Narcotic Drugs (CND), the United Nations’ central drug policy-making body, is meeting this week to take stock of progress made in the implementation of international drug policy commitments.

Below, learn more about the CND and why it matters.

The basics

The CND is where UN member states set policy on all issues related to drugs. 53 Member States from all regions of the world are elected to serve four-year terms.

UNODC acts as Secretariat to the CND.

Why does the CND matter?

Drug production, trafficking and consumption can cause violence, instability and even death.

UNODC’s 2024 World Drug Report found that 64 million people worldwide suffered from drug use disorders in 2022, with only one in 11 in treatment.

Drug trafficking is empowering organized crime groups, who are also engaged in other crimes including human trafficking, online scams, fraud and illegal resource extraction.

A new record high of cocaine production has coincided with a rise in violence in states along the supply chain, as well as an increase in health harms in countries of destination. Meanwhile, nitazenes – a group of synthetic opioids which can be even more potent than fentanyl – have recently emerged in several high-income countries, resulting in an increase in overdose deaths.

How does it work?

CND reviews and analyses the global drug situation and takes action through resolutions and decisions. At this year’s CND, Member States will be discussing resolutions on preventing drug use among children; research on evidence-based interventions for the treatment and care of stimulant use disorders; alternative development; safety of officers in dismantling synthetic opioid laboratories; the impact of drugs on the environment; and strengthening the global drug control framework.

The CND also decides, based on recommendations by the World Health Organization and the International Narcotics Control Board, on which substances will be placed under international control – or “scheduled” – under the three international drug control treaties.

These conventions help prevent the abuse of psychoactive substances, protecting individuals, communities and entire countries from drug use epidemics while reducing crime and violence. They also ensure that these substances are available for necessary medical and scientific purposes.

International scheduling of substances, including precursor chemicals, helps law enforcement efforts to curb production and trafficking of dangerous drugs.

Why are we talking about it now?

In recognition of these new and persistent challenges, the CND adopted the 2019 Ministerial Declaration to accelerate the implementation of the international drug policy commitments made since 2009.

At last year’s CND, Member States made new commitments under the “Pledge4Action” on how they could expedite actions to tackle the world drug problem. This year, Member States will report on efforts to fulfill these pledges, as well as have an opportunity to make new ones.

What else is the UN doing to address the world drug problem?

UNODC collects, analyses and reports data on drug trends and developments. Find more in our 2024 World Drug Report, Afghanistan Drug Insights Series, Colombia and Bolivia coca surveys, and Myanmar opium survey.

Additionally, by strengthening the ability of Member States to detect and intercept illicit drug flows at borders and equipping front-line officers with testing equipment, UNODC bolsters countries’ national security by disrupting the operations and profits of organized drug trafficking groups. Making borders and key shipping routes less vulnerable to exploitation also fosters a safer environment for legitimate business and trade, contributing to a more stable and resilient global economy.

UNODC also works with Member States to support the prevention of drug use; treatment and rehabilitation for people who use drugs; and access to controlled drugs for medical purposes.

Source: https://www.unodc.org/unodc/news/2025/March/explainer_-what-is-the-commission-on-narcotic-drugs.html

Home
United Nations
The United Nations Office at Geneva

 

Synthetic drugs are rapidly transforming the global drug trade, fuelling an escalating public health crisis, according to the UN administered International Narcotics Control Board (INCB).

In its 2024 Annual Report, released on Tuesday, the INCB explains that unlike plant-based drugs, these substances can be made anywhere, without the need for large-scale cultivation, making them easier and cheaper for traffickers to produce and distribute.

The rise of powerful opioids like fentanyl and nitazenes – potent enough to cause overdoses in tiny doses – has worsened the crisis, driving record-high deaths.

“We need to work together to take stronger action against this deadly problem which is causing hundreds of deaths and untold harm to communities,” he continued.

Traffickers stay ahead of regulations

Criminal groups are constantly adapting to evade law enforcement.

By exploiting legal loopholes, they develop new synthetic compounds and use artificial intelligence to find alternative chemicals for drug production.

New smuggling methods – including drones and postal deliveries – make these drugs harder to detect.

As a result, seizures of synthetic substances are now outpacing those of traditional plant-based drugs like heroin and cocaine.

Patchwork response

Despite efforts to curb synthetic drugs, responses remain fragmented, allowing traffickers to stay ahead.

The INCB is calling for stronger global cooperation, including partnerships between governments, private companies and international organizations, to disrupt supply chains and prevent harm.

Medication out of reach

While synthetic drugs flood illegal markets, millions of people in low- and middle-income countries still lack access to essential pain relief medication.

The report highlights that opioid painkillers such as morphine, remain unavailable in regions like Africa, South Asia and Central America – not due to supply shortages, but because of barriers in distribution and regulation.

The INCB is urging opioid-producing nations to increase production and affordability to improve palliative care and pain management.

Regional hotspots concerns

The report identifies several regions where synthetic drug trafficking is expanding.

In Europe, the looming heroin deficit following Afghanistan’s 2022 opium ban could push more users toward synthetic alternatives while in North America, despite efforts to curb the crisis, synthetic opioid-related deaths remain at record highs.

The manufacture, trafficking and use of amphetamine-type stimulants are increasing across the Middle East and Africa, where treatment and rehabilitation services are often inadequate.

Meanwhile, in the Asia-Pacific region, methamphetamine and ketamine trafficking continues to grow, particularly in the Golden Triangle.

Call for urgent action

The INCB is urging governments to strengthen international collaboration, improve data-sharing and expand drug prevention and treatment services.

Without decisive action, the synthetic drug trade will continue to evolve, putting more lives at risk.

 

National Crime Agency exposes increasing ketamine use in England amid surge in ‘drug cocktails

Ketamine usage more than doubled in England last year amid the rising popularity of designer “drug cocktails”, The Telegraph can reveal.

The largest and most accurate study of its kind, conducted on behalf of the National Crime Agency (NCA), has exposed a dramatic rise in the popularity of the drug.

Almost 25 tonnes of ketamine were consumed in England last year, up from 10.6 tonnes in 2023.

The drug is now more popular than heroin, with the worst hotspots in Norwich, Liverpool, and Wakefield.

The findings are revealed in Home Office data, seen by The Telegraph, which will form part of the NCA’s annual threat assessment next week.

The agency, dubbed Britain’s FBI, will warn of a rise in the use of several recreational drugs in Britain, including a 10 per cent increase in cocaine.

The sharp increase in the prevalence of ketamine on Britain’s streets is thought to be driven by drug cocktails, including “pink cocaine” – a combination of ketamine and other substances taken by Liam Payne, the One Direction star, before his death last year.

Payne, who fell to his death from a hotel balcony in Argentina in October last year, had taken a mixture of methamphetamine, ketamine and MDMA along with crack cocaine and benzodiazepine before he died, a toxicology report found.

Liam Payne reportedly had 'pink cocaine' along with other drugs inside his system when he fell to his death in Buenos Aires
Liam Payne reportedly had ‘pink cocaine’ along with other drugs in his system when he fell to his death in Buenos Aires Credit: Marc Piasecki/GC Images

Mixing ketamine and other drugs can produce hallucinogenic effects, but presents a greater risk to partygoers because the substances can be laced with even stronger narcotics including fentanyl.

The Home Office sampled wastewater from 18 treatment plants across England and Scotland over three years to build the most accurate picture of drug consumption in Britain ever compiled.

The samples, which covered wastewater from more than a quarter of the population, were analysed and scaled up by scientists from Imperial College London.

