Closed to Reason: The International Narcotics Control Board and HIV/AIDS

Nearly one in three HIV infections outside Africa is among people who inject drugs. The International Narcotics Control Board (INCB) could and should be playing a key role in stopping this injection-driven HIV epidemic — but it’s not.

Instead, the Board — a 13-person, ostensibly independent body that does not speak for the United Nations but is an integral part of the UN drug control system — has consistently cautioned against effective HIV prevention measures and failed to highlight critical shortfalls in the global response.

This report examines the problems and proposes recommendations on how the INCB can be reformed to make it more accountable and transparent. Until the INCB changes, it will remain part of the problem rather than part of the solution.