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Xylazine now in UK drug market, warn King’s College researchers 

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The powerful non-opioid tranquiliser xylazine has infiltrated the UK’s drug market and is ‘not limited to heroin supplies’, according to a new report by researchers at King’s College London (KCL).  The UK’s first xylazine death was a 43-year-old man in Solihull. The drug, known in the US as ‘tranq’ or ‘tranq dope’ – especially […]

Through the gate

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[…] Institute (YOI) Littlehey is a purpose-built category C prison which holds convicted and sentenced adults and young adults. The average number of patients engaged in substance misuse treatment is typically around ten to 15. The treatment regime for substance misuse was based on a recovery-focused approach and risks at release for these patients were […]

Birchwood Residential Treatment Centre

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Birchwood is an inpatient residential treatment centre providing a range of services for drug and alcohol users in need of in-patient care. Birchwood is part of Kaleidoscope, a drug and alcohol charity that has been providing community and residential substance misuse treatment services across the UK since 1968. We offer tailor-made treatment packages for […]

Turning Point teams-up with Double Impact and Framework to launch Lincolnshire Recovery Partnership

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Photo by Priscilla Du Preez on Unsplash Lincolnshire County Council has appointed a partnership of Turning Point, Double Impact and Framework to deliver its Substance Use Treatment and Recovery Service. The contract, with a value of approximately £8 million per annum, will deliver an integrated all-age substance use treatment and recovery service, and went […]

Start2Stop Ltd

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Start2Stop is a leading London private sector provider of addiction treatment. We have been offering outpatient treatment for people with binge-pattern addiction problems since 2010. Since 2012, we have been providing residential secondary and tertiary treatment. At Start2Stop we believe that everyone with an addiction problem has an intrinsic motivation to change and the […]

Speaker Biographies

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[…] is senior practitioner for Swanswell’s Barnsley carer support service and will be leading the session ‘Tough Love – is it easier said than done?’ As an ex heroin and crack user who became homeless and received custodial sentences, and later on as a carer herself, Jennifer fully understands the devastating impact misuse can have […]

Finding balance

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In the therapy room at DDN Conference, Lois Skilleter and Sam Lofthouse gave delegates a taster of massage and Reiki. Lois explains the treatments. This was my fourth year of offering voluntary therapies at the DDN conference – it’s becoming a wonderful annual event for me, and my students who have come have also enjoyed […]

22nd October issue

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[…] raised, but for the way it raised them (page 4). Yes, it is always legitimate to question how vast amounts of public money are being spent. But to accuse mainstream treatment services of handing out illegal drugs as a reward system to ‘junkies’ was a potential body blow at a time when the field needs all the political support it […]

Hampshire County Council

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[…] Service – Information Day         The Hampshire Operational Model for Effective Recovery (HOMER) is a recovery-orientated, integrated-care approach to tackling adult drug and alcohol treatment misuse and its harms which, since its inception on 2011, has proved effective in securing sustained recovery for drug and alcohol misusing clients and in delivering […]

Phoenix Futures: Women’s Homelessness Statement – Autumn 2022

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The Women’s Treatment Working Group are a national collective of drug and alcohol treatment providers. We are working together to ensure that women receive effective and appropriate community and residential drug and alcohol treatment services. We call upon local authorities, commissioners, and policymakers to ensure that women who are struggling with substance use and […]

Knowledge exchange

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[…] a number of NHS trusts one of our key objectives has been to use the resources within our alliance to positively impact upon the drug and alcohol treatment sector. If as an alliance we can be half as useful as the thimble has been in avoiding harm we will be doing well. However, on […]

Doing them justice

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[…] In jail you have to put up a front and not let your guard down in order to protect yourself.’ Kelly Kelly had a similar experience, using heroin at 14 and continuing until the day her son was born. Her first prison sentence came at age 17, and a further thirteen periods of imprisonment […]

21st September issue

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[…] works, it saves lives.’ This week the results of the RIOTT were made public and debate took to the airwaves, newspapers and blogosphere. Reporting that the reductions in heroin use have been ‘quite spectacular’, Professor John Strang, who led the trial, called for the treatment to be made more widely available (news, page 4). But the […]

