English — Comments COMMENTS ON THE REPORTED STATISTICS ON NARCOTIC DRUGS Part two Part Summary The further overall reduction in global stocks and in the production of opium confirm the con- Deuxi tinuing trend towards the eventual elimination of the drug from the international market for è opiate raw material. me partie Poppy straw and concentrate of poppy straw derived from the two main varieties of poppy straw (the morphine-rich and thebaine-rich varieties) decreased slightly in 2016 compared Segunda parte with 2015, and the manufacture of morphine remained stable at 422.1 tons, of which around 87 per cent of global manufacture was converted into other narcotic drugs or into substances not covered by the 1961 Convention. Of the remaining 13 per cent, only 8.6 per cent was directly consumed for palliative purposes. The differences in consumption levels between countries continued to be very significant. In 2016, 80 per cent of the world population consumed only 14 per cent of the total amount of morphine used for the management of pain and suffering. Although that represented an improvement on 2014, when 80 per cent of the world population consumed 9.5 per cent, the disparity in consumption of narcotic drugs for palliative care continues to be a matter of concern. After some fluctuations in the preceding years, global manufacture of thebaine reached the record level of 156 tons in 2016, signalling that the demand for medicines derived from thebaine, after having decreased in the past several years, appears to have resumed, despite restrictions on prescription drugs recently imposed in the main market (the United States of America) in response to their abuse and the high number of overdose deaths they have caused. This was reflected in the fact that the global manufacture of oxycodone and hydrocodone increased in 2016, while the other semi-synthetic opioids (with the exception of heroin) all decreased. In the case of synthetic opioids, global manufacture of fentanyl continued to fluctuate, decreasing to 2.3 tons in 2016. The manufacture of fentanyl analogues, remifentanil and sufen- tanil, also decreased, while the manufacture of alfentanil increased. The manufacture of dex- tropropoxyphene and ketobemidone ceased in 2016, and diphenoxylate continued to be manu- factured in much smaller quantities than in the past. The manufacture of pethidine remained at a low level, while the manufacture of tilidine and trimeperidine continued to fluctuate. The manufacture of methadone continued to increase, as more and more countries used it in the treatment of opioid dependence. The licit use of cannabis has been increasing considerably since 2000. Before 2000, licit use was restricted to scientific research and was reported only by the United States. Since 2000, more and more countries have started to use cannabis and cannabis extracts for medical purposes, as well as for scientific research. In 2000, total licit production was 1.4 tons; by 2016 it had increased to 211.3 tons. Peru has been the only country to export coca leaf for the global market since 2000. At the time of preparing this report, Peru had not provided production data for 2016, but had reported an export volume of 136 tons, in line with previous years. 21 The other major licit producer of coca leaf, the Plurinational State of Bolivia, provided information to the Board on the estimated cultivation (14,705 ha) and preliminary production data (23,217 tons) for 2016. The cultivation of coca bush in that country for the chewing of coca leaf and the consumption and use of coca leaf in its natural state for cultural and medi- cinal purposes, such as preparing infusions, is allowed in accordance with the reservation expressed in 2013, when the country reacceded to the 1961 Convention, as amended by the 1972 Protocol. 22 1. The present comments are intended to facilitate the use 2. The tables of reported statistics in part four and of the statistical information on the licit production, manu- annexes IV and V of the present report contain data English — Comments facture, consumption,1 utilization2 and stocks of, as well as furnished by Governments to the International Narcotics trade in, opiate raw materials, the main opioids, including Control Board (INCB) in accordance with article 20 of the synthetic narcotic drugs under international control, and can- Single Convention on Narcotic Drugs of 1961 as amended nabis, coca leaf and cocaine that is presented in the tables of by the 1972 Protocol. The most recent statistical data reported statistics (see pages 135-256 and annexes III and IV, reflected in the comments are those relating to 2016. The pages 313-448). Unless otherwise indicated, the comments failure by some Governments to submit reports