
A pharmacy in the city of Yekaterinburg. Photo CC-by-SA-2.0: Perets Partensky / Flickr. Some rights reserved.When Russian media report an increase or decrease in drug addiction in the country, they are usually only reflecting the number of users officially registered at state clinics. The practice of putting anyone requesting treatment for drug abuse on the drug users’ register traces its roots back to the Soviet era, but it has made a smooth transition.
Once registered, people find that their rights are subject to various restrictions: they are banned from certain types of work; they can’t get a driving licence or residence permit, or adopt a child. The very fact of being on the register also stigmatises them as addicts, fostering social isolation and humiliation. And even if they manage to overcome their addiction and come off the register, that doesn’t guarantee that the stigma goes away.
People who use know this, and those who could come off drugs are wary of asking for treatment. This makes it very difficult to even guess the real numbers. As for their civil rights, the NGOs working in this area lack the resources to provide much help: last year, for example, both the Moscow-based Andrey Rylkov Foundation for Health and Social Justice and Project April in Tolyatti were declared “foreign agents”, a status that brings with it numerous financial inspections and court appearances, and considerably complicates the organisations’ work.