Author Archives: Sydney Drug Lawyers

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Sydney Drug Lawyers is a subsidiary of Sydney Criminal Lawyers® which specialises in drug cases.

Medicinal Cannabis: Legal But Inaccessible

By Sonia Hickey and Ugur Nedim

The Turnbull government passed the Narcotic Drugs Amendment Bill in February 2016. The ensuing legislation set up a licensing scheme to allow for “the cultivation and production of cannabis and cannabis resin for medicinal and scientific purposes.”

A handful of licences were issued within the first few months, and many more were in various stages of determination. Recognising it would be some time before locally produced cannabis-based products would be available, the Health Minister Greg Hunt set up an importation scheme.

But two years after the legislation was enacted, medicinal cannabis is still notoriously difficult to access.

Benefits of medicinal cannabis

The potential value of medicinal cannabis in treating a wide range of conditions has been confirmed by scientific research in a number of countries.

The medicine has been found to ease the discomfort associated with chemotherapy, to treat the symptoms of Alzheimer’s disease and multiple sclerosis and to reduce seizures in cases of severe epilepsy. Cannabis medicines have also been widely recognised for their ability to provide relief for those living with chronic pain.

The problem is that doctors can’t prescribe the medicine unless they have been specifically authorised to do so. And even if they could, it is unlikely the local chemist would stock what you need. And on top of that, the limited availability makes the cost of the medicine beyond the reach of ordinary people.

In fact, the very same federal and state laws that made medicinal cannabis legal have such restrictive rules and regulations, that accessing the medicine is impossible for many.

Bureaucracy limits access

Medicinal cannabis campaigners such as Lucy Haslam are baffled – they say there are hurdles at every step of the process, from cultivating the plant and manufacturing the medicine, through to prescribing and dispensing it to patients.

Only one medicinal cannabis product has been approved by the Therapeutic Goods Administration (TGA) – the government department that allows medications to be legally distributed in Australia.

To legally obtain any other cannabis-based product, patients must apply to the government on an individual basis. If the product contains THC – the element that gives cannabis its dissociative effect – approval is required from both the state and federal governments.

Applications must be completed by a specialist medical practitioner, not a local GP, and the specialist must establish a case for why medicinal cannabis should be used instead of another drug that already exists on the TGA register.

Doctors and even politicians assert that the process is so complex and inconsistent that it is unworkable.

Of the 64 applications for access to medicinal cannabis made to NSW Health between August 2016 and October 2017, more than 40 were sent back for further information. Eighteen were rejected entirely.

Only a handful of people have so far been granted access to medicinal cannabis – roughly 150 people across the entire country.

As mentioned, another barrier is the high cost of treatment – making medicinal cannabis products unaffordable for many ordinary Australians, and is not covered by Medicare.

It is hoped that when Australia begins to actually establish its own local production, supply will increase and the medicine will be more affordable.

The black market is thriving

It has been reported that as a result, the unauthorised supply of cannabis medicines is thriving.

There are producers who are simply trying to do the right thing – to provide a medicine to chronically ill people which they cannot otherwise access.

They have seen the benefits of the drug first hand. But despite their goodwill, these suppliers are being raided, arrested, charged and sent to court to face the prospect of a criminal record or even imprisonment.

Meanwhile, the bureaucracy continues to fail those in need.

Drug Supply Charges for Cough Medicine Ingredient Dismissed

By Paul Gregoire and Ugur Nedim

Matthew Woods and his co-accused Phillip Kandarakis were arrested in April 2014, and charged with the supply of a prohibited drug under section 25(2) of the Drug Misuse and Trafficking Act (DMT Act).

Officers from Strike Force Taipan executed a warrant at Barrack Heights, where they seized 4,993 grams dextromethorphan. The weight was not less than the large commercial quantity of the drug.

The pair were charged with supplying the drug between 20 March and 2 August 2013. The maximum penalty for the offence of supplying a large commercial quantity of a prohibited drug is life imprisonment and/or a fine of $550,000.

Dextromethorphan is a common active ingredient in over-the-counter cough medicine. On the streets, the drug is known as “dex,” or “poor man’s PCP.” The drug can produce a euphoric or hallucinogenic effect on those who use it.

The quantity found at Kandarakis’ property had been sourced in India, and then forwarded to Sydney. It was claimed the drug was going to be used in a salted mix for cows.

Dextromethorphan is an isomer of the drug methorphan. An isomer is a molecule that has the same molecular formula as another molecule, but has a different chemical structure.

