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管制藥品管理局 九十三度科技研究發展諮詢委員會

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管制藥品管理局 九十三年度科技研究發展諮詢委員會 Powered By Docstoc
					      National Bureau of Controlled Drugs, Department of Health, Taiwan




                           Organizing 2006
                     Asian Multi-city Epidemiology
                         Work Group Meeting



                                      Wen-Ing Tsay
                  Director, Division of Epidemiology and Education
                         National Bureau of Controlled Drugs
                            Department of Health, Taiwan

            2003/06/13
http://www.nbcd.gov.tw
                                                                  1
            Introduction
               The AMCEWG program on drug abuse was
                initiated in 1993.

               The AMCEWG program on drug abuse was
                established to respond to regional and policy
                needs pertaining to drug abuse.

               The representative from Taiwan attended the
                AMCEWG meetings from 1997 to 1999.

National Bureau of Controlled Drugs, Department of Health, Taiwan   2
          2003/06/13
            AMCEWG Meeting

               The AMCEWG meetings which
                were held in the University
                Sains Malaysia,
                representatives mostly from
                south and east Asian cities
                joined and reported their
                drug abuse situation,                               UNIVERSITI SAINS ALAYSIA
                however, the meetings did                           Data Source:Dr. Vickna, 2005 International

                not continue after 1999.                            Conference on Drug Abuse Epidemiology and
                                                                    Prevention, Taiwan




National Bureau of Controlled Drugs, Department of Health, Taiwan                                                3
          2003/06/13
            Adopt CEWG Meeting Model
               Dr. Jih-Heng Li went and presented
                (the last CEWG meeting held in Denver, Colorado last June )

            -- Patterns and Trends of Drug Abuse in
              Taiwan:A brief history and report from
              2000 through 2004
            --proposed to adopt the CEWG model in
              Taiwan, based on cities and
              communities, in order to extend
              effective prevention measures
              according to local needs
National Bureau of Controlled Drugs, Department of Health, Taiwan             4
          2003/06/13
           2005 Drug Abuse Situation in Taiwan

               Heroin and meth: Main abused drugs
               Heroin abuse leveled over the past 2
                years
               Meth. and Flunitrazepam abuse were
                increasing
               Polydrug use was common
               29.7% of total HIV/AIDS cases were
                IDU-related

National Bureau of Controlled Drugs, Department of Health, Taiwan   5
          2003/06/13
            Percentage of Addiction Cases of Different Drugs
            Reported by Treatment Institutions in Taiwan
                         Heroin
                         (Meth)Amphetamine
                         Glue
    100.0                MDMA
     90.0                Benzodiazepines                               88.8
                                                                                       93.8      93.0
     80.0                                                      81.4
     70.0
     60.0                     52.5       50.6        63.9
                50.0
   % 50.0                     42.3                   42.0
                                         52.7
     40.0      45.3                                                                               33.6
     30.0                                                     28.1
                                                                                 21.8
                                                                      18.7
     20.0
                9.4                       11.0      9.7
     10.0                     8.5
                               9.5        7.0       6.5      5.0       5.3                         4.9
                 10.5
                                                            3.0 3.3        1.8            3.5
      0.0          0.2        0.0
                                             0.3
                                                    4.6                  1.6     0.6      0.8            0.81.1
            1998, 7-12        1999       2000      2001     2002      2003        2004          2005.1-9

National Bureau of Controlled Drugs, Department of Health, Taiwan                                    6
          2003/06/13
            %Routes of Drug Administration by Patients
            Admitted for Addiction Treatment in Psychiatric
            Hospitals/Clinics in Taiwan
   %                Oral
  60.0              Injection with Needle-Sharing
                    Injection without Needle-Sharing
                    Smoking                               50.7                 49.1
  50.0              Inhalation                                       47.9
                    Snorting
                    Sniffing                                                                   43.8
  40.0              Others
             31.7              33.3
                                              29.8
  30.0                          30.7             27.4
             26.9
  20.0                                         18.8          18.4                             21.8
              18.2             14.8                                  15.3        16.1
                                                           14.2                    15.1      14.7
            9.7                 10.3            9.5                     13.9                 11.6
  10.0                                                     6.7        12.7        12.6
            8.2                 6.3              5.2
              4.6                4.0                                  6.8       4.2            5.4
                                                4.6 4.6    6.0
                                                              2.2      1.9     1.5 0.7      1.2 1
   0.0        0.6
                0.0              0.7                0.0        1.0
                                                              1.0     1.00.4        0.6      0.6
                                   0.0
            1999               2000            2001       2002       2003      2004       2005.1-9

National Bureau of Controlled Drugs, Department of Health, Taiwan                                7
          2003/06/13
                   Reported Cases of HIV/AIDS by Exposure Category
                        in Taiwan (2002.4-2005.10 Taiwanese)
                 3000
                                                                          Heterosexuals
                 2500
Reported Cases




                                                                          Homosexuals
                 2000

                 1500                                                     Bisexuals

                 1000                                                     Injection Drug Users

                 500                                                      Others (include hemophiliacs,
                                                                          blood recipients, and vertical
                                                                          transmission)
                   0                                                      Unknown
                        2002-04




                                  2002-12




                                            2003-12




                                                      2004-12




                                                                2005-10


National Bureau of Controlled Drugs, Department of Health, Taiwan                                   8
          2003/06/13
            2005 International Conference on Drug
            Abuse Epidemiology and Prevention




National Bureau of Controlled Drugs, Department of Health, Taiwan   9
          2003/06/13
            2005 International Conference on Drug
            Abuse Epidemiology and Prevention




National Bureau of Controlled Drugs, Department of Health, Taiwan   10
          2003/06/13
            2006 AMCEWG Meeting Organization
            National Institute on Drug Abuse,
             United States

            National Bureau of Controlled Drugs,
             DOH Taiwan

            University Sains Malaysia,
             Malaysia

National Bureau of Controlled Drugs, Department of Health, Taiwan   11
          2003/06/13
            2006 AMCEWG Meeting Organization
             Possible                   Malaysia            Vietnam,
            Attending                    Philippines         Burma
            Countries                    Laos                Bangladesh
                                         Sri Lanka           Pakistan
                                         India               Mainland China
                                         Thailand
                                         Japan               Korea
             Date                       April 26th to 28th, 2006
             Venue                      Taipei, Taiwan

National Bureau of Controlled Drugs, Department of Health, Taiwan             12
          2003/06/13
            Taipei 101 Building
           Taipei 101 is the tallest
           building In the world

           If we can build
           this,

           I believe we can
           hold the 2006
           AMCEWG meeting
           successfully


National Bureau of Controlled Drugs, Department of Health, Taiwan   13
          2003/06/13
            Thank You for Your Attention




National Bureau of Controlled Drugs, Department of Health, Taiwan   14
          2003/06/13

				
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