Program to Estimate the Human, Social and Economic Cost of Drugs in the Americas

1
Program to Estimate the Human, Social and
Economic Cost of Drugs in the Americas

• Research Team, University of Medicine of New
  Jersey/RWJMS
• Montreal, November 19, 2003
• CICAD/OID

2
Progress as of Nov. 2003

• Manual on direct cost methodology completed.
• Template on direct costs completed.
• 17 indicators defined.
• Web site under construction.
• Formulae to calculate costs defined.
• Four projects in process.

3
Progress as of Nov. 2003

• The Manual instructive tool, ready for use by
  Member States.
• Comments from Member States welcome.

4
IndicatorsOrganized in two levels

• Level 1 Basic information, easy to obtain
• Requests for drug treatment at public and private
  institutions.
• Deaths or serious injuries associated with
  consumption.
• Persons sentenced and time served for trafficking
  charges.
• Drug surveys in the general population, students
  and workers.

5
IndicatorsLevel 1

• Validation of direct governmental costs data.
• Hospital admissions by drug and length of
  duration.
• Persons in treatment, type and duration.
• Costs of property destruction.
• Costs of premature deaths.

6
Indicators

• Level 2 Information more difficult to obtain
• Productivity losses
• Cost effectiveness of treatment
• Applying data from other studies

7

• 4 types of users Messages Results
• Status of the project Data input Calculator

8
Progress as of Nov. 2003

• Projects in process
• 1. Prison studies Costa Rica and Barbados.
• 2. Health sector Barbados.
• 3. Case control study Uruguay.

9
Balance at 1/11/03
Indicator Barbados Costa Rica México Uruguay
requests for treatment 80 100 100 0
deaths or serious injuries 0 0 96 0
persons sentenced and time served for drug trafficking 90 80 80 0
prisoners for drug associated crimes 90 80 0 0
Drug surveys 100 100 100 100
Validite direct cost template data 100 100 70 80
10
Balance at 1/11/03
Indicator Barbados Costa Rica México Uruguay
hospital admissions by drug and duration of stay 50 80 60 0
arrests for drug possession and consumption 0 80 0 0
of persons in treatment, type and duration 80 90 80 0
Destruction of properties 0 0 0 0
11
Road map to 2005 Summit of the Americas

• By Spring 2004
• Updated Manual.
• Additional completed indicators.
• Results of projects in process (BB, CR, UY).
• Data from other member states using CICAD cost
  methodology.
• Web site up and running.

12
Road map to 2005 Summit of the Americas

• By Fall 2004
• Pilot countries complete all level 1 indicators
  some of level 2.
• Other member states report on their experience
  with cost methodology.
• New studies undertaken both in pilot countries
  and in other member states.

13
Roadmap to 2005 Summit of the Americas

• By May 2005
• Manual documenting final methodology
• Complete cost studies in four pilots partial
  cost studies in other countries.
• Comparative analysis, lessons learned, and policy
  implications of final results.