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Breaking the Taboo French Experience : One step forward , two steps backwards !. Hans-Fredrik Gadelius Hôpital Nord Marseille Médecins du Monde CSAPA Nord Nouvelle Aube. The origins of a taboo. Thomas SZASZ och hans syndabock Pharmacratie
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Breaking the TabooFrench Experience:One stepforward, twostepsbackwards! Hans-Fredrik Gadelius Hôpital Nord Marseille Médecins du Monde CSAPA Nord Nouvelle Aube
The origins of a taboo • Thomas SZASZ ochhanssyndabock • Pharmacratie • Civilization of performance… and profit! • Drug War:1970, Nixon and UN • Back to France: Loi 70 • The BigSchizophrenia: Users and drug care vs politics, population and medias
Drug’s In France • Alcohol: 20 of PIB, 10 M Abuse and addiction, Taboo on drunk ladies…Traditional and Ritual • Marijuana: 10 M Users, depenalisation ? • Opiates: 220.000, 110.000 BHD, 20.000 MTD; Heroine : the big fear! From delinquency to disease… • Cocaine: Better image, free base, crack • Magic shroom’s, designer drugs, misuse
Skadereduction I Frankrike • 73: Methadone / the dealers in white • 80-90 AIDS • 87: decriminalisation of syringes • 89 :PES • 92 :ASUD • 94 :Methadonecenters • 95 :Methadone on prescription • 96 : BHD on prescription, by GP’s • 01:Methadone bus • 05:Harm reductionis a public healthpolicie
But Big schizo strikes back • Globally public securityprevails on public health • No real national debate on drugs • EX: Safe injection site debate… • Still fearing the medicalization of a normal human activity • Harm reduction is still fragile
Conclusion • Step by step or revolution? • Stucked in medicalisation: twistingpleasure and desease. • Policies on morality, economics, case reports or facts? • Global report on drugs, UN • Stop drugwar!?! • « Nice people takedrugs! », Vienna 2011