[{"command":"settings","settings":{"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"ajaxPageState":{"libraries":"eJxLzSvJLKmMT81NSk3RT04sKMnMz9Mpy0wtL9YHk3qJWYkVKAK5-SmlOakAd1UWCw","theme":"hrw_design","theme_token":null},"ajaxTrustedUrl":[],"views":{"ajax_path":"\/views\/ajax","ajaxViews":{"views_dom_id:blog_live_feed__blog_body_block__288222__en":{"view_name":"blog_live_feed","view_display_id":"blog_body_block","view_args":"288222","view_path":"\/blog\/content\/288222","view_base_path":null,"view_dom_id":"blog_live_feed__blog_body_block__288222__en","pager_element":0}}},"csp":{"nonce":"KI6WTszNgu7Qws_UDSBUag"},"user":{"uid":0,"permissionsHash":"bc8921424f39d39c64af84232b603fadae46f840a8176c1b2436a5ee00791ac5"}},"merge":true},{"command":"add_css","data":[{"rel":"stylesheet","media":"all","href":"\/sites\/default\/files\/css\/css_ttdgUoxkB-pbINT5dW1cMh3IgYOCVTjCJ6Cp-XWwa0k.css?delta=0\u0026language=en\u0026theme=hrw_design\u0026include=eJxLzi9K1U8pKi1IzNFLzEqs0EnNK8ksqYxPzU1KTdFPTiwoyczP0ynLTC0v1geTern5KaU5qQBrXRXg"}]},{"command":"add_js","selector":"body","data":[{"src":"\/sites\/default\/files\/js\/js_VAWKYxPX4vFoyXs0iEPUrnc99CjyNLIu_pZawjEz9i8.js?scope=footer\u0026delta=0\u0026language=en\u0026theme=hrw_design\u0026include=eJwry0wtL9YvA5F6iVmJFQA22wZe"}]},{"command":"insert","method":"replaceWith","selector":".js-view-dom-id-blog_live_feed__blog_body_block__288222__en","data":"\u003Cdiv class=\u0022js-view-dom-id-blog_live_feed__blog_body_block__288222__en\u0022\u003E\n \n \n \n\n \n \n \n\n \u003Cdiv\u003E\n\u003Cdiv\u003E\n \u003Cdiv class=\u0022blog-block__content__description rich-text pt-6 mb:pt-10 mx-auto\u0022\u003E\n \u003Cp\u003E\u201cI cry, scream, feel like I\u2019m walking on fire all the time. I try to endure the pain when someone is at home, but when I am alone, all I can do is cry\u2026\u201d\u003C\/p\u003E\n\n\u003Cdiv class=\u0022embed\u0022 data-type=\u0022image\u0022\u003E\n\n\n \n\n\n\u003Cdiv class=\u0022embed align-right embedded-entity embedded-entity-type-media embedded-entity-bundle-image embedded-entity-viewmode-embeddable embed--right\u0022 xmlns:xlink=\u0022http:\/\/www.w3.org\/1999\/xlink\u0022\u003E\n \n\n\u003Cdiv\u003E\n \n \n\n\n\n\u003Cfigure class=\u0022figure figure--expand text-center \u0022\u003E\n \u003Cdiv class=\u0022figure__media relative inline-block mx-auto\u0022\u003E\n \u003Ca href=\u0022\/modal\/25418\u0022 rel=\u0022modal:open\u0022 class=\u0022figure__link\u0022\u003E\n \u003Cimg loading=\u0022lazy\u0022 srcset=\u0022\/sites\/default\/files\/styles\/480w\/public\/multimedia_images_2015\/armenia0715_graphic.png?itok=11xWKs_B 480w, \/sites\/default\/files\/styles\/embed_xxl\/public\/multimedia_images_2015\/armenia0715_graphic.png?itok=xFEdvmZN 946w\u0022 sizes=\u0022(max-width: 524px) 100px, 500px\u0022 width=\u0022946\u0022 height=\u0022568\u0022 data-responsive-image-style=\u0022embedded_images\u0022 src=\u0022\/sites\/default\/files\/styles\/embed_xxl\/public\/multimedia_images_2015\/armenia0715_graphic.png?itok=xFEdvmZN\u0022 alt=\u0022Social media graphic - 18,000 people need palliative care in Armenia every year\u0022\u003E\n\n\n\n \u003Cdiv class=\u0022figure__expand absolute block bottom-0 right-0 w-8 h-8 bg-white text-gray-700\u0022\u003E\n \u003Cspan class=\u0022sr-only\u0022\u003EClick to expand Image\u003C\/span\u003E\n \n\n\n\u003Cdiv class=\u0022icon