Previous estimates were based on the quantity of drugs seized by police and self-reported drug surveys, which are less accurate.

The final report found that almost 100 tonnes of cocaine were consumed in England alone last year, up from 88 tonnes in 2023.

Liverpool and Newcastle were the heaviest consumers of cocaine. Usage peaked in London during Christmas, the Euro 2024 football tournament and the Eurovision song contest.

Adjusted for purity, quantities of cocaine consumed in England last year had an estimated street value of £7.7 billion.

That figure is almost double the NCA’s previous estimate and the equivalent of £100 spent on cocaine each year by every person in the country.

Over the same period, heroin consumption is estimated to have decreased by 11 per cent, from 25,300 kilograms in 2023 to 22,400 kilograms in 2024. The highest rates were measured in wastewater from Liverpool and Birmingham.

Experts have previously warned of the dangers of trendy designer drug cocktails, including pink cocaine and “Calvin Klein” or “CK”, which refers to a mixture of cocaine and ketamine.

The combination of drugs can make it more difficult for users to know what substances they have taken.

CK, which is growing in popularity in the UK, has been blamed for overdoses among young people in nightclubs.

It comes as in this week’s Crime and Policing Bill, the Government will propose banning “cuckooing” – when criminals seize a vulnerable person’s home and use it as a drug den or for other illegal activity.

The Home Secretary will also propose new measures to jail those convicted of using children for crime
The Home Secretary will also propose new measures to jail those convicted of using children for crime Credit: Jacob King

Yvette Cooper, the Home Secretary, will also propose a new offence of child criminal exploitation, which is thought to affect around 14,500 children each year.

Under the new measures, people convicted of using children for crime, including county lines drug dealing, will face ten years in prison.

Ms Cooper said: “The exploitation of children and vulnerable people for criminal gain is sickening and it is vital we do everything in our power to eradicate it from our streets.

“As part of our Plan for Change, we are introducing these two offences to properly punish those who prey on them, ensure victims are properly protected and prevent these often-hidden crimes from occurring in the first place.

“These steps are vital in our efforts to stop the grooming and exploitation of children into criminal gangs, deliver on our pledge to halve knife crime in the next decade and work towards our overall mission to make our streets safer.”

Ministers and the NCA are also concerned about the rise of drug importers, who bring classified substances into the UK through weaker entry points and sell them to distributors around the country.

 

Source: https://www.telegraph.co.uk/news/2025/02/21/true-scale-uk-illegal-drug-use/

  • Published Updated 20 February 2025

James McMillan and Lisa McCuish grew up next to each other and now they lie side by side in Pennyfuir Cemetery

James McMillan grew up next door to Lisa McCuish in a neat cul-de-sac on a hillside above Oban Bay. Now they lie side by side in Pennyfuir Cemetery.

The newest headstones on the freshly-dug fringes of the graveyard tell an alarming story of a lost generation in this pretty tourist town on Scotland’s west coast.

Oban is home to just 8,000 people and at least eight recent confirmed or suspected victims of drug misuse were buried here. The youngest was 26, the oldest was 48.

The population of the town is about the same as the total number of overdose deaths recorded in Scotland in the past seven years – by far the worst rate in Europe.

The deaths have led to calls for urgent action to tackle addiction in rural Scotland with relatives citing problems accessing vital services.

Scotland’s Health Secretary Neil Gray has told BBC News that he accepts more needs to be done to tackle drug misuse in rural areas.

For James’ mother, Jayne Donn, the nightmare began before dawn on a freezing night in December 2022 when she was woken by the doorbell.

“At 10 to five in the morning, when it was snowing and my Christmas tree was up, the police came to my door,” she says.

The officers had come, as Jayne had long dreaded they would, to tell her that her 29-year-old son was dead of an overdose.

James was another victim of a crisis that has been raging across Scotland for almost a decade, claiming 1,172 lives in 2023.

“As a little boy he was blonde-haired, blue-eyed, full of mischief,” Jayne tells me in the living room of the family home.

The young James loved “fishing, music and his skateboard,” she says.

“As a man, there’s not so many good memories,” says Jayne.

“He was very mixed up. He was very angry. He was very lost.”

James McMillan, who died in December 2022, with his mother Jayne Donn
Image source,Jayne Donn

James’ father left the family home when he was seven.

He struggled at school with dyslexia and mental health challenges and later began to dabble with cannabis.

He started to get into trouble, first with teachers, then with the police.

As he grew into adulthood, James drifted away from Oban and from his family, losing a job as an apprentice bricklayer because of poor attendance and concentration, and disappearing to England.

Jayne says she knew little about what was happening there. In truth, her son’s life was unravelling.

He had been diagnosed with attention deficit hyperactivity disorder, bipolar disorder and drug-induced psychosis.

He was struggling with suicidal tendencies, taking more and harder drugs and increasingly turning to crime.

As a result he was in and out of custody for drug offences, breach of the peace, break-ins and theft, at one point serving a two-year prison sentence.

James died in Glasgow on 16 December 2022 – less than two days after he was released from custody following eight months on remand in Barlinnie prison.

James’ mother says she doesn’t know the details of the last charges he had faced or why he was released – but she believes more could have been done to support her son, as he had overdosed on release from custody on three previous occasions.

A Scottish Prison Service source pointed out that decisions taken at the end of a period of remand are a matter for the courts not the prison.

Jayne describes a web of organisations which dealt with her son: charities, local authorities, the NHS, addiction services, housing providers and more.

But she says: “He was released into a city he didn’t know with no jacket, no money and nobody aware.

“He lasted less than 36 hours.”

Lisa McCuish grew up in Oban.                                                                                                         Image source, MKC Photocreations 

Lisa McCuish grew up next to James in a street looking down on Oban Bay, where red and black Caledonian MacBrayne ferries bustle to and from the islands of the Hebrides.

Oban was recently named Scotland’s town of the year by an organisation which promotes smaller communities.

Today, Lisa’s sister Tanya is sitting in Jayne’s living room, tears in her eyes, recalling her sibling as “a larger than life character” with “a heart of gold”.

“Lisa was never into drugs, you know, that wasn’t her,” says Tanya.

Things began to go wrong only after Lisa was prescribed diazepam, which is typically used to treat anxiety, seizures or muscle spasms.

“She ended up buying it off the streets because she felt she needed more,” Tanya remembers.

“She kept on saying that she needed more help, more support.”

Then, she says, her sister started taking heroin.

Lisa had a cardiac arrest on 13 September 2022 and died four days later in hospital in Paisley. She was 42 years old.

She had prescription drugs in her system and also Etizolam, a benzodiazepine-type substance commonly known as street Valium because it is often sold illicitly.

Tanya and Jayne take us to the spot where they both mourn, pointing out other nearby graves where recent drug death victims are buried.

They include James’s best friend, who lies alongside him and Lisa. He was 30 when he died of a drug overdose.

“It’s just awful to think there’s at least 10 around here that we can think of,” says Jayne.

There is no official breakdown of how many lives have been claimed by drugs in small communities such as Oban.

We have been able to confirm that at least eight of the deaths occurred within just a year-and-a-half and were related to drugs, or are still under investigation.

This is the reality of Scotland’s drug deaths crisis in just one small community and both Tanya and Jayne say the Scottish government must do more to save lives.

“I personally believe that a lot of addiction is to do with mental health first,” says Tanya.

“There’s no continuity in support from addiction services or mental health services. There’s no link up.”

Jayne, who is a drugs support worker herself, says she spent years trying to bring James home to Oban where she felt he would have a better chance of recovery and survival.

