By:
Eurasia Review
July 25, 2012
Hundreds of thousands of people identified as drug users in China
and across Southeast Asia are held without due process in centers where
they may be subjected to torture, and physical and sexual violence in
the name of “treatment,” Human Rights Watch said in a briefing paper
released today. International donors and United Nations agencies have
supported and funded drug detention centers that systematically deny
people rights to effective HIV and drug dependency treatment, and have
ignored forced labor and abuse.
The 23-page document, “Torture in the Name of Treatment: Human
Rights Abuses in Vietnam, China, Cambodia, and Lao PDR,” summarizes
research with individuals who had been detained in Vietnam, China,
Cambodia, and Lao PDR. More than 350,000 people identified as drug
users are detained in the name of “treatment” in these countries for
periods of up to five years. In many centers, drug users are held
alongside homeless people, people with psychosocial disabilities, and
street children, and are forced to perform military drills, chant
slogans, and work as “therapy.”
“There are proven ways to address drug dependency consistent with
human rights, but beatings, forced labor, and humiliation are not among
them,” said Joe Amon, director of the Health and Human Rights Division
at Human Rights Watch. “These centers need to be closed, and voluntary,
effective drug treatment provided in their place.” Individuals in drug
detention centers in all four countries are commonly held against their
will. They are picked up by police, or “volunteered” by local
authorities or family members who buckle under social pressure to make
their village “drug free.” Once inside, they cannot leave. No clinical
evaluation of drug dependency is performed, resulting in the detention
of occasional drug users as well as others merely suspected of using
drugs.
International health and drug-control agencies, including the UN
Office on Drugs and Crime, the Joint UN Programme on HIV/AIDS (UNAIDS),
and the World Health Organization, recommend comprehensive,
community-based harm reduction services, including evidence-based
drug-dependence treatment and access to sterile syringes as essential
to protect the health and human rights of people who use drugs. Drug
detention centers that hold drug users for long periods of time without
providing evidence-based treatment violate these standards and are
widely believed to be ineffective. Research in China and Vietnam has
found high rates of relapse among individuals held in drug detention
centers, as well as increased risk of HIV infection from being detained.
Depending on the country, so-called treatment consists of a regime
of military drills, forced labor, psychological and moral re-education,
and shackling, caning, and beating. Human Rights Watch documented
forced labor in detention centers in China, Vietnam, and Cambodia,
though the nature and extent of forced labor varied within and between
countries.
In Vietnam, “labor therapy” is stipulated as part of drug treatment
by law, and drug detention centers are little more than forced labor
camps where tens of thousands of detainees work six days a week
processing cashews, sewing garments, or manufacturing other items.
Refusing to work, or violating center rules, results in punishment that
in some cases is torture. Quynh Luu, a former detainee who was caught
trying to escape from one center, described his punishment: “First they
beat my legs so that I couldn’t run off again… [Then] they shocked me
with an electric baton [and] kept me in the punishment room for a
month.”
Access to drug dependency treatment within the centers was either
restricted to a small subset of the center’s population, who were also
required to adhere to a rigid and punishing forced labor regimen, or
nonexistent. Huong Son, who was detained for four years in a drug
detention center in Vietnam, said, “No treatment for the disease of
addiction was available there. Once a month or so we marched around for
a couple of hours chanting slogans.”
Human Rights Watch also found evidence that children were detained
in drug detention centers in Cambodia, Vietnam, and Lao PDR, and
subjected to the same “treatments,” including forced labor, military
exercises, and physical and sexual abuse.
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