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Although 'cocaism' means the habit of chewing coca leaves, the problem with which we are dealing should not be considered in isolation: it must be regarded as the result of a number of factors, the most important of which are ethnic, economic and social. The living conditions to which these factors give rise affect mainly, though not exclusively, the indigenous and half-breed elements of the population of the coca-producing countries. The regeneration of the mass of the indigenous peoples of America has been the subject of a deep concern which goes back to the fairly distant past. Experts in education and in health, sociologists, scientific investigators, ethnologists, priests, moralists, etc. It is unnecessary to go over the history of this vice, nor is it proposed to revive the bitter controversy between those who defend the 'sacred leaf ' and those who advocate a campaign against the inveterate habit of chewing coca. AU the material necessary for a full understanding of the problem will be found in a number of previous issues of this Bulletin,' in the officia Report of the United Nations Conunission of Enquiry on the Coca Leaf 2 and in many other publications. The essential fact is that the coca leaf contains an active constituent in the form of an alkaloid - namely, cocaine. According to existing scientific knowledge, the physiological effects produced by coca leaf chewing can be explained only by the action of this alkaloid, the extraction of which is facilitated by the use of alkaline substances and which is unquestionably absorbed into the organism of the coca chewer ' coquero ' or ' coqueador '. Those who defend coca claim that cocaism is entirely different from cocairdsm, and that it cannot be regarded as a real instance of drug addiction, since the effects it produces are not covered by the definition given by the Expert Com- mittee on Drugs liable to produce Addiction - viz. Drug addiction is a state of periodic or chronic intoxication, Bulletin on Narcotics, detrimental to the individual and to society, produced by the repeated consumption of a drug natural or synthetic. Its charac- teristics include 1 an overpowering desire or need compulsion to continue taking the drug and to obtain it by any means; 2 a tendency to increase the dose; 3 a psychic psychological and sometimes a physical dependence on the effects of the drug. IV, No. V, No. XIII, No. XUI, No. XIV, No. Before becoming a member of the Conmiission of Enquiry on the Coca Leaf appointed by the,United Nations in , 1 had taken a great interest, since , in the problems arising from the use and abuse of acldiction-producing drugs. Contrary to the views expressed by certain critics of that Comniission's report, we were far from being ignorant or unaware of the coca problem. For this reason, I consider myself qualified to say that, while in many cases cocaism does not constitute true drug addiction, it is nevertheless a vice which, in the case of certain individuals - and they are by no means few in number - can take on all the characteristics of drug addiction as defined by the Expert Committee of theworld Health Organization. Moreover, whether or not it constitutes genuine drug addiction, it is impossible to deny the harmful effects of coca chewing. The deadening of the feeling of hunger is one aspect which, by establishing a vicious circle, aggravates the well-known malnutrition of the coca chewer. The ab- sorption of cocaine, the active constituent of coca, causes well- established changes in the intellectual faculties of the person chronically intoxicated by it. Output of work is undoubtedly affected, because the alleged ' stimulating effect ' is nothing more than a state of abnormal excitation. Such lack of pro- ductivity has harmful effects on the economy. Nor can it be claimed in favour of coca that it has nutritive value like other plants, since it is hardly wise to make use of a foodstuff which, in addition to its nutritive content, incorporates a substance which is unquestionably toxic - namely, cocaine. I sincerely believe that coca chewing can in no circumstances be regarded as a substitute for a proper diet. Again, there is no good reason for supposing that cocaine acts in a different way on persons living at high attitudes or produces a different effect upon them. The fact is that the inhabitant of the Andean region is fully acclimatized to life at such great altitudes, and his organism functions strictly in accordance with the laws of physiology established by science. Despite the strenuous efforts made by the supporters of coca, it has never yet been proved scientifically that coca chewing is a useful factor, still less a necessary one, in acclimatization to life at high altitudes. The best example that can be given is that of the very large number of people not born on the high plateaux who have fully acclimatized themselves to life in that region without needing to have recourse to coca leaf chewing. As I have already pointed out, we are dealing with a com- plex phenomenon which is the result of a number of adverse influences, nuiray of a sociological and economic nature. A solution for the problem should therefore be sought in improving the living conditions of the inhabitants and by putting an end to this most undesirable state of affairs. Coca- ism is a harmful habit which can be stopped provided, and only provided, that the circumstances and the other factors which give rise to it undergo a real change. Nevertheless, in the light of the social and economic factors governing the problem, a radical and inunecliate suppression of coca cultiva- tion, and therefore of cocaism, is out of the question. Too much baste in introducing measures to eliminate it would aggravate the present situation instead of providing a solution. It is extremely important to bear in mind the disastrous conse- quences brought about by measures of prohibition that are carried out from the start in too drastic a nianner. I still believe, as we stated in the report drawn up by myself and the other members of the United Nations