The
Philippines has scaled up its war on drugs with devastating consequences.
President Rodrigo Duterte’s tough talk and anti-drug platform has led to a
staggering number of vigilante killings and the mass incarceration of people
associated with drug use and its trade. However, we’ve seen this before. 12
years ago, Thailand launched a bloody and ultimately futile war on drugs.
Both
Thailand and the Philippines have prohibitive drug policies that demand severe
punishment, with little provision for evidence-based public health
interventions. Thailand, the Philippines and Singapore are the only three
Southeast Asian countries that have rejected harm reduction policies.
Former
Thai prime minister and former police officer Thaksin Shinawatra spearheaded
Thailand’s 2003 war on drugs using inflammatory phrases such as ‘shoot to kill’
and ‘eye for an eye’ to legitimise and incite violence. In three months, police
killed more than 2,275 people with impunity and 320,000 people surrendered
themselves to the police. There were reports of human rights abuses ranging from
harassment and sexual violence to torture. In addition, throughout the
campaign, public opinion polls showed widespread support — up to 90 per cent —
for Thaksin’s efforts.
In the
Philippines, Duterte has parroted Thaksin’s violent rhetoric, even calling on
ordinary citizens to take up arms and participate in what is effectively
state-sponsored cleansing. Philippine media has reported that in two months
nearly 2000 Filipinos have been killed and close to 700,000 people have
surrendered to authorities.
Prisons,
already filled at over three times capacity in 2012, are more overcrowded than
ever and represent breeding grounds for human rights violations and the spread
of diseases like HIV and tuberculosis. Yet a recent public opinion poll showed
that 91 per cent of Filipinos support Duterte.
There are
similarities too in how Thailand and the Philippines are failing to manage the
sheer number of people who use drugs who have given themselves up.
Between
2011 and 2012, Thailand recorded over 500,000 people entering so-called drug
treatment centres. Over 1,200 such centres were built in less than 15 years,
with the vast majority operated by public security sector personnel who have
little or no medical training or certification. People sent to drug treatment
centres have no access to due process, legal support or appeals. In addition,
detention in these centres is strongly associated with avoidance of healthcare
as well as with significant human rights violations.
In the
Philippines, there are currently 44 inpatient drug dependence treatment centres
with a total capacity of approximately 5,000. Few outpatient and
community-based services are available, accessible or affordable for people who
use drugs and less than 250 medical professionals are accredited to clinically
assess people volunteering for drug dependence treatment.
In
essence, there is simply insufficient capacity and infrastructure to respond to
the health needs of the close to 700,000 individuals who have surrendered to
authorities.
Moreover,
even if Duterte’s approach is successful and sustainably reduces the Philippine
drug market, lessons learned from Thailand should raise red flags for public
health professionals beyond the sudden hike in workload.
The war
on drugs in Thailand led many to switch from smoking drugs to injecting,
fuelling HIV and hepatitis C transmission among people who use drugs. In
addition, despite intensified policing efforts, the availability of illicit
drugs actually increased in Thailand. For instance, quantities of seized
methamphetamine increased from 2 tonnes in 2008 to more than 10 tonnes in 2012.
Almost 9
out of 10 patients in Thai drug treatment centres in 2012 were using
amphetamines. In 2012, the UN called on countries, especially in Southeast
Asia, to immediately close all compulsory drug treatment centres in favour of
community-based interventions grounded in medical science.
However,
like Thaksin, Duterte blatantly ignores such recommendations and disregards
criticism. Thailand was repeatedly slammed by the UN (including the UN
Commission on Human Rights), human rights groups, international media and local
activists and academics. Reports documenting the global war on drugs, including
those of the Global Commission on Drug Policy, continue to single out Thailand
as one of the worst examples.
The Thai
government has been globally vilified for 12 years in the wake of Thaksin’s
drugs policy. However, the Minister of Justice Paiboon Koomchaya now
acknowledges that Thailand has lost the war on drugs. In 2016, several
high-level public health and public security officials met to revise Thai drug
policies.
Decriminalisation,
proportional sentencing, diversion away from the criminal justice system and
community-based drug dependence treatment including harm reduction services are
all being considered as viable options.
Duterte’s
drug war is a mirror image of Thailand’s 2003 campaign. Thailand, one of the
world’s most prohibitive and strict countries when it comes to illicit drugs,
is learning from its own lessons and proposing important reforms.
Meanwhile,
the Philippines is following Thailand’s past blunders instead of scientific
evidence, embracing the war on drugs approach. The Philippines seems poised to
overtake Thailand and wrest away the title for the bloodiest war on drugs
campaign ever waged.
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