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澳大利亚和世界各地的证据日益越来越多，对非法药物使用的零耐受方法无效，实际上可能导致（甚至导致）对吸毒者和造成的一系列同样严重的危害社区。

那么我们是否在国家毒品战略下询问了正确的问题并采取了正确的方法，在建立计划，网络和立法行动下？短暂的答案是“不太......”

这是鉴于个人，家庭和更广泛的社区所经历的毒品相关危害，不仅是政府政策制定者和执法机构的重要讨论，也是政府政策制定者和执法机构，也是医学专家，也是医学专家，也是医学专家，媒体和日常公民。今年1月在墨尔本在墨尔本观察到了全面清晰的榜样，其中九名年轻派对人是“幸运的是他们没有死于现场”（ABC News, 2018），这种近乎错过了对受影响的用户以及他们的朋友和家庭具有严重影响。

那么我们是否在国家毒品战略下询问了正确的问题并采取了正确的方法，在建立计划，网络和立法行动下？短暂的答案是“不太......”

澳大利亚的药物政策：务实和成功？

Australia’s National Drug Strategy (NDS) is grounded by the principle of harm minimization and comprises three pillars targeting supply, demand and harm reduction. It seeks to prevent the manufacture or importation and sale of drugs through seizure, arrest and other law enforcement practices (e.g. raids, customs checks, etc.), reduce the need for drugs by educating and informing the community, and limiting the harms for the community by providing drug diversion, treatment and rehabilitation programs/services.

The NDS is a longstanding, national framework that since 1985 has shaped several important initiatives in response to the use of drugs (illicit, as well as misuse of alcohol and medications), as well as led to the development of strong networks between drug and alcohol clinicians, policy-makers, police, academic researchers and treatment/support services.

谈论吸毒以及社区应该如何最好地回应这种现象并不是新的。例如，在澳大利亚悉尼悉尼的1986年和2001年的医学监督的注射中心的引入代表了对海洛因和药物注入实践的担忧，务实的反应，这些务实的回应是今天被广泛成功的，并继续下去。

变得艰难

...很明显，当前惩罚性，零容忍政策不努力限制吸毒或危害的影响。

However, such is the dynamic, shifting and politicized nature of the drug landscape, that the effectiveness of legal and policy responses can be limited or forgotten, particularly when constrained by media-driven community attitudes and populist policy-making. Despite an overall focus on harm reduction, often the drug debate is framed as a ‘problem’ of deviance, criminality and, in particular, youth. This is because, in reality, much of the effort, resources and political action has focused on ‘get tough’ policies and policing young drug users, which has served to criminalize and expose them to stigma, shame and community condemnation, often pushing them away from protective welfare and treatment services and social networks.

这是我们现在在澳大利亚面临的情况，作为进一步证据的药物失败的毒品，很明显，目前的惩罚性，零容忍政策不努力限制药物使用或危害的影响。

If we look to current trends and patterns of use, recent reports reveal young people at dance parties and music festivals continue to use drugs like ecstasy and methamphetamines, often in more potent forms (i.e. ‘MDMA’ and ‘ice’), exposing themselves (and others) to the dangers related to consumption of high-purity, adulterated or poor quality substances.

回归实用主义？

然后，丸剂测试提供务实和证据知情政策，作为现有伤害策略的补充，作为通过增加我们“知道”的内容来加强澳大利亚对毒品的反应。药丸测试涉及派对和节日 - 派对，他们的毒品样本由科学家测试，然后可以向用户提供信息，了解他们所采取的内容，所以他们可以做出更明智的决定。

正如荷兰，葡萄牙和奥地利等国家的几项国际研究中，当通过测试确定有害或意外的物质时，大多数用户都选择不消耗他们的毒品并与他们的朋友分享这一警告。此外，在这些背景下，药丸测试鼓励积极的帮助行为（即康复或咨询），监测毒品市场和用户与医疗服务之间的互动，以及增加对毒品有关的风险和来自两者的支持水平的总体意识正式和非正式的社交网络。丸剂测试可以，并且可以作为更大损害策略的一部分。

By no means is pill testing intended to be a stand-alone “solution”, nor does it condone the use of illicit drugs. Instead, the argument is that we need to change the language of drug use from deviance and criminal justice labels to pragmatic notions of harm and public health, where any policies or programs implemented seek to reduce the harms associated with drug use.

There are examples of such pragmatism in policy and practice in Europe and even in our own history, which we must learn from and apply in Australia if we are to implement better drug policy. Put simply, it is about building knowledge to ensure prevention, education and cultural values of social inclusion so that we can reduce the harms associated with party-drug use and save lives. Pill testing is a part of this process, so it is definitely worth the test.