The naloxone consultation: landmark opportunity to expand the provision of naloxone

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[…] record and a 3.8% increase on the previous year. Since 2012, drug related deaths have risen from 46.6 people per million to 79.5 per million in 2020. Heroin overdose is the leading cause among deaths from drug poisoning. In response to this growing public health crisis, the government have launched an open consultation, testing […]

April issue

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[…] working partnerships (cover story, page 8). Adfam’s conference brought together representatives from all areas of family support – not just those working directly in drug and alcohol treatment, but professionals with expertise in parenting, child poverty, schools and prisons.They looked at issues from family members’ perspectives, and shared knowledge and expertise. We may be […]

ACMD rejects time-limited substitution treatments

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Time limits on heroin substitution treatment such as methadone would ‘not benefit’ drug users’ recovery and would increase the possibility of relapse, according to a new report from the Advisory Council on the Misuse of Drugs (ACMD). Imposing a time limit could also lead to other ‘significant unintended consequences’, it says, such as increased […]

Spreading the evidence

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[…] Manchester conference. These are turbulent times in the addiction field, with some ill-conceived government initiatives and outspoken comments from some recovery advocates leaving many in mainstream addiction treatment feeling resentful and even distrustful of the ‘new recovery agenda’. Not only that, but there have been disputes and arguments within the recovery movement itself, which […]

Remodelling our alcohol support

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[…] a welcome light on services for people struggling with their drug use. Happily, it led to a new Drug Strategy and much-needed increase in resourcing for our treatment and recovery systems (albeit during a cost of living crisis). Whilst these changes have benefited some people with alcohol support needs due to the integrated nature […]

Fatal anthrax case in England confirmed

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[…] HPA says it remains ‘unclear’ whether the UK cases are linked to those on mainland Europe but in all instances the source is presumed to be contaminated heroin. The cases are the first among injecting drug users since the Scottish outbreak of 2009-10, which was the largest UK ‘common source’ anthrax outbreak in humans […]

Home Advantage

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It’s time to take a holistic approach to housing, says Claire McCreanor. With the latest statistics showing that 17 per cent of people who seek treatment for drugs and alcohol are experiencing housing issues, the correlation between insecure housing and substance use is sadly as strong as ever. The evidence consistently shows that people […]

Migrants will not be charged for most drug and alcohol services, government clarifies

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[…] which means that they are exempt from any charges to foreign nationals. The guidance states that pharmacotherapy and behavioural support – which covers most drug and alcohol treatment – can be regarded as primary medical services. ‘It is important to note that some services provided in the community will be “equivalent” to primary medical […]

Testing the limits

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[…] and occasionally xylazine. The risk of overdose leading to death or other adverse consequences remains very high. Nitazenes can be up to 500 times more potent than heroin and there have been at least 65 deaths involving nitazenes across the UK, with many more yet to be confirmed via the coronial process. Nitazenes are […]

Legal eye: ‘How can we show CQC that we provide exit pathways?’

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Nicole Ridgwell of Ridouts answers your legal questions. ‘We have received criticism for not providing clear patient pathways on exit from our residential treatment service. We are very focused on aftercare and have strong relationships with fellowships and community groups – however these are informal. How should we present our evidence to demonstrate that […]

Media savvy

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[…] substance misuse, not politicised opinion or ill-informed conjecture. Victor Adebowale, Guardian, 2 April If being evidence based is not your thing and the use of medically prescribed heroin is still too radical for you, it is incumbent on you to provide an alternative. Is it another attempt at methadone or an abstinence programme based […]

Increase focus on older people, royal college urges

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[…] an updated version of a 2011 report from the college. With most substance problems in older people ‘going undetected’ there is an urgent need to improve diagnosis, treatment, education, training, service development and policy, it stresses. Older people with substance issues face a ‘complex constellation of risks’, the report says, which can result in […]

