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Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Other countries, such as France, have started to be more lax-----

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: All the witnesses will have seen the roll-out of defibrillators in this country over the past five years. It is totally new, and my partner is somebody who might need a defibrillator. It has been very interesting to see the roll-out of this expensive technology, which is now accessible on the roadside. Why are we not pursuing a defibrillator-style approach to naloxone? I represent Dublin...

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: People should be able to walk up to a machine in the street and access it.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: If I am a patient's family member, however, I need to sign something saying I am a drug user and I cannot have the drug in my back pocket to give to them. Is that correct?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: That person will probably try to save them.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: It seems to be a lot of jiggery-pokery and running around the place, whereas if we just deregulated it, it would take away a lot of that.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Deregulation?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: I am under the impression that in the case of nitazenes now, for example, they are so strong that not just one nasal spray but three or four are needed to save somebody’s life. Are the representative groups putting pressure on the Department of Health to deregulate naloxone or make it prescription free?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: To me, and I do not mean this in a pejorative way, that is upholding a system that is incorrect. From an outside point of view, is there engagement to say working around a bad law is fine for now but that the law should be changed? From an external point of view, is their engagement indicating that working around a bad law is fine for now but the law should be changed?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: I will stay on the issue of access to opioid substitution therapy. I know what the witnesses are saying, namely, that it is so much more complicated than that. Can we stick to the detail of that because I am interested in accessibility of opioid substitution therapy in an meaningful way? I fully admit that part of that is because I represent an area where there is a very strong...

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Is that unrelated to level one and level two training?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: It is basic. It is a case of "If you have had a crisis and have met with a specialist then I can be your everyday support".

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Of the 350, what is the breakdown? How many of those 350 are low-level and how many are people who can initiate?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: One third would be level two?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Maths is not my strong point. If 350 represents about 8% of GPs, one third are people who initiate opioid substitution therapy.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: That means about 3% of GPs can initiate opioid substitution therapy.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Are the witnesses aware of the regional layout of those services and access to them? Do they feel there is a good regional spread? I am trying to get to the bottom of why I have seen people travel to us in Dublin 1 to access services. It is not just because we have those services. There must be a lack in their own areas because people do not want to travel unless they have to.

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: Is there anything the Irish College of General Practitioners is working on to actively address that? Is there a level of discomfort for some GPs in dealing with this?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: What happens if a person’s local GP, who they have dealt with all their life, says they will not do this?

Committee on Drugs Use: Decriminalisation, Depenalisation, Diversion and Legalisation of Drugs: Discussion (Resumed) (19 Sep 2024)

Neasa Hourigan: What if the person lives in Naas and they are being referred to Dublin 1?

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