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教育專題 ◎ 我的制服漂亮嗎?

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═══════════════════════《2003/09/05》═════

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教育專題  新處方箋大麻榜上有名
   向右靠攏 侵蝕包容傳統

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 新處方箋大麻榜上有名
編譯■賴明芝  

荷蘭的衛生部表示,從這禮拜開始,荷蘭將成為世界上第一個將大麻列為處方藥的國家,民眾從此可以持處方箋在藥房購買大麻,用於治療癌症、愛滋病和多發性硬化症的病人。
荷蘭開始讓慢性病患更容易拿到大麻,就藥物本身的使用而言,限制被放鬆許多。
往後,荷蘭的醫生就可以把大麻列為藥方,用來治療慢性的疼痛、噁心、因癌症和愛滋病而引起的食慾不振,或是緩和病人的疼痛感。衛生部表示:「從2003年9月1日開始,藥房可以販售醫療用的大麻給持有醫生處方簽的病人。對很多病患而言,大麻煙具有助益。」


在荷蘭,召妓和咖啡店裡可以販售大麻煙,是受到政府管制的,這個國家在開創性的社會改革方面,有很長的歷史。荷蘭也是第一個將安樂死合法化的國家。


荷蘭有兩家公司獲得了許可證,可以在類似實驗室的環境裡種植特定的大麻品種,然後將產品銷售給衛生部,由後者進行小桶包裝後貼上標簽,供應給藥局。


連同藥房,80間醫院和4百名醫師將被允許對患者提供5克劑量的SIMM18醫用大麻,每桶價格44歐元?唻48美元?啀,而藥效更強的Bedrocan售價為50歐元。


衛生部建議病患在使用時,要將大麻加以沖淡,比方說,放到茶裡或是弄濕。
今年稍後,英國有家製藥公司會推出噴霧式的大麻藥品,為多發性硬化症病患帶來福音。而荷蘭的愛滋病患協會對政府這項舉動也深表歡迎。


愛滋病患組織「HIV Vereniging」的常務董事羅伯特˙威特洛克斯表示:「我們很高興政府終於認清,對某些人而言,大麻是能夠改善生活品質的。」


根據荷蘭的衛生部統計,目前荷蘭有曾為醫療目使用過大麻的人數多達7千人,而這些人都是從咖啡店購買的;一旦大麻以純粹醫用包裝的形式在藥局出售,使用人數至少會成長一倍以上。


大麻是種由大麻植物提煉出來的精神性藥物,會對使用者產生血壓及體溫下降、眼壓下降、運動失調、止痛等效應,如果濫用,則會帶來幻覺、精神障礙、妄想症、消沉、陶醉夢中等後果。英國的維多利亞女王拿大麻來減緩生理痛,而多發性硬化症的患者長期以來一直對大麻能為他們帶來疼痛舒緩的效果讚譽有加。根據路透社上個月底的新聞指出,如今,有數百名英國人參加一項大規模的研究,在手術後服用大麻膠囊,了解大麻的止痛效果如何。


其實,大麻?唻marijuana?啀本身是一種草本植物的總稱,但是並不是每一種大麻都可以做成毒品的。只有印度大麻?唻cannabis?啀中一種較矮小的多枝變種?唻cannabis sativa?啀,才能製成毒品。這種大麻的雌性花,其頂部、葉、種子及莖上都有樹脂,而這種大麻脂就是能製成毒品的成份。


晚近的醫學已經開始把大麻視為研究的對象,就醫學的角度而言,大麻是一種很有價值的藥物,它能夠幫助癌症及愛滋病患者止痛及增加食慾,讓這些病患者不會因為食慾不振而導致營養不良。大麻也可以幫助青光眼病人減低眼睛的壓力,令病情惡化速度減低。基本上,大麻本身的藥性並不會產生嚴重的生理依賴,也因此,大麻被列為軟性毒品。但是,服用者很容易會因為吸食大麻而得到短暫的快感,造成心理依賴作用。


英國的科學家認為,現在該是對大麻採取臨床實驗的時候了。由「醫療研究會議」?唻Medical Research Council?啀所主持的這項計畫,招募了4百名志願者在進行手術後,分成兩組,一組服用大麻,而另一組則採取一般標準的止痛藥劑,來了解大麻在止痛療效方面的效果。


維多利亞女王的醫生曾把大麻描述成:「我們擁有的最具價值的藥物之一。」在19世紀,大麻酊被用來舒緩生理期所帶來的疼痛感。


英國生技公司「GW製藥」希望能在今年底之前,為多發性硬化症患者發售大麻製成的藥物。該公司的臨床實驗,從噴霧式到口服式都有,結果發現,大麻能夠減緩多發性硬化症患者?唻MS sufferers?啀的神經疼痛、抽筋以及睡不安穩的症狀。不過,大麻雖然號稱是頭號催眠劑,但是,長期服用下來的結果,可能會導致失眠。

The Netherlands Monday became the world's first country to make cannabis available as a prescription drug in pharmacies to treat cancer, HIV and multiple sclerosis patients, the Health Ministry said.
The Netherlands is making the drug widely available to chronically ill patients amid pressure on countries like Britain, Canada, Australia and the United States to relax restrictions on its supply as a medicine.


