Abstract
The limited available data indicate that substances known to be abused in the west African subregion include alcohol, cannabis, psychotropic drugs, heroin, cocaine and other synthetic narcotic analgesics. The current major concern is the increased trafficking in, and abuse of, heroin and cocaine. A disquieting trend is the report of the development of drug injecting, particularly among inaccessible populations of hard drug users. The health care system is beset with multiple problems, and may not be able to cope with an additional marked rise in the prevalence of HIV/AIDS and other blood-borne disorders arising from the rapid diffusion of drug injecting. Drug control strategy in the subregion hinges on a combination of supply control and demand reduction programmes. Although the demand reduction strategy is now being pursued with greater zeal, there is an urgent need to develop standard manuals and to evaluate the component programmes. The national coordinating bodies need to be strengthened and the curre...
Published Version
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