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Notes from the Field: Ketamine Detection and Involvement in Drug Overdose Deaths — United States, July 2019–June 2023.

By Alana M. Vivolo-Kantor; Christine L. Mattson, Maria Zlotorzynska,

Ketamine, a Schedule III controlled substance* that is Food and Drug Administration (FDA)–approved for general anesthesia, can produce mild hallucinogenic effects and cause respiratory, cardiovascular, and neuropsychiatric adverse events (1). In 2019, a form of ketamine (esketamine) was approved by FDA for use in treatment-resistant depression among adults† (2). Ketamine use, poison center calls for ketamine exposure, and ketamine drug reports from law enforcement have increased through 2019 (3), but recent trends in ketamine involvement in fatal overdoses are unknown. Data from CDC’s State Unintentional Drug Overdose Reporting System (SUDORS) were analyzed to describe characteristics of and trends in overdose deaths with ketamine detected or involved during July 2019–June 2023.

MMWR Morb Mortal Wkly Rep 2024;73:1010–1012

Mapping a moral panic: News media narratives and medical expertise in public debates on safer supply, diversion, and youth drug use in Canada

By Liam Michaud a b, Gillian Kolla c d, Katherine Rudzinski e, Adrian Guta 

The ongoing overdose and drug toxicity crisis in North America has contributed momentum to the emergence of safer supply prescribing and programs in Canada as a means of providing an alternative to the highly volatile unregulated drug supply. The implementation and scale-up of safer supply have been met with a vocal reaction on the part of news media commentators, conservative politicians, recovery industry representatives, and some prominent addiction medicine physicians. This reaction has largely converged around several narratives, based on unsubstantiated claims and anecdotal evidence, alleging that safer supply programs are generating a “new opioid epidemic”, reflecting an emerging alignment among key institutional and political actors. Employing situational analysis method, and drawing on the policy studies and social science scholarship on moral panics, this essay examines news media coverage from January to July 2023, bringing this into dialogue with other existing empirical sources on safer supply (e.g. Coroner's reports, program evaluations, debates among experts in medical journals). We employ eight previously established criteria delineating moral panics to critically appraise public dialogue regarding safer supply, diverted medication, and claims of increased youth initiation to drug use and youth overdose. In detailing the emergence of a moral panic regarding safer supply, we trace historic continuities with earlier drug scares in Canadian history mobilized as tools of racialized poverty governance, as well as previous backlashes towards healthcare interventions for people who use drugs (PWUD). The essay assesses the claims of moral entrepreneurs against the current landscape of opioid use, diversion, and overdose among youth, notes the key role played by medical expertise in this and previous moral panics, and identifies what the convergence of these narratives materialize for PWUD and healthcare access, as well as the broader policy responses such narratives activate.

International Journal of Drug Policy Volume 127, May 2024, 104423

Harnessing Artificial Intelligence to Address Organised Environmental Crime in Africa

By Romi Sigsworth 

Artificial intelligence (AI) offers innovative solutions for addressing a range of illegal activities that impact Africa’s environment. This report explores how AI is being used in Africa to provide intelligence on organised environmental crime, craft tools to assess its impact, and develop methods to detect and prevent environmental criminal activities. It discusses the challenges and opportunities AI poses for policing environmental crime in Africa, and proposes recommendations that would allow AI-powered policing to make a real difference on the continent. Recommendations • African governments and organisations should invest in gathering large, local data sets to allow AI models to produce appropriate and relevant solutions. • Investments in digital and communication infrastructure need to be made across Africa to improve and expand access to and affordability of AI solutions. • Police forces across Africa should include technology and AI skills capacity building into their basic and professional development training curricula. • Guardrails should be established through legislation to protect data, ensure privacy where necessary, and regulate the use of AI. • Public-private partnerships must be strengthened for law enforcement agencies across Africa to receive the technology and training they need to effectively embed AI tools into their methodologies to combat environmental (and other) organised crime

Enact Africa 2024. 28p.

Decriminalization or Police Mission Creep? Critical Appraisal of Law Enforcement Involvement in British Columbia, Canada's Decriminalization Framework

By Liam Michaud, Jenn McDermid, Aaron Bailey, Tyson Singh Kelsall 

The unregulated drug toxicity crisis in British Columbia (BC), Canada, has claimed over 14,000 lives since 2016. The crisis is shaped by prohibitionist policies that has led to the contamination of the unregulated drug supply, resulting in a surge of fatal and non-fatal overdose events. The criminalization of drug users exacerbates this situation, pushing individuals into carceral systems for the possession of and/or social practices related to drug use. This commentary examines the involvement of policing in the development, and throughout the first 15 months of its implementation, of BC's decriminalization framework. We highlight concerns regarding police discretion, the expansion of scope, and the interweaving of carceral logics into policies that purport to be public health-oriented.

