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| Sunday, 17 October 2004 |
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On the heroin highway A huge increase in Afghanistan's production of opium since the fall of the Taliban heightens fears for an AIDS disaster in Central Asia. by John Sparrow
In Tashkent province, Uzbekistan, a bus travelling from Tajikistan to Russia aroused the suspicion of customs officers and, unhappy with driver's answers, they searched it. Hidden inside was a consignment of heroin with a reported street value of US$9 million. The same day in northern Tajikistan, a Land Cruiser, stopped by police on the road from Dushanbe to Khudzhand, revealed another 24 kilos. The week was warming up along the heroin highway through Central Asia but it was a week much like any other. The seizures are evidence of growing drug traffic from Afghanistan. Since the fall of the Taliban, the Afghan production of opium has increased immensely. It is believed that the 2003 opium harvest may have reached 4,500 tonnes, up from an estimated 4,000 tonnes in 2002, and heading back to its peak production of 5,000 tonnes in 1999. The heroin highway - from Afghanistan, through Tajikistan, Kyrgyzstan, Usbekistan and Kazakhstan, to Russia and Europe - is in full operation once more, and other routes pass through Turkenistan. The United Nations estimates that 80 per cent of heroin consumed in Western Europe derives from Afghanistan and Pakistan, and some 25 per cent reaches it via this northern route through the "stans". A great deal, however, stays in the region feeding its own growing drug habit, a development the Red Cross Red Crescent says is accelerating the spread of HIV/AIDS. An epidemic is under way and most infections have been found among injecting drug users who share needles. AIDS in the region The prevalence of HIV/AIDS in Central Asia is mostly educated guesswork. Testing and surveillance are poor or absent. Even blood for transfusion may not be screened for the virus. Over the past few years, however, what has been measured has shown a startling increase in infection, official rates growing threefold and fourfold annually, and reality thought to be much worse. Already the scale of the Central Asian epidemic resembles that of sub-Saharan Africa in the early 1980s, and with the latest statistics there is no doubt that far greater efforts to combat HIV are essential if a major tragedy is to be avoided. Poverty exacerbates the threat. More than a decade after independence, over 80 per cent of the population lives below the poverty line in Tajikistan, as does half in Kyrgyzstan, the World Bank estimates. Most of the poor live in rural areas. Because of poverty men leave home to sell their labour in more affluent places, primarily Russia. Away from home, behaviour changes, sex and drugs ease despair and dislocation, and more than money return to their households. Because of poverty, women and girls are forced into prostitution and increasing numbers of people are persuaded to work in the durg business. Porous border The Panj River follows a tongue of Afghan territory that protrudes past the Pamir mountains into the heart of Tajikistan. For most of their 1,400-kilometre border, it is the Panj that separates the countries. It is a porous frontier. Its length, a sparsely spread population and mountains into which law enforcement cannot penetrate give drug traffickers freedom to operate. One of the busiest routes has run from Khorog, the capital of Gorno Badakhshan, Tajikistan's autonomous Pamiri east, to Osh, a southern Kyrgyz town that is a major hub for the traffickers. What has happened in these towns, and the spread of HIV the drugs have brought them, provide both an insight and a warning. Khorog has probably peaked as a player on the heroin highway. But Gorno Badakhshan's location ensures it stays in the game. A major poppy-growing area adjoins it and the Wakhan Pass, a narrow Afghan strip between Gorno Badakhshan and Pakistan, is awash with drugs for Osh. A crisis in the autonomous region cannot be found in official statistics. Officially 23 people are living with HIV/AIDS in Gorno Badakhshan. Bodurbet Bodurbekov, director of the region's HIV/AIDS centre, is the first to concede that this is far from reality. Asked what that is, he says, "Ten, 20 times more." On one thing there is consensus: the need for greater HIV/AIDS preventive action. The Tajikistan Red Crescent is busy informing youth, who make up 43 per cent of the population. Information campaigns on HIV and drugs target schools, universities and marketplaces. A theatre group tours schools with dramatised versions of messages. Time bomb Figures acquired by the Netherlands Red Cross from senior officials in national agencies would suggest the number of drug users in Tajikistan is 60,000 to 80,000, and 80,000 to 100,000 in Kyrgyzstan. Osh province in Kyrgyzstan has a large concentration of them. Heroin is easy to find in Osh, costing one US dollar a fix. Growing crime and prostitution pay for it. According to official figures there are 2,000 drugs users in Osh province but most sources say that is nonsense. Enormous statistical differences are the norm in Central Asia. Officially, Kyrgyzstan has 5,600 drug users. Yet based upon scientific research in two specific regions, the State Commission on Drug Control contends it could be 100,000. So what could that mean for HIV? Anywhere in Central Asia the answers can only be speculative. Controls are not in place to measure it. The Kyrgyzstan Red Crescent says simply that the danger is plain to see. John Sparrow was on assignment for the Netherlands Red Cross in Central Asia. A Movement priority The 'stans' of Central Asia are seldom the centre of international public attention. Since independence in 1991, brought by the break-up of the Soviet Union, they have figured but briefly in the geopolitical limelight, and them mostly post-11 September, 2001, in relation to events in Afghanistan. Yet the five countries on the often forgotten crossroads of East and West face huge humanitarian challenges. With a combined population of more than 50 million, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan continue to struggle in a crisis-ridden transition to a new reality. Poverty still plagues huge sections of the population, along with poor access to health care and education. Increased rates of tuberculosis and HIV/AIDS, Infant and maternal mortality, and recurrence of infectious diseases are taking a heavy toll, while public health awareness is low. Clean water is short supply, sanitation is poor, worsening general health.Today, there is a real danger that the region will slip into the shadows again as political imperatives focus elsewhere. The Netherlands Red Cross, along with other Movement partners, is determined to keep it on the map. Central Asia's grass-roots networks of National Red Crescent Societies respond fast when emergencies happen but they also work hard to prevent the human suffering that they so often have to mitigate. They are helping communities to reduce their vulnerability to the dangers around them, spreading health awareness, developing disaster preparedness plans, working to stop discrimination, advocating on behalf of marginalised people. They deserve all our support. Jan Post, Director General, Netherlands Red Cross. |
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