The report released on Wednesday further said, "South American cocaine is trafficked to India in small quantities where it is exchanged for South-West Asian heroin bound for Europe and North America. India is increasingly being used as a major transit country and also as a destination country for drug trafficking. Cross-border smuggling is relatively easy due to the porous borders between Bangladesh, Bhutan, India and Nepal. Illicit cultivation and abuse of cannabis continue to be a problem in most of the countries in South Asia."
The report said that licitly manufactured pharmaceutical preparations such as codeine-based syrup, benozodiazepines and buprenorphine were smuggled from India into Bangladesh, Bhutan, Nepal and Sri Lanka. In India, organized criminal groups traffic in amphetamine-type stimulants.
In South Asia, injection of heroin and pharameceutical preparations were contributing to the spread of HIV/AIDS, it said.
"In India, the areas with highest incidences of drug-related HIV/AIDS continue to be the north-eastern border with Myanmar and large urban areas. Of those who abuse drugs in Maldives, 20% to 25% inject them. Drug abuse by injection rose from 8% in 2003 to 29% in 2006 and three-quarters of imprisoned drug offenders were drug abusers. The report noted with concern that adequate data on drug abuse was not available for Bhutan and Nepal.