By The Congressional Budget Office

The United States has been experiencing an opioid crisis since the mid-1990s, and opioids have had a significant effect on public health and on the nation’s economic and social outcomes. In this report, the Congressional Budget Office examines the consequences and timeline of the crisis, the contributing factors and federal responses to it, and the effects of the coronavirus pandemic on the crisis.

Deaths. More than 500,000 opioid-involved deaths have occurred since 2000, and the United States has the world’s highest number of opioid-involved deaths per capita. Although federal funding to address the opioid crisis has increased in recent years, opioid overdose mortality has increased as well. Deaths from opioid-involved overdoses were among the leading causes of death in 2020.

Health and Other Effects. The use and misuse of opioids can result in serious health effects: People with certain harmful behaviors that result from opioid misuse—such as an increase in the amount and frequency of opioid use or failure to fulfill major responsibilities at work, home, or school—have opioid use disorder (OUD), which can affect people’s participation in the labor force and their ability to care for their children. Treatment for OUD is used far less than behavioral health professionals recommend.

Changes Over Time. The opioid crisis has occurred in waves distinguished by the different types of opioids involved in overdose deaths and the use of opioids in combination with other drugs.

Contributing Factors. A rise in opioid prescribing, changes in illegal opioid markets, and greater demand for opioids due to worsening economic and social conditions for certain populations are key contributors to the crisis.

Federal Laws. Between 2016 and 2018, three laws enacted in response to the crisis aimed to lower the demand for and supply of opioids and to reduce their harm. The funding in those laws complemented annual appropriations to agencies tasked with responding to substance use disorder, including opioid use disorder.

The Crisis After the Enactment of the Laws and During the Pandemic. Opioid-involved deaths continued to increase after the laws were enacted—initially more slowly than in preceding years but then more rapidly during the pandemic. Opioid misuse increased during the pandemic as people experienced worsened mental health, more social isolation, greater job losses, and reduced access to treatment. In addition, the use of more potent synthetic opioids led to a sharp increase in overdose deaths. The pandemic and other factors have made it difficult to isolate the effect of the laws on the opioid crisis.

Washington, DC: CBO, 2022. 38p.

By Maximilian Meyer, Jean N. Westenberg , Kerry L. Jang , Fiona Choi , Stefanie Schreiter , Nickie Mathew , Conor King, Undine. Lang , Marc Vogel and R. Michael Krausz

Understanding drug market dynamics and their underlying driving factors is paramount to developing effective responses to the overdose crisis in North America. This paper summarises the distinct drug market trends observed locally and internationally over the past decade to extrapolate future drug market trajectories. The emergence of fentanyl on North American street markets from 2014 onwards led to a shift of street drug use patterns. Previously perceived as contaminants, novel synthetic opioids became the drugs of choice and a trend towards higher potency was observed across various substance classes. The diversification of distribution strategies as well as the regionalisation and industrialisation of production followed basic economic principles that were heavily influenced by prosecution and policy makers. Particularly, the trend towards higher potency is likely most indicative of what to expect from future illicit drug market developments. Nitazenes and fentanyl-analogues, several times more potent than fentanyl itself, are increasingly detected in toxicological testing and have the potential of becoming the drugs of choice in the future. The dynamic of drug import and local production is less clear and influenced by a multitude of factors like precursor availability, know-how, infrastructure, and the success of local drug enforcement strategies. Drug market dynamics and the current trajectory towards ultrapotent opioids need to be recognised by legislation, enforcement, and the health care system to prepare effective responses. Without significant improvements in treatment access, the implementation of preventative approaches and early warning systems, the mortality rate will continue to increase. Furthermore, there is no mechanism in place preventing the currently North American focused overdose crisis to spread to other parts of the globe, particularly Europe. A system of oversight, research, and treatment is needed to address mortality rates of historic proportions and prevent further harm.

International Journal of Mental Health Systems (2023) 17:36

By United Nations Office on Drugs and Crime (UNODC), Observatory on Smuggling of Migrants.

