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SSDP/Country guide

🇺🇾 Uruguay

First country to fully regulate cannabis (2013).

AmericasNo chapter yetDetailed profile

Legal context

The Americas include some of the world’s most advanced cannabis reforms alongside countries that still rely heavily on criminalisation and incarceration.

Health response (HRI 2024)

Harm Reduction International (2024) did not identify any operational needle & syringe programme, opioid agonist therapy, drug consumption room or naloxone service in Uruguay. National policy documents do include a supportive reference to harm reduction.

Youth leadership

Youth movements often connect drug policy to racial justice, indigenous rights, public health, safer nightlife and overdose prevention.

First country to fully regulate cannabis (2013).

Drug policy briefing

What young people should know about drug policy in Uruguay

Decriminalisation

Personal use not punishable

Personal possession has long fallen outside criminal punishment under judicial interpretation; cannabis is separately regulated for adult use.

Evidence · Law 19.172 (2013); IRCCA regulations.

Harm Reduction

Public-health integrated

Opioid substitution and low-threshold services exist within the public health system, with civil society expanding drug-checking.

Evidence · Junta Nacional de Drogas; IRCCA.

Youth Participation

Consultative

Civil society and youth advocates participate in national drug strategy consultations.

Evidence · Junta Nacional de Drogas.

Treatment Systems

Publicly funded

Treatment is voluntary and integrated into the public health system.

Evidence · Junta Nacional de Drogas.

Sources · Harm Reduction International, Global State of Harm Reduction 2024 · UNODC · WHO · EMCDDA/EUDA · national laws and civil-society monitoring. Last reviewed Harm Reduction International 2024.