[Primary prevention as the method of choice in the prevention and decrease of substance dependence diseases].

Abstract

The disease of the dependancy in Bosnia and Herzegovina in the postwar period are in the expansion, and the fact is that nobody of the competents can expose the correct data about the extension of this occurrence. The reason to this is that in the health care institutions are evident only those dependents who attend to treatment, and the police evident only the catched breachers of law--the producers and the dispersals of the drug. The periodical researches which are performed among the different population groups do not give unfortunately, also besides the setted endeavour, the right insight into this problematics. Besides the fact that the production and distribution of tobacco and alcohol are legal, cannot be neglected their lost effect onto the health by the excessive and longterm consummation, so to them as the psycoactive substances should dedicate the adequative attention. The treatment consequence of the disease dependance is longterm and expansive, often with uncertain outcome, especially in narcomen the dependence (the percentage of the recovery from 0.5-4.0%), so the basis of the struggle against the dependancy disease is the prevention affirmation of the healthy styles of living--without tobacco, alcohol and drugs. Many theoretics, the authors of the scientific papers from these field prevention share to three levels--the primary, secondary and tertial ones, but the public-health care approach only the primary three levels the primary prevention considers the right prevention which is the dam of the disease occurrence and the damage, the rest two levels infact are the diagnostics, treatment and the rehabilitation and not the aim is to them the reduce of damage, so much and if is this is possible. Of course, should not neglect the great difference in costs in the levels of the prevention: the methadone therapy and the commune for the treatment and the rehabilitation of the dependents encircle the small number of the dependence and cost hundred times more than the primary preventive programmes, which address to the unavoidableness of the performance of the strategy of the primary preventions against the disease of the dependancy.