Our new snapshot, produced in the context of a partnership with the United Nations Office on Drugs and Crime (UNODC) Observatory on Smuggling of Migrants, examines respondents’ reasons for leaving their country of origin, access to smuggling services, and protection incidents experienced en route, as well as the involvement of state officials in smuggling between Cambodia-Thailand and Lao PDR-Thailand.

Key findings include:

• Almost all Cambodian respondents (96%) and most Laotian respondents (84%) used smugglers to facilitate their migration to Thailand.

• Smuggling dynamics vary significantly between Cambodian and Laotian respondents: Cambodians primarily used smugglers due to a lack of knowledge of alternatives (79%), while most Laotians were motivated by the perception that using smugglers would be easier (63%).

• Cambodian respondents more often reported the involvement of state officials in smuggling (63%) than Laotian respondents (13%).

United Nations Office on Drugs and Crime (UNODC) Observatory on Smuggling of Migrants. 2023, 12p.

By Nagesh N. Borse, June Cha, Christina G. Chase, Raashi Gaur, et al.

Substandard and falsified medical products such as vaccines and medicines are a serious and growing global health issue1 . Other health products such as diagnostic kits and infection preventatives, including but not limited to masks and hand sanitizers, are also found on the market in substandard and falsified versions, as discussed below. In this article, the authors refer to all of these products as substandard and falsified health products (SFHP).* COVID-19, like previous pandemics, has increased the vulnerability of global supply chains to SFHP. This paper explores the basics of SFHP, reviews what we have learned from past pandemics, and offers a perspective on existing and needed tools to protect health products, and the people who use them, from the threat of SFHP.

Washington, DC: USP, 2021. 11p.

By The United Nations Office on Drugs and Crime

Restrictions on movement imposed by govern- ments across the world due to the COVID-19 pandemic have had an impact on the trafficking of substandard and falsified medical products. Interpol and the World Customs Organization (WCO) reported that seizures of substandard and falsified medical products, including person- al protective equipment (PPE), increased for the first time in March 2020. The emergence of trafficking in PPE signals a significant shift in organized criminal group behaviour that is directly attributable to the COVID-19 pandemic, which has brought huge demand for medical products such as PPE over a relatively short period of time. It is foreseeable that, with the evolution of COVID-19 and developments in medicinal treatments and/or the repurposing of existing medicines, criminal behaviour will shift from trafficking in PPE to the development and delivery of a COVID-19 vaccine. Furthermore, cyberattacks on critical infrastructure involved in addressing the pandemic are likely to continue in the form of online scams aimed at health procurement authorities. Challenges in pandemic preparedness, ranging from weak regulatory and legal frameworks to the prevention of the manufacturing and trafficking of substandard and falsified products and cyber security shortcomings, were evident before COVID-19, but the pandemic has exacerbated them and it will be difficult to make significant improvements in the immediate short term. The report concludes that crime targeting COVID-19 medical products will become more focused with significantly greater risks to pub- lic health as the containment phase of the pan- demic passes to the treatment and prevention stages.

Vienna: UNODC Research and Trend Analysis Branch. 2020. 31p

ByThe Financial Action Task Force

he COVID-19 pandemic has led to unprecedented global challenges, human suffering and economic disruption. It has also led to an increase in COVID-19-related crimes, including fraud, cybercrime, misdirection or exploitation of government funds or international financial assistance, which is creating new sources of proceeds for illicit actors. Using information provided to the members of the FATF Global Network on 7 and 23 April, this paper identifies challenges, good practices and policy responses to new money laundering and terrorist financing threats and vulnerabilities arising from the COVID-19 crisis.

As the world is focusing on responding to the COVID-19 pandemic, it is impacting on the ability of government and the private sector to implement anti-money laundering and counter terrorist financing (AML/CFT) obligations in areas including supervision, regulation and policy reform, suspicious transaction reporting and international cooperation. This could lead to emerging risks and vulnerabilities that could result in criminals finding ways to:

• Bypass customer due diligence measures;

• Increase misuse of online financial services and virtual assets to move and conceal illicit funds;

• Exploit economic stimulus measures and insolvency schemes as a means for natural and legal persons to conceal and launder illicit proceeds;

• Increase use of the unregulated financial sector, creating additional opportunities for criminals to launder illicit funds;

• Misuse and misappropriation of domestic and international financial aid and emergency funding;

• Exploit COVID-19 and the associated economic downturn to move into new cash-intensive and high-liquidity lines of business in developing countries.