A particular challenge, she says, was that Argyll and Bute Council offered James housing places in Dunoon and Helensburgh – both about two hours away – making it very difficult for his family to support him.

The local authority said it had offered “appropriate” services to James.

The council added that it had housing services throughout the area, but could not always satisfy “individual and sometimes changing criteria”.

Scotland’s Health Secretary Neil Gray says that both families have his deepest sympathies and he accepts that rural drug services could be improved.

“I think that the two cases that you’ve highlighted tell me that there’s more that can be done,” he said.

“I recognise that not everything is available in all parts of Scotland.”

Mr Gray added: “We support alcohol and drug partnerships across Scotland, whether they’re in rural areas or urban areas.

“I would obviously want us to be continuing to do more to make sure that there is access to facilities and services in rural and island areas.”

 

For Justina Murray, chief executive of the charity Scottish Families Affected by Alcohol and Drugs, the problems do not lie with strategy or funding but with culture and delivery, especially in NHS addiction services.

“People want services that are in their own community, they can access when they need them, they’re going to be met at the door by a friendly face,” she says.

“They’re going to be treated with dignity and respect.

“That’s not necessarily the experience you’re going to have engaging with an NHS or a statutory treatment service.”

According to the latest available figures, released in September 2024, there is capacity for 513 residential rehabilitation beds in Scotland, across 25 facilities.

Only 11 of those beds are available in what are considered by the Scottish government to be very remote rural areas, although the majority of facilities do accept referrals from any part of Scotland.

I ask Jayne and Tanya about the argument that individuals and their families, rather than the state, should take more responsibility for their own choices.

“Nobody sets out in life to be a drug addict,” replies Jayne.

“Nobody chooses it. The mental health issue was what led James to try and escape reality.

“He then no longer had capacity to make his choices. He wasn’t James any more.

“These are vulnerable adults who are unable to protect themselves from danger or harm,” adds Tanya.

“Why is more not being done?”

“Something’s got to change,” agrees Jayne.

“We’re losing far too many young people.”

Source: https://www.bbc.co.uk/news/articles/c20pwd04zy4o

 

Copied from DRB bulletin 03.02.2025:

Source: https://assets.publishing.service.gov.uk/media/679a44136907bee181d31480/240125+Annex+A+-+Response+to+the+ACMD+Fifth+addendum+to+Advisory+Council+on+the+Misuse+of+Drugs+_ACMD_+report+on+the+use+and+harms+of+2-benzyl+benzimidazole+_nit.pdf

 

Note by NDPA: This article describes harm Reduction  as ” as an alternative to traditional abstinence-based education”. which is seen by NDPA as an unhelpful definition. The valid contribution of Harm Reduction can better be recognised as a strategy working in cooperation with Prevention i.e. it is case of applying ‘both’ rather than ‘either/or’.

  Head Office in London, UK
Substance abuse among adolescents is a significant public health concern, as it can lead to various negative health outcomes and hinder academic performance. School-based substance abuse prevention programs have emerged as a critical strategy to address this issue, leveraging the unique environment of schools to reach young people during a pivotal time in their development. Recent research has explored various approaches to these programs, focusing on their effectiveness, implementation, and the integration of innovative methods to enhance engagement and outcomes.

Recent Research

One of the key findings from recent studies is the effectiveness of different types of interventions in educational settings. A scoping review identified various approaches, including cognitive-behavioral skill enhancement, peer interventions, and family-school cooperation, all of which have shown varying degrees of success in reducing substance use among adolescents[2]. Notably, while electronic interventions yielded mixed results, traditional methods like curriculum-based programs and peer support have been beneficial in addressing substance use issues[2].

Another significant study examined the long-term effects of a selective personality-targeted alcohol prevention program called PreVenture. This program was designed for adolescents exhibiting high-risk personality traits and demonstrated sustained positive outcomes in reducing alcohol-related harms over a seven-year follow-up period[3]. The findings suggest that targeted interventions can effectively delay the onset of alcohol use and mitigate its associated risks, highlighting the importance of tailoring programs to the specific needs of students.

Additionally, innovative approaches such as hybrid digital programs that combine e-learning with in-person sessions have shown promise. A study evaluating this method found significant reductions in substance use and increases in health knowledge among middle school students[5]. This approach addresses common barriers to implementation, such as limited class time and inconsistent delivery, making it a viable option for schools looking to enhance their substance abuse prevention efforts.

Furthermore, harm reduction strategies have gained attention as an alternative to traditional abstinence-based education. A pilot study on a harm reduction curriculum revealed significant improvements in students’ knowledge and behaviors related to substance use, suggesting that engaging students with relevant and relatable content can lead to better outcomes[4]. This approach challenges the conventional views on substance education and emphasizes the need for programs that resonate with adolescents’ real-life experiences.

Technical Terms

Substance Abuse: The harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs, leading to significant adverse consequences.

Cognitive-Behavioral Skills: Techniques that help individuals recognize and change negative thought patterns and behaviors associated with substance use.

Harm Reduction: A set of practical strategies aimed at reducing the negative consequences associated with substance use, rather than focusing solely on abstinence.

Source: https://www.nature.com/research-intelligence/school-based-substance-abuse-prevention-programs

by  Charles Hymas         Home Affairs Editor                  14 January 2025           Telegraph, London

Watchdog warns weapons and phones are being delivered to inmates with the devices, posing a threat to national security

HMP Manchester is among the prisons that have allowed basic security to fall into disrepair making it easier for gangs to access the grounds.

Drone-flying drug gangs have seized control of prison airspace in a move that threatens national security, a watchdog has warned.

Charlie Taylor, the chief inspector of prisons, said the service had “in effect ceded the airspace” to two high-security category A jails, allowing organised crime gangs to deliver drugs, phones and weapons to inmates who included organised crime bosses and terrorists.

He said HMP Long Lartin, in Worcestershire, and HMP Manchester had thriving illicit economies of drugs, mobile phones and weapons because basic security measures such as protective netting and CCTV had been allowed to fall into disrepair.

At Manchester, almost four in 10 (39 per cent) of prisoners had tested positive in mandatory drug tests. Half of inmates at Long Lartin, one of Britain’s top security jails, told inspectors it was easy to get drugs and alcohol. Some 27.2 per cent had tested positive for drugs.

Long Lartin has housed some of Britain’s most notorious prisoners, including hate preachers Abu Qatada and Abu Hamza. Among those currently being there are Jordan McSweeney, the murderer of law graduate Zara Aleena, and serial killer Steve Wright, jailed for life for the murder of five women in Ipswich in 2016. Mr Taylor said violence and self-harm at both jails had increased, in part driven by drugs and the accompanying debt prisoners found themselves in.

There had been six self-inflicted deaths at Manchester since 2021, with a seventh taking place a few weeks after the inspectors’ visit.

At Long Lartin, violence had increased by about 50 per cent since the last inspection in 2022. It was higher than at other category A jails, with more than 200 assaults on staff or prisoners in the last year. Forty per cent of prisoners said they felt unsafe.

“It is highly alarming that the police and prison service have, in effect, ceded the airspace above two high-security prisons to organised crime gangs which are able to deliver contraband to jails holding extremely dangerous prisoners including some who have been designated as high-risk category A,” he said. “The safety of staff, prisoners and ultimately that of the public, is seriously compromised by the failure to tackle what has become a threat to national security.

“The prison service, the police and other security services must urgently confront organised gang activity and reduce the supply of drugs and other illicit items which so clearly undermine every aspect of prison life.”

