中国打击K粉导致发展中国家无麻醉药可用 – 朝内红吧
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海外看中国 大朝哥 4646浏览 0评论
原文标题:Not just a party drug: no ketamine means no surgery in some developing countries
Not just a party drug: no ketamine means no surgery in some developing countries


My supply of ketamine is under threat and you should be worried.
I’m not a recreational drug taker. I’m an anaesthetist, and for me ketamine is medicine.
In rural hospitals in Nigeria, injecting the drug is essential for pregnant women to have safe ceasareans, and for us to be able to insert IVs for fluids and attach the required monitors to children prior to an operation without a struggle. It can be used for preventing pain during or after surgery. Some of my colleagues even advocate the use of oral ketamine in soda for procedures in the accident and emergency department.
Because it is very cheap compared to other anaesthetic drugs and can be administered in many different ways, ketamine has become the preferred anaesthetic agent in low and middle income countries (LMICs). It is on theessential drug list of the World Health Organisation with a potential to offer safe and affordable surgical and anaesthesia care for the 5 billion people, who would otherwise lack access to basic surgical care. It is the one anaesthesia drug that non-trained anaesthesists such as nurses and health assistants can be taught how to use safely to supplement the surgical workforce shortages in many developing countries. It is also the only anaesthetic that does not require piped oxygen, electricity or anaesthetic equipment.
So, why on earth would you want to make it difficult to get a drug that can offset the gross inequity in access to surgical care?
The problem is the abuse and increased illicit use of ketamine as a party drug in Asia. China is one of the world’s largest producers of the drug but the smuggling and trafficking of illicitly produced ketamine across Asia has pushed the Chinese government to call for greater restrictions on ketamine.
I sympathise with their situation but their most recent proposal to the United Nations was to place ketamine under an international control known as scheduling. This would mean that countries that want to buy the drug and use it would have to state how much they intended to import each year and would not be able to buy any more. But in practice, like we saw with the scheduling of morphine, the supply chain would be severely affected and ketamine would become unavailable in more remote areas. Luckily, proposals made in March 2014 and March 2015 have both failed. That doesn’t mean though that China won’t make another attempt to have the drug scheduled in 2016.
Recognising that this drug is vital for safe surgery in many developing countries, the WHO’s expert committee on drug dependence recommended in 2006, 2012, 2014 and 2015 that ketamine abuse does not pose a significant global public-health risk to warrant scheduling. China should therefore maintain domestic control measures instead of seeking for international regulations.
了解到在很多发展中国家此类药物对于手术安全非常重要。世卫药物依赖性专业委员会分别在2006年,2012, 2014年以及2015年表示K粉的滥用不会对授权调度产生重大的全球性公共健康威胁.因此,中国应该保持原有的国家监控,而不应该寻求国际立法。
  • vammyp

    China is a large country with many labs dotted around it, the chemical industry does well for itself and many of the legal highs people purchase originate over there. In these grey market labs there are a great many chemicals being produced, they slip a fair few controlled chemical compounds into their production schedule as well because a) who’s going to notice, and b) corruption is rife and people will keep their mouths shut for a few bob. Now when these grey market labs are eventually shut down the wealthy owner and his chemists waltz off, cash in their pocket and open a new lab elsewhere. Most of the ketamine consumed in the western world now comes from China, a shift from India and Pakistan where your K likely came from 5 or 6 years ago.







    ——————————————————————————————watch full Why Him? 2016 film online


    I hate to break it to you but you’re wrong.


  • joeybuzzard

    Yet another example of prohibition stupidity which has two branches of the UN at odds with one another (the World Health Organisation vrs United Nations Office on Drugs and Crime). The latter body should be abolished in my opinion and it’s budget redistributed to the former. Ketamine saves many more lives every year than it kills. Problems associated with it’s recreational abuse is dwarfed by it’s therapeutic value in hospitals, ambulances and clinics around the world, yet China wants to use the UN to dictate restrictions to the whole world. This is simply not what the UN is for and if the Office on Drugs and Crime has it’s way it will not only create a serious new problem for medical systems around the world, it will damage the credibility of the entire UN as a force for good in the world. China should be told to stuff it on this.

    然而又是关于禁令的蠢事,联合国的两个机构相互矛盾(世卫组织VS. 联合国毒品和犯罪问题办公室)。




    在这个问题上, 中国只能忍忍.