AML/CFT policy responses can help support the swift and effective implementation of measures to respond to COVID-19, while managing new risks and vulnerabilities. This paper provides examples of such responses, which include:

• Domestic coordination to assess the impact of COVID-19 on AML/CFT risks and systems;

• Strengthened communication with the private sector;

• Encouraging the full use of a risk-based approach to customer due diligence;

• Supporting electronic and digital payment options.

Paris: FATF, 2020. 34p.

By The Financial Action Task Force (FATF)

The COVID-19 pandemic has led to unprecedented global challenges, human suffering and economic hardship. The pandemic has also spawned a range of COVID-19-related crimes, which are creating new sources of income for criminal networks. In May, the FATF highlighted the COVID-19-related money laundering and terrorist financing risks and policy responses.

Today, the FATF releases an Update-COVID-19-Related-Money-Laundering-and-Terrorist-Financing-Risks

The paper confirms the concerns expressed by the FATF in May, including:

• Changing financial behaviours - especially significant increases in online purchases due to widespread lockdowns and temporary closures of most physical bank branches, with services transitioning online.

• Increased financial volatility and economic contraction - largely caused by the losses of millions of jobs, closures of thousands of companies and a looming global economic crisis.

To respond to these evolving risks, authorities and the private sector need to take a risk-based approach, as required by the FATF Standards. This means mitigating the money laundering and terrorist financing risks without disrupting essential and legitimate financial services and without driving financial activities towards unregulated service providers.

Supervisors should also clearly communicate about the national risk situations and regulatory expectations. There is no one-size-fits-all approach. However, the FATF’s report on risks and policy responses provides guidance on how jurisdictions should address these issues.

Paris: FATF, 2020. 34;p.

y Adam Baird , Matthew Louis Bishop , Dylan Kerrigan

The Southern Caribbean became a key hemispheric drug transhipment point in the late 1990s, to which the alarmingly high level of homicidal violence in Trinidad is often attributed. Existing research, concentrated in criminology and mainstream international relations, as well as the anti-drug policy establishment, tends to accept this correlation, framing the challenge as a typical post-Westphalian security threat. However, conventional accounts struggle to explain why murders have continued to rise even as the relative salience of narcotrafficking has actually declined. By consciously disentangling the main variables, we advance a more nuanced empirical account of how ‘the local’ is both inserted into and mediates the impact of ‘the global’. Relatively little violence can be ascribed to the drug trade directly: cocaine frequently transits through Trinidad peacefully, whereas firearms stubbornly remain within a distinctive geostrategic context we term a ‘weapons sink’. The ensuing murders are driven by the ways in which these ‘residues’ of the trade reconstitute the domestic gangscape. As guns filter inexorably into the community, they reshape the norms and practices underpinning acceptable and anticipated gang behaviour, generating specifically ‘residual’ forms of violence that are not new in genesis, but rather draw on long historical antecedents to exacerbate the homicide panorama. Our analysis emphasises the importance of taking firearms more seriously in understanding the diversity of historically constituted violences in places that appear to resemble—but differ to—the predominant Latin American cases from which the conventional wisdom about supposed ‘drug violence’ is generally distilled.

Political Geography. Volume 106, October 2023, 102966

By Marie Nougier, Adrià Cots Fernández & Dania Putri

April 2021 marks the five-year anniversary of the 2016 United Nations General Assembly Special Session (UNGASS) on drugs. This report aims to take stock of progress made on the implementation of the operational recommendations included in the UNGASS Outcome Document. Using desk-based research, and drawing on data and analysis from UN reports, academia, civil society and the community, the report focuses on six critical areas: public health, development, human rights, civil society engagement, UN agency collaboration and cooperation, and drug policy evaluation. While some progress has been undeniably made, the research gathered in this report shows that in the last five years the gap between policy commitments on paper and meaningful change on the ground has continued to widen.