Charlie Taylor said violence and self harm had increased inside the prisons in part due to the rise of drug use and associated debt.

The scale of the problem at HMP Manchester, previously known as Strangeways, included inmates burning holes in windows to receive drone deliveries which prompted Mr Taylor to last year tell the Justice Secretary to put the prison into emergency measures.

The latest warning comes after Mr Taylor likened high-security jail HMP Garth in Lancashire to an “airport” because there were so many drones flying in drugs.

A report from Independent Monitoring Boards (IMB) – made up of volunteers tasked by ministers with scrutinising conditions in custody – into “crumbling” jails in England and Wales said delays in fixing broken prison windows were making it easier for drones to be used to deliver drugs and weapons. In December, MPs heard contraband was being taken into HMP Parc in South Wales in “children’s nappies”, while there were “industrial specification drone drops being organised by organised crime gangs”.

Source:  https://www.telegraph.co.uk/news/2025/01/14/drone-flying-drug-gangs-seize-control-of-prison-airspace/

Filed under: Crime/Violence/Prison,UK :
Maia Davies, BBC News, Published 7 January 2025

Ketamine could be upgraded to a Class A drug as the government seeks expert advice on its classification, the Home Office has said.

Illegal use of the drug has reached record levels in recent years, with an estimated 269,000 people aged 16-59 reporting ketamine use in the year ending March 2024.

Increasing ketamine’s classification would bring it in line with drugs including cocaine, heroin and ecstasy (MDMA) and mean up to life in prison for supply and production.

The policing minister will ask the Advisory Council on the Misuse of Drugs whether its classification should be changed and “carefully consider” its findings.

Ketamine can cause serious health problems including irreversible damage to the bladder and kidneys.

It is also one of the most detected drugs in incidents of spiking.

While commonly used on animals and in healthcare settings, ketamine is also thought of as a party drug due to its hallucinogenic effects.

An estimated 299,000 people aged 16-59 reported ketamine use in the year ending March 2023 – the highest on record.

Ketamine was upgraded from a Class C substance in 2014 due to mounting evidence over its physical and psychological dangers.

Currently, the maximum penalty for producing and supplying ketamine is up to 14 years in prison. Possession can carry up to five years in prison, an unlimited fine, or both.

Should it be upgraded to a Class A drug, supply and production of it could carry up to life in prison,, external while possession could carry up to seven years in prison, an unlimited fine, or both.

A coroner’s prevention of future deaths report called for action over the drug’s classification, after a man died from sepsis caused by a kidney infection that was “a complication of long-term use of ketamine”.

Greater Manchester South senior coroner Alison Mutch noted that James Boland, 38, started taking the drug as he believed it to be “less harmful” than Class A drugs.

She wrote , externalin November: “Maintaining its classification as a Class B drug was likely to encourage others to start to use it or continue to use it under the false impression it is “safer”.”

Policing minister Dame Diana Johnson has pledged to “work across health, policing and wider public services to drive down drug use and stop those who profit from its supply.

“It is vital we are responding to all the latest evidence and advice to ensure people’s safety and we will carefully consider the ACMD’s recommendations before making any decision.”

Source: https://www.bbc.co.uk/news/articles/cp8306prgy6o

Filed under: Ketamine,Legal Sector,UK :

Khat falls into the class C drug category but it isn’t recorded as a specific drug in seizure data

A decade ago, a stimulative drug that sold for just a few pounds, was banned in the UK. Known as khat, it’s a plant that’s chewed, giving similar effects to amphetamine.

Ten years on from the drugs reclassification, experts say it is still being sold in the UK, in places for ten times more than it cost in 2014.

But there is little data to help understand the true impact of the ban.

Dr Neil Carrier, who carried out postdoctoral research on the drug at the University of Oxford, said it has largely been “forgotten” by authorities and “in terms of understanding drug policy, the bans’ impact should really be researched”.

Mohammed, not his real name, 25, told the BBC that he tried khat in 2018, four years after the ban.

He said: “The thing is, there’s actually quite a lot of it readily available in the UK.

“You can get it in little silver sachet bags that are air-sealed and marketed as herbal facial products, but it’s literally just khat.”

He chewed the drug in a dried form, which has become more common during the past 10 years.

Dr Carrier, who currently works as a social anthropology professor at the University of Bristol, said fresh khat leaves were sold for “around £3 a bundle (250g)” during the 2000s and 2010s.

It was often chewed by Somali, Yemeni and Ethiopian men in group sessions at designated khat cafes, called mafrishes.

He helped produce a government-published literature review around khat’s social harms and legislation in 2011: “Very often as anthropologists, when we think about drugs, we don’t just focus on the drug itself but also how it gets caught up in the wider cultural meanings, wider relationships and power.

“We look at how it becomes a commodity and how the substance fits into society.”

He felt that the ban was a “missed opportunity” to investigate alternative methods of regulating recreational drugs.

“We could see how khat was associated with various issues that were very challenging with communities using khat in the UK.

“But at the time I felt the drug was blamed for these wider issues,” he said.

In the early 2000s Dr Carrier said he often heard people attribute khat to family and social integration problems.

“I would hear things like ’men are not being good fathers as they chewed khat’.

“And ‘people who are chewing khat might, as a consequence, not be looking for work’.

“But in reality, this is only half the picture.

“We often in society give drugs so much power and label them as the cause of problems when really the picture tends to be more blurred and complicated.”

Last year Border Force seized 2,760 hauls of class C drugs.

A Home Office spokesperson said: “Border Force and police work relentlessly to stop illegal drugs from coming into the country and keep them off our streets.

“We have seen a record level of seizures as we continue to use advanced technology, data and greater intelligence to ensure these drugs do not enter the country.”

The UK was one of the last EU countries to reclassify the khat in June 2014.

Prior to this date, more than 2,500 tonnes was annually imported, according to the Advisory Council of the Misuse of Drugs (ACMD).

That is the equivalent weight of around 208 double-decker buses worth of the stimulative drug.

Most of the shipments are thought to have been distributed and sold amongst east-African diaspora communities in Britain, such as Somalis and Ethiopians.

Dr Carrier said khat and cannabis, both plant-based drugs, have a similar policing system which could have contributed to a lack of data on how prevalent less drugs like khat may be.

“A lot of the drugs data gets conflated with data around cannabis and they tend to get pooled together.

“As far as I understand anyways,” he said.

UK Border Force tend to place khat into an “other class ” category, when reporting the drug.

Dr Carrier added: “What people suspected would happen at the time of the ban has happened.

“Khat is now being smuggled in, especially a dried khat, mostly coming in from Ethiopia, and it seems to have become quite popular.

“The people that do still want to consume, even though it’s been banned, can still consume it in a different form.”

Dried khat is less potent than the fresh plant and is said to provide a “less pleasant user experience” in terms of taste and texture.

Dr Carrier said that meant there is still a market for the drug: “Some people, if they can afford it, will still chew the fresh stuff.

“The fresh stuff is £30 to £40 a bundle.

“But there are people still willing to spend that kind of money on it.

“People are still accessing khat.”

Source: https://www.bbc.co.uk/news/articles/c4gpl62dn26o?utm_source=firefox-newtab-en-gb

Filed under: Khat,UK :

People smoke the stuff perfectly openly, without fear, with the threatened £90 fine seemingly a remote possibility.                                                                                                                           

by Zoe Strimpel – The Telegraph London author – 14 December 2024 4:09pm GMT

Sir Elton John Credit: Ben Gibson

Zoe Strimpel writes: I was about 23 and was still finding my feet socially in London. I’d always really been a champagne girl at heart but cannabis smoking was common in some of the circles I spent time in. It seemed so tacky and boring, the province of the sorts of bores one met while “travelling”, so I usually said no.