Disputing the charge

Before a jury was empanelled, Mr Woods’ lawyers made an interlocutory application to NSW District Court judge Helen Syme to quash the indictment on the basis dextromethorphan is not a prohibited substance under the DMT Act.

Section 3 of the Act outlines that a prohibited drug “means any substance, other than a prohibited plant, specified in schedule 1.” A substance “includes preparation and admixture and all salts, isomers, esters or ethers of any substance and all salts of those isomers, esters and ethers.”

Schedule 1 lists the traffickable, small, indictable, commercial and large commercial quantities of all prohibited plants and drugs. Methorphan, along with levomethorphan (another isomer of methorphan), are listed in the schedule. However, dextromethorphan is not.

Schedule 1 of the DMT Act also includes an analogue provision.

This subsection states that a prohibited drug also includes any unlisted related drug if it is either “a structural isomer having the same constituent groups as the drug,” or if it is “a structural modification obtained in one or more of the following ways…” And a long list of ways is outlined.

“Under the analogue provision, where a substance that is not a prohibited drug has psychotropic properties, and is structurally similar to a prohibited drug in specified ways, it is treated as a prohibited drug for the purpose of the Act,” explained Liberal MLC Matthew Mason-Cox in 2013.

The findings of the trial judge

Both the prosecution and defence tendered statements from experts. And there was little disagreement between them.

They agreed that an isomer can either be a structural isomer or a stereoisomer. A structural isomer has the same molecular formula as another molecule, but a different bonding arrangement between atoms. Whereas, a stereoisomer has both identical molecular formula and arrangement of atoms.

Dextromethorphan is a stereoisomer of methorphan, but not a structural isomer.

Judge Syme concluded that as dextromethorphan is an isomer of methorphan, but not a structural isomer, it is not capable of being included in the analogue provision of schedule 1 of the DMT Act.

However, Her Honour found that dextromethorphan does appear in the Poison and Therapeutic Goods Act 1996 as a restricted substance. And this Act contains offence provisions for the supply of restricted substances.

The judge ruled the drug was prohibited, as she found no conflict between the two Acts.

The Crown concedes

Mr Woods appealed Judge Syme’s interlocutory judgement to the NSW Court of Criminal Appeal (NSWCCA) on the sole ground “that her Honour erred in finding that dextromethorphan is a prohibited drug under the DMT Act.”

On 31 August last year, the Crown conceded that dextromethorphan was not a prohibited substance for the purposes of the DMT Act, and that Her Honour had made an error.

The Crown’s concession was that the definition of a prohibited drug in section 3 of the DMT Act “means” any substance specified in schedule 1, including the analogue provisions.

Both parties agreed that the definition of substance is the “preparation and admixture and all salts”, which means the total weight of the substance found, not merely the weight of the drugs contained within that substance.

So, for example, if the total weight of a white powder is 1 kilogram, but an analysis of the substance finds that it is only 25 percent heroin and the rest is something else, the accused will be charged in respect of 1 kg of heroin for a NSW state offence such as possession or supply, not with 250 grams of the substance.

The Crown conceded that substance is not meant to work as a “catch-all” for all substances that are not listed within schedule 1, or covered in the analogue provisions.

This was consistent with the argument made by Mr Woods’ lawyers.

The NSWCCA was told that that if the trial judge was correct, then the list of chemicals specified as prohibited substances would expand “far beyond those considered to be prohibited drugs under either the explicit list included in the schedule or those brought within the schedule by the analogue provisions.”

The NSWCCA findings

The NSWCCA agreed with this line of argument. They therefore allowed the appeal, vacated the judgement, and quashed the indictment. On 2 February this year, the court also ordered the state to cover Mr Woods’ legal costs.

“The effect of this court’s decision is that the applicant had been charged with an offence unknown to law,” the NSWCCA justices found. “No further proceedings under the DMT Act can be brought against him for the supply of dextromethorphan, as it is not a prohibited drug.”

Moves underway to ban the substance

Following the findings of the NSWCCA, NSW attorney general Mark Speakman announced the government was looking into classifying dextromethorphan as a prohibited drug.

A spokesperson for the attorney general said dextromethorphan had been referred to the government’s committee that makes recommendations about adding substances to the DMT Act list.

“Although it is a substance that can be abused, it also has legitimate medicinal uses,” the spokesperson remarked.

Dextromethorphan has not yet been not listed in schedule 1 of the DMT Act, although it remains a ‘restricted substance’ and is heavily regulated under the provisions of the Poisons and Therapeutic Goods Act.

