Prioritizing public health responses in Nigerian drug control policy

Nigeria’s drug control policy, a throwback to colonial dangerous drugs control legislations, is remarkable for its reliance on severe sanctions to curb drug offences. The establishment of the National Drug Law Enforcement Agency (NDLEA) in 1990 took drug control in Nigeria to a crescendo. The agency amalgamates the functions of supply control and demand reduction in a highly-centralized bureaucracy. Although it has been successful in the seizure of drugs and arrest and punishment of offenders, its impact on drug use and related problems is negligible. the success is tainted by rampant corruption and the cost of law enforcement. The development of a comprehensive drug policy which prioritizes demand reduction through public health measures such as prevention and treatment is hampered by the bureaucracy of drug law enforcement, whose direction cannot be changed without altering the structure of the organization. The devolution of functions through the creation of a new agency on drug demand reduction is a step in the right direction.Keywords: drugs, policy, public health, law enforcement, Nigeri

Packages of Care for Alcohol Use Disorders in Low- And Middle-Income Countries

In the fourth in a series of six articles on packages of care for mental disorders in low- and middle-income countries, Vivek Benegal and colleagues discuss the treatment of alcohol use disorders

Ethical and legal issues in the control of drug abuse and drug trafficking: The Nigerian case

This paper presents a general review of drug law and policy in Nigeria beginning with the international attempts to control the traffic in liquor during the pre-colonial and colonial periods. The paper assesses the impact of penal policy on trafficking and use of illicit drugs at different stages in the transformation of Nigeria from a colonial outpost to an independent nation. One persistent feature of drug control mechanisms in Nigeria has been the emphasis on the reduction of supply with the imposition of harsh though inconsistent punishment including, at one time, the death penalty for trafficking. Consequently, initiatives aimed at demand reduction through education, treatment and rehabilitation have been neglected. One reason for this is that, to a great extent, drug control strategy in modern Nigeria has been a response to international demands; another is that they were formulated under military regimes with an overriding concern for law and order. Other features of the Nigerian drug problem are presented and the need for the reform of current laws is stressed. It is argued that an enduring solution lies in the implementation of a comprehensive but clearly defined policy aimed both at the control of supply and reduction of demand. While the state has the duty and the right to protect its citizens from drug-related harm, it is an ethical imperative to institute control measures which do no harm to the citizens they are meant to protect.drug trafficking drug abuse Nigeria policy drug law