Conmiission of En- quiry, that suppression must be gradual - that is, by ' a process which, while taking into account the compexity of the problem, should not be so long as to permit the harmful continuation of the habit nor so short as to damage the eco- nornic interests involved. As Marto A. Puga rightly -says, 'The link between the coca habit and the problem of the Indian as a whole is so close that they are one and the same, just as the Indian problem is linked to the social problems of our peoples. Addiction has flourished and continues to flourish before the very eyes of the ruling bureaucracy and the donu'nant families, thanks to an inhuman social system and to an ignoble custom of earning profits at the expense of the nation's life and future. As is generally known, the spread of the habit of chewing coca leaves goes back to the earliest years of the conquest, the innnediate and logical consequence of which was the multiplication of plantations. This spread had the following causes, among others:. It was during that period that the marked decrease in the production of foodstuffi took place, so that the coca- chewing habit became indispensable as a means to assuage the pangs of hunger;. Forced Tabour in the mines also made coca an essential connnodity, since coca leaf chewing produces an illusion of physical strength and banishes fatigue. This custom continued during the republican era; so serious and so complex is the problem to which it gives rise that it was finally brought before the United Nations, the supreme international body. The United Nations decided to appoint a commission, which embarked on a study of this problem. As this article is confined to the sociological aspects of the question, it has been divided into the following sections: The geographical distribution of the zones in which the coca leaf is produced and in which it is chewed. Coca can be grown in tropical and sub-tropical regions. The map in figure I shows the geographical distribution of the more important coca plantations in South America. At the present time, chewing takes place mainly in the republics of Bolivia and Peru, but there are also coca-chewing regions in other countries, although they are of much less importance. To facilitate the account, each of these countries will be considered in alphabetical order. Here, the persons addicted to it are reported to be Bolivian agricul- tural labourers. In fact, Argentina cannot be regarded as a country that produces coca leaf, and cocaism is not really a problem there. According to statistics prepared by the Permanent Central Opium Board, the quantity of leaf consumed in recent years was as follows in tons :. One feature that cannot be ignored is the illicit traffic. This is of particular importance in connexion with cocaine addiction, but it is not without interest, though to a lesser degree, where cocaism is concerned. Andr6s Martinez Marchetti, reported that coca leaf was brought in clandestinely from Bolivia in three ways: has been achieved. Up to now, it has acted circumspectly and gradually, and has thus made a valuable contribution to the international campaign against this harmful habit. Geographical distribution of the zones in which the coca leaf is produced, and in which it is chewed. Andr6s Martinez Marchetti, reported that coca leaf was brought in clandestinely from Bolivia in three ways: system of registration. There was no way of obtaining accurate statistical data, either about the number of hectares under cultivation or about annual production. The figures obtained from different sources varied considerably, and usually did not tally. The most accurate were the figures for that part of the output which came on the market after payment of the official tax. Although from purely arithmetical points of view these figures were accurate, they referred only to that proportion of the coca leaf production that had passed through the hands of the excise authorities; they do not represent the quantity actually produced. Let us take some of these figures as an example. If the smaller amounts produced in other areas are added to this, a total annual production of 7,, kg is indicated. On the other hand, in the period between that date and the present time, production has been decreasing. At the session held in Geneva in , the Bolivia observer, Mr. There can be no doubt that the Bolivian Government is firmly determined to continue its efforts until total suppression has been achieved. The habit of eating these leaves in the form of a powder ipada has also been reported. The Government, acting through the National Commission for Control of Narcotic Drugs, is on the alert and keeps a continuous watch on all reports reaching it about coca consumption. Thus, for example, Mr. Eleyson Cardoso, a former Federal Commissioner of Public Health, was able to establish that chewing existed in the Amazon region, along the whole length of the Juparana river. Nevertheless, however that may be, there is no real problem of cocaism in Brazil. To all intents and purposes, the problem of cocaism does not arise in Chile. Although in Colombia the problem was never so serious as in Bolivia and Peru, this country may be regarded as occupying the third place in respect of coca leaf production and consumption. Another fact worth noting is that, in addition to the traditional method used for coca leaf consumption - a method which is common to all Andean countries - another 'technique' is also employed in Colombia. This has been well described by R. Schultes; it is used in the Amazonian region of the country, and in essence consists of roasting and pulverizing the leaves. To obtain an alcalizer, the resultant powder is mixed with the finely sifted ash of the leaves of one of the various species of Cecropia or Pourouma P. Cecropiaefolia Mart. The 'refinement' of this method consists in using the resin of Protium Heptaphyllum March. By using this technique, which is extremely complicated, it is possible to change the taste of the powdered coca leaves, but its effects remain the same. In , Professor Jorge Bejarano published in the