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close this bookDrug Use and HIV Vulnerability (UNAIDS, 2001, 238 p.)
close this folderChapter 4: Malaysia
close this folderIV. Findings
View the documentA. Patterns of drug use
View the documentB. Epidemiology of drug use
View the documentC. Government responses to drug use
View the documentD. Legislation and application of laws
View the documentE. Evaluation of law enforcement strategies
View the documentF. Risk of HIV infection in prisons
View the documentG. Treatment and rehabilitation
View the documentH. HIV/AIDS

A. Patterns of drug use

The most commonly used drug is heroin (65 per cent of the drug user population in 1996), (Table 4.1) followed by cannabis (17.7 per cent), morphine (14.7 per cent), psychotropic substances (1.4 per cent) and opium (0.3 per cent) (Narcotics Report, 1996).

In a study undertaken in 1994, it was estimated that 50 per cent of drug users preferred heroin, 15 to 20 per cent of whom injected. The street purity of heroin is estimated to be between 2 and 25 per cent. This is thought by some to reflect the “success” of street interdiction activity by police. However, it has been suggested that this interdiction activity may also have been responsible, at least in part, for a higher incidence of injecting since this method of drug administration provides for a more cost-effective and better drug effect than sniffing, snorting or smoking the drug.

The use of amphetamine-type stimulants has emerged more recently in Kuala Lumpur and appears to be on the increase. Cocaine and MDMA (“ecstasy”) were seized for the first time in 1996. Twenty-three cases of methamphetamine use were detected in that year. The injection of amphetamine-type stimulants mixed with heroin has also been increasingly reported.

Malays represent the largest proportion of drug users by ethnic origin (76.9 per cent), followed by Indian (9.5 per cent) and Chinese (9.4 per cent) Malaysians.

Table 4.1 Types of drug addiction: 1988-1996

Year

Heroin

Cannabis

Cocaine

Morphine

Pills1

Inhalant

Others

1988

17,179

1,824

212

1,319

139

6

18

1989

14,578

1,344

179

905

121

5

207

1990

12,068

1,323

133

1,310

86

7

336

1991

15,018

2,124

59

1,153

64

10

212

1992

18,358

2,196

72

528

36

27

289

1993

21,581

2,980

54

441

47

17

337

1994

23,408

3,445

76

1,380

73

9

365

1995

23,723

5,581

74

4,148

159

8

411

1996

19,900

5,404

78

4,489

259

11

457

1 include 'ecstasy', Valium, etc.

The Narcotics Report (1996) notes that 98.7 per cent of those arrested for drug offences during the previous year were male.