  • MadChinchillaLady

    I do agree different people will react differently, it’s more about it being the default for medical cases though, and the lack of availability it seems there is of other options. Some will react badly, and they’re not really freely choosing to take it, and it’s when they’re in a vulnerable state (potentially making it harder to deal with a bad reaction). Hopefully they’re at least properly informed.




  • wasn

    It’s about one quarter the price of good cocaine.


  • son

    Illicit Chinese labs worked out how to synthesise Ketamine a few years ago now. Prior to that, all Ketamine, legal and illicit, was medically sourced. No that’s garbage. Ketamine wasn’t illegal in the UK until a couple of years ago and certainly in China it wasn’t illegal so you had fully legal chemical suppliers who would ship kilos to the UK totally legally.



  • wan

    Nigeria has universities and research facilities that could quite easily churn out a generic version without relying on Chinese supplies? Trouble is it’s illegal – and it’s an absolute nightmare starting up mass production of an illegal drug. The US/UK and UN would all start screaming. The chinese got into it decades ago before prohibition started and so don’t have the same problems.


    问题是这是非法的-而开始批量生产非法药物 绝对是噩梦。美英、联合国全都会嚷嚷的。


  • n

    Don’t assume that because you don’t like it that means everybody else must react in the same way. The vast majority of people who take K find it either pleasant or incredible. It’s like saying someone saying “Don’t have a glass of wine, I had a glass once and felt lousy”.




  • w

    The idea that “our children are safer” in a world where drugs are banned is perfectly ludicrous. If they’re curious about drugs they’ll be sold them by people who at best won’t be competent to make them properly and at worst will deliberately adulterate them. Must admit I’ve never known many drug dealers sell to children tho – for a start children don’t tend to have any money and secondly there are too many adults with money wanting to buy drugs for the children to get a look in.




  • wa

    Talking therapies work if the patient fully engages with the process twice weekly over a matter of years Presumably just staying alive for many years alters your thinking too. But if there’s something that can benefit you today why not try it?
    Anyone who has been in a psychiatric unit as a patient or health worker will tell you that anti depressants can save lives. Only placebo effect tho. Recently the research results conducted by Big Pharma into all their anti-depressants showed none of them were any more effective than a sugar pill. Those results were buried and a fortune was made. Read Ben Goldacres “Bad science” on anti-depressants. Can you offer any non anecdotal evidence I believe there are a few studies showing K is effective against depression. Not many obviously – because it’s illegal and if you get caught with it you are thrown in jail.



    任何一个呆过精神病院的病人或者卫生工作者会告诉你抗抑郁能挽救生命。但是只存在安慰剂效应。最近由美国制药商“Big Pharma”做的一份关于他们公司抗抑郁药物的调查结果表明这些抗抑郁药物疗效竟比不过糖片。

    这些事实被掩盖了,也生出了一笔横财。摘自 本( Ben Goldacres )在《伪科学》一书关于抗抑郁的文章。你能拿出其它科学的证据吗?


  • on

    Good spotting Beaye!


  • wasson

    Production in China isn’t booming – they introduced massive controls in 2004 that crippled the market.




    You’re way out of touch. You can buy pure stuff within 20 seconds from any house in the UK. Cheaper than it was back in the 90s.


    ——————————————————————————————watch full Why Him? 2016 film online————————-


    Nonsense. You need to find a different street.


    ——————————————————————————————watch full Why Him? 2016 film online————————


    Eh? Heroin isn’t a psychedelic it’s an opiate. Where did you do your drug education for pitys sake.


  • HenryGeorgeFan

    Legalising drugs will make it harder for children to get hold of them. In my experience, knife wielding chavs generally don’t ask for ID. Drug dealers, whatever their class, just ask for money. The idea that “our children are safer” in a world where drugs are banned is perfectly ludicrous. If they’re curious about drugs they’ll be sold them by people who at best won’t be competent to make them properly and at worst will deliberately adulterate them. When it all goes wrong their friends will hesitate to call for medical help in time for fear of prosecution. Our drug laws make a bunch of very unpleasant people very rich, erode the relationship of ordinary people with the police, waste fantastic amounts of police resources fighting a war that should never have been declared, that can never be won, and criminalise generation after generation of young people. More people have died in this American-invented war than have been killed in the wars in Syria and Iraq. And yet we still have our politicians and their anal retentive rhetoric 90 years behind the curve. Prohibition doesn’t work. And we could fix all the problems it has caused overnight. It’s a disgrace, and a failure of the media in particular that this is not more widely understood.








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