Less Teens Smoke Weed When it’s Legal

By Zeb Holmes and Ugur Nedim

Countries which move towards legalising the recreational use of cannabis invariably face the conservative outcry that such a move will result in an upsurge in demand.

However, there is a growing body of research to suggest that not only is the link between cannabis legalisation and increased use a myth, but legalising the drug may result in less young people being attracted to its mystique or using it to rebel.

Recent study

A recent study of 216,000 adolescents in the US over a 12 year period suggests that less teenagers are using cannabis in states where its possession and use have been legalised, than when these activities were a crime.

Researchers at the Washington University School of Medicine in St. Louis also found that the number of adolescents with “cannabis-related problems” — such as dependency coupled with trouble in school and relationships — declined by up to 24 percent in jurisdictions that legalised the drug.

The study found that up to 10 percent fewer teenagers in those states had reported using marijuana.

The researchers further found reductions in behavioural problems, including fighting, property crimes and selling drugs.

Causation

This study looked at adolescent behaviour between 2002 and 2013, with this period being shortly after medical cannabis was first legalised in 1996, with greater liberalisation following in the years thereafter.

“We were surprised to see substantial declines in marijuana use and abuse,” said lead researcher Richard A. Grucza. He qualified this by pointing out that the research suggested a correlation and not necessarily a causation relationship.

“We don’t know how legalisation is affecting young marijuana users, but it could be that many kids with behavioural problems are more likely to get treatment earlier in childhood, making them less likely to turn to pot during adolescence,” he added. “Whatever is happening with these behavioural issues, it seems to be outweighing any effects of marijuana decriminalisation.”

Benefits of decriminalisation

Twenty percent of Americans now live in states where the use and possession of small quantities of cannabis are no longer a crime.

State surveys of young people in Colorado, Washington, Oregon, and Alaska suggest that after decriminalisation, the number of students who had tried the drug remained stable, rather than increased as predicted by conservatives.

Meanwhile, these states have benefited from tens of millions in extra tax revenue. Colorado, for example, brought in $129 million in its second year of legalisation and Washington welcomed $220 million extra into its coffers.

But perhaps the greatest financial benefit is the fall in expenditure upon enforcement – from policing, to prosecution through the court system, to prison expenditure. And there are flow on social benefits, with less drug users being drawn into the crime cycle and all the harm that flows from it.

Portuguese experience

Portugal stands as the worldwide model for drug decriminalisation. In 2001 the Portuguese government took the unprecedented step of decriminalising all illicit substances, from marijuana to crystal methamphetamine to heroin.

In 1999, around one percent of the population in Portugal was addicted to heroin. The nation also reportedly had the highest number of drug-related AIDS deaths in the European Union. The government had been waging the usual war on drugs since the 1980s, but it wasn’t working.

But since decriminalisation, Portugal’s drug-induced death rate has fallen top three per million residents, which is five times lower than the European average. By 2014, the number of new drug-related HIV infections had plummeted to 40, compared with 1,016 thirteen years prior.

And drug use among teenagers in grades 10 through 12 has dropped by over third since decriminalisation.

The Portuguese drug policy has been so successful that the ultra-conservative and quasi-judicial body, the International Narcotics Control Board, lauded it as exemplary in December 2015.

The Drug is Legal to Import but Potentially Illegal to Possess

By Sonia Hickey and Ugur Nedim

Users think they’re buying GHB, but they’re actually getting a substance that can be far more dangerous.

Because the drug is legal to import under Commonwealth laws (which govern the importation of substances), the drug has become readily available on the street, at parties and nightclubs across the nation for just $15.

The product is called “Bute”, and is also known as “One-Four”. It’s a clear liquid which is often sold in small, fish-shaped containers, like the ones you might get with your take-away sushi.

Dealers often sell the drug as GHB, but they’re actually selling a solvent named 1,4 Butanediol, which is used in car repairs and during the manufacture of plastics including Lycra.

When Bute is swallowed, the chemical is turned into GHB by the liver, but not immediately. Because it takes three times longer to kick-in than real GHB, users can find themselves disappointed there’s no immediate effect and swallow extra doses, which can lead to harm or even death.

The depressant impact of the drug is exacerbated when taken in combination with alcohol, which police say makes it a real problem on the party scene.

Dealers’ drug of choice

Many dealers prefer to supply Bute over GHB, and it’s easy to see why.

To make real GHB, you need to obtain and process the right amount and type of chemicals in the right way, and to do that you need a manufacturing area. It’s a complex process compared to the procurement of “Bute,” which can be easily obtained over the internet.

