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Enregistrement W1723158354 · doi:10.1111/j.1360-0443.2006.01430.x

HEROIN SUPPLY IN THE LONG‐TERM AND THE SHORT‐TERM PERSPECTIVES: COMMENTS ON WOOD <i>ET AL</i>. 2006

2006· letter· en· W1723158354 sur OpenAlexaboutno aff
Jonathan P. Caulkins, Peter Reuter

Notice bibliographique

RevueAddiction · 2006
Typeletter
Langueen
DomaineMedicine
ThématiqueOpioid Use Disorder Treatment
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésEnforcementEconomic shortageLaw enforcementHeroinTerm (time)Principal (computer security)BusinessLawLaw and economicsEconomicsPolitical scienceMedicineDrugComputer securityPsychiatry

Résumé

récupéré en direct d'OpenAlex

Wood et al. (2006) tackle an important question. Much has been made of the 2001 heroin drought in Australia. It has been asserted, without much documentation, that other markets supplied by Golden Triangle countries were not affected. Using data on four series, the authors claim that ‘Canada appears to have experienced a similar reduction in heroin availability without augmenting or altering supply reduction efforts’ which appears ‘to contradict the conclusion that the Australian heroin shortage was an isolated global phenomena resulting from domestic law enforcement efforts’. The explanation for the Australian drought is indeed hard to determine. Degenhardt et al. (2005) made an attempt to deduce the factors involved. They concluded that ‘[t]he shortage was due most probably to a combination of factors that operated synergistically and sequentially’. All the factors identified were on the supply side and they were Australia-specific, although that included law enforcement operations in Asia targeting Australian exporters. It is fair to say that the results are best regarded as speculative, particularly as there are few instances in which drug law enforcement can claim more than transitory success. Finding that the same shortage occurred in another unrelated market would be important evidence against a claim that Australian law enforcement was the principal cause of the drought there. The Wood et al. analyses are suggestive, but not convincing, because they do not distinguish between long-term trends and the abrupt reduction in supply that is what is thought of typically as the Australian ‘drought’. Their approach was straightforward. For each data series they examined differences between the period before and after 2001. With only six data points for three of the series [British Columbia (BC) overdose deaths, Vancouver naloxone episodes and BC heroin seizures] there was no possibility of statistical tests. The differences were large, however, between one-third and two-thirds and thus, at first blush, persuasive. Yet Wood et al.'s own data suggest that the decline started well before 2001. The overdose deaths fell steadily from the first year of observations, 1998, onwards. Seizures would have fallen as well, but for a single very large seizure (100 kg) in September 2000. Naloxone episodes peaked in 1998–99. For the higher frequency and longest series, frequency of daily heroin injection by Vancouver injecting drug users (IDU), the authors reported only that there is a difference between pre- and post-2001. They did not report whether 2001 is the optimal break-point; an analysis that used 1999 or 1998 as the break point or that applying a linear trend might have explained the results just as well. The importance of these details is that the Australian heroin drought was a very abrupt event set against a backdrop of long-term trends. Purity in Melbourne fell gradually but steadily from 70 to 75% in early 1999 to approximately 40% in late 2000, but then plummeted from an average of 39.6% in the last 2 weeks of December to 18.5% in the last 2 weeks of January (Moore et al. 2005). Overdoses declined similarly quickly, so it is not entirely clear whether Vancouver's 45% reduction in naloxone use over 3 years is really similar to Melbourne's 74% decline in just 3 months. More generally, multiple indicator data in Sydney and Melbourne show a very sharp decline in the first quarter of 2001. Thus the Australian shortage appears to have been associated with some event, not merely a tightening of the market in response, for example, to declining production in the Golden Triangle region. The British Columbia indicators, as analysed here, are consistent with quite a different story. The long-term tightening of the market may have begun well before 2001, been shared by Australia and Vancouver and been driven by broader market events without contradicting the idea that something dramatic and distinctive happened in Australian heroin markets within a very short time, an event that has come to be called the heroin ‘drought’. Understanding of the heroin shortage(s) would be strengthened by two kinds of research. First is more fine-grained statistical analyses of Canadian indicators, ideally with monthly if not bi-weekly data series. The second is an examination of what happened in other major markets served by the Golden Triangle producers. China reported a major increase in heroin seizures between 2000 (6281 kg) and 2001 (13 200 kg), which— subject to all the limitations of seizure data—does not parallel the Wood et al. seizure data (UNODC 2004).

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,000
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: aucune
GenreSignal candidat: Commentaire · Signal consensuel: Commentaire
Score de désaccord entre enseignants0,597
Score d'incertitude au seuil0,984

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0000,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,000
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0000,002
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,010
Tête enseignante GPT0,266
Écart entre enseignants0,255 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeSans objet
Domainenon disponible
GenreCommentaire

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations9
Publié2006
Routes d'admission1
Résumé présentoui

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