Controversial drug trial to expand

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Controversial drug trial to expand
Tuesday, 22 December 2009 15:03
Chhay Channyda and Irwin Loy
The Phnom Penh Post, Cambodia's Newspaper of Record

AUTHORITIES will expand a controversial drug treatment programme using a little-known herbal medication, officials said Monday, following the end of a 10-day trial that has drawn outrage from rights groups and concern from UN officials.

Twenty-one people – drug users plucked from the streets in dragnets widely condemned by rights groups – were released Monday after 10 days of detoxification treatment involving a Vietnamese-manufactured herbal medication called Bong Sen.

“The 10-day programme trained our doctors to become experts to cure addicted people by using Bong Sen,” said Neak Yuthea, director of the Legislation, Education and Rehabilitation Department of the National Authority for Combating Drugs (NACD). “This treatment by using Bong Sen is very effective.”

Neak Yuthea said authorities have formed a committee, including officials from the Social Affairs and Health ministries, as well as the NACD to look at expanding the programme – likely within the capital.

“There are many interpretations about our treatment,” Neak Yuthea said. “But we did not arrest people or force them into an experiment. We cured them.”

News of plans to expand the programme was greeted with outrage by rights groups.

“If by expanding the trial they mean continuing with arbitrary arrests, then that would be outrageous,” said Mathieu Pellerin, a consultant with local rights group Licadho.

“This whole thing is already outrageous.”

The drug users had been kept at Orkas Khnom, or My Chance, a drug treatment centre on the outskirts of the city run by Phnom Penh’s Department of Social Affairs.

On Monday, they were released and driven to where officials believed they lived.

Neak Yuthea said some were going to be returned to their home villages. Others were dropped off around the capital, including in the Boeung Trabek area in a neighbourhood popular among some drug users.

One man, who asked not to be identified, told the Post he volunteered for the trial after being asked by police officers.

“They told me the treatment had been successful in Vietnam, so I thought I would try,” said the man, a heroin user for seven years.

On his chest, the man wore a gold badge, bearing the name of the drug, as well as the logo of Fataco Ban Tre, the Vietnamese company that manufactures Bong Sen and participated in the trial.

The man, clutching a copy of a certificate of completion from officials involved with the trial, as well as a group photo showing other participants and a Fataco Ban Tre official, said he believed Bong Sen had helped him.

“Before, I used drugs to forget about my family problems. I wanted to stop, but it was hard to do by myself,” he said. “The trial was good because I don’t think about taking drugs anymore. Now I just want to eat.”

But UN officials said they were worried that the treatment programme was lacking in basic follow-up supports necessary to ensure its success. It is unclear whether participants will be offered counselling, regular health checks or vocational training, for example – services that are in short supply in Cambodia.

“Detoxification is just the first part of the process,” said Graham Shaw, technical officer on drug use with the World Health Organisation in Cambodia.

“Evidence shows people will relapse several times or more before they finally kick the habit completely.”

At the moment, follow-up services are offered predominantly by a smattering of NGOs, he said.

“They’re very few and far between, even for people who are not drug users,” Shaw said.

Vietnamese cooperation
The drug trial appears to be the product of drug policy ties between Cambodia and the Vietnamese government, which has previously pledged to provide medical equipment, addiction medication and experts to build detoxification centres.

Deputy Prime Minister and NACD head Ke Kim Yan advocated for Bong Sen’s introduction in Cambodia following an August visit to Vietnam, said Neak Yuthea.

Earlier this month, officials originally asked Mith Samlanh and Korsang, two local groups that work with street drug users, to “cooperate” in the trial by encouraging their clients to participate, Neak Yuthea said. Both organisations declined.

http://www.phnompenhpost.com/index....-news/controversial-drug-trial-to-expand.html

091222_02.jpg

Photo by: Irwin Loy
A man wears the logo of a Vietnamese-produced herbal drug in Phnom Penh after finishing a controversial drug detoxification trial Monday.
 