Bulletin an excellent article entitled 'Further considerations on the coca habit in Colombia'. The information provided by him may be summarized as shown in table 2. These figures are lower than those reported in previous years by the Colombian Government. In answering the questionnaire, it gave the following figures: Annual production, , , kg; , , kg. As will be seen, there was thus a significant decrease in production. This is even more noticeable in more recent statistics table 3. In a much more recent publication , Bejarano gives further particulars, which are of very great interest. Nevertheless, despite the fact that no entirely satisfactory explanation is available, at the present time there is no cocaism problem in Ecuador. The only indication of it is that, in the province of Azuay, the practice of chewing occurs on a very small scale. A further undoubted fact is the effort made in recent years to try to bring about a gradual restriction both of production and consumption. It is very difficult, however, to come to any definite conclusion about the results achieved by this strenuous campaign. Until the investigation by the United Nations Commission of Enquiry on the Coca Leaf, statistical data referred to coca 'in circulation' on which tax had been paid;. A very large quantity of leaves was intended for chewing, but had not been 'placed in circulation', an expression meaning that it had not paid tax, and therefore was not included in the statistics. The map in figure III shows the main coca leaf growing areas and the places or regions where it is chewed. By various methods, the United Nations Commission came to the conclusion that the average annual production of coca leaf in Peru was 7, tons. According to information published by the Peruvian Coca Monopoly in its memorandum. Cesar Gordillo Zuletta, said that production of coca leaves had fallen to 9,, kg. He also said that in that year no new licences for coca cultivation had been granted. It will be clear from the preceding section that the problem of cocaism is particularly serious in the republics of Peru, Bolivia and Colombia. It is, however, much less so in the last-mentioned instance; moreover, there are some fairly striking differences between Colombia and the two first countries so far as the 'coca chewing environment' is concerned. In the case of Bolivia and Peru, chewing takes place chiefly on the Altiplano high plateau or Puna tableland. At these high altitudes living conditions are very harsh; the land is flat and without vegetation, food is scarce, and for a great part of the year these regions are swept by icy winds. The interminable stony plains, without a single tree, and the intense cold make these regions far from hospitable. The environment may be classified in three separate regions, as was done by the United Nations Commission:. An instance of the first category is the Department of Cuzco Peru , the largest producer of coca leaves, and one of the largest consumers. Another example is the Department of La Paz, which is divided into two regions, the Altiplano and the Yungas, the latter being semi-tropical. The second category is exemplified by the Department of Puno Peru ; although this is one of the largest consumer regions, production does not play an important role in the economy. Another instance is Pasco, also in Peru. This is a very important mining centre; its mean altitude is 3, metres. The capital, Cerro de Pasco, is more than 4, metres above sea level. Its climate is intensely severe and cold, and snow lies almost permanently. There is no production there, but consumption is extremely high. A very similar case is that of the Department of Oruro, Bolivia, which is essentially a mining region. In Cochabamba Bolivia , which is at an altitude intermediately between the high plateau and the low-lying regions, and has a good climate, and where conditions are favourable for agriculture, there is some production, but little consumption. In Colombia, as Jorge Bejarano has pointed out, the environmental conditions are not the same. Climate and ethnic factors are less harsh but food deficiences exist. The campaign against cocaism has achieved very encouraging results in the Department of Huila, but in that of Cauca results have so far been negligible. The difference between the various ethnic groups constituting the population of the coca countries is of particular interest, and requires a specific reference. There are three groups, which are ordinarily designated as follows: 1 Indians; 2 mestizos half-breeds ; and 3 whites. The second Inter-American Indigenist Congress defined the Indians as the descendants of the pre-Colombian peoples having a common social consciousness, based on their work, their language and their traditions, though all of this may have undergone modifications. Almost all the coca leaf chewing population belongs to this racial group, but this does not mean that all Indians are chewers, though the great majority are. Chewing is practised by some mestizos, although to a much smaller extent. The very few whites who chew coca leaf must be regarded as isolated cases. Nevertheless, this classification by races is from our point of view a relative term and can only be accepted in certain cases. In our opinion, what is much more important is to examine the social and economic conditions of the Indian population. It is indeed. Usually, there are no doors or windows; access to the hut is by one or two openings, which are dosed with pieces of hide or matting. There is no chimney. Furniture is practically non-existent; people living in these houses generally sleep on hides and sit on the ground. The shape of these dwellings varies. At Puno, for example, on the shores of Lake Titicaca, they are almost always rectangular. Behind the village of Uncia, we noted some dwellings in the shape of a round tower. These houses often have only one room, and are not divided up by any partitions or walls. Despite the severe climatic conditions, there is no heating; fire is used only for cooking food. Electric or gas lighting is practically unknown in almost any