International Journal of Drug Policy, Volume 129, July 2024, 104478

Linkage Facilitation for Opioid Use Disorder in Criminal Legal System Contexts: a Primer for Researchers, Clinicians, and Legal Practitioners

By Milan F. Satcher, Steven Belenko, Anthony Coetzer-Liversage, Khirsten J. Wilson, Michael R. McCart, Tess K. Drazdowski, Amanda Fallin-Bennett, Nickolas Zaller, Alysse M. Schultheis, Aaron Hogue, Noel Vest, Ashli J. Sheidow, Brandon del Pozo, Dennis P. Watson, Patrick F. Hibbard, Randy Stevens & L. A. R. Stein 

At the intersection of drug policy, the opioid crisis, and fragmented care systems, persons with opioid use disorder (OUD) in the United States are significantly vulnerable to contact with the criminal legal system (CLS). In CLS settings, provision of evidence-based treatment for OUD is variable and often secondary to punitive approaches. Linkage facilitation at every touch point along the CLS Sequential Intercept Model has potential to redirect persons with OUD into recovery-oriented systems of care, increase evidence-based OUD treatment connections, and therefore reduce CLS re-exposure risk. Research in this area is still nascent. Thus, this narrative review explores the state of the science on linkage facilitation across the varied CLS contexts, including general barriers, facilitators, and opportunities for using linkage facilitation for OUD treatment and related services. Following the CLS Sequential Intercept Model, the specific CLS contexts examined include community services, police encounters, the courts (pre- and post-disposition), incarceration (pre-trial detention, jail, and prison), reentry (from jails, prisons, and unified systems), and community supervision (probation and parole). Examples of innovative linkage facilitation interventions are drawn from the Justice Community Opioid Innovation Network (JCOIN). Areas for future research and policy change are highlighted to advance the science of linkage facilitation for OUD services in the CLS.

l. Health & Justice (2024) 12:36

Interventions to Reduce Harms Related to Drug Use Among People Who Experience Incarceration: Systematic Review and Meta-Analysis 

By Christel Macdonald, Georgina Macpherson, Oscar Leppan, Lucy Thi Tran, Evan B Cunningham, Behzad Hajarizadeh, Jason Grebely, Michael Farrell, Frederick L Altice, Louisa Degenhardt

Mortality, suicide, self-harm, and substance use are elevated among people who are incarcerated. There is a wide range of heterogeneous interventions aimed at reducing these harms in this population. Previous reviews have focused on specific interventions or limited their findings to drug use and recidivism and have not explored interventions delivered after release from prison. Our aim is to examine the effect of interventions delivered to people who use drugs during incarceration or after release from incarceration, on a wide range of outcomes. Methods In this systematic review and meta-analysis, we searched Embase, MEDLINE, and PsycINFO databases up until Sept 12, 2023 for studies published from Jan 1, 1980 onwards. All studies evaluating the effectiveness of any intervention on drug use, recidivism outcomes, sexual or injecting risk behaviours, or mortality among people who use psychoactive drugs and who were currently or recently incarcerated were included. Studies without a comparator or measuring only alcohol use were excluded. Data extracted from each study included demographic characteristics, interventions, and comparisons. Pooled odds ratios and risk ratios were calculated using random-effects meta-analyses. Findings We identified 126 eligible studies (47 randomised controlled trials and 79 observational studies) encompassing 18 interventions; receiving opioid-agonist treatment (OAT) in prison reduced the risk of death in prison (one study; hazard ratio 0·25; 95% CI 0·13–0·48), whereas receiving OAT in the first 4 weeks following release reduced risk of death in the community (two studies; relative risk 0·24; 95% CI 0·15–0·37). Therapeutic community interventions reduced re-arrest at 6–12 months (six studies; odds ratio [OR] 0·72; 95% CI 0·55–0·95) and reincarceration at 24 months (two studies; OR 0·66; 95% CI 0·48–0·96). There was scarce evidence that OAT and syringe service provision are effective in reducing injecting risk behaviours and needle and syringe sharing. Interpretation There are effective interventions to reduce mortality and recidivism for people who use drugs who have been incarcerated. Nonetheless, there are also substantial gaps in the research examining the effect of interventions on risk behaviours and mortality during incarceration and a need for randomised designs examining outcomes for people who use drugs after release.

