Under-recording of ethanol intoxication and poisoning in cause-of-death data: causes and consequences

In the present study we examined how consistently and completely the role of acute alcohol (ethanol) intake as a cause of death is reported on death certificates, how complete and specific the statistical recording of cause-of-death data on acute alcohol-induced deaths is, and how the information ultimately appears in the national mortality statistics. Data on all alcohol-positive deaths with blood alcohol concentration of ≥ 0.5‰ (g/kg) in Finland in 2005 (N = 2348) were reviewed. Overall, a concentration-dependent association was found between forensic-toxicologically determined blood alcohol concentrations and acute alcohol-specific cause-of-death diagnoses. Based on a medico-legal re-evaluation of death certificates, acute alcohol-specific causes were found to be underreported nationally at a rate of 8%. For accidental alcohol poisonings alone, the figure was about 1%. This underreporting was not corrected during recording of the cause-of-death data, though individual corrections and changes were observed. Especially, recording of multiple causes suffers from this underreporting of acute alcohol-specific causes. ICD-10 seems to do well in fulfilling the demands for a specific classification of uncomplicated alcohol poisoning. In combined alcohol-drug poisonings, however, ICD-10 shows a bias towards drugs over alcohol, even when alcohol has been specified and reported as the most toxic component by the medico-legal pathologist. Since the national statistics is based on the underlying causes, this state of affairs is likely to result in the underestimation of the role of acute alcohol intake as a cause of death. This observation of underreporting of acute alcohol-specific causes on death certificates should result in a harmonisation of education and principles and practices used in death certification. To increase the coverage and specificity of mortality statistics, based on the underlying causes of death, the coding of all components of alcohol-drug combinations and their classification according to the most important intoxicant or combination of intoxicants is recommended.     

Desorption atmospheric pressure photoionization-mass spectrometry in routine analysis of confiscated drugs

A comprehensive study was made, where desorption atmospheric pressure photoionization (DAPPI) was applied to the direct analysis of confiscated drugs and pharmaceuticals of various forms and matrices. The analyzed samples included herbal products [Catha edulis (khat), Psilocybe mushrooms, opium and Spice], designer drugs in tablet and powder form [e.g. meta-chlorophenylpiperazine (mCPP), 3-fluoromethamphetamine (3-FMA), methylenedioxypyrovalerone (MDPV) and methylone], and anabolic steroids in oil and tablets. The analyses were performed with ion trap mass spectrometer in MS and MS(2) modes and the obtained spectra were compared with GC-MS results. Contamination of the mass spectrometer was avoided by careful adjustment of the distance of the sample from the mass spectrometer inlet. DAPPI proved to be a fast and specific analysis technique, which does not require any sample preparation, and which therefore suits well to this type of forensic analysis.     

Why Do the Finns Trust the Police?

Ideological trends in the criminal policy of the Nordic countries since the 1960s are analysed. Although criminal policy in these countries is not unified, one can argue for the existence of a 'Scandinavian criminal policy' characterized by several common features concerning historical tradition, intensive cooperation and a similar approach to crime prevention and control. The following trends and characteristics are examined in some detail: the cycle from criticism of the treatment ideology to a reappraisal of the role of the criminal justice system and the function of penal sanctions; the differentiation of criminal policy strategies (e.g. social and situational crime prevention, cost-benefit thinking, criminal law policy, sanctions policy). Discernible tendencies towards more unified or, at least, more harmonized criminal policies on the international and European level are also examined. Active participation in this developmental process is encouraged to ensure that the fundamental principles of Scandinavian criminal policy are properly utilized.     

Sovereignty, globalization and transnational social movements

Traditionally, sovereign states have been defined, in termsof their external and internal dimensions, as mutually exclusiveterritorial jurisdictions. Economic globalization is associatedwith the liberalization of the world economy, decreases in transactioncosts, the development of communication technologies, and theemergence of transnational social and cultural spaces. Thesehave eroded the divide between national and international systemsand fostered the dispersal of power in social networks. As aresult, it is unrealistic to define state sovereignty as a counterposeto the global system, as these phenomena have become mutuallyembedded. States and their sovereignty are not disappearing– on the contrary, they may be gaining new tasks and resources– but they cannot exercise their agentive power as effectivelyas before. This means that the internal dimension of state sovereigntyhas been transformed more thoroughly than the external one.This is in part due to the growth and proliferation of transnationalsocial movements, which have also gained agentive power in nationalsocieties. Therefore, the anti-globalization movement, althoughit is unable to halt the process of economic integration, hasbeen able to redefine the terms of the globalization debateand influence responses by national governments and internationalfinancial institutions.     

Designed to travel? Transition management encounters environmental and innovation policy histories in Finland

Transition management is a new concept for long-term policy design for the reflexive governance of socio-technical systems. It has recently attracted attention beyond its original context, the Netherlands. Yet, considering the local origins of transition management, it is also valid to question whether its assumptions concerning the governance of long-term transitions ‘travel well’. This article aims to explore early experiences of transferring the transition management model into the Finnish context on the basis of two case studies in different sectors. We suggest that the policy design changes when it is moved to another country and identify factors that influence the outcome of the transfer process.     

The Vodka Sea: Comparative History of Spirits Smuggling in the Baltic Sea

This paper examines the spirits smuggling in the Baltic Sea region in the inter-war period. On 1 June 1919 the Finnish Parliament passed the Prohibition Act forbidding the production, transportation, sale, and storage of alcohol which activated spirits smuggling to Finland. Large-scale spirits smuggling was arranged during Prohibition by criminal organizations through international networks. Mostly cheap German liquor was delivered to Nordic countries and to the United States. The representatives of organized crime in the Baltic Sea region became rich fast during Prohibition thanks to limits set by countries. Contemporary drug smuggling and spirits smuggling are comparable due to similar organizational structure and modus operandi.