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UK: Council advises ecstasy downgrade

7zark7

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[size=+1]Council advises ecstasy downgrade[/size]
The body that advises the government on illegal drugs is to recommend ecstasy be downgraded to a Class B drug.


Ecstasy is currently grouped with heroin, cocaine, crack and LSD in Class A. Suppliers of such drugs can face a life sentence in prison.

The Home Office has made it clear it will reject the Advisory Council on the Misuse of Drugs' recommendation.

Earlier, a row broke out after the council's head Prof David Nutt likened the dangers of ecstasy to horse riding.

Home Secretary Jacqui Smith responded by accusing him of trivialising the dangers of the drug. He later apologised for any offence and said the views were not those of his colleagues on the council.

The advisory council reviewed the latest evidence on ecstasy last year and held a secret ballot of its 31 members on the issue of re-classification.

It is understood the result was not unanimous, but a majority voted to recommend moving the drug to Class B.

The council's view is that ecstasy is not as harmful as other Class A drugs and causes far fewer deaths.

It says ecstasy use had no significant impact on short-term memory loss and found little evidence to link ecstasy to criminal behaviour.

But it will call for further research into the effects of taking ecstasy, particularly on younger users.

Martin Barnes, chief executive of the think tank DrugScope, who sits on the advisory council, said it was crucial that a rigorously independent body was entrusted with this type of research.

Speaking to BBC Radio 4's Today programme, but not on behalf of the council, he said: "It's fair to say that the advisory council has probably carried out the most considered and detailed assessment of ecstasy ever carried out.

"It's an unrivalled, internationally, body of experts and the key thing is that it's independent."

Mr Barnes said this was crucial precisely because decisions over drug classification are highly emotive and politically charged.

He did not dismiss the dangers of ecstasy, but said the job of the council was to dispassionately look at the relative harm of ecstasy to other drugs, such as cocaine, crack or heroin.

Mr Barnes added that when no other drug was involved, ecstasy accounted for between 10-17 deaths a year.

Dr Evan Harris, science spokesman for the Liberal Democrats, defended Prof Nutt's comments, saying he was engaging in "rational debate" when he compared the dangers of taking ecstasy to those of horse riding.

Speaking to GMTV, Dr Harris said the g overnment must take an evidence-base approach to drugs classification.

He said: "I would seek to educate all young people against taking drugs, including alcohol and cigarettes, which are even more harmful than some of the ones that are illegal.

"But the problem with putting ecstasy in Class A - and we will see what the report says - is that if thousands of young people take 'e' every weekend, and they see that it is in the same class as heroin and cocaine and crack cocaine, then it is hard to argue that those are particularly more dangerous than ecstasy."

The Police Superintendents' Association of England and Wales has expressed opposition to suggestions that ecstasy should be downgraded to a Class B drug.

Ian Johnston, president of the association, told the BBC the downgrade could be dangerous.

He said: "This is not some academic or scientific exercise, this is dealing with people's lives. If we downgrade ecstasy, we are in danger of sending mixed messages out to young and vulnerable people."

Last month, the Home Office restored cannabis from Class C to Class B, against the wishes of the advisory council.

Ministers are now set to resist the council's recommendation on ecstasy.

BBC home affairs correspondent Danny Shaw said this latest move raises real doubts about how long the council can continue in its present form if its experts continue to be ignored.

Shadow home secretary Chris Grayling said it called into question the government's choice of advisers.

But Liberal Democrat home affairs spokesman Chris Huhne accused the Home Secretary of a "ludicrous overreaction".

He added that her "savaging" of Prof Nutt was "a poor precedent for academic freedom".

The row over the dangers of ecstasy erupted followed the publication of an article by Prof Nutt in the Journal of Psychopharmacology last week.

In it, he wrote: "Drug harm can be equal to harms in other parts of life. There is not much difference between horse-riding and ecstasy."

He said horse-riding accounted for more than 100 deaths a year, and went on: "This attitude raises the critical question of why society tolerates - indeed encourages - certain forms of potentially harmful behaviour but not others such as drug use."

Ecstasy use is linked to around 30 deaths a year, up from 10 a year in the early 1990s.

Jacqui Smith said she was "surprised" and "disappointed" by his comments and told him he had gone beyond his role as head of the advisory council.

But later in a statement, the professor said: "I am sorry to those who may have been offended by my article.

"I would like to apologise to those who have lost friends and family due to ecstasy use.

