Pubdate: Sat, 31 Mar 2007 Source: Vancouver Sun (CN BC) Copyright: 2007 The Vancouver Sun Contact: http://www.canada.com/vancouver/vancouversun/ Details: http://www.mapinc.org/media/477 Website: http://www.canada.com/vancouver/vancouversun/ Author: Peter McKnight, Vancouver Sun MYTHS AND HYSTERIA BAD BASIS FOR DRUG LAWS Governments' Approach To Substance Abuse Is Informed More By Superstition Than Science On Aug. 11, 2005, the former federal Liberal government announced, to much fanfare, that our current demon drug, methamphetamine, would be upgraded to Schedule I of the Controlled Drugs and Substances Act, which provides for the most severe penalties. Three former ministers -- Ujjal Dosanjh, Irwin Cotler and Anne McLellan -- felt the need to be associated with this momentous event. And all made it clear that the change in meth's legal status was a result of evidence as to the harm it causes. As then-health minister Dosanjh put it, "there are significant health, social and economic harms caused by methamphetamine." Dosanjh neglected to mention the scientific studies that drew him to this conclusion, but his oversight was ignored by the media. That's not surprising, of course, since the meth hysteria that captivated us then and seduces us still is entirely a product of media myth-making. Science takes a back seat to headlines and deadlines, which makes our communities the captives not of drug habits but of drug hysteria. That, in essence, is the message delivered by the Canadian Centre on Substance Abuse, in a report released this week titled Comparing the Perceived Seriousness and Actual Costs of Substance Abuse in Canada. According to the centre, the "direct social and economic costs associated with alcohol ($7.4 billion) were more than twice the costs associated with illicit drugs (3.6 billion.)" Yet when surveyed, 45 per cent of Canadians identified illicit drug abuse as "very serious," while only 25 per cent thought the same about alcohol abuse. That our approach to substance use is informed more by superstition than science is also the message of a British study, already ignored by the British government, published in the current issue of the prestigious medical journal, The Lancet. Led by Bristol University psychopharmacologist David Nutt and Medical Research Council chief executive Colin Blakemore, the study provided a ranking of the dangerousness of a number of the most commonly used licit and illicit drugs. The study asked independent experts to use three factors to assess the harm caused by various substances: The physical harm associated with use, the risk of developing dependence, and the harm to users' families and the broader community. The rankings of the experts, who generally agreed with each other and with the scientific evidence, rated heroin as far and away the most harmful substance, followed by cocaine and barbiturates. No surprises there. But there were a few surprises at the other end of the scale, as the experts determined that "party" drugs like GHB and MDMA (ecstasy), which of late has probably received more negative attention than any drug except meth, were considered among the least harmful of the assessed substances. Even more surprising is that polite society's drug of choice, the much loved alcohol, found itself smack dab between ultra-dangerous drugs like heroin and amphetamine. College kids don't need scientists to tell them this, but apparently politicians, policy-makers and the public do. Similarly, tobacco, which remains legal despite significant hostility, was ranked as just a little less harmful than amphetamine, but significantly more dangerous than GHB and ecstasy. Needless to say, some of these rankings conflict with the popular perception of drugs, but the researchers did think it worth saying that the rankings also conflict with the way the law treats these substances. Under the British Misuse of Drugs Act, drugs are divided into three classes, ostensibly based on the harm they cause. Drugs in Class A are considered the most dangerous, and those who possess or trade in such drugs face the most serious penalties, while Class B drugs are considered less harmful, and Class C substances the least dangerous. Yet many of the drugs considered least harmful, such as LSD and ecstasy, remain in Class A, while more dangerous substances, such as the party drug ketamine, are relegated to Class C. And this is to say nothing of alcohol, which remains legal in Britain, and which reveals that politics rather than science informs British drug policy. The situation is similar in Canada, as is evidenced by the fact that media hysteria drove the decision to upgrade methamphetamine to Schedule I. Like its British counterpart, Canada's Controlled Drugs and Substances Act classifies drugs (according to Schedules rather than Classes) based on their presumed dangerousness, and prescribes the strongest penalties for those drugs deemed most harmful. Interestingly though, Canadian law, in contrast to British law, frequently finds itself in accord with the judgment of the experts consulted in the British study. Many of the most harmful drugs, including heroin, cocaine, methadone and ketamine, are included in Schedule I, while many of the least harmful drugs, including LSD, GHB and ecstasy, are relegated to Schedule III. Yet many anomalies still exist. Offences involving barbiturates and benzodiazepines (Schedule IV), which, according to the experts, fall in the most harmful end of the drug spectrum, are treated less seriously than offences involving the aforementioned significantly less harmful Schedule III substances. And, of course, the highly harmful alcohol, a staple at dinners involving Canadian dignitaries, is nowhere to be found in the Schedules, nor is the less acceptable, but still harmful tobacco. At the very least then, Canadian politicians, including members of the current Conservative government, who pride themselves on their support for the war on drugs -- and who just earmarked another $64 million to deal with illegal drugs -- should be expected to justify the continued prohibition of LSD, ecstasy and marijuana (Schedule II), perhaps over a glass of vintage burgundy. But don't hold your breath, particularly if you've already inhaled. It's abundantly evident that the drug prohibition regimes of "civilized" countries depend more on folk psychology, on societal prejudices toward specific drugs, than on scientific evidence concerning their dangers. Aware of this, the authors of The Lancet study advised the British government to adopt an evidence-based system for classifying drugs. I wouldn't hold my breath for this one, either, since The Lancet study, which was originally produced by the British government's Advisory Council on the Misuse of Drugs and included in a government report released last summer, has been ignored by the British government, much as the Canadian Senate's authoritative 2002 report on marijuana was ignored by the feds. Of course, there are legitimate reasons for refusing to make the law conform to experts' ratings of dangerous. Were we to do so, alcohol would become a Schedule I drug, meaning that its possession would be punishable by up to seven years in jail. This is not unheard of, as our experiment with prohibition involved jailing people for liquor offences, but that failed experiment also taught us that prohibition, much like alcohol itself, often causes more problems than it solves. It's unfortunate that few politicians recognize -- or are willing to admit publicly -- that the prohibition of other substances causes similar damage, but a British report released shortly before The Lancet study did call for a radical rethinking of British drug policy. In the report, titled Drugs -- Facing Facts, the Royal Society for the encouragement of Arts, Manufactures and Commerce argued that Britain should develop an evidence-based index of the harms caused by drugs, much like the one provided in The Lancet, and should then replace its punitive Misuse of Drugs Act with a Misuse of Substances Act aimed at reducing those harms. Such an approach would include all substances, including alcohol, tobacco, and prescription drugs, and would allow policy-makers to focus their efforts, and our money, on the drugs that really cause problems, rather than on the ones the media choose to demonize. This certainly would be far better than our current approach. At the very least, it couldn't be any worse. - --- MAP posted-by: Derek