or to refer to developments during the period 1997–2016. provide precise and complete reports may have a bearing two Part on the accuracy of some of the information presented 1 3 For the purposes of the Single Convention on Narcotic Drugs of below. The most pertinent conclusions and recommenda- 1961, a drug is regarded as “consumed” when it has been supplied to tions of INCB based on the analysis of statistical returns Deuxi any person or enterprise for retail distribution, medical use or scientific 4 research; and “consumption” is construed accordingly (art. 1, para. 2). are included in chapter II of its annual report. è 2 The parties shall furnish the International Narcotics Control Board me partie (INCB) with statistical returns on the utilization of narcotic drugs for 3 the manufacture of other drugs, of preparations in Schedule III of the Details on the submission of statistical reports by individual Govern- 1961 Convention and of substances not covered by the Convention and ments are contained in annex I to the present publication. 4 on the utilization of poppy straw for the manufacture of drugs. E/INCB/2017/1. Segunda parte Opiate raw materials 3. Opium and poppy straw are the raw materials obtained production continued to decrease, reaching 42.2 tons from the opium poppy plant (Papaver somniferum), from (4.6 tons in morphine equivalent) in 2016. Though imports which alkaloids such as morphine, thebaine, codeine and increased marginally, from 67.7 tons (7.4 tons in morphine oripavine are extracted. Concentrate of poppy straw is a equivalent) in 2015 to 69.2 tons (7.6 tons in morphine equiv- product obtained in the process of extracting alkaloids from alent) in 2016, the level was much lower than that of 2014 poppy straw. It is controlled under the 1961 Convention. (283.1 tons, or 31.1 tons in morphine equivalent). At the Detailed information on the supply of opiate raw material same time, stocks of opium also continued to be depleted, and demand for opiates for medical and scientific purposes decreasing from 709.5 tons in 2015 to 411 tons (or 45.2 tons is provided in part three of the present publication. in morphine equivalent) in 2016 (see figure 1). Opium Figure 1. Opium: global production, stocksa and use (consumption and utilization),b in tons of morphine equivalent, 1997-2016 4. Opium (also called “raw opium”) is the latex obtained by making incisions on the green capsules of opium poppy on plants. For statistical and comparison purposes, data on the 250 production of and trade in opium are reported at 10 per cent moisture content. When appropriate, the data on 5 opium are also expressed in morphine equivalent, in order 200 to enable comparison between opium and poppy straw. Figure 1 shows the licit production, stocks and use (consump- tion and utilization) of opium during the period 1997–2016, 150 expressed in morphine equivalent. Not included in the data on stocks and use are the amounts of illicitly produced 100 opium that were seized and released for licit purposes. 5. Opium production was over 1,000 tons in 2000, but 50 since then production has followed a downward trend. There was an increase in 2011, with 789.1 tons in gross weight 0 (86.8 tons in morphine equivalent) but subsequently 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 ear 5 The morphine or thebaine equivalent is calculated by INCB on the tiiation Sto Prodution basis of the industrial yield of each alkaloid obtained from opium or poppy straw. Lesser alkaloids contained in opium or poppy straw that are convertible into morphine or thebaine have also been included, aStocks as at 31 December of each year. adjusted by appropriate conversion rates, whenever the Board has been bExcluding the utilization of seized opium in Iran (Islamic Republic of) informed of their extraction in commercially significant quantities. and Myanmar. 23 6. India was the main producer and only licit exporter Figure 2. Opium: imports from India, in tons of of raw opium in 2016, accounting for 23.3 tons (2.5 tons morphine equivalent, 2007-2016 in morphine equivalent) or 55.2 per cent of total global production, followed by China, with 18.9 tons (2 tons in Ton morphine equivalent), where poppy straw has replaced 60 opium as the main raw material used in the manufacture of alkaloids since 2000. Together with China, other coun- 50 tries produced smaller amounts of opium in 2016, but exclusively for domestic consumption and utilization. Japan 40 produced 1.2 kg for research purposes. India accounted for 94.5 per cent of exports in 2016. 30 7. Opium exported by India contains morphine in a con- centration of 9.5 to 12.0 per cent, codeine in a concentra- 20 tion of about 2.5 per cent and thebaine in a concentration of 1.0 to 1.5 per cent.