Colombian Activists Destigmatize Drug Use鈥攁nd Make It Safer

Before heading on vacation, Esteban Pinzon, a 36-year-old public school teacher, makes a hotel reservation, packs a suitcase, and visits a drug-checking site in Bogot谩, the capital city of Colombia, to test a swatch of the psychedelic LSD he has saved for the occasion.
In a quiet residential neighborhood near downtown Bogot谩, Pinzon enters a graffiti-scrawled building, where he鈥檚 led into a room outfitted with a small lab. A mural on the hallway reads: 鈥淓nd the War on Drugs.鈥 A lab technician takes Pinzon鈥檚 paper square of LSD and douses a small sample with a reactant. It turns a dark copper color, a sign the drug is not what it appears to be.
鈥淭here鈥檚 no presence of LSD,鈥 Christian Gordillo, the lab technician at 脡chele Cabeza, the drug-checking site, tells him. 鈥淪o we don鈥檛 recommend taking it.鈥
With drugs banned around the world, substances are manufactured and sold without regulation, putting the health of consumers at risk. Drug checking is a way to protect consumers by testing the makeup of drugs and providing recommendations that help them to make safer choices.
Drug checking originates in the 鈥90s European club scene, where the service was commonly used to test synthetic drugs like MDMA during electronic music concerts. But in Colombia, a country at the epicenter of the war on drugs, drug checking has transformed drug users and those most affected by prohibitionist policies into activists, championing harm-reduction strategies and drug legalization.
鈥淒rug checking started as a strategy to care for people鈥檚 health and has ended up becoming a social movement that is demanding rights, but also proposing actions to change drug policy,鈥 says Juli谩n Quintero, founder of 脡chele Cabeza.
From Prohibition to Harm Reduction
For decades, Colombia, the world鈥檚 largest producer of cocaine, has persecuted drug traffickers and targeted the farming of coca plants, the natural ingredient used in cocaine. Colombia has also used its police force to crack down on drug users, who are often labeled by society as criminals or vagrants.
But Quintero, who began using cocaine, alcohol, and other drugs as a sociology student in the mid-aughts, questioned conventional drug policy. By the time he was in college, the Medell铆n and Cali Cartel, Colombia鈥檚 infamous drug cartels, had been dismantled, but the drug business still flourished. Other armed groups filled the void left by the cartels and took control of the trade. Despite numerous efforts to eliminate the trade, Quintero knew drugs were here to stay.
鈥淭he war on drugs had failed, so it was time to start proposing other strategies,鈥 says Quintero.
In 2010, Quintero launched , a nonprofit that strives to make drug use safer instead of trying to eliminate it outright. At first, he focused on spreading information on drug use, with the aim of preventing overdoses. Two years later, Quintero opened a drug-checking booth in Bogot谩鈥檚 underground raves, using reactants sent by Energy Control, a Spain-based harm-reduction program.
While Colombia has never faced an opioid crisis to the same degree the U.S. has, the growing popularity of synthetic drugs and their alterations posed a risk to Colombians. 脡chele Cabeza aims to catch the dangerous alterations before they are consumed. But nearly immediately, Quintero said Colombia鈥檚 media and politicians accused the organization of promoting drug use.
The nonprofit eventually won over some of its detractors by publishing reports about the adulterated drugs they detected. Their reports attracted the attention of Colombia鈥檚 Justice Ministry, which reached out to 脡chele Cabeza to request leftover drug samples in an effort to help identify new substances on the market.
In 2013, the government granted the nonprofit a permit to operate legally in return for regular samples. 脡chele Cabeza became the first drug-checking organization in Latin America to have a government permit. 鈥淲e鈥檙e located in the Global South, so no one found out, but we were the first to operate with a permit, before anyone in England or in the United States,鈥 Quintero says.
That permit allowed them to foray into renown music festivals and exclusive clubs, where their services suddenly reached a wider audience. Concert goers were not only finding their services valuable, but also demanded that they be available at festivals. As demand grew beyond the festival circuit, 脡chele Cabeza opened its first permanent drug-checking office in 2023, where it currently offers services three times per week. That same year, 脡chele Cabeza also opened the first supervised drug-consumption site in South America.
Drug Checking Goes Mainstream
At the drug-checking site, youth carrying drugs stored in plastic bags file into the lab, where drug checking costs 20,000 pesos, or about $5 per substance. In another room, a psychologist is available for clients who wish to discuss problematic relationships with drugs or to ask for advice on how to speak to children about drug use.
On a recent afternoon, Esteban Pinz贸n, the 36-year-old public school teacher, wondered aloud what to do with the drug that had been misrepresented as LSD. Gordillo, the lab technician, said there was no way to find out exactly what the drug is. In this case, the reactants only determined whether the sample included LSD or not. But he said that it was likely 251-NBOMe, a psychedelic Pinz贸n had taken before.
Pinz贸n hesitated before saying whether he would use the drug or not. 鈥淭he analysis created a lot of distrust,鈥 Pinz贸n explains. 鈥淚鈥檇 rather take it easy.鈥
Between 2013 and April 2024, 脡chele Cabeza analyzed 39,982 substances. Of those substances, about 13% were adulterated. A 2023 study published by graduate students at Bogot谩鈥檚 Andes University examined whether 脡chele Cabeza鈥檚 services changed the behavior of its users. The study found that there was a significant increase in self-care practices adopted by service users when compared to those who didn鈥檛 use the service and that negative effects associated with drug use increased among those who hadn鈥檛 used the services.
Quintero said the impact of their services and their regular reports on Instagram, which currently has more than 220,000 followers, has earned them credibility. They are now commonly cited in news reports and consulted by magistrates from the Constitutional Court, Colombia鈥檚 top judicial body. Their influence has also reached the highest levels of government.
When President Gustavo Petro took office in 2022, he called the war on drugs a 鈥渇ailure鈥 and vowed to end it. While his actual drug policies have not been as far reaching, his administration consulted Quintero as well as a number of other experts in the development of a new national drug plan, which included harm reduction strategies, such as improving access to naloxone, a drug used to reverse an opioid overdose, and strengthening drug-checking organizations.
According to the Justice Ministry, there are currently 13 groups operating across the country. Quintero said the Petro administration is tapping 脡chele Cabeza to provide training to these groups and to create a national network. 鈥淭he government wants to bring together all these youth-led projects from all over the country and train them to do the same thing we did, which we think is amazing,鈥 Quintero says.
The rise of new drug-checking initiatives are an indication that attitudes toward drug policy are changing, Quintero said. He hopes this momentum will give way to drug legalization that includes cocaine, which he said would make drug use safer.
While he acknowledges drug legalization is still far off, he trusts the next generation might actually achieve this far-reaching goal. 鈥淚鈥檓 not in a rush now because I know it鈥檚 going to happen,鈥 says Quintero. 鈥淎ll we have to do is to continue to work and to allow the next generation to take over.鈥
Christina Noriega
is a Colombian-American journalist, based in Bogot谩, where she covers human rights, the environment, and social movements. In 2016, the Texas native moved to Colombia to report on the historic peace deal that ended decades of internal violence and has since reported on various communities and conflicts from remote regions across the country.
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