Harm Reduction Responses to Drug Use: Cross-Regional Perspectives
Many people throughout the world continue to use psychoactive drugs despite strong efforts to prevent them from doing so. There is a wide range of adverse medical, public health, and social consequences associated with such use. People Who Inject Drugs (PWID) face, among other things, elevated rates of HIV, viral hepatitis and tuberculosis.
Yemen’s Ansar Allah: Causes and Effects of Its Pursuit of Power
Observers can be excused for confusion over events in Yemen. In late January, Ansar Allah—the group often referred to as Houthis—kidnapped President Abdu Rabbu Mansour Hadi’s chief of staff, sacked the presidential palace, and effectively placed the president and government ministers under house arrest. Ansar Allah’s demands, strangely, were that the president and government stay in power rather than leave.
Sovereignty, the Hezbollah Model, or Dissolution: Managing Factional Forces in Iraq
When the Islamic State of Iraq and Syria (ISIS) overran Mosul last June, Grand Ayatollah Ali al-Sistani, the preeminent Shi‘i cleric in Iraq, called for voluntary jihad. The outlook for the central government was bleak. Reports from the battlefronts, as well as threatening statements by ISIS leaders, suggested that the capital Baghdad could also fall to ISIS. The group repeatedly massacred its captives and systematically destroyed important religious and cultural sites.
Drug Use and Harm Reduction in the MENA Region and in Lebanon
Repressive policies that stigmatize and punish drug users have tended to exacerbate social problems rather than mitigate them. In contrast, harm reduction (HR) approaches to drug use have been shown to prevent the spread of blood-borne viruses (such as HIV, HBV, and HCV), thereby lowering morbidity and mortality rates. Over the past 15 years, many HR initiatives have been launched in the MENA region, including Lebanon. However, continued progress in HIV prevention will require more structured and comprehensive HR interventions, adjusted to the needs of local populations.
Save the Date: MEI's 69th Annual Banquet and Conference
Save the Date! The Middle East Institute’s 69th Annual Banquet and Conference November 12-13, 2015 Capital Hilton Hotel 1001 16th St. NW Washington, DC
Watch this space for more information, or call 202-785-1141 ext.213 for details.
Civil Society and Harm Reduction in Thailand – Lessons Not Learned
The Thai government was acclaimed in the 1990s for the bold approaches it supported to reduce HIV transmission among sex workers. Later, the Thai government’s leadership was internationally praised for providing generic antiretroviral treatment (ART) to people living with HIV. Today, global leaders applaud the Thai government’s decision to provide ART to everyone in an effort to prevent transmission, as well as for its decision to take full financial responsibility for HIV programming as of 2017, essentially weaning itself off external donor support. Indeed, there is much to celebrate, and the Thai government’s contributions to leadership and innovation in the area of HIV prevention, treatment, care, and support must be acknowledged—but not blindly.
Analysis of Syrian civil war dynamics tends to draw a sharp contrast between the southern front, referring to the southernmost provinces of Deraa, Quneitra, and Suwayda, and the north. Most observers point to the south, in contrast to the north, as lacking a significant Islamic State (ISIS) presence. How true does this general assessment hold? Are radical or extremist groups much less influential in the south?
The Current State of Harm Reduction Policy in the Middle East
In the late 1980s, Western governments began to adopt drug policies based on the strategy of “harm reduction” (HR), which concentrates on alleviating the negative effects of drug use rather than on reducing its prevalence. This policy shift, largely motivated by the recognition that injection drug use contributes to the spread of HIV/AIDS, soon paid off. Within a decade the countries that had adopted HR as their primary policy had managed to control the injection-related spread of HIV and other blood-borne infections such as hepatitis. The spread of HIV among substance users came almost to a halt in Australia and the Netherlands, which had implemented the strategy vigorously. HR was a victory for not only health systems, which had successfully controlled a viral infection with no known “infectious disease model” solution (that is, a vaccine or effective antiviral treatment), but also for society in that HR forestalled the adoption of ineffective strategies such as segregation, which instead marginalizes drug users and abandons them to their high-risk behaviors.
Looking at Armenian-Iranian Relations Through a Russian Lens
The late January visit to Armenia by Iranian Foreign Minister Javad Zarif got little media attention, but it could have significant ramifications for geopolitics in Eurasia. Specifically, the trip could help Russia gain a trade outlet that softens the blow of Western sanctions.
During and immediately following the 2011 Egyptian uprising, Coptic activism reached new heights. Copts organized and came together to call for protection for their communities and rights more generally. However, particularly since the fall of the Muslim Brotherhood and the election of President Abdul-Fattah el-Sisi, such activism has declined. Today, the number of active, effective Coptic movements can be counted on one hand. This leaves the church carrying the mantle of Coptic identity, allowing the pope to decide whether or not to engage in politics.
Comparing Harm Reduction Advocacy Approaches in the Middle East, Central Asia, and Southeast Asia
For more than three decades, harm reduction initiatives for people who inject drugs (PWID) have focused on preventing the spread of HIV. The objectives of harm reduction activities have gradually expanded to include reducing the number of PWID through education programs, stopping the spread of hepatitis C and other infections, and preventing overdoses. However, the single greatest rationale for introducing or scaling up harm reduction remains HIV prevention and (to a lesser extent) treatment, care, and support for PWID living with HIV.
Over the course of the past ten years, NATO[1] has consistently invited Saudi Arabia and Oman to join the Istanbul Cooperation Initiative (ICI), which launched in 2004 as a cooperation framework between NATO and the GCC countries. So far, the ICI contains just four Gulf partners (Bahrain, Qatar, Kuwait, and the United Arab Emirates), and neither Riyadh nor Muscat has accepted the invitation.