London: International Drug Policy Consortium, 2021. 115p.

By David Restrepo

On August 25th, 2020, a group of Colombian legislators challenged one of the last drug policy taboos left standing since the start of the current prohibition era: they proposed the legal regulation of both coca and cocaine.

The bill, Proyecto de Ley No. 236, unexpectedly passed the first round of committee-level congressional debate in 2021, but was archived by Colombia’s conservative-dominated legislature. Its opponents claimed that legalisation would unleash drug use and a crime wave, kicking the country back to its Pablo Escobarera international pariah status (Colombian Congress, 2021).

Despite its shelving, the bill’s relative success in Congress reflects a growing understanding that, no matter what governments do, drugs are here to stay. If a drug-free world is not an option, societies are better served by making peace with drugs via regulations that help us contain their harms and maximise their benefits.

Sensible drug policy today means leaving behind disproven measures like eradication, crop substitution, drug seizures and incarceration, which do little to prevent “drug addictions”, henceforth referred to as substance use disorders or SUDs. Like child abuse, punitive drug policy achieves the opposite of education. It unleashes highly profitable, powerful underground markets where drug use is promoted and glamourised, and violence and corruption become the business model (Durán-Martínez, 2018). Punitive drug policy channels public and private resources towards attacking rather than helping marginalised populations whose livelihoods depend on the least lucrative and most unsafe rungs of the illicit drug supply chain.

In Colombia, the Amazon basin, and South East Asia, conflicts and economies made possible by cocaine or opioid prohibition do not just victimise people: they are also speeding the demise of mega-biodiverse ecosystems, tugging the world towards the cliff of runaway climate change (McSweeney, 2015). In Mexico and Central America, homicidal drug wars are destabilising democracies and sending out waves of refugees, vulnerable to exploitation and xenophobia even as they attempt to rebuild their lives (Junger & Quested, 2020; Agren, 2020). In Central Asia, illicit opium helped fund the Taliban’s reconquest of Afghanistan, after trillions of dollars spent on the US war on terror (Felbab-Brown, 2021). In the Global North, punitive drug laws reinforce ethnic and racial profiling, turn low-income neighbourhoods into ganglands, and promote the mass incarceration of people of colour (Davis, 2003).

Colombia’s bill does not endorse cocaine use. Neither does it overlook the risk of turning coca and cocaine into for-profit industries like alcohol and tobacco. It is unwise to hand private corporations unchecked control of the plants and molecules that can inebriate and damage our mental health, but also, in the right circumstances, connect us with others, spark our creativity, and even allow us to experience altered states of mind that facilitate personal and community growth (Griffiths et al., 2019). Rather, managing the power, risk and benefits of psychoactive substances demands careful regulatory design that harnesses democratic accountability and knowhow from as diverse an array of human experience as possible.

Colombia’s bill captures the evidence-based perspective that regulations can help contain the self-serving excesses of legal markets. They can delay the age of drug initiation, promote moderation and encourage pro-social norms. They do this whilst enabling the emergence of legal industries that pay taxes, provide legal employment and generate medical and social benefits. If done via controls that prevent publicity and reduce profit motives, regulation can minimise drug-related harms even if drug use were to rise, which is not a foregone conclusion. Overall, welldesigned regulatory regimes for psychoactive substances offer the possibility of a better cost-benefit balance for society than prohibition appears to do.

Colombia’s proposal laid the groundwork for a regulatory architecture that has social justice at its core. It recognised the authority of Indigenous and local government institutions to shape the low-potency, whole coca leaf market, thereby providing an alternative to corporate takeover. This would honour the collective property rights to coca that generations of Indigenous people have fought for, whilst benefitting small coca farmers and integrating beneficial coca leaf uses into society.

