Kolkata Watch - XVI : Drug abuse and its medical implications, - How long N.E states in particular Manipur will face it? By: Satya Gopal Dey
Prior to 1980, drug abuse was not widely known to
different to N.E states, in particular Manipur. M.Amarjeet Singh in one
of his article published in Manipur online (October 19, 2003)
mentioned, "Manipur, which has an international border of about 350
kilometres with Myanmar, became the victim of international drug
smuggling as the notorious traffickers found the route through this
point of international border as a soft route. With national roads
leading directly to nations of the "Golden Triangle" of Southeast Asia,
drug trade and abuse is widespread especially in India's north-eastern
state of Manipur. This is further complicated by the rise in HIV/AIDS
among young drug users. The major forms of addiction in the beginning
were mild tranquilizers and methaqualone, followed by inject-able
morphine and pethidine. In due course of time, heroin locally known as
Number 4, became the most widely used drug among the young drug users,
and heroin addiction reached the explosive stage in 1984 (AIDS ALERT,
2001). Besides it, drugs like spasoproxybone, ganja, alcohol,
phensedyle, opium, cough syrup, nitrazepam, detroproxythene and
buprenorphine have also being abused. Generally, the young drug users
started taking drug, orally either by smoking or inhaling and in due
course of time switched over to injection in which they shared
unhygienic injecting equipments like needles and syringes.
Easy availability of heroin and other illicit drugs are solely
responsible for high addiction rate in the state. In addition,
pharmaceutical drugs are also easily available to the youngsters. In
the same web article Mr. Amarjeet Singh also mentioned available data,
though contradictory, indicate an estimated 40,000 drug addicts in the
state, of which 20,000 have been reported to be Injecting Drug Users
(IDUs). However, one report by UN-AIDS put the number of Injecting Drug
Users (IDUs) to around 40,000 (Frontline, August, 2.2002). Study
conducted jointly by the Ministry of Social Justice & Empowerment
(MSJ&E) Government of India and United Nations Drug Control Program
(UNDCP) in 2000-01 found that out of the 308 drug users interviewed in
Imphal, the capital city of Manipur, the proportion of Injecting Drug
Users (IDUs) were 92 per cent; of which 10 per cent abusers were
females; all of them were literate, of which 24 per cent were college
educated drug users; 61 per cent were unemployed; 71 per cent were
heroin users and 23 per cent have tested HIV (MSJ&E and UNDCP:
2002)."
There are several socio economic context and vested interest for
helping the situation rise in to the worst extent. If no one is
concerned in truest sense the state will witness different negative
implications in the lives of many youth in particular. Some of the
implications are as follows. Individuals who suffer from addiction
often have one or more accompanying medical issues, including lung and
cardiovascular disease, stroke, cancer, and mental disorders. Imaging
scans, chest x-rays, and blood tests show the damaging effects of drug
abuse throughout the body. For example, tests show that tobacco smoke
causes cancer of the mouth, throat, larynx, blood, lungs, stomach,
pancreas, kidney, bladder, and cervix. In addition, some drugs of
abuse, such as inhalants, are toxic to nerve cells and may damage or
destroy them either in the brain or the peripheral nervous system.
Drug abuse and mental disorders often co-exist. In some cases, mental
diseases may precede addiction; in other cases, drug abuse may trigger
or exacerbate mental disorders, particularly in individuals with
specific vulnerabilities.
Beyond the harmful consequences for the addicted individual, drug abuse
can cause serious health problems for others. It is likely that some
drug-exposed children will need educational support in the classroom to
help them overcome what may be subtle deficits in developmental areas
such as behaviour, attention, and cognition. Ongoing work is
investigating whether the effects of prenatal exposure on brain and
behaviour extend into adolescence to cause developmental problems
during that time period.
Second-hand tobacco smoke, also referred to as environmental tobacco
smoke (ETS), is a significant source of exposure to a large number of
substances known to be hazardous to human health, particularly to
children. According to the Surgeon General's 2006 Report, The Health
Consequences of Involuntary Exposure to Tobacco Smoke, involuntary
smoking increases the risk of heart disease and lung cancer in
never-smokers by 25-30 percent and 20-30 percent, respectively.