Home and away

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Three residential rehabs in different locations understand that whatever the location, what matters is providing a range of interventions and treatments, with each one tailored to the individual. Addiction can affect individuals from all walks of life, and each person has their own unique story. Because of this all of our programmes are uniquely […]

Expressions of interest

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Expressions of interest for the Provision of the Adult Integrated Drug & Alcohol Treatment System in Southwark Southwark Council is seeking to invite competitive tenders for the provision of the Adult Integrated Drug & Alcohol Treatment System to the organisation located within the geographical boundaries of the London Borough of Southwark. Our vision for the provision of adult community […]

Health Check

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Public Health England chief executive Duncan Selbie describes how his organisation will work with the treatment sector, and promises that it will deliver ‘a marked improvement’ in the public’s health within three to five years  Public Health England takes over the functions of the NTA next year, when decisions about local drug and alcohol […]

Change Grow Live responds to ‘Swift, Certain, Tough’ white paper

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[…] many of the criminal justice measures outlined in the 10-year drug strategy, From Harm to Hope (2021). These include the diversion of people who are arrested to treatment or drug awareness courses, an increase in drug testing on arrest, and escalating sanctions for those found to be in possession of drugs. The consultation on […]
cyclists on the front cover of the DDN addiction Treatment Guide

Addiction Treatment Directory 2024

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[…] Detox Arc Project www.arcproject.org.uk Hampshire – Eclectic Adferiand www.parklandplace.co.uk North Wales/Lancashire – 12 Step – Detox Amber Foundation (The) www.amberweb.org Various Locations – Young People’s Service ANA Treatment Centres www.anatreatmentcentres.com  Hampshire – 12 Step – Detox Ark House Rehab  www.arkhouserehab.co.uk Yorkshire – 12 Step BAC O’Connor www.bacandoconnor.co.uk Staffordshire – 12 Step Bayberry bayberry.org.uk West […]

Glasgow considers case for UK’s first consumption room

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[…] consumption room, after the Glasgow City Joint Integration Board officially approved the development of a business case. A full business case for both a consumption room and heroin-assisted treatment will now be drawn up, and formally considered when the board meets in February. Any facility established in the city should also offer wraparound services […]

Female friendly services

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[…] of their service to support women It is widely acknowledged that men and women have different routes in and out of addictive behaviours, with more men accessing treatment services. Generally, women do well in treatment but they present later. So if we were going to design a women’s group-work programme, what should it look […]

Your Letters

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[…] involvement conferences, I have had the pleasure of hearing NTA chief executive Paul Hayes speak. At these events he has been challenged on why funding for drug treatment has been made available to tackle perceived drug related-crime, and several times faced impassioned pleas that drug use should be seen as a health issue, not […]

A space to grow

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We are failing to reach women, connect with them and provide a safe environment in treatment, hears DDN. Read the full article in DDN here Drug-related deaths among women are the highest since records began. In the decade since 2006 there was a 95 per cent increase in women dying as a result of […]

National Crime Agency issues fentanyl warning

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The National Crime Agency (NCA) has taken the ‘unusual step’ of warning drug users to be vigilant following the detection of powerful synthetic opioid fentanyl in heroin supplies in the north east of England. Fentanyl and its analogue carfentanyl are thought to have contributed to recent deaths among drug users in the Yorkshire, Cleveland […]

Residential Drug Treatment – Ongoing support

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[…] as about facing the past There are many different options for seeking help with addiction in the community, and various levels of support. Help is available from treatment agencies, projects and community drug services all over the country. Options include structured day programmes, counselling, organisations offering advice and information, and support groups. Danny Hames, […]

Homeless people dying of preventable substance problems

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At least 12,000 people experiencing homelessness went without drug and alcohol treatment in 2018, according to research by St Mungo’s – a year that saw a 55 per cent increase in drug poisoning deaths among homeless people.  Of more than 700 deaths of people sleeping rough or in emergency accommodation in 2018, two in […]

