List of findings

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Availability of internationally controlled pharmaceutical opioids for medical use has stabilized in recent years.Availability of pharmaceutical opioids for medical use more than doubled between 1998 and 2024 – driven by a strong increase until 2013, followed by a decline and partial recovery in…
There remains a large discrepancy between the Global North and the Global South in the availability of internationally controlled pharmaceutical opioids for medical use - even though the gap is declining.Between 2015 and 2024, the per capita availability of pharmaceutical opioids for medical use in…
A summary of policy developments in selected jurisdictions that allow varying degrees of regulated access to cannabis for non-medical use is presented below:As of December 2025, Canada, Uruguay and 28 jurisdictions in the United States had enacted legal provisions, either through legislative…
Countries differ in how they legislate to regulate or control drug use, though criminalization is common for key activities.About 38 per cent of reporting countries classify personal drug use as a criminal offence, with this approach most common in Africa and Asia. By contrast, related activities…
Seven substances dominate the global availability of opioids under international control for medical consumption.Expressed in S-DDDs (defined daily doses for statistical purposes), methadone, followed by hydrocodone, fentanyl, buprenorphine, oxycodone, codeine (including preparations) and morphine…
The use of buprenorphine and methadone for medical purposes continues to expandMethadone and buprenorphine are the main substances used in substitution treatment for opioid dependent persons worldwide. Availability of both substances for medical use rose 10-fold over the last two decades and…
Drug offences bring millions into contact with the criminal justice system every year, with outcomes varying by offence type. In 2024, an estimated 5.9 million people worldwide were in formal contact with the police for criminalized drug offences, with…
Responses to drug use vary widely across countries; drug trafficking usually results in longer sentences.Responses to the non-medical use of drugs range from no penalty to a custodial sentence. The offence rarely carries a custodial sentence among reporting countries in the Americas, while…
Men account for the vast majority of drug offences, though some gender differences exist in outcomes.Globally, about 9 out of 10 people in contact with the criminal justice system for criminalized drug offences were men in 2024. For both drug trafficking and possession for personal use, the share…