But one night in a run-down flat somewhere in north London, I went along with everyone else. Not long afterwards my heart began to pound like never before and a wave of horrible panic crashed over me, like I was trapped in a physiological nightmare and might die.

This was combined with a much more familiar sense of self-recrimination: why had I got myself into this? It wasn’t tempting in the first place and it could never have been worth it. And now I was paying the price – and so was the friend, now more like a sister to me, who had to tend to me in my tearful panic.

Since then, the pressure to imbibe cannabis has only grown and spread, from tatty student settings to (upper)-middle class and middle-aged environs.

Those who prefer to avoid the smoke element can still mainline the active ingredient – THC – by choosing from a wide range of edibles, which are generally like jelly babies. These make you (me) feel just as dreadful as the smoke sort, though mercifully without the stink.

All of which is why I am in full agreement with Elton John who, as Time magazine’s “icon of the year”, has lambasted the legalisation of pot in North America as “one of the greatest mistakes of all time”.

Sir Elton, himself an addict until he got sober 34 years ago, pointed out that: “It leads to other drugs. And when you’re stoned – and I’ve been stoned – you don’t think normally.”

This is a statement of blinding obviousness, and yet in our strange society it sounds reactionary, refreshing, courageous. How is it that a drug known – outside of carefully managed medical settings where it can help with pain and sleep – to trigger psychosis and turn people into paranoiacs and dullards, and, when smoked, to cause damage to the lungs and body, came to be considered safe by North American lawmakers?

To be seen as so perfectly respectable, fine and dandy that states explicitly give their blessing to recreational use of it? And this in an America that doesn’t let people drink until they are 21 or even touch containers of alcohol till that age, or in public.

In the UK, it is not legal and classed as a class B drug. But that does not mean that ‘it is not ubiquitous’.

This is depressing. I’m all for the exploration and titration of psychoactive drugs to help people in desperate need of pain relief. I am interested in, though not yet convinced by, use of mushrooms (psilocybin) and ecstasy (MDMA) in treating depression.

But the general prevalence of cannabis is a much drearier, bigger, more worrying issue, connected to a general sense of inconsistency and disconnected logic among law-makers and enforcers on one hand, and a sense that all we want to do is bury ourselves in escapist hedonism that alters our minds and our worlds so as to reduce the stress associated with, for instance, responsibility, reality and work.

Labour has indicated that it does not wish to legalise cannabis. But it seems happy, as do the police, with the fact that nobody cares about its technical illegality. People smoke the stuff perfectly openly, without fear, with the threatened £90 fine seemingly a remote possibility. Children therefore have to inhale it in parks. It is a gateway drug for hard drugs and criminality, and forms a familiar backdrop for the insouciant menace of gangs.

But according 2023 figures from the ONS, cannabis was by far the most-commonly used recreational drug in the UK, with 7.4 per cent of adults aged 16 to 59 saying they had consumed it in the last year.

The counter-currents in state attitudes to recreational drugs are just weird. Why does the state look benignly on the smoking of this illegal substance, and fail to promote information about the dangers of inhaling it via smoke (and edibles), but noisily pursue the outlawing of cigarette smoking for those born after a certain date?

Fags are toxic and cancer-causing, and nobody should have to regularly breathe second-hand smoke. But so long as the harm of smoking (the tar in tobacco) is limited to the smoker, and those who voluntarily inhale their smoke, the wider mental effects are not disturbing.

Nicotine alone doesn’t tend to ‘alter personality beyond recognition’ or induce fits of paranoia, depression, criminality or addiction to other substances.

And let’s face it: a waft of cigarette smoke is quite pleasant. Cigarettes retain a kind of aesthetic glamour; their use is not at odds with beauty, comfort, decadence and good conversation. Pot-smokers, instead, give off a polluting stink that lowers the tone of whatever environment one is in, makes conversation a thousand times more inane, and seems to celebrate the urge to do less, or nothing, smugly. Cannabis is deadening, however it is consumed.

Even among those who work hard and have children, cannabis rules, becoming a fixation without which no relaxation is possible, whipped out as soon as the working day ends or the children are asleep. Perhaps what we need is to find other ways to relax, like reading a good book. Or, of course, to stop chasing relaxation and indolence at all costs, full stop.

SOURCE: https://www.telegraph.co.uk/news/2024/12/14/elton-john-is-right-cannabis-deadening-to-soul/

October 31, 2024

 

Scotland’s drug and alcohol deaths remain among Europe’s highest – despite an increase in spending and better national leadership.

The Scottish Government has made progress in increasing residential rehabilitation capacity and implementing treatment standards. However, it has been slow to progress key national strategies, such as a workforce plan and alcohol marketing reform. People in need still face many barriers to getting support. The workforce is under immense strain. And the increased focus on drug harm is shifting attention from tackling alcohol issues.

In 2023, there were 1,277 alcohol-specific deaths – the highest since 2008. And there were 1,172 drug misuse deaths, the second lowest number in the last six years. Scotland’s figures remain high compared to the rest of Europe despite alcohol and drug funding rising from £70.5 million in 2014/15 to £161.6 million in 2023/24.

Alcohol and drug services are co-ordinated by Alcohol and Drug Partnerships at a local level. But they have limited powers to influence change and direct funding, and their funding is falling in real terms due to inflation. Most alcohol and drug funding goes to NHS specialist services to treat people at crisis point. This means there is limited money to put into preventing people getting so ill in the first place.

Stephen Boyle, Auditor General for Scotland, said:

The Scottish Government needs to develop more preventative approaches to tackling Scotland’s harmful relationship with alcohol and drugs. That means helping people before they get to a crisis point.

Ministers also need to understand which alcohol and drug services are most cost-effective, and plan how they will be funded when the National Mission ends in 2026. That’s especially important at a time of increasing strain on the public finances.

With many alcohol and drug workers reporting feeling under-valued and at risk of burn-out, there is also an urgent need to put a timeline against plans to address the sector’s staffing challenges.

Christine Lester, a member of the Accounts Commission, said:

Alcohol and drug services are complex and delivered by a wide range of partners. But there needs to be more collective accountability across the system for how each body is helping people whose lives have been blighted by alcohol and drugs.

Better information is needed to inform service planning and where funding should be prioritised. There is also more to do to tailor services to individual needs, using the experience of service users. Right now, not everyone can access the services they need, and that experience is worse for people facing disadvantage.

Source: https://audit.scot/news/prevention-focus-needed-to-tackle-alcohol-and-drug-harm

The drug and alcohol awareness event was held at Faizen-E-Madina Mosque on Gladstone Street

Published 

A drug and alcohol awareness event has taken place at a mosque to encourage Muslims and families struggling with addiction to seek help.

Dozens of people, including children, attended the workshop organised by Dr Azhar Chaudhry at Peterborough’s biggest Mosque, Faizan-E-Madina.

Dr Chaudhry said the issue of drug and alcohol dependency within the city’s Muslim community was “a huge problem”, but engaging with them had been a challenge due to cultural stigma.

Raja Alyas from Peterborough-based Aspire charity, which works with harder-to-reach communities, called it “a step in the right direction”.

Dr Azhar Chaudhry has been organising awareness workshops for the community as a volunteer over the years

‘Still work to be done’

Dr Chaudhry, who works at Thistlemoor Medical Centre, said the involvement of the mosque committee, who attended and helped organise it, was “encouraging”.