Residential Drug Treatment – A place called home

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[…] News Directory A place called home Safe and stable living conditions are essential to ongoing recovery Supported housing is an option for people who have already accessed treatment, to give them a more stable lifestyle and a better environment in which to recover. Offered by many treatment providers, the housing provides a safe place […]

Legal Line

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[…] my five-year-old son – how can we have too much room? I’m really worried as I already struggle financially and can’t work because I’ve just started hepatitis treatment. Kirstie says: From April 2013 the housing benefit (HB) rules change so benefit won’t be paid for a separate bedroom for a child under the age […]

Oxfordshire County Council (CPU785)

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[…] RESIDENTIAL DETOXIFICATION PROJECT FOR ADULTS WITH PROBLEMATIC SUBSTANCE MISUSE Oxfordshire County Council Public Health Directorate are seeking expressions of interest from organisations interested in providing a medically assisted Residential Detoxification Project for adults, aged 18 years or over, with problematic drug and or alcohol addiction resident in Oxfordshire from a facility located in Oxford […]

Words for the wise

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[…] and information sources of DrugScope. But this did set me wondering. DrugScope had two main functions; one was to be the advocacy agency for drug and alcohol treatment and focus on the attendant policy issues affecting drug users, such as welfare reform and mental health. The other half of our work focused around general […]

A partnership between national and local charities launches in Bradford

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A partnership between national and local charities launches in April 2023 providing drug and alcohol treatment and recovery services across Bradford District. The new service, named, ‘New Vision Bradford will be led by the national charity Humankind with partners Project 6, The Bridge Project and Create Strength Group who have been working and supporting people across […]

Coordinated effort needed to eliminate hepatitis C

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An ‘urgent, coordinated’ effort is needed to increase testing and treatment for hepatitis C in order to ensure the elimination of the disease in time for NHS England’s 2025 target, says a new report from the Hepatitis C Coalition. All parts of the ‘hepatitis C pathway’ need to work together to support the NHS […]

Gambling Addiction Guide

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[…] and other problems, specialist help has too often been hard to find. This guide on gambling addiction will help identify problems and guide you through the available treatment options.   Read the guide online here HIDDEN IN PLAIN SIGHT Problem gambling is often called the ‘hidden addiction’, as there will frequently be no outward […]

Celebrating recovery in Kent

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[…] ‘It’s our privilege to help someone into recovery’, said new KCA chief executive Ryan Campbell, explaining that he was in recovery himself. ‘Recovery is about more than treatment, it’s more than stopping using, it’s about changing a whole lifestyle, being a good parent, moving into employment, and becoming a valued member of society.’ The […]

Supporting families affected by drug use

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[…] mother in Wigan. After becoming pregnant, she was forced to leave her family home to live with an ex-partner. She was told that she shouldn’t expect ‘special treatment’ because she was pregnant. She has been on a waiting list for affordable housing for over two years. Eva* has a young son. She is entitled […]

System Failure

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Huge numbers of people accessing drug or alcohol treatment have experienced childhood sexual abuse, yet most services remain ill equipped to offer them the support they need. DDN reports. Read the full article in May 2019 DDN Magazine ‘I credit alcohol as the coping mechanism that saved my life,’ says Claire, one of the […]
Close up of holding hands

The impact of gender based violence on mothers

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[…] registered manager, National Specialist Family Service England at Phoenix Futures, shares how services that support mothers and their children to stay together can help break down barriers to treatment. We know that women, but especially mothers who use drugs, continue to face stigma when reporting their experiences of violence against them. This has been apparent […]

A level playing field

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[…] then gradually we started to explore what had happened in his life and what he really wanted. By now he was on 60mls methadone and still using heroin and crack a couple of times a week. I was keen that he increased his medication dose to see if we could stop the on-top use; […]

A common thread

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[…] drugs and alcohol in Staffordshire is placing an increasing emphasis on prevention and early intervention, but perhaps the most significant development is the current redesign of the treatment system, which has incorporated a number of asset-based themes. Community assets The first of the ideas being developed is the key role that community assets are […]

