By: NYMIA SIMBULAN, LEONARDO ESTACIO, CARISSA DIOQUINOMALIGASO, TEODORO HERBOSA, & MELLISSA WITHERS

This Declaration was released in the Annals of Global Healt, 2019; 85(1): 26, 1–4. DOI: https:// doi.org/10.5334/aogh.28. The UP Manila faculty members were instrumental in the drafting and adoption of the Manila Declaration during the Asia Pacific Rim Universities (APRU) International Conference on Global Health held at the Novotel Hotel, Cubao, Quezon City in 2017.

Gathering in this workshop with a common issue and concern – the drug problem in the Philippines and its consequences and how it can be addressed and solved in the best way possible;

Recognizing that the drug problem in the Philippines is a complex and multi-faceted problem that includes not only criminal justice issues but also public health issues and with various approaches that can be used in order to solve such;

We call for drug control policies and strategies that incorporate evidence-based, socially acceptable, cost-effective, and rights-based approaches that are designed to minimize, if not to eliminate, the adverse health, psychological, social, economic and criminal justice consequences of drug abuse towards the goal of attaining a society that is free from crime and drug and substance abuse;

Recognizing, further, that drug dependency and co-dependency, as consequences of drug abuse, are mental and behavioral health problems, and that in some areas in the Philippines injecting drug use comorbidities such as the spread of HIV and AIDS are also apparent, and that current prevention and treatment interventions are not quite adequate to prevent mental disorders, HIV/AIDS and other co-morbid diseases among people who use drugs; Affirming that the primacy of the sanctity/value of human life and the value of human dignity, social protection of the victims of drug abuse and illegal drugs trade must be our primary concern; and that all health, psycho-social, socioeconomic and rights-related interventions leading to the reduction or elimination of the adverse health, economic and social consequences of drug abuse and other related comorbidities such as HIV/AIDS should be considered in all plans and actions toward the control, prevention and treatment of drug and substance abuse;

As a community of health professionals, experts, academics, researchers, students and health advocates, we call on the Philippine government to address the root causes of the illegal drug problem in the Philippines utilizing the aforementioned affirmations. We assert that the drug problem in the country is but a symptom of deeper structural ills rooted in social inequality and injustice, lack of economic and social opportunities, and powerlessness among the Filipino people. Genuine solutions to the drug problem will only be realized with the fulfillment and enjoyment of human rights, allowing them to live in dignity deserving of human beings. As members of educational, scientific and health institutions of the country, being rich and valuable sources of human, material and technological resources, we affirm our commitment to contribute to solving this social ill that the Philippine government has considered to be a major obstacle in the attainment of national development.

Conclusion

The statement of insights and affirmations on the drug problem in the Philippines is a declaration that is readily applicable to other countries in Asia where approaches to the problem of drug abuse are largely harsh, violent and punitive.

As a community of scholars, health professionals, academics, and researchers, we reiterate our conviction that the drug problem in the Philippines is multi-dimensional in character and deeply rooted in the structural causes of poverty, inequality and powerlessness of the Filipino people. Contrary to the government’s position of treating the issues as a problem of criminality and lawlessness, the drug problem must be addressed using a holistic and rights-based approach, requiring the mobilization and involvement of all stakeholders. This is the message and the challenge which we, as members of the Association of Pacific Rim Universities, want to relay to the leaders, policymakers, healthcare professionals, and human rights advocates in the region; we must all work together to protect and promote health and well being of all populations in our region.

Published in UP Manila Healthscape No. 372 (January – February 2019)