He said there was still work to be done on engaging with Mosques who can support initiatives like Aspire, but appreciated their efforts to work together.

He moved to the UK in 2001 from Pakistan and is part of the British Islamic Medical Association (BIMA).

He runs other workshops on CPR, diabetes and cancer screening to raise awareness within the community as a volunteer.

“I love what I do. I am passionate about saving lives”, he said.

“You will be shocked to see how prevalent the drug and alcohol issues are in the Muslim community. I see it as a GP who works in a diverse part of the city.

“But it is difficult to engage with them, they don’t want to seek help.

“It is a sensitive issue for the community. There is a lot of stigma, so it needs to be addressed cautiously but attitudes are improving, hopefully.”

Aspire said the mosque committee has offered to help organise more regular drug and alcohol awareness events

Aspire works with Peterborough City Council, GPs and the Probation Service.

It also operates a clinic regularly at Thistlemoor Medical Centre to give people facing stigma a “discreet option” to seek help.

Mr Alyas said: “The workshop was well attended and was very interactive and great to see young people asking questions about how they can safeguard themselves.

“The young generation is being empowered with knowledge on making their decisions,” he said.

“It was good to see the attendees acknowledging that there is an issue. Previously, when we tired to set up a workshop like this it was not as well received.

“But the mosque saying they look forward to more events including for women is a step in the right direction.”

The event was organised by Dr Azhar Chaudhry and the Aspire charity and was supported by Faizan-E-Madina Mosque

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Source: https://www.bbc.co.uk/news/articles/crr92nyl7k4o

Our research on the adverse effects of cannabis contributed to a major public debate and Government campaign to inform teenagers about the potential risks of cannabis.

Research led by Professors Terrie Moffitt, Avshalom Caspi, Philip McGuire, Sir Robin Murray, Louise Arseneault & Drs Paul Morrison & Marta Di Forti

Our research on the adverse effects of cannabis contributed to a major public debate and Government campaign to inform teenagers about the potential risks of cannabis.

Cannabis is the most widely used drug in the world, but its effect on mental health has only recently been uncovered.

Research led by Professors Terrie Moffitt and Avshalom Caspi demonstrated that the earlier people start using cannabis, the more likely they are to have symptoms of psychosis as a young adult. A study of 1,000 men and women in New Zealand showed that people who had been regular cannabis users at 15 were about four times more likely to have psychotic symptoms by the time they were 26 than their abstaining peers. The research also identified genetic variations that made people more vulnerable to the harmful effects of cannabis.

Further work led by Dr Marta Di Forti showed that people who smoke a potent form of cannabis (skunk) regularly are much more likely to develop psychosis than those who use traditional cannabis resin (hash) or old-fashioned grass.

Research led by Dr Paul Morrison helped explain why, by investigating the effects of the two main constituents of cannabis: THC (delta-9-tetrahydrocannabinol), the psychoactive ingredient that produces the ‘high’, and CBD (cannabidiol), which seems to moderate the effect of THC. Skunk contains much more THC than hash or old-fashioned grass and virtually no CBD. Our research illustrated that an injection of pure synthetic THC can induce transient symptoms of psychosis in people who have no experience of mental health problems.

‘Overall, our research in this area had a major impact on the perception of the risks of cannabis use on mental health,’ says Philip McGuire, Professor of Psychiatry and Cognitive Neuroscience.

In the wake of these studies and other evidence from around the world linking cannabis use with psychosis, the Home Secretary asked the UK Advisory Council on the Misuse of Drugs to review the legal classification of cannabis in 2007. Professor Murray submitted written evidence to this review and Dr Morrison, spoke at a review meeting about the effects of THC and CBD.

In 2008, the ACMD reported that the majority of its members thought cannabis should remain as a class C drug, but confirmed that the drug, particularly skunk, can damage people’s mental health, especially if young people start to use it an early age.

Despite the recommendation, the Government decided to tighten the law and in 2009 the Misuse of Drugs Act cannabis was amended and cannabis was re-classified from class C (considered the least harmful), to class B, making it illegal to possess cannabis, give to friends or sell it.

Following reclassification, the Department of Health launched a major TV, radio and online campaign to demonstrate the role cannabis can play in the development of mental health problems. The ‘Talk to Frank’ television adverts, aimed at young people, illustrated how cannabis can contribute to paranoia and damage mental health.

Although cannabis is still the most widely used illicit drug in Britain, its use has been steadily declining. The 2011/12 Crime Survey for England and Wales showed that 15.7 per cent of young people said they had used cannabis in the previous year, the lowest level since measurement began in 1996, when 26 per cent of young people said they had taken cannabis.

Additionally, our research into the effects of CBD and THC has also led to a partnership with the pharmaceutical industry to develop a new antipsychotic medication based on CBD.

Source: https://www.kcl.ac.uk/news/spotlight/uncovering-the-link-between-cannabis-and-psychosis

Cryptocurrency Tether enables a parallel economy that operates beyond the reach of U.S. law enforcement

Wall Street Journal     Angus Berwick  and Ben Foldy       Sept. 10, 2024

A giant unregulated currency is undermining America’s fight against arms dealers, sanctions busters and scammers. Almost as much money flowed through its network last year as through Visa cards. And it has recently minted more profit than BlackRock, with a tiny fraction of the workforce. Its name: tether. The cryptocurrency has grown into an important cog in the global financial system, with as much as $190 billion changing hands daily.

In essence, tether is a digital U.S. dollar—though one privately controlled in the British Virgin Islands by a secretive crew of owners, with its activities largely hidden from governments.

Known as a stablecoin for its 1:1 peg to the dollar, tether gained early use among crypto aficionados. But it has spread deep into the financial underworld, enabling a parallel economy that operates beyond the reach of U.S. law enforcement.

Wherever the U.S. government has restricted access to the dollar financial system—Iran, Venezuela, Russia—tether thrives as a sort of incognito dollar used to move money across borders.

Russian oligarchs and weapons dealers shuttle tether abroad to buy property and pay suppliers for sanctioned goods. Venezuela’s sanctioned state oil firm takes payment in tether for cargoes. Drug cartels, fraud rings and terrorist groups such as Hamas use it to launder income.

Yet in dysfunctional economies such as Argentina and Turkey, beset by hyperinflation and a shortage of hard currency, tether is also a lifeline for people who use it for quotidian payments and as a way to protect their savings.

Tether is arguably the first successful real-world product to emerge from the cryptocurrency revolution that began over a decade ago. It has made its owners immensely rich. Tether has $120 billion in assets, mostly risk-free U.S. Treasury bills, along with positions in bitcoin and gold. Last year it generated $6.2 billion in profit, outearning BlackRock, the world’s largest asset manager, by $700 million.

Tether’s CEO, Paolo Ardoino, boasted earlier this year that, with under 100 employees, it earned more profit per person than any company ever.

Tether wants “to build a fairer, more connected, and accessible global financial system,” Ardoino said in a May press release. He claims over 300 million people are using the currency.

With sanctions, Washington can cut adversaries off from the dollar and thus much of the global trading system, since all dollar transactions involve U.S. regulated banks. Tether’s popularity subverts those powers.

“We need a regulatory framework that doesn’t allow offshore dollar-backed stablecoin providers to play by a different set of rules,” Deputy Treasury Secretary Wally Adeyemo told The Wall Street Journal. Adeyemo singled out tether in April testimony before Congress.

For this article, the Journal spoke with tether users, researchers and officials, and reviewed messages exchanged between intermediaries, court and corporate records, and blockchain data.

