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Most these people live in developing countries throughout Central America, Africa, Asia and Eastern Europe, where lack of knowledge, cultural barriers, concerns about opioid side effects and opioid addiction, and strict government drug control policies impede both opioid availability and opioid access in local hospitals, clinics and pharmacies. Dr. Najib Babul notes that 185 countries are signatories to international regulation of opioids through the 1961 Single Convention on Narcotic Drugs, and its supplementary treaties, the 1971 Convention on Psychotropic Substances and the 1988 United Nations Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances. look at hereThe Single Convention emphasizes the dual role of national governments in the prevention of opioid diversion into non-medical distribution channels while ensuring availability and access for medical and scientific purposes. The International Narcotics Control Board (INCB), an independent quasi-judicial body set-up to implement UN drug conventions notes that “one of the fundamental objectives of the international drug control treaties is to ensure the availability of narcotic drugs and psychotropic substances for medical and scientific purposes and to promote the rational use of narcotic drugs and psychotropic substances.” Dr. Babul observes that “three decades ago, a World Health Organization (WHO) expert committee determined that cancer pain could be relieved in most patients if health care professionals used a simple analgesic method incorporating both opioid and non-opioid analgesics. This approach was subsequently endorsed by WHO for pain relief in patients with HIV/AIDS.” Dr. Babul adds “while all drugs to treat pain possess the potential to produce side effects ranging from mild and bothersome to severe and potentially life threatening, no class of drugs has provoked as much controversy as opioid analgesics due to their potential for addiction in a minority of patients and their considerable public health consequences when diverted to recreational drug users and opioid addicts.” However, unsupported and exaggerated claims of opioid abuse unfairly affect import and prescription policies around the globe. A report from the INCB estimates that 92 percent of global morphine consumption is confined to Western and Central Europe, North America, Australia and New Zealand — around 17 percent of the earth’s population. agencies have repeatedly appealed to governments and health care professionals to implement the WHO analgesic method and eliminate barriers to both opioid availability and opioid access with only modest success.

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