What’s more, Bute can often be imported without suspicion of wrongdoing, because it has a range of industrial applications.

The procuring of Bute is relatively easy – as simple as setting up a fake business and importing the drug under that name. This means dealers are less likely to be detected and prosecuted, and trading in the drug can be highly profitable. 200 litres of Bute has a wholesale price as low as $2000, generating astronomical margins when distributed in tiny containers.

We’ve recently heard reports of ‘bad batches’ of GHB, resulting in overdoses and other health crises at dance parties, festivals and nightclubs. However, police now suspect the deadly drug is not GHB at all, but Bute.

Most Bute comes from China, and Australian Border Force officers have reported coming across large and unexplained importations of the chemical on a daily basis.

Strong word of warning

Although Bute is legal to import under Commonwealth law, it is classified as a prohibited drug under Schedule 1 of the Drug Misuse and Trafficking Act 1985 (NSW) and is therefore illegal to possess or supply under the provisions of that Act.

This essentially means that those who import the substance by relying upon Federal law may potentially still be prosecuted for drug possession or supply under state legislation.

In fact, those who are found in possession of a ‘traffickable quantity’ of Bute – which is not less than 30 grams – may be charged with drug supply even where there is no evidence that they actually supplied or even intended to supply the drug.

This due to the law of ‘deemed supply’ (section 29 of the Drugs Act) which says that a person found in possession of a traffickable quantity is guilty of supply unless they can prove it was possessed for something other than supply eg for personal use only.

Indeed, the inconsistency between federal and state legislation potentially puts legitimate importers of Bute at risk of being mistaken for drug suppliers and potentially prosecuted.

Reported cases

The Age has reported two cases of how the legislative inconsistency is being taken advantage of by drug dealers.

The first case involved a career drug supplier who was caught by police with several illegal products, plus 40 litres of Bute.

He argued in court the Bute was intended for legitimate industrial purposes, his prior convictions could not be disclosed, and the jury ultimately found him not guilty, after directions about the fact that Commonwealth legislation prevails over the State legislation to the extent of any inconsistency.

Another supplier was caught with a small amount of what he genuinely thought was GHB, and was surprised when police tested it positive for Bute.

Eventually, realising how easy (and legit) it is to order the chemical online, the supplier reportedly registered himself as a cleaning company, leased a warehouse and began to import tonnes of the stuff despite having no clients and no equipment.

‘The next big thing’

Around 40% of Australian adults have admitted using an illicit substance at some point in their lives.

In terms of supply, are more than 100,000 drug seizures in Australia every year and the market continues to grow.

Police have expressed concerns over Bute and also about “the next big thing”, which they say is Carfentanil – a Chinese product  which is up to 10,000 times as powerful as morphine, and is used to sedate large animals such as elephants.

A number of fatal overdoses from Carfentanil have been reported in Canada and the US, and front line health care workers are said to be bracing themselves to deal with patients who present with overdoses from the drug.

Heavy Police Presence at this Year’s Splendour in the Grass

More than 260 people were arrested for drug offences by the time last weekend’s Splendour in the Grass music festival wrapped up on the northern New South Wales coast.

The police presence was unmistakable at the popular annual event – with interview and frisk tents set up just inside the entrance gates, and a high visibility police operation in full swing involving counter-terrorism police, sniffer dogs and the public order and riot squad.

In addition to specialist police and private security guards, 150 regular police officers patrolled the grounds. Tough security measures including a ‘no-backpacks rule’, and scanning with an electronic wand were implemented to “avoid terrorist attacks”.

While police were primarily targeting illegal drug use and anti-social behaviour, they also charged five people with assault and issued 65 criminal infringement notices to people who allegedly entered the event without valid tickets.

But dealing with charges for drug possession was what kept police busy – with cannabis, ‘ice’, ‘ecstacy’ and cocaine topping the list.

Twelve people were also charged with drug supply, including a 21-year old man who was allegedly found in possession of 60 ecstasy pills. 76 people were issued with cannabis cautions, and 142 were ordered to attend court.

Concealing drugs internally

Police say they detected an increase in the number of people attempting to conceal drugs inside their bodies this year.

Allegations also surfaced that school girls aged just 16 and 17 were acting as drug mules – filling condoms with drugs and coating them in peanut butter before inserting them into their bodies, hoping the peanut butter would conceal the scent of the drugs.

Sniffer dogs and pill testing

The use of drug detection dogs has always been controversial, but the debate around their effectiveness heightened after a spate of deaths at music festivals around Australia in 2015 and 2016.

