2018 Baku fire

Azerbaijan's proximity to both Afghanistan and Iran and its location on the drug route known as the "Balkan Route"[4] make it an easy drug corridor, and due to lax border control most of the illegal drugs (around 90%) are able to get through.[5] It has been estimated that around 1,000 tonnes of drugs are smuggled through the country each year.[6] According to estimates registered drug addicts in the country numbered 7,000 in 1996, however by 2006 this number had risen to 20,000, while some estimates put it at around 30,000.[5] There is a severe shortage of personnel when it comes to treating drug addiction. According to the head of the working group for the Drug Abuse and Illicit Drug Trafficking State Commission Araz Aliguliyev, "there are too few psychologists, social workers and almost no NGOs" working in the field of addiction rehabilitation.[7]

Azerbaijan spends around $2.00 on a single treatment, as opposed to the Western nations where the mean expenditure is around $100.00. There is a distinct lack of drug rehabilitation centres in the country with only 53 state-funded clinics and dispensaries in the entire country.[5][8] These centres are usually established in Soviet-era barracks like buildings that are derelict to begin with. The Republican Narcological Center was built as a dispensary in 1986, and was further enlarged in 2011 to cater for 250 patients.[9]

According to reports, the dispensary was housed in an old, one-story, wooden building dating from the 1900s. Buildings with materials such as these are fire hazards and Azerbaijan has a history of large-scale fires in residential buildings.[10][11] According to sources, the victims relatives have stated that the facility was "decrepit", paint was peeling from the walls, that had been constructed with plywood, and the equipment used by the facility was outdated as well; having been bought in 1991 before the Soviet Union collapsed.[12] Former head physician at the Respublika Narkoloji Mərkəzi, Araz Aliguliyev stated that during his tenure (which ended in 2006) the building in question had been used only for housing archives and for "some accounting purposes". He said that patients were never housed in the building as it was an old and decrepit building dating from the 1990s. He said "I don't know why they were using it to treat patients".

According to the Ministry of Healthcare, around 200 patients and staff were safely evacuated from the hospital, with 34 needing rescue.[23] Twenty-five dead bodies were found in the ruins after firefighters extinguished the blaze.[24] Four of the injured had to be hospitalized. Three were admitted to the Toxicology Department of the Clinical Medical Center No 1 and one was moved to the City Clinical Hospital No 3.[25] The bodies of the deceased were moved to the mortuary, but it was reported that the charred remains were not yet recognizable.[26]

President Ilham Aliyev while inspecting the ruins of the building.

President Ilham Aliyev visited the scene and an official investigation was ordered.[23][27] A hotline was established to the offices of the Prosecutor General, Ministry of Interior and the Ministry of Emergency Affairs so that relatives of the patients and staff, as well as witnesses could contact the authorities.[28]

On March 3, a former patient of the rehab center named Mahammad Mammadov was arrested and charged with premeditated murder, multiple murders, and damaging property.[17]

It was reported that Mammadov was being treated at the centre but wished to leave. In a suicide attempt he set fire to his blanket, but changed his mind when the flames started to engulf him. He then threw off the blanket, and left the building when the fire started to spread and the wooden infrastructure of the ward caught fire.[29] The arrest of Mammadov contradicted earlier reports of the fire being caused by a short circuit.[30] After the arrest Mammadov was subject to psychological and psychiatric evaluations.[29]

President Ilham Aliyev created a state commission chaired by Abid Sharifov, the deputy president. It was tasked with investigating the fire,[31] providing assistance to the families of the victims, resettling the staff and patients of the centre and making sure that the destroyed building is reconstructed quickly. The commission will also include the Prosecutor General as well as the ministers of health, economics, internal affairs, crisis, and social welfare of population.[32]

On March 2, the Health Ministry stated that plans had been put in place to build a new Drug Abuse Treatment Center in Sabunchu district of Baku. The new Rehabilitation Centre will consist of four buildings and will house 300 patients. It will also be supplied with the latest equipment.[33][34]

Rights groups in Azerbaijan have long accused the authoritarian regime of President Aliyev of prevalent corruption that, according to them, undermines the functioning of state institutions. So local civil activists blamed public corruption and lack of compliance with fire safety regulations as major contributors to the blaze. The head of the civil advocacy group Property Rights said "Fire safety regulations were not respected in the hospital’s Soviet-era wooden building". She further stated “As a result of systemic corruption, an adequate control over the compliance with fire safety norms is not in place in Azerbaijan.”[20] The General Prosecutor's's Office responded by opening an investigation into possible violations of fire safety codes.[35]