Reflexões sobre Políticas de Drogas no Brasil

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Reflections on Drug Policies in Brazil

Tarcísio Matos de Andrade 1

1

Faculdade de Medicina da
Bahia, Universidade Federal da Bahia. Praça XV de novembro s/n, Largo do
Terreiro de Jesus.
40025-010 Salvador BA. [e-mail] Abstract This article contains some reflections on drug policies in Brazil. In the first two chapters, taking the needle exchange programs (SEPs) as the starting point, the author discusses the trajectory of the Harm Reduction Policy in Brazil and the role played in it by the Department of
STD, AIDS and Viral Hepatitis. The third chapter examines the actions developed by the National Coordination of Mental Health, Alcohol and Other Drugs and the Office of Drug Policies SENAD, after the retraction of the Department of
STD and AIDS from drug policies, as well as the introduction of PEAD and the “Crack Plan” in the country. In the fourth and fifth chapters the provisions of the current Brazilian policy on drugs and its limitations related mainly to the fragility of the Family Health Strategy are discussed, and some of the actions foreseen in the PEAD and the
“Crack Plan” are critically analyzed. In the sixth chapter the author examines the effects of repression in the name of combating trafficking in the
Brazilian policy on drugs having as background of the marginalization and social exclusion of users. Finally, some proposals are presented for the Alcohol and Drugs Policy in Brazil.
Key words Public health, Drug policies, Harm reduction Resumo Este artigo trás algumas reflexões sobre as políticas de drogas no Brasil, desde os momentos iniciais do enfrentamento do HIV/AIDS entre os usuários de drogas injetáveis. Nos dois primeiros capítulos, tendo como ponto de partida os programas de trocas de seringas (PTS), o autor aborda o percurso da Política de Redução de Danos no
Brasil e o papel nela desempenhado pelo Departamento de DST, AIDS e Hepatites Virais. O terceiro capítulo traz as ações