More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors

Big news! Heroin is now more pure and deadly than ever--and comes in $10 bags! According to an investigation by the AP, today's heroin dealers are taking their cue from the crack dealers of the "1970's" and making their product cheaper and higher quality in order to attract new customers.

The problem here is that the "dime" bag of heroin has been a market staple since at least the 1970's -- when, contrary to the AP story, crack was not on the market. Even cheaper heroin doses were available before that, going back to William Burroughs in the 1950's, though, to be fair, these do not take inflation into account.

Indeed, $10 bags were the most common unit on the street when I was using in the mid-1980's, in crack's heyday. And as Jack Shafer pointed out in Slate way back in 1996, tales of "new, purer" heroin have been with us for decades.

This kind of shallow reporting is why the media loses credibility -- a simple Google search or call to an academic expert on drugs or even a conversation with a long-time addict would reveal that $10 bags are not news.

And that's not the only problem with this story. It also claims that "heroin metabolizes in the body so quickly that medical examiners often cannot pinpoint the drug as a cause of death," which would be news to those who test positive for it in their urine many hours after using. It's true that "heroin overdoses" are usually more accurately defined as "multiple drug overdoses," so determining the role of heroin in the death is hard -- but that's not because heroin is metabolized instantly.

Indeed, the story's claims of "instant" overdoses where the addict doesn't have time to even remove the needle from their arm are themselves problematic. While synthetic opioids like fentanyl may produce rapid death -- and fentanyl is sometimes sold as heroin -- heroin overdoses more typically take hours because the drug kills by slowly stopping breathing.

That's where the AP could have found a real story -- one that might actually help save lives. There is an antidote that can reverse opioid overdoses, which is safe and effective and has been quietly working miracles around the country in cities where health activists and city health departments have been distributing it to drug users, usually through needle exchange programs.

It's called naloxone -- and I've written about it previously here and here.

Unfortunately, needle-exchanged-based programs can't reach new users who are at highest risk for overdose -- but there is a way to get this antidote into their hands when it is needed and curb the deadly toll of overdose death. Naloxone should be made available over-the-counter and it should be placed in every first aid kit.

That way, even if parents don't know their children are using or if a new user overdoses with friends, the antidote is much more likely to be nearby. The story of a drug policy that hasn't attempted to save lives in this cheap, effective manner is one that hasn't been told hundreds of times -- and it's much fresher than the $10 bag.

 
 
 

Follow Maia Szalavitz on Twitter: www.twitter.com/maiasz

 
 
  • Comments
  • 12
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Recency  | 
Popularity
HUFFPOST SUPER USER
NABNYC
08:07 PM on 05/28/2010
How many billions of dollars have been wasted on the "War On Drugs" because Americans have been lied to by the government, mostly convincing people that their kids will become heroin addicts.

There are only about 750,000 heroin addicts in the country, about 1/4 of 1% of the population. It's a tiny tiny little percentage of our population. So why spend billions of dollars on this issue?

If somebody is an addict, we should give them a daily dose and a job, a place to live and food, and help them become somewhat useful members of society. They don't need to be sleeping in doorways and mugging grandmas -- that's the result of our policies making them "illegal" and bad people, instead of treating them as people with a serious but treatable medical problem.

I don't advocate drug use for anyone. But you have to wonder whether our politicians are really all that stupid that they keep this "War on Drugs" going on despite its obvious irrationality. Is it possible our corporations are actually controlling the drug trade, that our military is used to wipe out the competition, that our politicians get generous kick-backs, and that the public is the big stupid loser in this game?

Let's have some public forums on the cost of the War on Drugs and reasonable legalization alternatives. I think this whole thing is just one big pile of corrupt drug money and kick-backs, and we the public are being made the fools.
10:40 AM on 05/27/2010
AP feels that the dime bag of smack is news. It has been around since 1953. That's news to AP. WTF.
11:09 AM on 05/26/2010
Saboxone (branded naloxone) saved my life. I had to take drastic measures to acquire it -- and it was costly in the short term -- but I couldn't believer how much easier the kick was.

To the article's point; yes, the non-doper's alarm bells about cheap and pure dope have been going on for years. I bet the AP reporter thought he/she really had some great "tip" (gotten in a pub, no doubt) and did some intrepid, "street" reporting for that one. Blah.
04:42 AM on 05/26/2010
This is a very astute comment. Just to say that users have been found dead with the needle still in their arm, but the likelihood is that this would be due to injecting a dose at a higher purity than they would be used to. Also of course, they could lapse into unconciousness quite rapidly, but not be found until much later so it would appear they died 'instantly'. Harry Shapiro, Director of Communications, DrugScope, UK
05:35 PM on 05/25/2010
Legal heroin, legal syringes, legal Naloxone, legalized adulthood? Certainly not the most "optimum" of all imagineable worlds, but it would still represent a clear advance beyond a society addicted to law enforcement, and unable to kick the habit no matter how much we harm oruselves.

(I remember one time in 1969 I took a kilo of vietnamese weed, broke it down into 32 bags, and sold them for $10 bucks each. People all agreed that it was the most righteous deal they had ever heard of. But that was then and this is now.)
photo
thereisonlyoneparty
more amazing than you
10:13 PM on 05/25/2010
There are too many people who believe that things that cause harm to body are "bad" and should be forbidden. Forget that substance use/abuse is a victimless crime and that laws against substances increase crime. The people in charge think that hurting oneself should be prohibited by law.

The sad thing is that if substances like heroin or cocaine or even cannabis are legalized it will not be because of a desire to increase personal freedoms, it will be because the government really needs to the money from the ridiculous taxes that will be attached to the substances.
10:46 PM on 05/25/2010
Everyone needs to pay their fair share (of blood?).
11:40 AM on 05/26/2010
I'dunno, man, I'm a proponent of legalizing marijuana, but I'm increasingly worried about legalizing opiates. I was a recreational user in the U.S. but was always put off by the creepy cats I was buying from; in this, I had an external control, of sorts. When I moved to Cambodia where it was cheap, clean, and easy to obtain in the extreme, my occasional use turned to that of the downright horrifying. I worry that legalizing it in the States will turn a whole bunch of (rightfully) nervous nillys into fiends. I know both sides of that argument, of course, and I'm probably speaking more out of a fear for myself than for others!
This user has chosen to opt out of the Badges program
photo
04:59 PM on 05/25/2010
I think every once in a while the authorities want to scare folks so the let some reaallly pure shit to hit the streets . a bunch of junkies die and you get a story like this.
photo
thereisonlyoneparty
more amazing than you
10:10 PM on 05/25/2010
It might also be a way of making people feel a little better in a strange way. Those instant deaths make it seem like there was no way to know and that the person died so quickly that nothing could have been done. It could help with guilt.

But the scare factor has got to be pretty good. Just a single use of heroin could kill you before you knew it. Damn. That even scares me. I will stick to something safe, like cocaine (jk; coca seeds are too expensive for me to grow. I will only use natural opium.)
10:45 AM on 05/25/2010
I couldn't agree more, Maia. Naloxone is a perfectly safe drug--you cannot harm yourself with it--and studies have shown that other people were present--usually other addicts--in a majority of overdose cases. Because they are often frightened of law enforcement, often help is not summoned until it is too late. If they had Naloxone at their disposal, so many lives could be saved. It doesn't even have to be injected--they have a nasal spray formulation now that can be spritzed into the victim's nose. Yet, people continue to resist, saying that "In might encourage people to use more drugs, thinking they can be revivived" and other such utter nonsense.