Dutch doctors will be allowed to prescribe it to treat chronic pain, nausea and loss of appetite in cancer and HIV patients, to alleviate MS sufferers' spasm pains and reduce physical or verbal tics in people suffering Tourette's syndrome.


"From September 1, 2003 pharmacies can provide medicinal cannabis to patients with a prescription from a doctor. Cannabis has a beneficial effect for many patients," the Health Ministry said.


The Netherlands, where prostitution and the sale of cannabis in coffee shops are regulated by the government, has a history of pioneering social reforms. It was also the first country to legalize euthanasia.


Two companies in the Netherlands have been given licenses to grow special strains of cannabis in laboratory-style conditions to sell to the Health Ministry, which in turn packages and labels the drug in small tubs to supply to pharmacies.


As well as pharmacies, 80 hospitals and 400 doctors will be allowed to dispense five-gram doses of SIMM18 medical marijuana for 44 euros ($48) a tub and more potent Bedrocan at 50 euros.


The Health Ministry recommends patients dilute the cannabis -- which will be in the form of dried marijuana flowers from the hemp plant rather than its hashish resin -- in tea or turn it into a spray.
A British drug firm pioneering cannabis spray medicine to give pain relief for multiple sclerosis patients is hoping to launch the product in Britain later this year.


The association of HIV patients in the Netherlands welcomed the government's move to make cannabis available in high-street pharmacies.


"We are glad the government recognizes that for some people it can improve the quality of life," said Robert Witlox, managing director of HIV Vereniging. The association has called on health insurers to cover the cost of the drug like any other.


The government, which recognized many chronically ill people were already buying cannabis from coffee shops, said it should only be prescribed by doctors when conventional treatments had been exhausted or if other drugs had side-effects.


The government said it would start distributing to pharmacies Monday. The Health Ministry's Office of Medicinal Cannabis has a monopoly on wholesale distribution of the drug, grown in laboratory-style conditions to ensure medicinal purity.


The ministry estimates up to 7,000 people in the Netherlands have used cannabis for medical reasons, buying it in coffee shops. It said this could more than double once it was available from pharmacies in pure medicinal form.


Cannabis has a long history of medicinal use. It was used as a Chinese herbal remedy around 5,000 years ago, while Britain's Queen Victoria is said to have taken cannabis tincture for menstrual pains.
But it fell out of favor because of a lack of standardized preparations and the development of more potent synthetic drugs.


Critics argue that it has not passed sufficient scientific scrutiny at a time when researchers are trying to determine if it confers the medical benefits many users claim. Some doctors say it increases the risk of depression and schizophrenia. ($1=.9145 Euro)

(回目錄)

 向右靠攏 侵蝕包容傳統
編譯■賴明芝  
相曾在今年夏天拜訪荷蘭阿姆斯特丹的,看著遊客穿梭在紅燈區裡找尋性和毒品的人,也許沒有注意到,荷蘭人最引以為豪的包容傳統已經開始變淡了。

對荷蘭「看另外一面」文化造成「在場者都參加的爭吵」?唻free-for-all?啀有所怨言的荷蘭人,想要把步伐倒退一點。

鹿特丹港市已經有所行動,傳統上,鹿特丹是個被視為勞動階級的工業城市,相較於此,阿姆斯特丹是個文化精英的搖籃。

在荷蘭人呼籲要有更多法律和秩序?唻右派針對犯罪與暴力所提出的口號?啀的背後,荷蘭開始出現一股指責犯罪和少數種族的趨勢。

幾年前,荷蘭警方還拒絕在犯罪嫌疑犯的背景資料上登錄其種族血統。但是,自從發生好幾起黑人年輕人殺害白人的案件之後,數個城市市長開始針對幾個來自北非和加勒比海地區的特殊族群加以注意。
此舉引發了移民族群的緊張關係。上個月發生在荷蘭阿姆斯特丹的摩洛哥人暴動,就是因為警方開槍打死一名持刀的年輕人。

幾世紀來,荷蘭這個歐洲國家因為其「包容」的傳統而受人注意,她採取一種「准許不強迫他人的非法行為」政策。只要沒造成他人困擾,某些違反規則的輕罪行為是被允許的。
這幾十年,荷蘭人把販賣大麻、毒品使用和召妓列為輕罪的名單當中,有些甚至已經被合法化。現在,市政當局卻認為,荷蘭也許開放過了頭。