The Lancet, Vol 9 September 2024

Refugee Reception in Southern Africa: National and Local Policies in Zambia and South Africa

By Nicholas Maple

A new understanding of state-based refugee reception that reflects the complex dynamics of contemporary refugee arrival. It is no longer realistic (if it ever was) to understand persons who flee across a border as a homogeneous group whose movement abruptly ends once they arrive in a host state or refugee camp. Through a comparative analysis of the politics surrounding the welcome afforded to refugees, this book offers an original perspective on refugee hosting in Southern Africa. Using the cases of Zambia and South Africa, the book explores why some countries maintain encampment reception policies for refugees, and others use more liberal ‘free settlement’ approaches, whereby refugees are granted freedom of movement and permitted to settle in cities and towns. While state-based reception is frequently framed as one-off moments, such as registration, Refugee Reception in Southern Africa examines reception as a complex and ongoing process of negotiations between refugees and state, with reception policies vital in shaping a refugee’s ability to settle and engage with local communities and labour markets. With its new ‘refugee reception’ framework and in-depth case studies full of concrete examples, this book is a significant theoretical and methodological contribution to migration studies more broadly.

London: University of London Press, 2024.

Applying a Systems Thinking Lens to Child Sexual Abuse in Sport: An Analysis of Investigative Report Findings and Recommendations

By Karl DoddPaul M. SalmonColin SolomonScott McLea

Background: Sporting organisations and governing bodies are facing increased pressure to prevent child sexual abuse (CSA) in sport. This has led to an increase in investigative reports into CSA that include recommendations on how sporting organisations could improve child safeguarding. Current peer reviewed literature on the prevention of CSA in sport, indicates that the majority of research has been on interventions at the levels of the victim and perpetrator, rather than on broader components of the sports system. However, it is not clear whether this is the case in investigative reports. Objective:  The aim of this study was to analyse investigative reports into CSA in five Australian sports (Swimming, Cricket, Gymnastics, Football, and Tennis), to evaluate the extent to which a systems thinking approach was adopted to understand the broader systemic factors enabling CSA in sport.  Method: Factors enabling CSA detailed in the reports, as well as their accompanying recommendations, were mapped to a systems thinking-based framework. The identified enabling factors and recommendations were then evaluated to determine the extent to which a whole of systems focus had been adopted in the investigative reports. Results: In total, 30 enabling factors to CSA were identified, with the majority focused at the higher levels of the sports system (e.g., Governance, Policy, Reporting/Handling issues etc.). This contrasts with the peer reviewed literature. Conclusions: The findings indicate that the identified enabling factors to CSA align with a systems thinking approach, whereas the recommendations to safeguarding partially adhere to the tenets of system thinking.

Online Gendered Abuse and Disinformation During the 2024 South African Elections

By Clara Martiny, Terra Rolfe, Bilen Zerie, Aoife Gallagher and Helena Schwertheim

ISD sought to understand how Online Gender-Based Violence (OGBV) affects South African women, focusing on the experience of women politicians, candidates, and political figures during one of South Africa’s most historic general elections in May 2024. ISD analysts used a combination of qualitative and quantitative analytical methods, interviews with experts, and knowledge drawn from online and in-person workshops. Specifically, three online case studies looked at abusive content, gendered disinformation, and harassment targeting women politicians on TikTok, X (formerly Twitter), and Facebook.

ISD’s analysis found that South African women in politics often face abuse online in the form of replies or comments to their posts or content about them. Misogynistic actors tend to target their physical attributes, intelligence, and ability to lead. They also often engage with gendered disinformation narratives that sexualize or objectify women. While the legislative frameworks in South Africa are progressive and comprehensive, enforcement is difficult and many women are unaware of the resources available to them. Social media platforms also have policies that address OGBV and gendered disinformation but their enforcement is weak, especially outside of English language content.

Amman Berlin London Paris Washington D C: Institute for Strategic Dialogue, 2024. 37p.

Recidivist Organizational Offenders and the Organizational Sentencing Guidelines

By Kaleb Byars

Despite recent Congressional hearings and public attention, the question of how to fairly and efficiently punish recidivist organizational offenders remains unresolved. Any discussion regarding the most optimal legal response to recidivist organizational crime is incomplete without a solution accounting for the use of organizational deferred prosecution agreements ("DPAs") and non-prosecution agreements ("NPAs"). These tools allow criminal defendants to resolve charges without sustaining convictions that attach to the defendants' criminal records, and they are used often in the organizational context. This Article is the first to recognize that the federal sentencing scheme fails to promote deterrence and fairness in the context of organizational sentencing and is the first to offer a practical solution to this problem. The federal sentencing scheme currently does not require an increase in an organizational defendant's sentence when the defendant previously executed DPAs or NPAs before its subsequent criminal conduct. Yet the federal sentencing guidelines do require an increase in an individual defendant's sentence if the individual previously executed a DPA. Meanwhile, the existence of prior DPAs and NPAs is a hallmark of organizational recidivism that demonstrates an organization is more culpable than other organizational defendants. Accordingly, this Article recommends that the Sentencing Commission amend the federal sentencing guidelines to require sentencing courts to increase organizations’ sentences based on prior DPAs and NPAs. This Article offers specific amendments for consideration. Finally, until the sentencing guidelines are amended, sentencing courts can use tools already in place to begin imposing more fair organizational sentences.