Many believe sniffer dogs are ineffective and can lead to dangerous behaviours. Statistics from 2015 show that NSW police carried out 12,893 bodily searches resulting from positive indications by sniffer dogs, of which a whopping 69 percent turned out to be false positives – where no drugs are found.

In terms of behaviour, the presence of sniffer dogs has been linked to ‘pre-loading’ and ‘loading up’. The former is where users take large amounts of drugs before arriving at the festival, while the latter involves take significant quantities upon seeing police approaching. The practice has been linked to a number of deaths from overdoses in 2015 and 2016.

For many years, health experts have lobbied for pill testing to be introduced at festivals across Australia, whereby festival-goers are able to have their drugs tested for dangerous additives and high purity levels. Pill testing has been used in a number of European countries for years, and proving to be highly successful in reducing hospitalisations and deaths from overdoses.

Man Advertises Cocaine for Sale

By his own admission, Jamie MacDowell made a “stupid” decision recently.

The Scottish tourist posted an online ad in a local Gold Coast classified which read:

“Got some good coke in Surfers. $300 a g.”

Just hours later, who else but an undercover police officer sent him the following text message:

“Hey, looking for Cola on the GC.”

The pair arranged to meet at Cash Converters on the southern end of the Coast to complete the deal.

Unbeknownst to the officer, MacDowell’s “coke” was actually granulated ibuprofen.

Police nevertheless arrested and charged MacDowall with supplying a prohibited drug.

He pleaded guilty in Southport District Court, where Judge Katherine McGinness was taken aback by the foolishness of the man before her.

“How you did not think you would be caught is unbelievable,” Her Honour remarked.

“Didn’t you make a stupid decision?”, she asked. “Yes, very stupid”, MacDowell replied.

The hapless dealer’s criminal defence barrister explained that his client was “desperate for money to pay for rent and food” as he was “between jobs”, which is why he concocted the doomed plan.

Even though the substance was not an illegal drug, the fact MacDowell represented it as so meant he was still guilty of drug supply under Queensland law.

He was ultimately slapped with an $800 fine but escaped a criminal conviction.

He is expected to return to Scotland in the near future.

Selling fake drugs in NSW

In NSW, a person who misrepresents a substance as a prohibited drug, poison, plant or psychoactive substance is similarly guilty of supplying that substance.

In that regard, section 40(1) of the Drug Misuse and Trafficking Act 1985 (NSW) provides that:

“A substance (not being a prohibited drug) which, for the purpose of its being supplied, is represented (whether verbally, in writing or by conduct) as being a prohibited drug… shall… be deemed to be a prohibited drug…”

Subsections (1A), 2 and 3 apply to poisons, prohibited plants and psychoactive substances respectively.

A fine but no conviction?

Courts in Queensland are permitted to impose fines for criminal offences without also having to record convictions.

The situation in NSW is different. Here, any person who is given a fine for a criminal offence will also have a conviction recorded against their name.

The only way for a guilty person to escape a conviction in NSW is to receive a ‘section 10 dismissal or conditional release order’ – which means guilty but no conviction recorded.

A non conviction order can come with a good behaviour bond of up to two years, but cannot be accompanied by a fine.

Don’t post online!

Mr MacDowall’s case is certainly not the first time the internet has been instrumental in helping police detect drug offenders.

Also on the Gold Coast, a man who posed for a sexy bathroom selfie with a stash of marijuana and posted it online in 2015 found himself quickly arrested for possessing a prohibited drug.

And a Lismore man who recently took a video of his $700k marijuana crop and posted it on Facebook, also found police on his doorstep executing a search warrant and placing him under arrest.

Government May Allow Pill Testing at Music Festival

By Zeb Holmes and Ugur Nedim

Canberra’s Spilt Milk festival could be the first in Australia to permit pill-testing, with the ACT government currently considering the move.

“It’s fantastic news. We’ve now heard that the ACT Government and the Chief Minister himself are looking at pill testing for the end of this year at Spilt Milk,” the Ted Noffs Foundation’s chief executive Matt Noffs stated.

The Ted Noffs Foundation works with young people who are struggling with addiction, and has been lobbying state and territory governments to allow spectrometer technology at music festivals since 2014.

How it works

Pill-testing technology has been widely used at festivals in Europe and has been proven to reduce the incidence of overdoses by informing users of the composition of their substances, and thereby allowing them to make informed choices about whether to ingest the drugs and, if so, how much.

It works by festival-goers providing a small sample of their drugs to a licensed forensic chemist at the festival. That person runs the sample through a process called ‘gas chromatography mass spectrometry’, which identifies every chemical found, including the presence of impurities and dangerous fillers. A second test can determine the percentage of each substance that it present.