Tether didn’t respond to requests for comment. The company said in May it collaborates with law enforcement and was upgrading its capacity to monitor transactions for sanctions evasion. Tether voluntarily freezes digital wallets used to transfer its tokens that were connected with sanctioned entities, it says. Ardoino said Tether has a “proactive approach to safeguarding our ecosystem against illicit activities.”

How Tether works: The company behind tether, Tether Holdings, issues the virtual coins to a select group of direct customers, mostly trading firms, who wire real-world dollars in exchange. Tether uses those dollars to purchase assets, mostly U.S. Treasurys, that back the coin’s value.

Once in the wider market, tether can be traded for other tokens or traditional currencies through exchanges and local brokerages. In Iran, for example, a crypto exchange called TetherLand allows Iranians to swap rials into tether.

Tether vets the identities of its direct customers, but much of its vast secondary market goes unpoliced. The tokens can be pinged near-instantaneously along chains of digital wallets to obfuscate the source. A United Nations report this January said tether was “a preferred choice” for Southeast Asian money launderers.  The company says it can track every transaction on public blockchain ledgers and can seize and destroy tether held in any wallet.

But freezing wallets is a game of Whac-A-Mole. Between 2018 and this June, Tether blacklisted 2,713 wallets on its two most popular blockchains that had received a total of about $153 billion, according to crypto data provider ChainArgos. Of that massive sum, Tether could only freeze $1.4 billion because the rest of the funds had already been sent on.

Tether’s founders—a group that included a former plastic surgeon called Giancarlo Devasini—created the currency back in 2014. Uptake for a stable token was initially slim. The prospect of profiting from billions of accumulated dollars was a “fantasy,” said William Quigley, an investor who was part of the founding team.

He and other co-founders sold their stakes soon after to Devasini, who has run Tether ever since, according to people familiar with the company. The reclusive billionaire lives at a modernist villa in the French Riviera enclave of Roquebrune-Cap-Martin, corporate records show. Ardoino, a fellow Italian, has become Tether’s public face.

Tether’s entry into the crypto mainstream came during the market’s 2020-2021 bull run, as traders used tether to buy and sell out of risky bets. Its market capitalization exploded from $4 billion to almost $80 billion.

The dollar for all: In Venezuela, financially isolated by sanctions and economic mismanagement, Tether found a ready user base.

President Nicolás Maduro’s government was under siege in 2020 from U.S. measures that targeted state oil firm Petróleos de Venezuela, or PdVSA. That October, Maduro’s parliament passed an “Anti-Blockade Law” that authorized the government to use crypto to protect its transactions.

PdVSA began demanding payment for oil shipments in tether, according to people familiar with its activities and transaction records. Purchase orders authorized by PdVSA often instructed buyers to transfer tether to a certain wallet address. Another method was for intermediaries to swap deliveries of cash for tether and load the tokens onto prepaid travel cards, which enabled holders to use crypto for purchases. Venezuelan President Nicolás Maduro’s parliament passed a law allowing the government to use crypto to protect its transactions. The company’s adoption of tether was so pervasive it had another effect: instead of sending oil revenues back to the government, the middlemen that PdVSA used for the sales diverted funds for themselves, leading to a scandal that toppled the oil minister.

“This cryptocurrency’s use only has served to perpetuate gigantic levels of corruption,” Rafael Ramírez, a former oil minister under Maduro, said in an interview.

Venezuela’s government didn’t respond to requests for comment. The country’s attorney general said in April that middlemen’s use of crypto made the stolen funds “undetectable” for authorities.

For regular Venezuelans, tether became a lifeline, too. Inflation that reached 2 million percent wiped out savings held in bolivars. Currency controls made bank transfers abroad impractical.

Guillermo Goncalvez, a 30-year-old Caracas graduate, runs a platform called El Dorado that offers Venezuelans peer-to-peer tether trading, which links buyers and sellers directly.  El Dorado has over 150,000 users, who pay fees that are a fraction of what traditional money remitters charge: local stores converting daily revenues into tether, Venezuelan migrants sending money back to families, and freelancers receiving salaries in USDT, as tether is also known. “USDT is the digital dollar for all Venezuelans,” Goncalvez said.

Enough money to fill a plane: In Russia, tether is a vital payment channel, the Journal has previously reported.

A confidential report drawn up this year by a government-backed Russian research center identified tether as one of the most popular ways for importers to convert rubles into foreign currencies. Major institutions are involved, too: Rosbank, a Russian lender, arranges tether transfers for clients to pay suppliers abroad, according to a company presentation circulated in June. Rosbank spokespeople didn’t respond to requests for comment.

It is also the go-to currency for Russia’s elite.

A glamorous fixer called Ekaterina Zhdanova told associates in Telegram messages in 2022 and 2023 that she was arranging huge ruble-for-tether deals for clients. Digital wallets she shared had transferred over $350 million in tether, according to blockchain data.

Born in a Siberian village, Zhdanova, 38 years old, ran a concierge service to help wealthy Russians get foreign visas, and a travel agency that organized luxury cruises. Her ex-husband was a top lieutenant for a billionaire Russian real-estate developer.

Russia’s invasion of Ukraine and the subsequent sanctions amplified demand for her services.

Two months into the war, Zhdanova relayed a request from a client to a group of large Russian crypto traders, according to chats on Telegram. The client, who she said had their own bank, wanted to buy about $10 million of tether each month, needing $300 million’s worth in total, in exchange for cash that would be handed over in the United Arab Emirates or Turkey.

After finding a trader willing to accept the deal, Zhdanova told the group she could coordinate the cash’s collection. “They will use planes to pick up the cash,” she said.

Treasury sanctioned Zhdanova late last year, accusing her of transferring crypto on behalf of unnamed oligarchs. Police in France detained her around that time at an airport there as part of a separate French money laundering investigation, people familiar with her arrest said. She remains in custody. A lawyer for Zhdanova declined to comment.

‘Everything. Everywhere.’: Tether is now investing in startups that use tether for everyday payments. The more Tether can encourage its usage, the more tokens it needs to issue, and so the more dollars it will have to put to work.

In Tbilisi, Georgia, a popular landing spot for Russian émigrés, the token’s symbol—an encircled green “T”—glimmers outside money-change shops with blacked-out windows. Cash machines advertise that users can deposit bills for the stablecoin.

Ardoino, the Tether CEO, visited Georgia last year and approached government officials with an offer to help expand the local crypto economy. They signed a cooperation deal that Ardoino said would make the former Soviet republic a flourishing payments hub. Tether invested $25 million in local startups, according to Georgia’s innovation agency.

The main recipient of Tether’s financing, CityPay.io, has rolled out tether-payment systems for thousands of Georgian businesses. Hotels including Tbilisi’s downtown Radisson Blu Iveria have CityPay point-of-sale terminals, and it has joined with a property venture there to sell premium apartments in tether.

CityPay also facilitates international payments in tether for companies, totaling as much as $50 million a month, according to Eralp Hatipoglu, its Turkish CEO. He said the pressure the U.S. applied on the global banking system created these opportunities. Companies exporting from Turkey to Georgia get hammered with questions from correspondent banks, he said, and wire transfers take days. CityPay’s website advertises “100% anonymous transactions,” though Hatipoglu said they check clients’ identities against sanctions lists and don’t accept Russian businesses.

Tether has said it aims for CityPay to expand into other emerging markets. At a crypto conference in a Tbilisi skyscraper this June, sponsored by Tether and attended by its head of expansion, banners promoted the currency’s use for daily payments on CityPay. Guests queued to buy coffee in tether. “Pay with USDT,” read one sign. “Everything. Everywhere.”