"I would like to assure those who have read my article that I had no intention of trivialising the dangers of ecstasy."

Fatalities from ecstasy are caused by massive organ failure from overheating or the effects of drinking too much water.


Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/1/hi/uk/7882708.stm

Published: 2009/02/11 08:33:11 GMT

© BBC MMIX
 
Why should he be sorry?
He wasn't having a personal dig at anyone! Just stating some facts.
Hopefully it'll get downgraded, if only to piss off those petty prohibitionists.
 
Last edited:
Not a chance. Not with Jaqui Smith in charge of the Home Office.
 
Not a chance. Not with Jaqui Smith in charge of the Home Office.

Labour have had some right fucking idiots (Jack Straw, David Blunkett, Charles Clarke, John Reid) as Home Secretary since they returned to power in 1997 but she takes the biscuit. The others have been despicable control freaks and Ms Smith is just as bad, but with the added bonus of being as thick as two short planks.
 
Indeed. David Blunkett's only saving grace was that he actually had the smallest modicum of common sense to downgrade weed to class C.
 
Ecstasy risks
Mark Easton
BBC News
2.12.09



I wonder whether the home secretary opened the PowerPoint presentation on the dangers of ecstasy that she was sent by the man the papers describe as the "UK's greatest expert" on the drug. If she did, was she impressed?

ecstasy tabletsProfessor Andy Parrott from Swansea University has emerged as the most powerful academic opponent to the view expressed by the Advisory Council on the Misuse of Drugs that MDMA or ecstasy should be downgraded in their recent report [322Kb PDF].

He tried to get the medical journal The Lancet to publish his criticism of the ACMD's analysis, but says that they turned him down flat. Instead, he made his presentation to the committee and then sent his slides [69Kb PDF] to Jacqui Smith.

He argues that the Chair of the ACMD, Professor David Nutt, has made a number of "extremely serious errors" in papers on the relative dangers of ecstasy and seeks to demolish the committee's argument with his own "extensive knowledge".

Here is the key slide from his presentation in which he lists the dangers of ecstasy and his sources.

Slide reading as follows: Following effects with Ecstasy/MDMA Deaths. 40/70 year/UK (Schifano'06) Brain damage. 'Most robust finding was a reduction in serotonin transporter density' (Cowan'07 - review). Dependency. Two-factor structure: compulsive use & escalating use (Bruno'08, confirming Topp'97) Aggression. Increased mid-week (Curran'04; Hoshi'06). Car driving. Can be 'extremely dangerous' (Brookhuis'04) Overdose. Hyperpyrexia (fever) related deaths (Henry'92) Liver. 'MDMA has hepatotoxic properties' (Montiel'02). Liver. Transplants needed in <30 year old Scots (Smith'05) Cardiac. 'MDMA has profound cardiovascular effects in humans and animals'...'MDMA disrupts metabolic homeostasis in cardiac tissue in rats' (Perinne et al '08).
Page 7 of The Psychobiological Dangers Of Recreational Ecstasy Or MDMA by Professor Andy C. Parrott [69Kb PDF]

This sounds pretty frightening. Ecstasy kills scores of people a year, damages their brains, makes them more likely to attack people and makes them monsters behind the wheel.

But a quick check of the sources suggests that Professor Parrott may be making some errors himself.

• Deaths: "40-70 per year in the UK"
• Source: Schifano, F et al (2006): Ecstasy (MDMA, MDA, MDEA, MBDB) Consumption, Seizures, Related Offences, Prices, Dosage Levels And Deaths In The UK (1994-2003) [91Kb PDF]
• ACMD estimate: 10-17 caused by ecstasy

The Schifano paper does provide a table which at first glance appears to support Parrott's claim that ecstasy kills many more people in Britain than the figure estimated by the ACMD.

schifano2006.gif
Page 3 of Ecstasy (MDMA, MDA, MDEA, MBDB) Consumption, Seizures, Related Offences, Prices, Dosage Levels And Deaths In The UK (1994-2003) by Schifano et al (2006) [91Kb PDF]

But death mentions are not the same thing as deaths by ecstasy, as Schifano himself makes clear:

"The number of cases identified here were actually 'mentions' of ecstasy on death certificates, ie no information was available in respect to ecstasy and concomitant other drugs' dosage, post mortem reports, toxicology results and setting characteristics.
Ecstasy inclusion on those documents submitted to General Mortality Registers did not necessarily mean that this drug directly 'caused' the death, but that ecstasy (MDMA, MDA, MDEA, MBDB) was found at post-mortem and/or was identified by toxicological screening. A number of methodological problems can contribute to make it difficult to interpret the role ecstasy plays in the so-called 'ecstasy related' deaths and especially so if accurate information is not available."

