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There were 2,917 deaths related to illicit drugs in 2018 - and increase of 16% on the previous year. This means that about 40 people are now dying every week from illicit drug-related deaths in England and Wales. Claims that increased drug-related deaths are simply the result of an ‘ageing cohort’ of people dying after many years of drug use are far from the full picture. The Home Office has acknowledged that the purity of crack and heroin is increasing, its price is falling and suppliers are using sophisticated marketing techniques to increase demand. At the same time funding for drug treatment has been cut by an average of 27% across England, with the deepest cuts in areas with the most drug-related deaths. Cuts across the board hit older people particularly hard. These deaths are also the result of the Government refusing to take a health-based approach to drug policy. People of the same age, with the same history of drug use, are not dying at the same rate in countries with more progressive approaches. Portugal, which decriminalised the possession of drugs in 2001, saw just 51 drug-related deaths in 2017. This is about the same as the city of Bristol alone.