 

Source: Tether: The Cryptocurrency Fueling the Financial Underworld – WSJ

Overview

In recent years, police forces in England and Wales have worked more closely with health, education and other local partners to address social issues, such as drug use, youth violence and people in mental health crisis.[1] This aims to ensure that vulnerable people are supported by the most appropriate professional, and that certain complex social issues are not automatically met with a criminal justice response.

These initiatives are sometimes referred to as public health approaches to policing.[2] They can include interventions aimed at preventing offending altogether (for example, early years school-based programmes), as well as ones covering offenders or people coming into contact with the police.[3]

In 2018, organisations representing public health bodies, health services, voluntary organisations and police forces signed an agreement to work more closely together to prevent crime and protect the most vulnerable people in England.[4] Public Health Scotland and Police Scotland announced a formal collaboration in 2021.[5] In 2019, Public Health England and the College of Policing published a discussion paper on public health approaches to policing,[6] and the Association of Police and Crime Commissioners issued guidance in 2023 to support implementation of such approaches.3

Research has found that cooperation between police and health services can help to improve social outcomes. For example:

  • a 2017 study in the USA suggested that health services and police forces have worked effectively together to improve police responses to mental health-related encounters[7]
  • research in 2017 highlighted international examples of how formal collaboration between criminal justice and public health agencies helped to reduce youth violence[8]
  • a 2022 study found that nurses and police officers could develop collaborative teamwork practices in police custody suites in England[9] [10]

There are examples of police forces working with health partners and other agencies to improve responses to vulnerable people in England and Wales:

  • Under drug diversion schemes, police refer people caught in possession of small quantities to voluntary sector treatment services, rather than prosecute for a possession offence. As of 2024, diversion schemes were operating in Thames Valley,[11] West Midlands,[12] and Durham police force areas.[13] The College of Policing and the University of Kent have received funding to evaluate these schemes, which is expected to be completed in 2025.[14]
  • The Right Care, Right Person model aims to reduce the deployment of police to incidents related to mental health and concern for welfare, and instead ensure that people receive support from the most appropriate health or social care professional. Humberside Police developed the model, which includes training for police staff and partnership agreements between police, health and social services.[15] From 2023, police forces nationally were beginning to adopt it, with support from the National Police Chiefs’ Council and the College of Policing.[16]
  • Violence Reduction Units (VRUs) bring together police, local government, health and education professionals, community groups and other stakeholders to provide a joint response to serious violence, including knife crime. The London Mayor’s Office for Policing and Crime established the first VRU in England and Wales in 2019. It states that it takes a public health approach to violence prevention,[17] including deploying youth workers in hospitals and police custody suites.[18] Between 2019 and 2022, the government funded 20 VRUs across England and Wales.[19] In 2019, the government provided funding for the Youth Endowment Fund, which funds and evaluates programmes in England and Wales that aim to prevent children and young people from becoming involved in violence.[20]

Since 2020, Scotland has seen increasing use of diversion from prosecution schemes.[21] In October 2024, the UK’s first official consumption facility for illegal drugs, including heroin and cocaine, was opened in Glasgow.[22]

Challenges and opportunities

In 2023, HM Inspectorate of Constabulary and Fire & Rescue Services noted how police forces were often the “service of last resort” doing the work of other public services, especially with regards to mental ill health.[23] For some vulnerable people, police custody may provide their only space for healthcare interventions.10 Both police forces and voluntary organisations suggest that, at a time when police capacity is under pressure, public health approaches can reduce the amount of time police officers spend dealing with people with complex health needs, who may be referred to other health, care or support services.[24],[25] However, this can also lead to demand and capacity pressures being displaced onto these services.

For example, drug diversion schemes may increase the demand on local drug treatment services, which themselves are facing significant pressures. In her independent review of drugs for the government in 2021, Dame Carol Black raised significant concerns about the capacity and resourcing of drug treatment services in England, and the impact of funding reductions.[26] The Criminal Justice Alliance has called for increased funding for local drug services, to accommodate people being diverted away from the criminal justice system.[27]

The government’s 10-year drug strategy (2021) committed to invest £533 million into local authority commissioned substance misuse treatment services in England from 2022/23 to 2024/25, as part of its aim to “rebuild local authority commissioned substance misuse treatment services in England”.[28] In 2023, the Home Affairs Committee called for all police forces in England and Wales to adopt drug diversion schemes.[29] It also expressed concern about the long-term sustainability and security of funding for the drug treatment and recovery sector.26

Similar pressures in mental health services have led to concerns about the safety of the national rollout of Right Care, Right Person. In November 2023, the Health and Social Care Committee identified urgent questions around the available funding for health services, and the lack of evaluation, in the rollout of the scheme[30] The Royal College of Psychiatrists and the Royal College of Nurses agreed that people with mental illness should be seen as quickly as possible by a mental health professional.[31],[32] However, they and other health, local government, and mental health charities, have expressed several concerns about the programme. These include: the speed and consistency of implementation, lack of funding, the potential for gaps in provision, and increased welfare risks.[33],[34],[35],[36]

Key uncertainties/unknowns

Outside the UK, some public health approaches have involved a significant shift away from enforcing drug possession for personal use through the criminal justice system.[37] For example:

  • Portugal decriminalised possession of drugs for personal use in 2001 and instead refers drug users to support and treatment.[38] Analysis of these measures from researchers and policy experts suggests decriminalisation led to reductions in problematic use, drug-related harms and criminal justice overcrowding.38,[39]
  • In the USA, Oregon trialled a policy in 2020 making drug possession a fineable offence.[40]
  • In Canada, British Columbia trialled an approach in 2023 that decriminalised possession of small amounts of certain drugs for personal use in specific non-public locations.[41]

Citing international examples, some drug policy experts have called on the government to go further in its adoption of a public health approach to drug use.37 The Home Affairs Committee stated in 2023 that the government’s drug strategy should have adopted a broader public health approach, and called for responsibility for misuse of drugs to be jointly owned by the Home Office and Department of Health and Social Care.26 In 2019, the Health and Social Care Committee recommended the government shift responsibility for drugs policy from the Home Office to the Department of Health and Social Care, and for the government to “look closely” at the Portugal model for decriminalisation of drug possession for personal use.[42]

However, Portugal’s approach has also faced criticism. For example, a research review in 2021 highlighted continued social and political resistance to some of the measures 20 years after being introduced.[43] A 2023 editorial in the Lancet highlighted how a recent rise in the use of illicit drugs in Portugal had led to renewed criticism of the policy.[44] More recently, some states in North America have reversed decriminalisation policies, reportedly due to adverse consequences of drug decriminalisation.33,[45][46]

This points to a mixed evidence base internationally for a fully public health approach to drug use. However, it may be difficult to compare international examples, given the different models of decriminalisation that have been adopted, and in a variety of social, economic, political and legal systems.[47]

Key questions for Parliament

  • Should the government do more to support the implementation of public health approaches to policing across England and Wales, considering both the police, and health, care and other local services?
  • Should the police continue to implement the Right Care, Right Person model? Do mental health services have sufficient resource and capacity to bridge the gap?
  • Should drug diversion schemes be rolled out across England and Wales? Do drug treatment services have sufficient capacity and resource to respond to increased demand on services?
  • Should the government go further in taking a public health approach to drugs by decriminalising drug possession for personal use?
  • How effective have government measures to reduce youth violence been?
  • What international comparisons are useful for implementation of public health approaches to policing?

 

Source: DOI: https://doi.org/10.58248/HS62

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