Injection of drugs such as heroin, cocaine, and methamphetamine
accounts for more than a third of new AIDS cases.Injection drug use is
also a major factor in the spread of hepatitis C, a serious,
potentially fatal liver disease and a rapidly growing public health
problem. Injection drug use is not the only way that drug abuse
contributes to the spread of infectious diseases. All drugs of abuse
cause some form of intoxication, which interferes with judgment and
increases the likelihood of risky sexual behaviours. This, in turn,
contributes to the spread of HIV/AIDS, hepatitis B and C, and other
sexually transmitted diseases.
Following details will give some more highlights of negative effect of different drugs.
Nicotine is an addictive stimulant found in cigarettes and other forms
of tobacco. Tobacco smoke increases a user's risk of cancer, emphysema,
bronchial disorders, and cardiovascular disease. The mortality rate
associated with tobacco addiction is staggering. Tobacco use killed
approximately 100 million people during the 20th century and, if
current smoking trends continue, the cumulative death toll for this
century has been projected to reach 1 billion.
Alcohol consumption can damage the brain and most body organs. Areas of
the brain that are especially vulnerable to alcohol-related damage are
the cerebral cortex (largely responsible for our higher brain
functions, including problem solving and decision-making), the
hippocampus (important for memory and learning), and the cerebellum
(important for movement coordination).
Marijuana is the most commonly abused illicit substance. This drug
impairs short-term memory and learning, the ability to focus attention,
and coordination. It also increases heart rate, can harm the lungs, and
can cause psychosis in those at risk.
Inhalants are volatile substances found in many household products,
such as oven cleaners, gasoline, spray paints, and other aerosols, that
induce mind-altering effects. Inhalants are extremely toxic and can
damage the heart, kidneys, lungs, and brain. Even a healthy person can
suffer heart failure and death within minutes of a single session of
prolonged sniffing of an inhalant.
Cocaine is a short-acting stimulant, which can lead abusers to "binge"
(to take the drug many times in a single session). Cocaine abuse can
lead to severe medical consequences related to the heart, and the
respiratory, nervous, and digestive systems.
Amphetamines, including methamphetamine, are powerful stimulants that
can produce feelings of euphoria and alertness. Methamphetamine's
effects are particularly long lasting and harmful to the brain.
Amphetamines can cause high body temperature and can lead to serious
heart problems and seizures.
Ecstasy (MDMA) produces both stimulant and mind-altering effects. It
can increase body temperature, heart rate, blood pressure, and heart
wall stress. Ecstasy may also be toxic to nerve cells.
LSD is one of the most potent hallucinogenic, or perception-altering,
drugs. Its effects are unpredictable, and abusers may see vivid colours
and images, hear sounds, and feel sensations that seem real but do not
exist. Abusers also may have traumatic experiences and emotions that
can last for many hours. Some short-term effects can include increased
body temperature, heart rate, and blood pressure; sweating; loss of
appetite; sleeplessness; dry mouth; and tremors
Heroin is a powerful opiate drug that produces euphoria and feelings of
relaxation. It slows respiration and can increase risk of serious
infectious diseases, especially when taken intravenously. Other opioid
drugs include morphine, Oxy Contin, Vicodin, and Percodan, which have
legitimate medical uses; however, their nonmedical use or abuse can
result in the same harmful consequences as abusing heroin.
Prescription medications are increasingly being abused or used for
nonmedical purposes. This practice cannot only be addictive, but in
some cases also lethal. Commonly abused classes of prescription drugs
include painkillers, sedatives, and stimulants. Among the most
disturbing aspects of this emerging trend is its prevalence among
teenagers and young adults, and the common misperception that because
these medications are prescribed by physicians, they are safe even when
used illicitly.
Steroids, which can also be prescribed for certain medical conditions,
are abused to increase muscle mass and to improve athletic performance
or physical appearance. Serious consequences of abuse can include
severe acne, heart disease, liver problems, stroke, infectious
diseases, depression, and suicide.
Drug combinations. A particularly dangerous and not uncommon practice
is the combining of two or more drugs. The practice ranges from the
co-administration of legal drugs, like alcohol and nicotine, to the
dangerous random mixing of prescription drugs, to the deadly
combination of heroin or cocaine with fentanyl (an opioid pain
medication). Whatever the context, it is critical to realize that
because of drug-drug interactions, such practices often pose
significantly higher risks than the already harmful individual drugs.
In the concluding statements I would like to mention t that the
contents that is reflected in this article is definitely not the newer
one to the people of Manipur, but through this instalment of Kolkata
Watch I once again wanted to say "No to drug" in the particular context
of Manipur.
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