Strategies for Preventing Drug Recidivism Cycle in Taiwan

Drug abuse is currently a worldwide problem and Taiwan is no exception. Drug abuse is a disease that must be treated on the basis of evidence (United Nations Office on Drugs and Crime 2007; World Health Organisation 2004). In order to reduce the damage caused by drug abuse to the nation, society and people, the government not only developed two anti-drug strategies - that of supply eradication and demand reduction - but since May 1994, has mobilised relevant government departments to take assertive action. Some of the actions include law enforcement enhancement, anti-drug enforcement and drug rehabilitation utilisation. In 2005, new anti-drug programs, such as the sterile needle exchange program and substitution therapy program, were also introduced. The cities implementing the Harm Reduction Program (HR Program) showed lower HIV infection rates in comparison to others without the HR Program. The income and employment conditions of drug addicted patients receiving Methadone Maintenance Treatment have been improved. The future drug policies in Taiwan will focus on drug rehabilitation (treatment), anti-drug actions (prevention) and law enforcement (punishment). The educational system, community recovery and aftercare for drug addicts will also be indispensable (WHO/UNODC/UNAIDS 2004)

The sociocultural effects on orthopedic surgeries in Taiwan

<div><p>Various sociocultural factors affect healthcare-seeking behaviors. In Taiwanese society, superstitions and lunar festivals play important roles in people’s lives. We investigated the impact of “Ghost Month” (the 7^th lunar month) and Chinese New Year (the 12^th lunar month and the 1^st lunar month of the following year) on the number of elective surgeries and emergent surgeries in Taiwan. The number of total knee replacement (TKR) surgeries and proximal femur fracture (PFF) surgeries in each lunar month from 2000 to 2011 were extracted from the Taiwan National Health Insurance Database, a computerized and population-based database. Patients were then sorted by location of residence or gender. The average number of TKR surgeries performed was significantly lower during the 1^st, 7^th, and 12^th lunar months in urban areas, whereas in rural areas this trend was only evident in the 7^th and 12^th lunar months. There was however, no significant difference in the average number of PFF surgeries in each lunar month except for an increase seen in the 1^st lunar month in rural patients (p<0.05). When sorted by gender, the average number of TKR surgeries was significantly decreased in the 7^th and 12^th lunar months in male patients, and decreased in the 1^st, 7^th, and 12^th lunar months in female patients. In contrast, there was no difference in the average numbers of PFF surgeries in the 7^th and 12^th lunar months either in male or female patients. We proposed that the timing of elective surgeries such as TKR might be influenced by Ghost Month and Chinese New Year; however, emergent PFF surgeries were not significantly influenced by sociocultural beliefs and taboos in Taiwan.</p></div

Descriptive statistics of the average numbers for total knee replacement surgeries and proximal femur fracture surgeries.

<p>Descriptive statistics of the average numbers for total knee replacement surgeries and proximal femur fracture surgeries.</p

Average numbers of TKR surgeries categorized by location of residence and gender of patients in each lunar month from 2000 to 2011.

<p>X-axis: the 12 lunar months; Y-axis: the average number of the TKR surgeries. TKR: total knee replacement.</p

Average numbers of PFF surgeries categorized by location of residence and gender of patients in each lunar month from 2000 to 2011.

<p>X-axis: the 12 lunar months; Y-axis: the average number of the PFF surgeries. PFF: proximal femur fracture.</p