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CARDS 2004, Component 4 Early Warning System

CARDS 2004, Component 4 Early Warning System. Tim Pfeiffer-Gerschel National Focal Point for the EMCDDA, Germany. Different perspectives. National needs and interests European requirements. Different perspectives. National needs and interests European requirements. Again: Background….

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CARDS 2004, Component 4 Early Warning System

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  1. CARDS 2004, Component 4Early Warning System Tim Pfeiffer-GerschelNational Focal Point for the EMCDDA, Germany CARDS 2004 - EWS

  2. Different perspectives • National needs and interests • European requirements CARDS 2004 - EWS

  3. Different perspectives • National needs and interests • European requirements CARDS 2004 - EWS

  4. Again: Background… • 1995: Joint Action on the information exchange, risk assessment and the control of new synthetic drugs • 2005: Council decision on the information exchange, risk assessment and the control of new psychoactive substances CARDS 2004 - EWS

  5. Council decision – extended scope Extension • Inclusion of biogenic drugs • Inclusion of misuse of pharmaceutic drugs • Cooperation EMCDDA - EMEA Limited reactions • Risk assessment no longer mandatory CARDS 2004 - EWS

  6. Different perspectives • National needs and interests • European requirements CARDS 2004 - EWS

  7. General approach Risk: Overinterpretation Local Panel Comparision withexisting information Information Chance: Sensitivity Validation Coordination:NFP CARDS 2004 - EWS

  8. Key elements – national level Health andEpidemiology Others Laboratories National Focal Point(validation, notification) Law enforcementsources Outreachsources Treatmentsources CARDS 2004 - EWS

  9. Routes of reporting New psychoactive substance from police sources New psychoactive substance from health/care system Federal Criminal Police, BKA REITOXFocal Point European Police Office (Hague) EMCDDA(Lisbon) Information on the manufacture, traffic and use, possible medical use Report European Commission(EC) European Medicines Agency (EMEA) CARDS 2004 - EWS

  10. Problems… • Delays in toxicological analyses • Difficulties in providing a fast response • High costs and efforts for chemical analyses • Restricted application • Exchange of information between police, treatment system and NFP • Problems with operational data • Problems to link effects and (new) substance CARDS 2004 - EWS

  11. Framework • No Pill-testing: political, legal and technical aspects • Systematic data collection nearly exclusively by police • Limited feed-back to treatment system • Additional input: • Toxicology information centres • Regional EWSs in Hamburg and Frankfurt CARDS 2004 - EWS

  12. But… Active network, experts from… • Treatment centres (Frankfurt) • Regional monitoring systems (Frankfurt, Hamburg) • Police (Federal Criminal Police) • Emergency hotlines • Federal Institute of Pharmaceutical Devices • Representative of Länder-level CARDS 2004 - EWS

  13. Complementary elements Broad Concept (1) (2) • „Minimal solution“ • Re-analyses ofexisting data • Optimisation of analyses and information workflow • Establishment of anadditional network • Link to existing datasources CARDS 2004 - EWS

  14. What has happened during CARDS 2004? CARDS 2004 - EWS

  15. Aim… (Intervention logic) • Assessment regarding needs and requirements for an early warning system • Development of an Early Warning System (EWS) on new psychoactive substances • Adoption by relevant ministerial and governmental commissions • Preparation of implementation through training of key staff • Practice oriented assistance in the implementation CARDS 2004 - EWS

  16. Steps taken • Assessment regarding existing structures and future requirements for EWS Management System • Multidisciplinary working group formed(Ministry of Interior: Police Directorate and Forensic Laboratory, Ministry of Health and Social Welfare, Institute of Public Health, Medical University, State Attorney Office, Treatment Centres) • Draft of new EWS developed based on own experiences, EMCDDA requirements and experiences from MS: Protocol and interministerial agreement • Study visit to Austria and Germany • Adoption of EWS model by governmental institutions • Assistance in the implementation, training of key persons CARDS 2004 - EWS

  17. Sources of information • Experiences from different Croatian partners: • Forensic lab of Ministry of Interior and other forensic medicine labs (clinical hospitals) – toxicological information • Ministry of Health and Social Welfare – additional information e.g. on medical products • Police – more qualitative information from street level • Harm reduction projects – more qualitative informa-tion from street level • Centres for Prevention and Treatment • Institute of Public Health • Experiences in MS CARDS 2004 - EWS

  18. Experiences • Good cooperation between care and criminal justice system, willingness to share information • Participants adequate in number and qualification • Professional work • Utilisation of existing networks • Very good starting point, clear structure and well elabo-rated concept CARDS 2004 - EWS

  19. Perspective • A network depends on its partners • Active participation is a key for further de-velopment and access to new information • The ground has been prepared… CARDS 2004 - EWS

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