The entire procedure can be completed in as little as 30 minutes.

Preventing deaths

Australians are among the highest users of ecstasy in the world, and many who use what they assume to be MDMA have no idea about the actual composition of the substance they are purchasing.

Several recent deaths have been attributed to toxic fillers inside ecstacy pill, and the ingestion of large quantities of unusually pure tablets.

A pill testing kit could detect impurities as well as fluctuations in purity levels, and one of the tasks of the forensic chemists who administer the tests is to advise users of the dangers of ingesting the drugs that have been tested.

Pill testing has also led to greater consistency in purity levels and reduced the presence of deadly substances in European countries where the measure is used, as manufacturers and suppliers who deal toxic substances are easily identified – which can affect their bottom line.

Users act on the advice of testers

Dr Lynn Magor-Blatch, the executive officer at the Australasian Therapeutic Communities Association and professor at the University of Wollongong, has been working in drug prevention for 38 years.

“Certainly what we’ve seen from the evidence overseas is that if pills are tested and found to be unsafe people don’t take them,” she remarked. “People want to stay alive. If drugs are bad they will chuck them out and don’t go on and then find something else.”

Australia’s National Drug Strategy of Harm Minimisation found that 25 per cent of tested substances were discarded by users at the United Kingdom’s Secret Garden Party in 2016.

Research suggests that the advice from testing chemists can make users re-think their decision to take drugs altogether.

“It actually has a positive effect — there’s an opportunity for an early intervention, somebody to be actually talking to them, providing them with information and to get help,” Dr Mgor-Blatch said.

Organisers in favour of testing

Organisers of the annual ‘Yours and Owls’ Festival in Wollongong in September have made it clear they are keen to introduce pill-testing if the NSW government allows them to do so.

“We are definitely interested in exploring the idea. It’s very important that people are as safe as they can be,” Organiser Ben Tillman stated.

“It’s obviously a conversation that needs to include the police and the NSW Government so there’s no confusion and people know that it’s okay to use the tests without incriminating themselves and ending up in gaol.”

Mr Tillman pointed out that the fact drugs are illegal does nothing to deter use, and that harm minimisation measures such as pill testing are an important way to keep patrons safe.

Public support

An Essential Media poll released earlier this year found that 57 percent of Australians support a roll-out of pill testing services across the nation, while only 13 percent opposed the idea. It was surprising to many that support was highest amongst those aged 55 and over.

Will Tregoning of harm minimisation group Unharm says the research suggests a “shift in the dynamics of the issue,” as what used to be seen “as a fringe proposal” now has widespread mainstream support.

“It’s a sign that this makes sense to people. They understand why it’s important,” he stated. “Regardless, of what you think about illegal drugs, it’s important that people who are using these substances can actually find out what’s in them.”

However, police minister Troy Grant has rejected the idea of pill testing, claiming it sends the wrong message and encourages illegal activity.

Australian Medical Association President Calls for Drug Decriminalisation

By Zeb Holmes and Ugur Nedim

The Australian Medical Association’s Western Australian president says it’s time for a new approach to illegal drugs, calling for personal drug possession to be decriminalised.

Dr Andrew Miller believes it’s time to heed the success of countries like Portugal, and treat drug use as a health issue rather than a criminal law problem.

Situation in WA

Western Australia is said to be in the midst of a ‘ice epidemic’, with emergency departments seeing significant increases in admissions by ‘ice’ users in recent years.

While the national average of daily methamphetamine consumption is about one ‘hit’ for every 28 people, in Perth it’s about one per 17 people.

The 2013 National Drug Strategy Household Survey suggested that 3.8% of the WA population had used methamphetamine in the prior 12 months, well above the Australian average of 2.1%. And frontline doctors believe the last few years have seen a rise in these figures.

Proposed model

Dr Miller says that at the very least, there must be a “mature debate” on how the state treats drug users.

He wants the WA government to consider trialling the Portuguese model, where possession and use of illicit drugs remains illegal, but anyone caught with small quantities is fined and/or sent for treatment, instead of to court for punishment.

“The AMA’s position is that illicit drug use is bad for people and it’s bad for the community and we need to look again at what the best ways are to minimize the harm that drug addiction brings to families in WA every day”, the doctor said.

He added that decriminalisation would save the community millions of dollars, allow more resources to be invested in prevention and diversion, and lead to better outcomes for both users and the community.