Debunking myths: naloxone, the life-saving antidote to opioid overdose

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[…] it does not stay in the body for long, meaning the duration of naloxone can be shorter than other opioids. This is not typically a problem for heroin users because heroin is relatively short-lasting, so it has usually dissipated by the time the naloxone wears off, but this can be an issue for other […]

Facing the challenge

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[…] Futures, while Birmingham GP Dr Judith Yates told the conference that, ‘we know methadone works for most people. There’s no one in the higher-ups that’s advocating time-limited treatment.’ Service user activist Anna Millington, however, stressed that ‘a lot of it is passive aggressive – being made to feel guilty about staying on methadone is […]

Why I’m backing the Right to Recovery Bill

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[…] law. We have the right to free healthcare in the UK. But people in addiction don’t get the help they need. Only 40% of people who need treatment in Scotland get it. It’s people in our poorest communities that are most often denied this legal right. That isn’t people choosing not to engage, or […]

A question of why

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[…] confidently deliver effective interventions. In order to do that, useful insights can be drawn from a field that is not necessarily the first go-to within substance use treatment – that of existential philosophy. Existentialism is a philosophy that is concerned with finding self and the meaning of life through free will, choice, and personal […]

Reducing the supply of high strength alcohol

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[…] drinkers were suffering ill health from high alcohol consumption. The Constabulary, East of England Co-operative Society, Ipswich Borough Council, Suffolk County Council, homeless charities, drug and alcohol treatment agencies, street drinkers and the community have been essential to the campaign. The Licensing Committee supports the voluntary nature of the scheme and considers evidence regarding […]

Essential purchases

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[…] GP appointments dried up. Dr Mike Taylor from Bristol’s Homeless Health Service and Dr Ben Watson from the ROADS alcohol and drug treatment service agreed that medically assisted detox within the new accommodations could not be managed safely – elective alcohol detoxification would not be possible for the foreseeable future and emergency admissions for […]

DDN AdPages_April2022

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[…] ‘ LOVE 2 SHOP’ vouchers (full T&Cs online) Unique opportunities available working in addictions and mental health in a beautiful country house setting. Are you a dynamic, committed and visionary counsellor or clinician?  Do you have experience in addictions and mental health? CLOUDS HOUSE  residential detox  treatment centre in Wiltshire is now  looking for you to join their team at this life changing service. CLOUDS HOUSE  is an iconic grade II listed country house treatment  and therapeutic recovery centre in Wiltshire, operating in the ield  of addictions since 1983. Clouds of ers therapeutic recovery and  treatment services for patients from both private and the state  funded sectors. Clouds House is the preferred treatment service to  support PHP (the Practitioners Health Programme) for doctors in need  of accessing treatment and recovery. We are privileged to support  Dr Clare Gerada’s work with PHP. If this advert piques your interest please get in touch, we would be  delighted to hear from you! Please email: Claire.taylor@forwardtrust.org.uk www.forwardtrust.org.uk DDN AdPages_April2022.indd 27DDN AdPages_April2022.indd 27 01/04/2022 15:2901/04/2022 15:29 ALL TOGETHER […]

Before it’s too late

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[…] significant issues that need to be urgently addressed. This has included people excluded from OST as they’re testing negative for opiates, with clinicians unaware that some ‘brown’ heroin may contain no diamorphine and that nitazenes won’t show up on an OPI screen. There is a colossal training need – for drugs services, wider healthcare […]

Letters

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[…] needed today. With resources increasingly under pressure, independent advocacy may be seen as an unaffordable luxury. However, conflicts frequently occur between service users and professionals in addiction treatment. Some remain unresolved – through impasse, drift, unnecessarily bureaucratic pathways/criteria, clinically imposed decisions, communication breakdown or lack of confidence among service users to broach their true […]

Drug markets could be ‘flooded’ with Afghan heroin, warns UNODC

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[…] up by eight per cent compared to 2020, to almost 7,000 tons, which could lead to global drug markets being ‘flooded with around 320 tons of pure heroin’, says UNODC. The uncertain political situation since the withdrawal of US troops is driving up prices Afghanistan accounted for 85 per cent of global opium production […]