Unpublished paper, 2024.Byars, Kaleb, Recidivist Organizational Offenders and the Organizational Sentencing Guidelines (August 12, 2024).

Gold Supply Chain Opacity and Illicit Activities: Insights from Peru and Kenya

By Nicole M. Smith, Kady Seguin, U. Mete Saka, Sebnem Duzgun, Ashley Smith-Roberts, David Soud, Jenna White

Illicit gold flows constitute a major development challenge for governments and a social responsibility challenge for many industries along gold supply chains, including gold refiners and jewelry retailers. This paper highlights aspects of gold supply chains that lack transparency and may indicate junctures where illicit activities are taking place, resulting in a loss of tax and customs revenues. Using Peru and Kenya as case study countries, we draw from United Nations Comtrade data and qualitative data from field research to examine the magnitude of the gold trade, the forms in which gold is traded, discrepancies in reported trade data, and key trade partners for each country. We suggest that certain portions of gold supply chains should be given more attention, some types of gold exports and imports present greater traceability challenges than others, and some countries play a much more significant role in the global gold trade. We propose areas where further investigations may be warranted to ensure more transparent and responsible gold supply chains.

Journal of Illicit Economies and Development, 6(1): pp. 42–59. 2024

Pentecostalism and Witchcraft:  Spiritual Warfare in Africa and Melanesia

Edited By Knut Rio, Michelle MacCarthy, Ruy Blanes

This book presents fresh ethnographic work from the regions of Africa and Melanesia—where the popularity of charismatic Christianity can be linked to a revival and transformation of witchcraft. The volume demonstrates how the Holy Spirit has become an adversary to the reconfirmed presence of witches, demons, and sorcerers as manifestations of evil. We learn how this is articulated in spiritual warfare, in crusades, and in healing or witch-killing raids. The contributors highlight what happens to phenomena that people address as locally specific witchcraft or sorcery when re-molded within the universalist Pentecostal demonology, vocabulary, and confrontational methodology.

Cham: Springer Nature, 2017. 311p.

Confronting the Threats to Integrity - Illegal Betting Markets and Disruptive Technology

By Asian Racing Federation

The ARF’s latest compendium of 2 major reports and 18 articles collates the Council’s latest research on the threat of illegal betting markets to the integrity of racing and other sports. From February 2023to April 2024, the ARF Council's Bulletins have been shedding light on the ways technological breakthroughs can be exploited by organized crime, all of which are now included in one edition.

Hong Kong: Asian Racing Federation, 2024. 192p.

How China's Crackdown on Illegal Betting Impacts Global Betting Markets

By Asian Racing Federation

This report examines Mainland China’s crackdown on illegal betting from 2018 to mid-2021, its background, purpose and impact. It is based on official announcements and statistics, 315 Mainland Chinese media articles related to illegal betting, and English-language reports. The report details:

·         Why China is so concerned about illegal betting

·         Insights into the scale of the problem

·         The crackdown’s impact on wider illegal betting in Asia

·         Notable shared characteristics of illegal betting operations

·         Why China’s crackdown is relevant to other jurisdictions

Hong Kong: Asian Racing Federation, 2021. 14p.

Multilateral Responses to Transnational Organized Crime and Conflict: Global Policy Considerations and Future Directions 

By Erica Gaston and Fiona Mangan

Reconceptualize peace operation tools in ways that would better respond to transnational organized crime, including elevating it as a priority task or considering transnationally operational missions. Position UN entities and missions for more informed political economy-focused responses, including through cultivating staff expertise related to anti-corruption and financial crime, and improving whole-of-mission intelligence capacity. Protect and reinforce transnational monitoring and enforcement tools, including revamping sanctions regimes, protecting and buttressing panels of experts, and supporting civil society or private sector information flows and watchdog activities. Consider issues related to organized crime and trafficking in prevention and peacebuilding, including national prevention strategies, mediation and good offices, and peacebuilding forums and programming  

 New York: United Nations University, Centre for Policy Research, 2024. 15p.