In a new report released in February 2008 by the International Harm Reduction Association (IHRA), the INCB comes in for some heavy criticism for being overly secretive, closed to external dialogue with civil society, and out of kilter with similar agencies in other UN programmes. IHRA also debunks the INCB’s defence that it is ‘unique in international relations’. 

Obstacle to HIV prevention and drug treatment

A report published in March 2007 by the Canadian HIV/AIDS Legal Network and the Open Society Institute Public Health Program, strongly criticises the INCB. It accuses the Board of becoming 'an obstacle to effective programs to prevent and treat HIV and chemical dependence'. “Nearly one in three HIV infections outside Africa is among people who inject drugs. The International Narcotics Control Board could and should be playing a key role in stopping this injection-driven HIV epidemic — but it’s not,” said Joanne Csete, Executive Director of the Canadian HIV/AIDS Legal Network and co-author of the report.
 

The INCB and the un-scheduling of the coca leaf
TNI Drug Policy Briefing No. 21, March 2007

The 2006 International Narcotics Control Board (INCB) report emitted a clear signal to the governments of Bolivia, Peru and Argentina that growing and using coca leaf is in conflict with international treaties, particularly the 1961 Single Convention. The INCB, rather than making harsh judgements based on a selective choice of outdated treaty articles, should use its mandate more constructively and help draw attention to the inherent contradictions in the current treaty system with regard to how plants, plant-based raw materials and traditional uses are treated.

TNI Drug Policy Briefing 4, February 2003

In the Report of the International Narcotics Control Board for 2002 that was released on February 26, the president of the Board, Dr. Philip O. Emafo from Nigeria, launches a strong attack against groups that advocate legalisation or decriminalisation of drug offences, as well as groups "that favour a crusade" focusing only on harm reduction. Mr. Emafo's attack reflects how out of touch the president of the INCB is with current developments in inter­national drug control. If anyone is involved in a "crusade' with "missionary zeal', it is Mr. Emafo himself, trying to turn back accepted best practices in countering the adverse effects of problematic drug use. Mr. Emafo gives a completely distorted picture of the political acceptance of the harm reduction concept.