Following these equity and inclusion principles could transform coca and cocaine markets from a source of devastation to a potential driver of regenerative, intercultural development, not to mention a form of long-overdue reparations for ethnic and small farmer communities.

The proponents of Colombia’s coca and cocaine regulation bill knew it would likely fail on its first try, but challenging this longstanding taboo could nudge people to conceive another world (Marulanda, 2020). By unlocking the imagination, new strategies might emerge, and this might ultimately change the political balance of power that blocks legal regulation.

This essay seeks to build on that approach. It comments on the bill’s comprehensive proposals: the result of a group of legislators, NGOs, and local communities coming together to condense decades of lessons from Colombia’s drug war trenches. It also imagines what the legal regime would look like from farming to consumption, assessing the outcomes in terms of the potential benefits and costs. The essay closes by exploring insights for overcoming the forces that doomed the bill: a stagnant political economy that sustains the war on coca and cocaine as one of the deadliest and most environmentally destructive of all the drug wars.

London: International Drug Policy Consortium, 2022. 34p.

By C4ADS

The illicit synthetic drug networks that fuel the ongoing opioid epidemic in the United States continue to evolve and adapt to changing incentives and pressures, finding innovative ways to exploit technology and increased global interconnectivity. The digital age, in particular, has had a transformative role in allowing synthetic drug networks to take root. Fentanyl networks are among the world’s first digital native drug networks. Global internet connectivity has opened a new era of drug distribution by facilitating direct-to-consumer transactions, rapid reaction to enforcement trends, and the delivery of retail, rather than wholesale, drug volumes through licit commercial delivery services.

C4ADS investigated these drug supply chains, conducting extensive multilingual analysis of Chinese corporate entities, the clear web, and social media, in order to better understand the methods by which they operate.

Washington, DC: C4ADS 2020, 45p.

By Europol and US Drug Enforcement Administration

The EU drug landscape is populated by a diverse range of criminal actors involved in the production, trafficking and distribution of a variety of illicit substances. These actors benefit from a number of criminal enablers and facilitators in their operations. In recent years, seizures of methamphetamine and cocaine linked to Mexican criminal actors have emerged as a prominent feature of the EU drug landscape. Mexican criminal actors and EU-based criminal networks have been working together to traffic both of these illicit drug types from Latin America to the EU.

This report delves into the activities of these criminals and their methods. Drug trafficking operations benefit from a number of different actors, such as brokers, cooks, envoys, intermediaries and money laundering service providers. Examples of the methods used by the criminals include the corruption of officials in the public and private sectors and the exploitation of legal business structures. The report also provides an outlook on potential threats that may develop in the future.

In the first initiative of this kind, Europol and the United States Drug Enforcement Administration (DEA) have issued this joint strategic product with the aim of expanding the intelligence picture on the involvement of Mexican criminal actors in the EU drug market.

The Hague: Europol and the DEA, 2022. 8p.

By J. Travis Donahoe

This paper studies the effects of shutting down prescribers, dispensers, and distributors that inappropriately handle prescription opioids on local opioid supply and mortality. With competitive supply, theory suggests the effects of closing any single supplier will be offset by substitution. Closing a supplier may have an effect on overall supply, however, if the targeted supplier is more lax with prescriptions than others or if the action has general deterrence effects. To examine enforcement empirically, I exploit differential timing of initial enforcement actions across areas following a federal expansion of enforcement in 2008. I show enforcement reduced overall opioid shipments by 20 percent in the average affected county for three years. Results further show that enforcement actions targeting distributors primarily reduced opioid shipments to pharmacies and clinics with suspicious order patterns. Overall, these findings demonstrate a large role for supplier enforcement to reduce harmful prescription opioid supply. Enforcement actions had heterogeneous effects on mortality. In Florida, which experienced the most enforcement, overdose death rates fell by 22 percent due to enforcement actions for five years. Outside of Florida, where enforcement was less intensive, overall mortality was unaffected. This heterogeneity is an important policy issue. (Job Market Paper)

Cambridge, MA: Harvard University, 2022. 69p.

