Heroin Addiction

Q) What is heroin?

A) Heroin is an illegal, highly addictive opiate drug. Its abuse is more widespread than any other opiate. Heroin is processed from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants. It is typically sold as a white or brownish powder or as the black sticky substance known on the streets as "black tar heroin." Although purer heroin is becoming more common, most street heroin is "cut" with other drugs or with substances such as sugar, starch, powdered milk, or quinine. Street heroin can also be cut with strychnine or other poisons. Because heroin abusers do not know the actual strength of the drug or its true contents, they are at risk of overdose or death. Heroin also poses special problems because of the transmission of HIV and other diseases that can occur from sharing needles or other injection equipment.

Q) What are the current trends for heroin abuse?

A) A generation ago, the heroin (colloquially known as "smack") available in the U.S. was barely five percent pure and used by a relatively small percentage of young people because it had to be injected with a needle. Now, it appears smack is back with a vengeance and it's addicting large groups of new users.

The Office of National Drug Control Policy issued a report (April 1992, No. 5, pp. 1-6) claiming "a massive increase in heroin use and addiction is not likely." One reason for this was, "...the apparent absence of new initiates (i.e., heroin users with little or no prior drug-using experience)." However, based upon recent news reports and other sources (see the A.T. Forum Web site for News Updates), the ONDCP report appears to have been premature, to say the least.

Just this past February, Attorney General Janet Reno admitted heroin is more plentiful, purer, and less expensive than it was just a few years ago. "If we do not counteract the heroin threat now," she said, "we risk repeating the terrible consequences of the 1980s' cocaine and crack epidemic." Authorities estimate that heroin addiction has increased 20 percent and worldwide production has grown sharply, even as other illegal substance abuse is declining.

Reports of problems have sprung-up countrywide. In California, heroin sold in the San Joaquin Valley is cheap, potent, and plentiful - business is booming in area emergency rooms as two or three overdose cases appear each day. In Colorado, Boulder County officials may establish a methadone clinic for the first time in 16 years to deal with increasing heroin addiction. On the East Coast, heroin is reported to be 40 to 70 percent pure and around $10 for a small packet. The number of heroin-related hospital emergencies has more than doubled in New York City and surrounding areas.

Many drug abusers mistakenly believe inhaling heroin, rather than injecting it, reduces the risks of addiction or overdose. In some areas, "shabanging" - picking up cooked heroin with a syringe and squirting it up the nose - has increased in popularity. Street heroin carries prophetic names: "DOA," "Body Bag," "Instant Death," and "Silence of the Lamb." Rather than scaring off young initiates, the implied danger seems to actually increase the drug's allure.