去年5月,荷蘭強調反對移民和主張民族主義的極右派政黨領袖佛杜恩,遭到槍擊身亡,點出荷蘭左右之爭的暗潮。無論如何,佛杜恩能在去年3月荷蘭第二大城鹿特丹的地方選舉中,一舉拿下17席,超過市議會總數45席的1/3,也顯示,總是談論開放、自由的荷蘭,已出現不少人想要向右靠攏的趨勢。但不管怎麼說,荷蘭出現所謂的向右靠攏現象,並非只是一股腦的保守起來。以死去的佛杜恩為例,他在公開呼籲停止移民的同時也強調,荷蘭若接受回教移民,會破壞荷蘭社會的寬容性,因為回教對待同性戀及婦女的態度非常惡劣,而佛杜恩本身就是一名同性戀者。

移民問題、族群關係及民族主義等話題,近來已成為歐洲政客們的重點議題。荷蘭又是歐洲國家裡頭,常有創先之舉的一國。看著荷蘭在這方面的發展,多少以嗅出歐洲社會未來的變化。

Those who visit Amsterdam this summer, watching tourists patrolling the infamous Red Light district in search of sex and drugs, might not notice how the vaunted Dutch tolerance is wearing thin.

The Dutch, complaining that their culture of "looking the other way" has created a free-for-all, want to turn the clock back.

The toughest stance has been taken by Rotterdam, traditionally regarded as the working man's city as opposed to Amsterdam, home of the cultural elite.

And behind the calls for more law and order is a growing tendency to blame crime on ethnic minorities.

Just a few years ago, the police refused to register the ethnic origins of criminal suspects. But after a series of attacks in which black youths killed white people the mayors of several Dutch cities have started to single out specific groups from North Africa and the Caribbean.

This has fuelled tensions with immigrant groups. Moroccans rioted in Amsterdam this month when police shot dead a youth who had a knife.

The Dutch have been noted for their tolerance in Europe for centuries, adopting a policy which allowed illegal if non-obtrusive behaviour.

In recent decades they added the sale of cannabis, drug usage and prostitution to the long list misdemeanours to which they turned a blind eye. Some were even legalised.
Now, the municipal authorities, many of which came to power during the 1960s and 1970s when they replaced their older and stricter predecessors, realise they may have overdone it.
In a bid to reverse the trend Rotterdam mayor Ivo Opstelten, nicknamed "Giuliani on the (River) Maas" in a reference to New York's former hard-line mayor, has vowed to lock up or cure the city's 700 hard-core drug addicts.

The new city council has slashed the number of "coffee shops" which sell soft drugs from 300 to 60 and aims to reduce the number further.

Amsterdam, one of the first European cities to adopt a relaxed attitude to homosexuals, is working to shut erotic bars and clubs.

"This place is getting worse than Tehran," joked Siep de Haan who organises the annual Gay Pride parade. "City Hall is terrified about Amsterdam's image of sex and drugs and rock and roll."

Until last year, police officers were allowed to frisk only the people they arrested. Now, following a pilot scheme in Rotterdam, anyone walking the Dutch streets can be searched at any time.

Begging, which ceased to be an offence many years ago, has been reinstated as a punishable felony by authorities in bigger cities.
"Beggars were becoming aggressive, and we were powerless. Something needed to be done," explained an Amsterdam police spokesman.

Urinating in the canals or against Amsterdam's elegant 17th-century facades, once ignored by passing policemen, will be punished by a hefty fine.

Stricter law enforcement is welcomed by voters who have expressed their exasperation at what they see as a decline in Dutch society by electing new rightist parties to run town halls.

The promise to restore law and order has been keenly embraced by established parties in an attempt to stem their own decline.

"Things have improved a bit. A drug pusher across the street has at last been arrested and his house has been boarded up. In the old days he would have been back in a week," said Libben Reeskamp, living in Amsterdam's central Nieuwmarkt area.

Now he wants to see action against other drug dealers and addicts who keep him awake at night.

Having already restricted the sale of postcards showing explicit nudity, Amsterdam's mayor Job Cohen is aiming to limit all-night opening hours for brothels.

He hopes it will reduce harassment from brawling Britons who drink through the night before heading home on cheap flights, said Marjan Jonker of the prostitute interest group De Rode Draad (The Red Thread/String).

"It's all aimed to limit nuisance. The measures are aimed to make the streets safer for Amsterdammers, but not for prostitutes whom police are checking for illegal immigrants much more aggressively these days," she added.

In another sign of the turning tide, commercial television broadcaster SBS -- which operates three Dutch channels -- said in June that it would stop showing explicit sex, the feature which defined its launch a decade ago.

"It was getting out of hand," said SBS manager Fons van Westerloo. "Erotic shows crept towards porn and overshadowed our image. Viewer ratings were also going down. Is the mood in the country shifting to become more puritanical? Yes, I think so. We've decided to take our responsibility."

Some schools have overturned the practice of calling teachers by their first names and reverted to "sir" and "madam".

Soon to be introduced is a compulsory identity card, frowned upon after World War Two when careful registration helped the Nazis hunt down Dutch Jews. The card is now seen as an inevitable aid to keep on top of crime.

(回目錄)

 

 

 

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