By Thomas Hofmarcher, Anne Leppänen, Anna Månsdotter, Joakim Strandberg, Anders Håkansson

Background: Illegal drug use is a public health concern with far-reaching consequences for people who use them and for society. In Sweden, the reported use of illegal drugs has been growing and the number of drug-induced deaths is among the highest in Europe. The aim of this study was to provide a comprehensive and up-to-date estimation of the societal costs of illegal drug use in Sweden, relying as much as possible on registry and administrative data. Methods: A prevalence-based cost-of-illness study of illegal drug use in Sweden in 2020 was conducted. A societal approach was chosen and included direct costs (such as costs of health care, social services, and the criminal justice system), indirect costs (such as lost productivity due to unemployment and drug-induced death), and intangible costs (such as reduced quality of life among people who use drugs and their family members). Costs were estimated by combining registry, administrative, and survey data with unit cost data. Results: The estimated societal costs of illegal drug use were 3.7 billion euros in 2020. This corresponded to 355 euros per capita and 0.78 % of the gross domestic product. The direct and intangible costs were of similar sizes, each contributing to approximately 40 % of total costs, whereas indirect costs contributed to approximately 20 %. The largest individual cost components were reduced quality of life among people who use drugs and costs of the criminal justice system. Conclusion: Illegal drug use has a negative impact on the societal aim to create good and equitable health in Sweden. The findings call for evidence-based prevention of drug use and treatment for those addicted. It is important to address the co-morbidity of mental ill-health and drug dependence, to develop low-threshold services and measures for early prevention among children and young adults, as well as to evaluate laws and regulations connected to illegal drug use.

International Journal of Drug Policy, Volume 123, January 2024, 104259

By Letizia Paoli, Luke Thomas Joseph Cox

Background: Like many other goods and services, performance and image enhancing drugs (PIEDs), and particularly androgenic anabolic steroids (AAS), are increasingly discussed and promoted by social media influencers. Little, however, is known about the influencers specialized in PIEDs and which drugs and services they promote and sell. Aims: Against this background, the study has been intended to identify prominent influencers specialized in PIEDs, examine the market activities they engage in, and assess the latter’s legality. Methods: We first searched the clean internet to identify prominent PIED influencers. Second, we conducted a sixmonth-long, non-reactive digital ethnography of the social media accounts of 20 influencers and, via a content analysis, identified the market activities they engage in. Third, we assessed the latter’s legality, primarily using the EU legislation as a benchmark. Findings: The selected influencers are all current or former bodybuilders, predominantly male and from the United States. Many of them have developed a considerable number of followers, in three cases exceeding one million. They engage in various market activities that span the whole spectrum of legality, from legal to illegal, with many activities having an uncertain, but often dubious, legal status. Conclusions: Though they may promote harm reduction for some users, PIED influencers also promote the public acceptance of PIED use beyond the bodybuilding community and enhance access to PIEDs for millions of people. Multifaceted policy interventions are required, aiming at preventing influencers from becoming a major source of information on, and route of access to, PIEDs.

International Journal of Drug Policy, Volume 123, January 2024, 104246

By Pascal Tanguay

Elections in 2023 have brought a new government to power, headed by Prime Minister Srettha Thavisin, who declared in late September that his government intends to achieve in the next six months a partial reversal of the reforms, recriminalizing recreational use and leaving the medical market as the sole legal arena.

Through a methodical data collection process involving key informant interviews and literature reviews, this report sheds light on the substantial impacts of such policy changes, especially on the illicit markets and organized crime networks. Informed by these insights, the GI-TOC has formulated preliminary policy recommendations to secure a resilient Thai cannabis market that is as balanced as it is sustainable.

Geneva, SWIT: The Global Initiative Against Transnational Organized Crime (GI-TOC),  2024. 34p.

By Marcelo Bergman

This book describes the main patterns and trends of drug trafficking in Latin America and analyzes its political, economic and social effects on several countries over the last twenty years. Its aim is to provide readers an introductory yet elaborate text on the illegal drug problem in the region. It first seeks to define and measure the problem, and then discusses some of the implications that the growth of production, trafficking, and consumption of illegal drugs had in the economies, in the social fabrics, and in the domestic and international policies of Latin American countries.

