During the 1990s, Afghan opioid trafficking and consumption increased significantly across Europe. This study examines the impact of opioid trafficking and use on post-socialist transformation processes in Ukraine and the Federal Republic of Yugoslavia through a comparative and transnational approach. Both countries were located along major trafficking corridors-the Balkan and Black Sea routes-and developed local black markets that became hubs for organized crime. At the same time, both experienced sharp increases in HIV/AIDS infections, particularly among injecting drug users. While Yugoslavia introduced methadone replacement therapy relatively early, Ukraine implemented substitution treatment only in the 2000s, partly due to the persistence of Soviet-era perceptions of addiction and the stigmatization of replacement therapies. Corruption and slow reform processes further hindered effective responses. Drawing primarily on United Nations reports, the study analyzes the roles of state collapse, market reforms, organized crime, and international actors. The findings suggest that opioid trafficking and HIV/AIDS significantly influenced governance, health systems, and informal economic networks.
Nikolai Markovic (Sat,) studied this question.