By Vanda Felbab-Brown

Colombia’s counternarcotics policy choices have profound impact on consolidating peace in the wake of the 2016 peace deal with the Revolutionary Armed Forces of Colombia — People’s Army (Fuerzas Armadas Revolucionarias de Colombia — Ejército del Pueblo, FARC) and on the building of an effective state. Strategies of forced or voluntary eradication of coca crops have proven ineffective. As evidence from around the world shows, a long-term comprehensive effort to promote alternative livelihoods for coca growers — integrated into rural development and supported by well-designed interdiction efforts, with eradication delayed until these alternative livelihoods are generating sustainable income — has the best prospects for producing peace and a capable state and for reducing drug production.

To achieve sustainable and robust reduction of illicit crop cultivation, Colombia must thus expand its timeline of drug policy and state-building intervention well beyond 15 years. To achieve any viable transformative effects, it will also have to concentrate resources to selected zones of strategic intervention and gradually connect them and expand them to encompass larger areas in state intervention efforts.

The alternative livelihoods approach requires a concerted effort to build international support, particularly with the United States. It also requires countering the objections of Colombia’s political right. Arguments can be framed around the ineffective and counterproductive outcomes of forced eradication, the demonstrated benefits of comprehensive alternatives livelihood combined with well-designed interdiction to reduce the power of criminal groups, and other counternarcotics priorities in the United States.

A zero-coca conceptualization that insists on eradication first and conditions development aid on prior eradication of coca jeopardizes peace-building and statebuilding. In Colombia and elsewhere in the world, it has consistently failed to produce a sustainable reduction of coca cultivation. Forced eradication undermines the peace deal with the FARC and the broader legitimacy and presence of the state by jeopardizing the state’s ability to establish meaningful presence in areas formerly dominated by nonstate armed groups and radicalizing communities and cocalero (coca cultivator) movements. Aerial spraying will only compound these problems; drones will not redress the negative political effects, even if somewhat increasing the precision of spraying.

Washington, DC: Brookings Foreign Policy , 2020. 30p.

By The Global Initiative Against Transnational Organized Crime

Odesa is a city of immense importance to Ukraine. Its port is the gateway through which most of Ukraine’s trade with the world is conducted, but it also holds a deeply symbolic place in the country’s heart – the so-called ‘Jewel of the Black Sea.’

It has also long been one of the most criminalized cities in Ukraine, both in terms of illicit flows through its port (including drugs, weapons, and contraband) and the high levels of corruption around the construction industry, law enforcement, the criminal justice system, and the customs agency. The city itself was also a stronghold of pro-Russian sentiment, even after the 2014 Maidan Revolution, which ousted President Viktor Yanukovych (who was politically close to Moscow), the conflict in the Donbas, and Russia’s illegal annexation of Crimea. At the same time, the Russian invasion of Ukraine dealt a severe blow to organized crime in Odesa.

Geneva, SWIT: Global Initiative Against Transnational Organized Crime., 2023. 48p.

By Gabriel Feltran, Isabela Vianna Pinho and Lucia Bird Ruiz-Benitez de Lugo

Cocaine trafficking through West Africa, following the well-established route from Latin America to the European consumer market, appears to be in a phase of sharp growth. Since 2016, the majority of consignments transiting West Africa begin their journey in Brazil. The Primeiro Comando da Capital (PCC) – the largest criminal organization in Brazil – is pivotal to understanding Brazil’s newfound importance for cocaine in West Africa.

Cocaine trafficking between Brazil and West Africa stretches back at least to the 1980s, but as cultivation in Latin America continues to increase and consumption in Europe has grown, more and more cocaine is being moved along this path. In 2018, only one West African country – Senegal – was in the top 10 destinations for cocaine seized in Brazilian ports; by 2019, after a bumper year of seizures in Brazil, Nigeria, Ghana and Sierra Leone had also pushed their way onto the list. Cultivation in Latin America reached record levels in 2021, and in the following year an unprece-dented 24 tonnes were seized across West Africa.

In this report, we focus on the flow of cocaine between Brazil and West Africa, which largely supplies the lucrative European consumer market, and in particular on the role of the PCC, which straddles various illicit supply chains.

