CAMBODIA: Rising drug use                                                 
 jeopardises AIDS success                                                  
                                                                           
                                                                           
                                                                           
 PHNOM PENH, 30 October 2008                                               
 (PlusNews) - Evidence of the                                              
 large-scale use and manufacturing of                                      
 methamphetamine in Cambodia could                                         
 pose a new challenge to the fight                                         
 against HIV/AIDS, warned                                                  
 non-governmental organisations                                            
 (NGOs).                                                                   
                                                                           
 In the capital, Phnom Penh, 14                                            
 percent of injecting drug users were                                      
 found to be HIV positive in 2006,                                         
 rocketing to 35.1 percent in 2007,                                        
 according to statistics from the                                          
 National Authority for Combating                                          
 Drugs (NACD), a government body.                                          
                                                                           
 Studies have found that crystal                                           
 methamphetamine - commonly known as                                       
 "crystal meth" or "ice", and usually                                      
 smoked but sometimes injected - is                                        
 also associated with high-risk                                            
 sexual behaviours that can lead to                                        
 HIV transmission and could inhibit                                        
 the body's ability to suppress the                                        
 HIV viral load.                                                           
                                                                           
 The potent central nervous system                                         
 stimulant is highly addictive,                                            
 causing paranoia, delusions and                                           
 hallucinations. Studies at this                                           
 point have obtained mainly                                                
 preliminary data, but indicate that                                       
 methamphetamine may also accelerate                                       
 the onset of HIV-related dementia                                         
 and interfere with treatment                                              
 effectiveness.                                                            
                                                                           
 "Though there are conflicting                                             
 findings regarding                                                        
 methamphetamine ... for HIV                                               
 infection," said Frederick Curtis,                                        
 senior technical officer for drug                                         
 use at Family Health International                                        
 (FHI) in Cambodia, "a rise in                                             
 crystal meth use in Cambodia looms                                        
 as a threat to reversing the                                              
 HIV-prevalence trend."                                                    
                                                                           
 HIV infection levels in Cambodia                                          
 declined from 3.7 percent in 1997 to                                      
 0.9 percent in 2006, according to                                         
 UNAIDS figures.                                                           
                                                                           
 Street children and sex workers, two                                      
 groups at high risk of HIV, are                                           
 especially prone to crystal meth                                          
 addiction as they abandon the once                                        
 popular yama, a local slang name for                                      
 amphetamines.                                                             
                                                                           
 Data gathered by the NACD revealed                                        
 that treatment admissions for                                             
 crystal meth addiction increased by                                       
 18 percent during the first six                                           
 months of 2008, compared to the                                           
 previous six-month period, while                                          
 yama admissions fell by 15 percent.                                       
                                                                           
 The trend reflects similar data from                                      
 Thailand and Malaysia, reported at                                        
 the First Global Methamphetamine                                          
 Conference in September 2008 in                                           
 Prague, Czech Republic.                                                   
                                                                           
 "We've also seen that users will                                          
 turn to methamphetamines because                                          
 they think it will help them                                              
 overcome heroine addictions," Curtis                                      
 told IRIN/PlusNews.                                                       
                                                                           
 Addiction dangers and HIV                                                 
                                                                           
 Crystal meth - with 80 percent                                            
 purity - is more addictive than                                           
 other drugs and could pose problems                                       
 to HIV prevention services in                                             
 Cambodia.                                                                 
                                                                           
 Curtis noted that the effects of the                                      
 drug, described as an intense rush                                        
 of pleasure, were experienced almost                                      
 immediately; Yama pills were not as                                       
 pure, and the effects only kicked in                                      
 after 40 minutes when taken orally.                                       
                                                                           
 "This intense euphoria is not lost                                        
 on youth looking for new thrills,"                                        
 Curtis said. Ice also seemed to be                                        
 favoured by an ever younger                                               
 population of users, replacing                                            
 ecstasy as the drug of choice in                                          
 nightclubs and bars.                                                      
                                                                           
 Cham Sopheap*, 25, a male clubgoer                                        
 in Phnom Penh, agreed, and didn't                                         
 think meth would put him at risk of                                       
 HIV as other drugs did. "The NGOs                                         
 teach us not to inject drugs, so we                                       
 don't," he said. "I don't understand                                      
 how smoking a drug would spread a                                         
 disease."                                                                 
                                                                           
 He was more likely to hire sex                                            
 workers when using the drug. "I've                                        
 done it maybe four times, and every                                       
 time I call a prostitute at the end                                       
 of the night to lay with me," he                                          
 commented.                                                                
                                                                           
 "Meth doesn't make me feel energised                                      
 like I want to have a lot of sex,                                         
 but just that I want to lay around                                        
 with a girl. I think this leads to                                        
 sex."                                                                     
                                                                           
 gc/kn/he                                                                  
                                                                           
                                                                           
 Themes: (PLUSNEWS) HIV/AIDS                                               
 (PlusNews)                                                                
                                                                           
                                                                           
 [ENDS]                                                                    
                                                                           
 Report can be found online at:                                            
 http://www.plusnews.org/report.aspx?                                      
 ReportId=81207                                                            
                                                                           
                                                                           
 [This report does not necessarily                                         
 reflect the views of the United                                           
 Nations]                                                                  
                                                                           




                                                                            
                                                                            
                                                                            
                                                                            
                                                                            
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 Copyright © IRIN 2008                                                      
 This material comes to you via IRIN, the humanitarian news and analysis    
 service of the UN Office for the Coordination of Humanitarian Affairs. The 
 opinions expressed do not necessarily reflect those of the United Nations  
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