This book analyzes the illegal drugs problem from a Latin American perspective. Although there is a large literature and research on drug use and trade in the USA, Canada, Europe and the Far East, little is understood on the impact of narcotics in countries that have supplied a large share of the drugs used worldwide. This work explores how routes into Europe and the USA are developed, why the so-called drug cartels exist in the region, what level of profits illegal drugs generate, how such gains are distributed among producers, traffickers, and dealers and how much they make, why violence spread in certain places but not in others, and which alternative policies were taken to address the growing challenges posed by illegal drugs.

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  With a strong empirical foundation based on the best available data, Illegal Drugs, Drug Trafficking and Violence in Latin America explains how rackets in the region built highly profitable enterprises transshipping and smuggling drugs northbound and why the large circulation of drugs also produced the emergence of vibrant domestic markets, which doubled the number of drug users in the region the last 10 years. It presents the best available information for 18 countries, and the final two chapters analyze in depth two rather different case studies: Mexico and Argentina.

Cham: Springer International Publishing, 2018. 166p.

Edited by Eric L. Olson, Andrew Selee, and David A. Shirk

The clichés describing United States-Mexico relations are well known and well worn. Given the enormity of the geographic, historical, cultural, and economic ties between both countries it’s now a commonplace to say Mexico is the United States’ most important bilateral relationship, and vice-versa. The nature of this critical binational relationship has been dissected and probed from every conceivable angle. Yet as we began to research the security relationship between both countries we realized that there is still much that is not generally known amongst the public and policy communities about how Mexico and the United States are working together to deal with the threats posed by organized crime. For example, the unique nature of money laundering operations taking place across the U.S.-Mexico border; the extent to which high-powered firearms are finding their way from U.S. gun shops into the hands of organized crime and street gangs in Mexico; and the surprisingly limited information about the amount of illegal drugs consumed in the United States are not widely understood. Likewise, the deployment of Mexico’s armed forces is only one aspect of the country’s anti-drug strategy. Police agencies are being reorganized and efforts at professionalization are underway. A major reform of Mexico’s justice system was adopted in 2008 that, if fully implemented, should help greatly strengthen the rule of law and reduce the relative power and impunity of organized crime. Yet, while significant progress has already been made in some of Mexico’s 31 states, many questions remain about the efficacy and sustainability of these reforms. But despite these developments, the extreme violence brought on by conflicts amongst and between organized crime groups still garners the most attention. The horrifying and gruesome details of drug violence are plastered on the front pages of daily newspapers and videos of narco-violence are easily available on public websites and YouTube. In some cases, the criminals themselves are publicizing their actions for their own aggrandizement and to terrorize the public. While understanding the nature and extent of the violence afflicting Mexico in recent times is important, we also recognized that the violence itself is more symptom than cause of the underlying problem. For this reason, we thought it important to focus this project’s research on a series of key issues that are feeding the growth of organized crime and related violence in Mexico. We also found it important to examine several policy areas where reform and action by one or both governments could contribute to a long term sustainable approach to weakening the grip of organized crime and illegal drugs on both countries

Washington, DC: Woodrow Wilson International Center and San Diego: University of San Diego, Trans-Border Institute, 2011. 388p.

By A Joint Effort Between EU-ABC & TRACIT.

TRACIT has joined with the EU-ASEAN Business Council (EU-ABC) to issue a report that sheds light on the growing problem of illicit trade in the Association of South East Asian Nations (ASEAN). The report, titled, “Tackling Illicit Trade in ASEAN”, comes at a time when illicit trade is gaining momentum in ASEAN and as officials prepare for the upcoming 14th ASEAN Ministerial Meeting on Transnational Crime (AMMTC). The paper investigates various forms of illicit trade in the region, the affected industry sectors and provides critical insight on how government and industry leaders can work together to introduce regulatory changes to confront this pressing issue.

NY: TRACIT. Advocacy Paper, 2020. 35p.