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Drug Policy, HIV/AIDS and the Public Health Crisis in Central Asia

Caspian Revenue Watch

HEALTH SECURITY IN CENTRAL ASIA: DRUG USE, HIV AND AIDS 

This conference focused primarily on Central Asia's rapidly expanding HIV epidemic, to date fueled largely by injecting drug use. The conference addressed the problems of drug use and trafficking and attendant health and social consequences by highlighting effective public policies, best-practice public health interventions, and protection of human rights. By bringing together leaders and experts in government, health and medicine, security, and other areas, the conference aimed to create an open dialogue in which numerous stakeholder groups share information and experience and seek to develop concrete and comprehensive objectives.

The conference focused on the five Central Asian countries that were once part of the Soviet Union: Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan.

Conference Presentations
HIV Follows Heroin Trafficking Routes
Julie Stachowiak, MIA, MPH and Chris Beyrer, MD, MPH
Johns Hopkins Bloomberg School of Public Health

Using subtyping of HIV to track different strains of the virus, scientists have shown that HIV infection moves in close tandem with the movement of heroin trafickers. While precise data on HIV in Central Asia is unknown, it is clear that the region is a critical drug trafficking route, making it vulnerable to an outbreak of the virus. An open and honest assessment of drug laws and human rights in the region is urgently needed to slow the spread of HIV.

Upstream Intervention 
Anthony White
The strategy of of "upstream intervention," whereby developed States in zones of narcotics consumption switch some of their enforcement focus from their own frontiers to areas within zones of cultivation and production, is based in part on not unreasonable self-interest. However, there remains open some question of whether the strategy can in effect hasten a State that is still mainly one of drugs transit towards acquiring increasing problems of domestic drug usage, organized crime and public corruption, not to mention rapidly swelling prison and HIV-infected populations.

Fueling an Epidemic: HIV/AIDS, Injection Drug Users and Human Rights  
Joanne Csete, Human Rights Watch
From even the most cursory reading of the history of HIV/AIDS, it is very clear that abusing the human rights of persons at high risk of infection and of persons living with AIDS is one of the most reliable ways to fuel this epidemic - and, conversely, protecting their rights yields great success.

Facing Down the Ugly Politics of HIV/AIDS: What Role for Human Rights Groups and Other NGOs? 
Joanne Csete, Human Rights Watch
The list of AIDS-related human rights abuses is long, varied, and interconnected. This presentation attempts to answer the question, "How do we begin to address this wide range of abuses?"

'Health Security, Drug Use and HIV/AIDS': Innovative Partnerships
Els Klinkert
In recent years, the AIDS epidemic has led to surprising new partnerships between a wide range of actors. This is indicative of the urgency of the AIDS problem. More and more organizations have realized that the only way to achieve progress is by joining forces.

 Powerpoint Presentations

Maximizing Comparative Advantage is Essential for Donor Assistance in HIV/AIDS Control and Prevention
Almaz Sharman, MD, PhD
USAID Regional Mission for Central Asia

Model Responses to the Prevention, Treatment and Care of HIV
Dr Alex Wodak

Injecting Drug Users, HIV/AIDS Treatment and Primary Care in CEE/FSU: Results of a Region-wide Survey 
Emilis Subata, MD

HIV/AIDS/Drug Abuse Prevention in Prisons of Turkmenistan 
Galina Karmanova

Drug Trafficking in Central Asia 
Sergei Boshko

 
Additional Information

Information about OSI's work on HIV prevention and treatment access, harm reduction, and drug trafficking issues may be found on these websites:

Health Security and Central Asia: Drug Use, HIV and AIDS Concept Paper

OSI's International Harm Reduction Development

OSI's Public Health Program

Eurasia Policy Forum: Drug Policy, HIV/AIDS and the Public Health Crisis in Central Asia

Report: Narcotics Interdiction in Central Asia and Afghanistan: Challenges for International Donors

Related Links
UNDP: Responding to the world's most serious development crisis

The Joint UN Program on HIV/AIDS

WHO/OMS: Department of HIV/AIDS

USAID: Central Asian Republics Regional Program

World Bank: HIV/AIDS in Central Asia (PDF)

Human Rights Watch: Campaign on HIV/AIDS

Central and Eastern European Harm Reduction Network

International Harm Reduction Association

AIDS Foundation East-West

International Center for Advancement of Addiction Treatment

Drug Policy Alliance

The Global Fund to Fight AIDS, Tuberculosis & Malaria

International AIDS Economics Network

Amnesty International: The death penalty in law and practice in Tajikistan

Related News
Tajikistan: AIDS timebomb ticking

OSCE mission heads' meeting stresses increasing importance of Central Asian region

OSCE conference to examine transfer of Tajik penal system from Interior Ministry to Justice Ministry

Information for Participants
Logistical Information

Conference Agenda