The research for this report has drawn on various data collection techniques but rests primarily on field observations of the retail trade and transit of illegal goods in South America, West Africa and Europe between 2015 and 2022. These observations, described in detail in the authors’ field notebooks, were supplemented by formal and informal interviews with those involved in the cocaine trade, from the South American borders to the retail trade spaces of Europe, allowing us to trace the journey of cocaine through the different nodes of the value chain.

Geneva, SWIT: Global Initiative Against Transnational Organized Crime, 2023 28p.

By James Byrne and Joe Byrne

North Korea relies on the outside world to import fuel.26 With no demonstrated oil reserves and limited domestic refinery capacity, imports of refined petroleum products are vital to the regime’s stability and survival. As in all modern economies, energy—predicated on a constant flow of fuel into the country—underpins North Korea’s domestic and export economy, as well as Pyongyang’s capacity to train and field armed forces and develop weapons of mass destruction (WMD). The international community’s efforts to cap North Korea’s oil and petroleum products imports in 2017 forced Pyongyang to adapt its fuel-procurement strategy. This report finds that North Korea has been engaging organized criminal networks and participating in a regional fuel smuggling market in violation of international sanctions, and that the nation is demonstrating increasingly sophisticated and previously unseen tactics to evade detection. Even by conservative estimates, Pyongyang appears to have successfully bypassed fuel sanctions and exceeded the cap imposed by the United Nations Security Council (UNSC) each year since the introduction of the limit.27 Despite the challenges posed by the coronavirus pandemic and by North Korea’s restrictions on port traffic, analysis of highresolution satellite imagery of oil terminals and import facilities suggests North Korea has once again breached the import cap in 2020. Through analysis of AIS data and satellite imagery, the authors found that the proportion of fuel deliveries to North Korean ports by foreign-flagged tankers is significant and has been increasing.28 This phenomenon raises important questions about the entities behind these sanctions violations, and it calls for scrutiny of how smugglers continue to evade detection and identification while transporting fuel within some of the most heavily monitored waters in the world. In this investigation we find the following: North Korea has tapped into an existing fuel smuggling economy in East Asia to procure fuel at volume. Different national-level regulatory and pricing regimes for fuel in the region create arbitrage opportunities that smugglers have long exploited to generate immense profit. These smugglers divert fuel from the licit market to sell to various customers, one of which is North Korea. Taiwan appears to be a key locus in this regional black market for fuel. The country’s preferential fuel policies price refined petroleum products lower than those of its neighbors, creating opportunities for arbitrage and offering smugglers a cheap and readily available source of fuel. Additionally, several of the networks and entities engaged in DPRK–related fuel smuggling operate from or out of addresses or ports in Taiwan. The country’s waters are also being exploited by illicit actors conducting DPRK-related, ship-to-ship (STS) transfers of fuel in a multilayered shuttle system that bisects both “dirty” vessels traveling directly to North Korea and “clean” vessels discreetly supplying those direct-delivery tankers with fuel on the high seas. North Korea’s illicit fuel supply chain has links to organized crime. Several of the key actors in North Korea’s fuel procurement originate from, and maintain connections to, Fujian province, China and, in particular, the city of Shishi. Shishi and the nearby coastal cities of Fujian province have long been a regional smuggling hub for illicit goods, such as cigarettes, wildlife products, drugs, and fuel. These actors appear to constitute a loose criminal federation whose interests and activities intersect to smuggle fuel to North Korea. A key node in this DPRK fuel procurement network appears to be the Winson Group, a major regional oil trader. The Winson Group is headquartered in Singapore and has offices across East Asia; it has links to several shipping and oil trading companies in the region, as well as businesses registered in secrecy jurisdictions, through which it has connections to possible STS transfers of fuel that ultimately end up in North Korea. The founder of the Winson Group also has a documented history of cigarette and fuel smuggling and alleged connections to illicit DPRK-related commercial activities. This report finds that North Korea’s shipping and maritime sanctions evasion tactics are highly adaptive and growing increasingly sophisticated in response to pressure from and enforcement by the international community. While these outcomes indicate the sanctions regime has complicated and increased the cost of illicit business for North Korea, the demonstrated adaptability of the country’s maritime trade networks also underscores, in dramatic fashion, the growing cost of monitoring, detection, and enforcement. This report also highlights the need for authorities to better explore the connections between North Korea, underground economies, and transnational organized crime, and it adds to the existing but underexplored literature of the country’s links to organized criminal networks. Relying on sanctions to block North Korea’s licit avenues of procurement creates a supply-and-demand dynamic between providers of illicit goods and services—often criminal organizations—and Pyongyang. To stay abreast of North Korea’s evolving tactics for evading sanctions, this report recommends that international, government, and civil regulators proactively monitor criminal networks that provide the country with contraband goods and services, while closing regulatory loopholes in the international sanctions regime, rather than reactively investigating instances of sanctions evasion.