fill-current w-full inline-block\u0022\u003E\n \u003Csvg viewBox=\u00220 0 20 20\u0022 fill=\u0022currentColor\u0022 role=\u0022img\u0022 focusable=\u0022false\u0022 aria-hidden=\u0022true\u0022\u003E\n \u003Cuse xlink:href=\u0022\/themes\/custom\/hrw_design\/dist\/app-drupal\/assets\/spritemap.svg?cacheBuster=250315#sprite-expand\u0022 \/\u003E\n \u003C\/svg\u003E\n\u003C\/div\u003E\n \u003C\/div\u003E\n \u003C\/a\u003E\n \u003C\/div\u003E\n \u003C\/figure\u003E\n\u003C\/div\u003E\n\n \u003C\/div\u003E\n\n\n\n\n\u003C\/div\u003E\n\n\u003Cp\u003EThat was how Gayane, a 46-year-old cancer patient from Armenia\u2019s capital, Yerevan, described her pain to me. \u201cI can\u2019t sleep at nights and can only do so after several sleepless nights, when I am fully exhausted. I live in pain all the time...\u201d\u003C\/p\u003E\n\n\u003Cp\u003EAbout 8,000 people die from cancer in Armenia every year, many spending their last days in excruciating pain, a July 2015 Human Rights Watch \u003Ca href=\u0022http:\/\/hrw.org\/node\/278990\u0022\u003Ereport\u003C\/a\u003E found. But fewer than 3 percent of those who need morphine get it. That\u2019s because the government has put in place nearly insurmountable bureaucratic barriers around the prescribing and dispensing of morphine \u2013 all in the name of fighting the illicit drug trade. (Morphine is essential treatment for cancer pain but is made from the same poppy plant as heroin).\u003C\/p\u003E\n\n\u003Cp\u003E\n\n\n \n\n\n\u003C\/p\u003E\u003Cdiv class=\u0022embed align-left embedded-entity embedded-entity-type-media embedded-entity-bundle-image embedded-entity-viewmode-embeddable embed--left\u0022 xmlns:xlink=\u0022http:\/\/www.w3.org\/1999\/xlink\u0022\u003E\n \n\n\u003Cdiv\u003E\n \n \n\n\n\n\u003Cfigure class=\u0022figure figure--expand text-center \u0022\u003E\n \u003Cdiv class=\u0022figure__media relative inline-block mx-auto\u0022\u003E\n \u003Ca href=\u0022\/modal\/25419\u0022 rel=\u0022modal:open\u0022 class=\u0022figure__link\u0022\u003E\n \u003Cimg loading=\u0022lazy\u0022 srcset=\u0022\/sites\/default\/files\/styles\/480w\/public\/multimedia_images_2015\/armenia0715_infographic.png?itok=9yE1W9kL 480w, \/sites\/default\/files\/styles\/embed_xxl\/public\/multimedia_images_2015\/armenia0715_infographic.png?itok=tiaTpyMZ 946w\u0022 sizes=\u0022(max-width: 524px) 100px, 500px\u0022 width=\u0022946\u0022 height=\u0022883\u0022 data-responsive-image-style=\u0022embedded_images\u0022 src=\u0022\/sites\/default\/files\/styles\/embed_xxl\/public\/multimedia_images_2015\/armenia0715_infographic.png?itok=tiaTpyMZ\u0022 alt=\u0022Roadblocks to Pain Relief in Armenia\u0022\u003E\n\n\n\n \u003Cdiv class=\u0022figure__expand absolute block bottom-0 right-0 w-8 h-8 bg-white text-gray-700\u0022\u003E\n \u003Cspan class=\u0022sr-only\u0022\u003EClick to expand Image\u003C\/span\u003E\n \n\n\n\u003Cdiv class=\u0022icon fill-current w-full inline-block\u0022\u003E\n \u003Csvg viewBox=\u00220 0 20 20\u0022 fill=\u0022currentColor\u0022 role=\u0022img\u0022 focusable=\u0022false\u0022 aria-hidden=\u0022true\u0022\u003E\n \u003Cuse xlink:href=\u0022\/themes\/custom\/hrw_design\/dist\/app-drupal\/assets\/spritemap.svg?cacheBuster=250315#sprite-expand\u0022 \/\u003E\n \u003C\/svg\u003E\n\u003C\/div\u003E\n \u003C\/div\u003E\n \u003C\/a\u003E\n \u003C\/div\u003E\n \u003C\/figure\u003E\n\u003C\/div\u003E\n\n \u003C\/div\u003E\n\n\n\n\n\n\n\u003Cp\u003EArmenia is not the only country where the response to illicit drugs severely restricts access to critical medicines for patients with cancer and other diseases. The \u003Ca href=\u0022https:\/\/www.incb.org\/documents\/Publications\/AnnualReports\/AR2010\/Supplement-AR10_availability_English.pdf\u0022\u003EUnited Nations\u003C\/a\u003E estimates that about 5.5 billion people \u2013 a staggering 75 percent of the world\u2019s population \u2013 live in countries with limited or no access to proper pain relief treatments.\u003C\/p\u003E\n\n\u003Cp\u003EBut Armenia is a case study for how regulations drafted for law enforcement purposes by officials with no public health knowledge can severely complicate valid medical use of controlled substances. Under Armenia\u2019s regulations, oncologists can prescribe these medications only after multiple doctors have visited the patient at home \u2013 almost impossible in an under-resourced health care system as Armenia\u2019s \u2013 and have signed off on the prescription. Patients or their relatives must then collect multiple signatures and seals before the prescription can be filled. Doctors only prescribe the medications for two or three days at a time, forcing patients on their death bed or their relatives to spend hours every few days to obtain and fill new prescriptions.\u003C\/p\u003E\n\n\u003Cdiv class=\u0022embed\u0022 data-type=\u0022report\u0022\u003E\n\n\n \n\n\n\u003Cdiv class=\u0022embed align-right embedded-entity embedded-entity-type-node embedded-entity-bundle-report embedded-entity-viewmode-embeddable embed--right\u0022 xmlns:xlink=\u0022http:\/\/www.w3.org\/1999\/xlink\u0022\u003E\n \n \n\n\n\u003Cdiv class=\u0022media-related flex md:ml-8\u0022\u003E\n \u003Cdiv class=\u0022media-related__image flex-none\u0022\u003E\n \u003Ca href=\u0022\/report\/2015\/07\/14\/all-i-can-do-cry\/cancer-and-struggle-palliative-care-armenia\u0022 class=\u0022media-related__image-link\u0022\u003E\n \n \u003Cimg src=\u0022\/sites\/default\/files\/styles\/thumbnail\/public\/multimedia_images_2015\/armenia0715_reportcover.jpg?itok=MVJ7SXlf\u0022 alt=\u0022report cover\u0022 loading=\u0022lazy\u0022 class=\u0022unloaded\u0022 width=\u002277\u0022 height=\u0022100\u0022\u003E\n \u003C\/a\u003E\n \u003C\/div\u003E\n \u003Cdiv class=\u0022media-related__content pl-4\u0022\u003E\n \u003Cdiv class=\u0022media-related__info text-base text-gray-700\u0022\u003E\n \u003Ctime class=\u0022media-related__date\u0022 datetime=\u00222015-07-14T10:16:52-0400\u0022\u003EJuly 14, 2015\u003C\/time\u003E\n \u003Cdiv class=\u0022media-related__title text-gray-900 text-2xl leading-tight font-medium font-sans mt-1\u0022\u003E\n \u003Ca href=\u0022\/report\/2015\/07\/14\/all-i-can-do-cry\/cancer-and-struggle-palliative-care-armenia\u0022 class=\u0022media-related__title-link hover:underline focus:underline\u0022\u003E\u003Cspan\u003E\u201cAll I Can Do Is Cry\u201d\u003C\/span\u003E\n\u003C\/a\u003E\n \u003C\/div\u003E\n \u003Cp class=\u0022media-related__subtitle text-gray-700 text-lg font-serif font-normal leading-snug py-2\u0022\u003ECancer and the Struggle for Palliative Care in Armenia\u003C\/p\u003E\n \u003C\/div\u003E\n \u003Cul class=\u0022media-related__list\u0022\u003E\n \u003Cli class=\u0022media-related__item block border-t border-gray-200 