Cambodia: Stop Forced Participation in Drug Trials
Instead Provide Medically Appropriate, Voluntary Treatment Options for People Who Use Drugs
December 19, 2009
Human Rights Watch

(New York) - The Cambodian government should immediately halt the forced participation of drug users in the trial of an experimental herbal formula to "cure" their drug dependence, Human Rights Watch said today.

Since December 11, 2009, police have arrested at least 17 people and detained them in the government-run Orgkas Khnom drug detention center on the outskirts of Phnom Penh. With no indication of voluntary consent, they were administered a seven-day course of an herbal formula called "Bong Sen." Such a trial violates the rights of the forced participants and does not meet minimum scientific standards, Human Rights Watch said.

"The perverse experiment at Orgkas Khnom was only made possible by arbitrary detention and compelled participation," said Rebecca Schleifer, the health and human rights advocacy director at Human Rights Watch. "Any supposed ‘results' would be scientifically unreliable, and the whole thing is ethically outrageous."

People forced to participate in the trial did so after being arrested by police from Phnom Penh streets. Unlike ordinary arrests - when people who use drugs are processed by Ministry of Social Affairs center staff - the police took them directly to the Orgkas Khnom center.

Cambodia has not always been so open to the idea of drug trials. In 2004, Prime Minister Hun Sen called for an end to trials of the antiretroviral drug tenofovir carried out in Cambodia by Family Health International, stating: "Cambodia is not a trash bin country, they should not conduct experiments with Cambodians. They should do it with animals."

The use of coercive tactics to put drug users on a wholly unknown and unproven ‘cure' for drug dependency violates the most fundamental principles of medical ethics and human rights, Human Rights Watch said.

"Bong Sen" has not been registered for use in Cambodia. The trial bypassed the Ministry of Health's ethical review committee.

The head of Cambodia's National Authority for Combating Drugs was recently quoted in the media saying the formula will be more widely used to treat people dependent on drugs in Cambodia "if the trial is successful." The trial is reportedly a collaborative effort between that agency and a private Vietnamese company, Ben Tre Fataco General Import-Export and Trading Services. The company is reported to claim that the substance provides a "gentle detox" over seven to ten days.

"This is a poor imitation of a scientific experiment," Schleifer said. "It's impossible to assess the ‘success' of a treatment for drug dependence immediately, without measuring how many people relapse to drug use over time - not to mention the possible harm the treatment could cause."

Both the World Health Organization (WHO) and the United Nations Office on Drugs and Crime recommend opioid substitution therapy as the standard means to manage opioid dependence. WHO includes methadone and buprenorphine on its Model List of Essential Medicines. Cambodia's anticipated trial of methadone treatment has been repeatedly delayed over the last few years.

Human Rights Watch said that if the Cambodian government is genuinely interested in treating opiod dependence, it should immediately make available medications with proven track records of effectively treating those addicted to heroin and other opiates, such as methadone and buprenorphine. Such medications are prohibited in Cambodia.

The trial of Bong Sen is part of increasing collaboration between Cambodia and Vietnam in anti-drug efforts. The 2008 annual report on drugs issued by the Secretariat General of the National Authority on Combating Drugs anticipates that the agency "is prepared to receive Vietnamese delegates to Cambodia in order to discuss the feasibility of [Vietnam] giving Cambodia youth drug detention centers for drug users." No timeline for this assistance is presented in the report.

"Instead of arbitrary detention or an unknown cocktail of herbs, Cambodia should be promoting voluntary, medically appropriate treatment options for those who are dependent on drugs," said Schleifer.

http://www.hrw.org/en/news/2009/12/19/cambodia-stop-forced-participation-drug-trials
 
uhh wtf is this herbal medicine. Seems like these people were probably locked in for 10 days given a placebo and now they think there cured. I guarantee 9/10 arte high right now.
 
a white rose that grows from a red diamond? looks more like a bond villain's insignia than a medicine logo lolz
 
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