Washington, DC: c4ads, 2021. 84p.

By Mohamed Daghar, Willis Okumu and Tadesse Simie Metekia

This study explores links between cattle rustling in East Africa’s Karamoja Cluster and the flow of illicit arms into this ungoverned space.

This study looks at the links between cattle rustling in East Africa’s Karamoja Cluster and the flow of illicit arms into this ungoverned space. It looks at the actors involved in the illicit arms trade, the sources of the weapons, and the need for responses other than civilian disarmament exercises, which so far have been unsuccessful.

ENACT Africa, 2023. 20p.

By Jennifer J. Carroll

Against the backdrop of a post-Soviet state set aflame by geopolitical conflict and violent revolution, Narkomania considers whether substance use disorders are everywhere the same and whether our responses to drug use presuppose what kind of people those who use drugs really are. Jennifer J. Carroll's ethnography is a story about public health and international efforts to quell the spread of HIV. Carroll focuses on Ukraine where the prevalence of HIV among people who use drugs is higher than in parts of sub-Saharan Africa and unpacks the arguments and myths surrounding medication-assisted treatment (MAT) in Ukraine. What she presents in Narkomania forces us to question drug policy, its uses, and its effects on "normal" citizens. Carroll uses her findings to explore what people who use drugs can teach us about the contemporary societies emerging in post-Soviet space. With examples of how MAT has been politicized, how drug use has been tied to ideas of "good" citizenship, and how vigilantism towards people who use drugs has occurred, Narkomania details the cultural and historical backstory of the situation in Ukraine. Carroll reveals how global efforts supporting MAT in Ukraine allow the ideas surrounding MAT, drug use, and HIV to resonate more broadly into international politics and echo into the heart of the Ukrainian public.

Ithaca, NY; London: Cornell University Press Ithaca and London, 2019. 251p.

By The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)

This report is based on information provided to the EMCDDA by the EU Member States, the candidate country Türkiye, and Norway, in an annual reporting process.

The purpose of the current report is to provide an overview and summary of the European drug situation up to the end of 2022. All grouping, aggregates and labels therefore reflect the situation based on the available data in 2022 in respect to the composition of the European Union and the countries participating in EMCDDA reporting exercises. However, not all data will cover the full period. Due to the time needed to compile and submit data, many of the annual national data sets included here are from the reference year January to December 2021. Analysis of trends is based only on those countries providing sufficient data to describe changes over the period specified. The reader should also be aware that monitoring patterns and trends in a hidden and stigmatised behaviour like drug use is both practically and methodologically challenging. For this reason, multiple sources of data are used for the purposes of analysis in this report. Although considerable improvements can be noted, both nationally and in respect to what is possible to achieve in a European level analysis, the methodological difficulties in this area must be acknowledged. Caution is therefore required in interpretation, in particular when countries are compared on any single measure. Caveats relating to the data are to be found in the online Statistical Bulletin, which contains detailed information on methodology, qualifications on analysis and comments on the limitations in the information set available. Information is also available there on the methods and data used for European level estimates, where interpolation may be used.

Lisbon: EMCDDA, 2023.