It is a familiar and devastating rhythm for such a small country. The annual drumbeat of the lives lost to a preventable overdose.

This year was no different - 1,051 people killed.

Scotland drug deaths decrease - but rate still higher than rest of Europe

The reality is this is a nation with a stubborn addiction problem in a world where out-of-control street drugs are flooding communities.

Each time the authorities make small progress, new narcotics threaten to unravel life-saving developments.

We witnessed for ourselves the pain and suffering substance abuse is causing in poverty-stricken communities.

The users who will do anything for their next hit. Those who get their hands on a packet of pills for less than fast food takeaway. Street valium can be five times as strong as the prescription version and people are swallowing 25 in one go.

Ruthless dealers are taking advantage of a rampant market and charities are battling a war-like challenge.

It is likely some of the government and third-sector initiatives are helping to reduce overall deaths, but the reality is they remain stubbornly high. Despite a decrease two years on the bounce, experts say it's still far too early to suggest fortunes are turning around.

The question is whether the Scottish government is tackling the issue head on.

Read more:
'I lost my leg to £15 heroin hit' - on the frontline of Scotland's drug epidemic

Some experts suggest the current approach is "scattergun" and ministers are attempting to keep all parts of the drugs recovery movement happy. There is a feeling the crisis needs to be more targeted and bespoke.

Scottish and UK government officials continue to clash on the path ahead. Edinburgh wants more control over drugs policy, but Westminster claims the devolved powers are sufficient.

People are dying every day the politicians talk.

It is legitimate to ask when Scotland will return to an average rate of death after such a prolonged period of horror. Will it ever?

Who knows? There is still a very long way to go.