117 billion.
The circulation and marketing of illegal drugs
have increased in the era of online trade (e-
commerce). This is not just through traditional drug
stores in major cities, but also through online
platforms and information technology. The reason
for distributing illegal drugs online is that it enables
direct transactions between sellers and buyers
without any oversight from authorities and allows
for drug delivery to reach all parts of Indonesia.
10% of illegal drug trafficking occurs online.
BPOM has been monitoring websites, social media,
and e-commerce marketplaces such as Shopee,
Bukalapak, Lazada, blibli, and Tokopedia and found
4,063 sites or accounts selling illegal drugs between
2018 and June 2019, [7]. During the COVID-19
pandemic, BPOM took action against 5,653 website
links illegally trading chloroquine and similar drugs
in March-April 2020, [8]. In March-September
2020, the COVID-19 pandemic led to a 100%
increase in the circulation of illegal drugs compared
to the previous year, with illegal drug operations
carried out in 29 provinces and an evidence value of
Rp 46.7 billion. In 2019, BPOM identified 24,573
links selling illegal drugs and food, increasing to
48,058 links in the first semester of 2020, [9].
Several types of illegal drugs are often found on
the market, including slimming drugs, drugs that are
included in the G list category (gevaarlijk or
dangerous) which includes all injection drugs, anti-
bacterial drugs, anti-histamine, anti-epileptic, anti-
hypertensive, tramadol, alprazolam, hexymer,
trihexyphenidyl, misoprostol, diazepam, valium,
clonazepam, riklona, trivam and so on as well as
branded strong drugs such as Cialis, Levitra,
maxman and viagra. The illegal use of drugs was
shown by a survey conducted by the National
Narcotics Agency in 2014 which stated that 6% of
1000 people who abuse drugs have consumed
tramadol and trihexyphenidyl, [10]. These drugs are
consumed or used for non-medical purposes. During
the COVID-19 pandemic, the most widely
circulated types of illegal drugs were
dexamethasone, actinomycin, and
hydroxychloroquine. The high circulation of these
illegal drugs during the pandemic was because these
drugs were claimed to be able to treat COVID-19.
These illegal drugs, if consumed for a long time,
will have a negative impact that is not good. Fake
drugs that only contain flour in heart disease drugs,
for example, if consumed in the long term, will
worsen the disease because they are supposed to
contain certain substances that can improve heart
performance, but the fake drugs do not have any
effect. Strong Drugs that do not have a distribution
permit or are faked will have side effects in the form
of heart problems, bleeding, kidney damage, and
impaired liver function.
2 Government Responsibility in Drug
Circulation
Illegal drug circulation, especially during the
COVID-19 pandemic, must be a serious concern for
the government to create welfare for citizens under
the mandate of the 1945 Constitution, which
provides guidelines that obtaining health services is
a human right that must be provided by the state.
The state is responsible for providing healthcare
facilities, [11]. Moreover, Indonesia, as a country
that adheres to a democratic system, has a great
responsibility to protect the basic rights of its
citizens, [12].
The government, as a representation of the state,
has a responsibility to provide health services as a
basic right, as stated in international law. This is
supported by Article 25 of the Universal Declaration
of Human Rights and Article 12 of the International
Convention on Economic and Socio-Cultural
Rights, which was later ratified in Law No. 11 of
2005 regarding the ratification of the International
Covenant on Economic, Social, and Cultural Rights.
2.1 Philosophy of Government Responsibility
The connection between drug study and health
cannot be ignored, as health is a basic human right
that the government must uphold and provide
services for. The 1945 Constitution (UUD 1945) in
Article 28 letter h guarantees the right to health
services for everyone. Thus, the constitution
recognizes health as a fundamental human right that
must be fulfilled by the government as the
representative of the people's sovereignty. The
government, as the guardian of the citizens' welfare,
must ensure the provision of health services and
facilities to support their survival and well-being.
The COVID-19 pandemic, which has seen a surge
in cases, requires significant attention from the
government to address this issue, [13].
The government's responsibility to provide
health services or insurance to the community, as
mandated by the 1945 Constitution, is outlined in
Articles 4-8 of Law No. 36 of 2009 on Health. This
law assigns the government the task of ensuring
health for all members of society, as improving
public health is viewed as a crucial aspect of
increasing national development. The state
recognizes the improvement of the health status of
WSEAS TRANSACTIONS on SYSTEMS
DOI: 10.37394/23202.2023.22.33
Ceprudin, Retno Mawarini Sukmariningsih,
Sri Mulyani, Afif Noor, Dwi Wulandari, Ali Maskur