“The current situation’s not working, there’s a lot of harm from drugs and there’s a lot of harm from people going to jail,” the doctor remarked. “The one thing we’re not seeing enough of is money spent on rehabilitation, money spent on health intervention.”

Political response

Despite the chorus of health experts calling for decriminalisation, West Australian Premier Mark McGowan is adamant that no such thing will occur in his state.

“We’re not going to decriminalise drugs in Western Australia, full stop,” Mr McGowan declared, adding that while he supports treatment programs for users, decriminalisation is not the answer to the issue of drugs.

“You need to have a mix of solutions, and what we want to have is that mix of education, treatment, as well as the force of law,” he stated. “Our focus is using our prison system as a punishment mechanism but also providing opportunities for people to get off drugs.”

Federal Justice Minister Michael Keenan went even further, claiming that moves towards decriminalisation would be “reckless and dangerous”.

Broader effects of drug law

Portugal reformed their drug laws 2001, treating drug addiction as a health issue rather than a crime. The move has not increased drug use as predicted, but it has significantly lowered deaths and injuries from overdoses, the spread of HIV and other infections, and the costs of enforcement.

A joint Australian and UK study in 2010 looked into the effect of the reforms, finding that in addition to the above, the move has led to fewer school students using drugs. The model has been hailed as a resounding success around the world.

Premier McGowan was recently asked about the Portuguese experience, and admitted being unaware of it. He then went on to speak about the Perth Drug Court. The admission almost beggars belief in the context of his responsibilities and proposals, and he would be well-advised to at least look into the country’s success.

Details of the Portuguese experience

Before drug decriminalisation, one percent of the Portuguese population was dependent on heroin and the nation had the highest number of drug-related HIV/AIDS deaths in the European Union.

Sixteen years later, the current drug-induced death rate in Portugal sits at three per million residents, which is one-fifth of the European average. Drug-related HIV infections plummeted to just 40 in 2014, compared with 1,016 in 2001. Meanwhile, drug use recorded in the categories of ‘past-year’ and ‘past-month’ were lower in 2012 than 2001.

As the Transform Drug Policy Institute found during its analysis of Portugal’s drug laws, “The reality is that Portugal’s drug situation has improved significantly in several key areas. Most notably, HIV infections and drug-related deaths have decreased, while the dramatic rise in use feared by some has failed to materialise.”

There is no reason other developed countries like Australia could not reap the same benefits through a sensible, evidence-based approached.

Police Boast of Another Win in the War Against Drugs

Crystal methamphetamine, also known as ‘ice’, with an estimated street value of $101 million has been seized off the coast of NSW and five men have been charged with commercial drug importation.

It has been reported that the AFP, NSW Police Force, Australian Border Force and Chinese authorities worked together for several months to intercept the 100 kilograms shipment.

Chinese authorities raided a shipping container being used to send two tonnes of steel to Sydney. The drugs were allegedly hidden inside the floor of the container. A Fijian man, an Australia, and three other men, believed to be Central Asian, have been arrested.

The Fijian and Australian have already faced court and were refused bail. They will appear in court again next month.

Police say they delayed announcing details of the bust due to ongoing inquiries, and out of respect for visiting Chinese Premier, Li Keqiang, who departed Australia yesterday.

Recent drug busts

Police suggest that further arrests may occur, and have praised the co-operation between local and international law enforcement agencies.

Police say that last November, they broke up a $54 million ice operation on Sydney’s Northern Beaches, seizing three barrels containing around 90 litres of liquid methamphetamine at Palm Beach. A fishing vessel off the coast of Hervey Bay in Queensland was also intercepted. Eight people were arrested.

Since November 2015, almost 7.5 tonnes of illicit substances have been seized, worth an estimated street value of $2 billion.

Authorities attribute the busts to intelligence exchanges with other international drug agencies, which they believe is crucial to detecting and arresting offenders.

On Christmas day 2016, 500 kilograms of cocaine was seized at Brooklyn on the NSW Central Coast. Police allege the same syndicate was attempting to import another 600 kilograms of the drug into Australia, but the shipment was intercepted by the French Navy.

And just last month, six men were arrested after $300 million worth of cocaine was found in a boat moored off Jervis Bay.

Ice and Cocaine are Australia’s ‘biggest problem’

New research facilitated by the Australian Criminal Intelligence Commission (ACIC) in conjunction with university researchers, suggests that cocaine use is widespread in Sydney, and that the use of ‘ice’ is on the rise in many rural areas.

The research is based on data obtained from sampling wastewater at 51 sewage treatment plants — which service 14 million Australians — in city and ¬regional areas across the country.