In a 2007 editorial written by Prof. Parrott himself (Ecstasy Versus Alcohol: Tolstoy And The Variations Of Unhappiness), he notes that the death data are pretty meaningless:

"In relation to annual deaths, Schifano et al. (2006) suggested an annual UK death rate of around 40-70/year, although they noted the many difficulties in arriving at these estimates, since most fatalities are in ecstasy polydrug users. Indeed all the functional and structural data on recreational ecstasy/MDMA is confounded by other drug and non-drug factors."

• Brain damage: "Most robust finding was a reduction in serotonin transporter density"
• Source: Cowan, RL (2007): Neuroimaging Research In Human MDMA Users: A Review
• ACMD: "unsure" about ecstasy's long-term effects on the brain

Actually, Cowan concludes something rather different about his research on MDMA ecstasy's effect on the brain:

"The current state of neuroimaging in human MDMA users does not permit conclusions regarding the long-term effects of MDMA exposure."

• Aggression: "Increased mid-week"
• Source: Curran, HV et al (2004): Empathy And Aggression: Two Faces Of Ecstasy? A Study Of Interpretative Cognitive Bias And Mood Change In Ecstasy Users / Hoshi, R et al (2006): An Investigation Into The Sub-Acute Effects Of Ecstasy On Aggressive Interpretative Bias And Aggressive Mood: Are There Gender Differences?
• ACMD: no evidence that ecstasy causes "interpersonal violence"

The Hoshi work involved "participants processing sentences that could be interpreted as either aggressive or neutral and subsequently remember them in a recognition test. Ecstasy users show a bias toward interpretation of ambiguous material in an aggressive manner when compared to controls 4 days after ecstasy use".

I am not an expert on this kind of analysis, but I do wonder whether we need better evidence to conclude that ecstasy users are significantly more likely to beat someone up on Wednesday nights than their responses to sentence construction.

• Car driving: "Can be 'extremely dangerous'"
• Source: Brookhuis, K et al (2004): Effects Of MDMA (Ecstasy), And Multiple Drugs Use On (Simulated) Driving Performance And Traffic Safety
• ACMD: did not find evidence that ecstasy causes road deaths

The Brookhuis paper Professor Parrott cites does not suggest ecstasy makes car driving extremely dangerous. In fact, it says:

"Driving performance in the sense of lateral and longitudinal vehicle control was not greatly affected after MDMA, but deteriorated after multiple drug use."

And the line about the dangers is in this sentence:

"Driving under the influence of MDMA alone is certainly not safe; however, driving back (home) after a dance party ("rave") where MDMA users regularly combine MDMA with a host of other drugs can be described as extremely dangerous."

• Cardiac: "MDMA has profound cardiovascular effects in humans and animals"
• Source: Perrine, SA et al (2008): Cardiac Effects Of MDMA On The Metabolic Profile Determined With (1)H-Magnetic Resonance Spectroscopy In The Rat
• ACMD: poor evidence to suggest ecstasy causes heart damage

The paper cited actually says this:

"Acute exposure to MDMA has profound cardiovascular effects on blood pressure and heart rate in humans and animals."

Professor Parrott chose not to include those key words in his slide.

No-one disputes that taking ecstasy involves risk (see my previous post). Indeed, it seems that we are in urgent need of better research on the long-term effects of MDMA. And the Advisory Council made it clear that ecstasy is a harmful drug and deserves to be listed within Class B.

Its conclusions are based on the largest-ever systematic review of any drug in Britain. Everything is posted online for further academic review. The ACMD did not come to its conclusions alone; the work was scrutinised by the Health Technology Assessment programme.

Naturally, I've tried to contact Professor Parrott to discuss the points above with him, but he hasn't responded to my calls.

Professor Parrott wrote a personal letter to the home secretary urging her not to listen to the ACMD. Instead, he suggests an "independent review" of the committee's findings.

"As one of the leading international experts in this area, I would be willing to undertake such a review", he writes.

Link!


phrozen said:
Click on the link right above to see the graphics from the article, as well as links to the all the cited sources.
 
Interesting that parrott goes to schifano so often, they've published together, frequently reference each ither. Schifano is the italian counterpart to parrott, anti drug shill.
 
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