first:border-t-0 \u0022\u003E\n \u003Ca href=\u0022https:\/\/www.hrw.org\/sites\/default\/files\/report_pdf\/armenia0715_4up.pdf\u0022 class=\u0022media-related__item-link flex py-2\u0022\u003E\n \u003Cspan class=\u0022media-related__item-icon self-center\u0022\u003E\n\n\n\u003Cdiv class=\u0022icon fill-current w-4 inline-block\u0022\u003E\n \u003Csvg viewBox=\u00220 0 20 20\u0022 fill=\u0022currentColor\u0022 role=\u0022img\u0022 focusable=\u0022false\u0022 aria-hidden=\u0022true\u0022\u003E\n \u003Cuse xlink:href=\u0022\/themes\/custom\/hrw_design\/dist\/app-drupal\/assets\/spritemap.svg?cacheBuster=250315#sprite-docicon\u0022 \/\u003E\n \u003C\/svg\u003E\n\u003C\/div\u003E\n\u003C\/span\u003E\n \u003Cp class=\u0022media-related__item-title font-semibold text-sm pl-4\u0022\u003EDownload the full report\u003C\/p\u003E\n \u003C\/a\u003E\n \u003C\/li\u003E\n \u003Cli class=\u0022media-related__item block border-t border-gray-200 first:border-t-0 \u0022\u003E\n \u003Ca href=\u0022https:\/\/www.hrw.org\/sites\/default\/files\/report_pdf\/armenia0715arm_sumandrecs_web.pdf\u0022 class=\u0022media-related__item-link flex py-2\u0022\u003E\n \u003Cspan class=\u0022media-related__item-icon self-center\u0022\u003E\n\n\n\u003Cdiv class=\u0022icon fill-current w-4 inline-block\u0022\u003E\n \u003Csvg viewBox=\u00220 0 20 20\u0022 fill=\u0022currentColor\u0022 role=\u0022img\u0022 focusable=\u0022false\u0022 aria-hidden=\u0022true\u0022\u003E\n \u003Cuse xlink:href=\u0022\/themes\/custom\/hrw_design\/dist\/app-drupal\/assets\/spritemap.svg?cacheBuster=250315#sprite-docicon\u0022 \/\u003E\n \u003C\/svg\u003E\n\u003C\/div\u003E\n\u003C\/span\u003E\n \u003Cp class=\u0022media-related__item-title font-semibold text-sm pl-4\u0022\u003ESummary and recommendations: Armenian\u003C\/p\u003E\n \u003C\/a\u003E\n \u003C\/li\u003E\n \u003Cli class=\u0022media-related__item block border-t border-gray-200 first:border-t-0 \u0022\u003E\n \u003Ca href=\u0022https:\/\/www.hrw.org\/sites\/default\/files\/report_pdf\/armenia0715ru_sumandrecs_web.pdf\u0022 class=\u0022media-related__item-link flex py-2\u0022\u003E\n \u003Cspan class=\u0022media-related__item-icon self-center\u0022\u003E\n\n\n\u003Cdiv class=\u0022icon fill-current w-4 inline-block\u0022\u003E\n \u003Csvg viewBox=\u00220 0 20 20\u0022 fill=\u0022currentColor\u0022 role=\u0022img\u0022 focusable=\u0022false\u0022 aria-hidden=\u0022true\u0022\u003E\n \u003Cuse xlink:href=\u0022\/themes\/custom\/hrw_design\/dist\/app-drupal\/assets\/spritemap.svg?cacheBuster=250315#sprite-docicon\u0022 \/\u003E\n \u003C\/svg\u003E\n\u003C\/div\u003E\n\u003C\/span\u003E\n \u003Cp class=\u0022media-related__item-title font-semibold text-sm pl-4\u0022\u003ESummary and recommendations: Russian\u003C\/p\u003E\n \u003C\/a\u003E\n \u003C\/li\u003E\n \u003C\/ul\u003E\n \u003C\/div\u003E\n\u003C\/div\u003E\n\n \u003C\/div\u003E\n\n\n\n\n\u003C\/div\u003E\n\n\u003Cp\u003EAs a result, most cancer patients in Armenia end up like Gayane \u2013 abandoned at the most vulnerable times of their lives, trapped in a world of pain, fear, and anguish.\u003C\/p\u003E\n\n\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n\n \n\n \n \n\n \n \n\u003C\/div\u003E\n","settings":null},{"command":"insert","method":"prepend","selector":".js-view-dom-id-blog_live_feed__blog_body_block__288222__en","data":"","settings":null}]