Of the 13 drug types tested, NSW topped the list for cocaine with double the amount of the party drug used in Sydney compared with other capital cities.

Much of the previous research relied on self-reporting by users, police arrest data and medical and emergency department statistics to determine the extent of drug use. The move to wastewater analysis promises to paint a more accurate picture of trends in drug manufacture and usage.

Drug use is a health issue, and should not be treated as a crime

By Zeb Holmes and Ugur Nedim

The authors of an article published in the Medical Journal of Australia have joined the chorus of health experts calling for an emphasis on harm reduction measures and government regulation when it comes to drug use, rather than trying to arrest our way out of the problem.

The peer-reviewed article, titled ‘Beyond ice: rethinking Australia’s approach to illicit drugs’, argues that drug use should be classified as a health issue, rather than a criminal law problem which is dealt with through greater investment in law enforcement and harsher penalties.

Easy access despite punitive measures

The article’s authors, Matthew Frei and Alex Wodak, cite figures which suggest that the demand for ‘ice’ has continued to rise despite the implementation of punitive measures.

The report’s findings are consistent with what many have been saying for years – that the ‘war against drugs’ has been lost.

Surveys suggest that between 2009 and 2014, the percentage of drug users who found it “easy” or “very easy” to obtain ice increased from 65% to 91%. This is despite a concerted effort by law enforcement to stop the manufacture and importation of drugs, which has contributed to drug seizures rising from 160 kg in 2011–12 to almost 1500 kg in 2012–13.

The 2014 Illicit Drug Reporting System found that the mean age for ice users is 40 years, that they are more likely than the general population to be unemployed, and that they generally engage in multiple or polydrug use. This suggests there is a strong demand for the drug amongst seasoned users.

Failure of punitive approach

The focus of the 2016 National Ice Taskforce Report was to evaluate preventative and diversionary initiatives and make recommendations, rather than criminalisation strategies.

Former Victorian Police Commissioner Ken Lay acknowledged during the taskforce’s deliberations that “we can’t arrest our way out of the problem”.

“Over the past two decades in Australia we have devoted increased resources to drug law enforcement, we have increased the penalties for drug trafficking and we have accepted increasing inroads on our civil liberties as part of the battle to curb the drug trade”, he stated.

“All the evidence shows, however, not only that our law enforcement agencies have not succeeded in preventing the supply of illegal drugs to Australian markets but that it is unrealistic to expect them to do so.”

Skewed priorities

In an attempt to address the issue of drugs, Australian governments have allocated two-thirds of spending on law enforcement, and only 21% on treatment programs, 9% on preventative programs and 2% to harm reduction measures. And importantly, these figures do not take into account the enormous amount of money spent on keeping drug offenders behind bars.

Professor Nicole Lee, from the National Drug Research Institute, told MJA InSight that “while we focus on the use of drugs, we will continue to implement ineffective strategies, such as arresting people for use and possession”, adding, “if we focus on harms, we start to implement effective strategies, including prevention, harm reduction and treatment.”

Prison populations have continued to increase as the war on drugs continues, surging by 16% over the past two years, with the rise primarily attributed to more arrests, tougher bail laws and longer sentences.

And sadly, prison has proven to be an ineffective means of breaking the cycle of crime – with 48% of NSW inmates returning to prison within just two years of release, according to 2014–15 Productivity Commission data.

The way forward

The MJA article calls upon governments to regulate drugs, citing Australia’s success in reducing tobacco consumption through regulatory measures.

Matt Noffs, CEO of the Noffs Foundation, agrees with this approach.

“We banned tobacco advertising, and we’ve done this better than any other country. We made it harder to get and harder to smoke, we made it more expensive, and all of these measures have led to a decrease in smoking and, therefore, a decrease in people being harmed by it”, he remarked.

Dr Wodak believes an important first step is to view drug use as a health and social problem, rather than something we need to punish. “People who need help don’t just need health assistance; they need social help with housing and training in employment,” he said.

Harm reduction

While conservative politicians gawk at a regulatory framework, measures such as methadone programs and injecting rooms have proven to be extremely successful in reducing the harm associated with the use of heroin.

As observed by Professor Lee, “[h]arm reduction strategies such as pill testing, needle syringe programs, early closing for venues selling alcohol and safe injecting facilities significantly reduce harms to people who use alcohol and other drugs and the community”.

The MJA article’s authors note that, “British politician Denis Healey was fond of saying ‘if you find yourself in a hole, stop digging’. It’s time Australia took his advice when responding to illicit drugs.”