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UK: Scientists want new drug rankings

BBC News

Thursday 22 Mar 2007

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The drug classification system in the UK is not "fit for purpose" and
should be scrapped, scientists have said.

They have drawn up an alternative system which they argue more
accurately reflects the harm that drugs do.

The new ranking system places alcohol and tobacco in the upper half of
the league table, ahead of cannabis and several Class A drugs such as
ecstasy.

The study, published in The Lancet, has been welcomed by a team
reviewing drug research for the government.

The Academy of Medical Sciences group plans to put its recommendations
to ministers in the autumn.

Suggested rating of drugs according to harm done

A new commission is also due to undertake a three-year review of general
government drug policy.

The new system has been developed by a team led by Professor David Nutt,
from the University of Bristol, and Professor Colin Blakemore, chief
executive of the Medical Research Council.

It assesses drugs on the harm they do to the individual, to society and
whether or not they induce dependence.

A panel of experts were asked to rate 20 different drugs on nine
individual categories, which were combined to produce an overall
estimate of harm.

In order to provide familiar benchmarks, five legal drugs, including
tobacco and alcohol were included in the assessment. Alcohol was rated
the fifth most dangerous substance, and tobacco ninth.

Heroin was rated as the most dangerous drug, followed by cocaine and
barbiturates. Ecstasy, however, rated only 18th, while cannabis was 11th.

Arbitrary ranking

CURRENT DRUG CLASSIFICATION
Class A
Cocaine/crack
Heroin
Ecstasy
LSD
Magic mushrooms
Crystal meth (pending)
Class A/B
Amphetamines
Class C
Cannabis
Ketamine

Drugs key facts
Crystal meth to be Class A

The researchers said the current ABC system was too arbitrary, and
failed to give specific information about the relative risks of each drug.

It also gave too much importance to unusual reactions, which would only
affect a tiny number of users.

Professor Nutt said people were not deterred by scare messages, which
simply served to undermine trust in warnings about the danger of drugs.

He said: "The current system is not fit for purpose. Let's treat people
as adults. We should have a much more considered debate how we deal with
dangerous drugs."

He highlighted the fact that one person a week in the UK dies from
alcohol poisoning, while less than 10 deaths a year are linked to
ecstasy use.

Professor Blakemore said it was clear that current drugs' policies were
not working.

"We face a huge problem. Illegal substances have never been more easily
available, or more widely abused."

He said the beauty of the new system, unlike the current version, was
that it could easily be updated to reflect new research.

Professor Leslie Iversen, a member of the Academy of Medical Sciences
group considering drug policy, said the new system was a "landmark paper".

He said: "It is a real step towards evidence-based classification of drugs."

Professor Iversen said the fact that 500,000 young people routinely took
ecstasy every weekend proved that current drug policy was in need of reform.

Home Office Minister Vernon Coaker said: "We have no intention of
reviewing the drug classification system.

"Our priority is harm reduction and to achieve this we focus on
enforcement, education and treatment."

He said there had been "unparalleled investment" of £7.5 billion since
1998, which had contributed to a 21% reduction in overall drug misuse in
the last nine years and a fall of 20% in drug related crime since 2004.

But he added: "The government is not complacent and will continue to
work with all of our partners to build on this progress."

Chart:
http://newsimg.bbc.co.uk/media/images/42718000/gif/_42718419_drugs_graph2_416.gif

http://news.bbc.co.uk/1/hi/health/6474053.stm?ls

 

 

 

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