of these rudimentary dwellings; even primitive illumination by candle-light is too much of a luxury. The housing conditions of the poorer classes in the towns are not much better, particularly in the suburbs where the Indians live. Even in Lima, the capital of Peru, the problem of housing the working classes is a serious one and has moreover become still worse as a result of the great influx of Indians into urban centres. At La Paz, Bolivia, such people are increasingly relegated to the steep slopes of the mountains. Shortcomings in housing conditions are not confined to the Indian population, but also affect the mestizos. The latter generally live in old and dilapidated houses, in the worst possible sanitary conditions. The importance of undertaking a decisive campaign to improve housing conditions can never be sufficiently stressed. It is indispensable for that reason that action should be taken quickly and that every possible effort should be made to cope with one of the most serious problems affecting many human beings living in the New World. It is a universally acknowledged and accepted fact that the diet of the Indian throughout the American continent is insufficient and inadequate. Innumerable studies of this important problem have been published; they can all be summed up in Gabriel Garcs view that 'the diet of the Indian of this continent is insufficient and wholly inadequate to compensate for the energy he expends in his daily work. At high altitudes, quinua Chenpodium quinua , beans and potatoes are grown. These form the main articles of diet of the Indian of the high plateau. Over vast areas neither vegetables nor fruit trees are to be seen. Consumption of milk and meat is practically non-existent. As a result of transport improvements, bananas and other fruit are to be seen in some markets. The general impression which an observer obtains is that practically the whole population is definitely undernourished. Even in the same coca area, it is evident that the poorest and worst fed peoples are those who consume most coca, whereas more prosperous peoples, living in regions where agriculture is more profitable, consume much less. Frederic Verzar goes even further: 'We have no hesitation in concluding that, if there was an improvement in the nutrition of the indigenous inhabitants, the dangerous coca chewing habit would disappear. The living conditions of the high-plateau Indian are unquestionably miserable, both from the social and hygienic point of view; his standard of living is without a doubt one of the lowest there is. When this aspect of the problem is considered from the angle with which we are dealing - namely, from the point of view of cocaism - great care is required in any attempt to establish a relationship between cause and effect. The fact is that cocaism must not be regarded as the cause but as the result of the wretched social and hygienic conditions characteristic of the Indian's life; on the other hand, it must always be borne in mind that the coca habit, once established, plays its part in rendering adverse living conditions still worse and thus completes the vicious circle. Among the miners, the eight-hour day is fairly widespread. The legal working day is far from being strictly enforced among agricultural labourers, and one can indeed see for one-self that there is a considerable degree of irregularity in its observance. I myself was able to establish that one typical timetable is as follows: 7 a. After this first rest period, work is resumed until about At the end of this, the last stage of the working day begins and lasts until 5 p. The reason for the prolonged rest periods is the time required for selecting the leaves, preparing the bolus, adding the alkaline substance, and finally chewing. If, in addition to all this, the characteristic slowness of the Indian's movements is borne in mind, some idea will be obtained of the uneconomic use of time in relation to actual work performed. A somewhat similar situation exists among factory workers. While it is impossible to go into this very important matter at greater length, it is nevertheless essential to evaluate capacity for work. It is generally accepted that the working capacity of the coca chewer is limited; this has been proved in the mines, in the fields and in the factories. Furthermore, we were able to establish that work of a responsible nature is not entrusted to coca chewers. I remember how repeatedly we were told that the Indian's need for coca could be eliminated by energetic joint action consisting basically of I better wages; 2 a better diet; 3 education; 4 better health conditions; and 5 better working conditions. With regard to the last point, it is usually recommended that, in the case of the peasant, there should be a properly planned agrarian reform; and, in the case of the miner and industrial worker, that the labour laws should be improved. One of the most important of the problems that have always been present in Latin America is unquestionably that of illiteracy. The effect of a proper upbringing and education is a factor of major importance in the improvement of living conditions as a whole, in hygiene and, in general, in the social development of any group of human beings. The various aspects of the problem of education become still more accentuated in countries with a large proportion of indigenous inhabitants. Factors such as the multiplicity of languages or dialects, age-old superstitions, the many different races, the harsh physical environment and the scarcity of adequate means of communication and transport very greatly complicate the arduous task of spreading education. There can be no doubt that the efforts that have been made, particularly in the last few years, have led to an appreciable improvement. The struggle has been a stern one, and there is still a long road to be trodden. The shortcomings that still exist in teaching, education and culture are all-important and take on a very special significance in connexion with the persistence of the problem of cocaism. As an example, the following view may be quoted: 'These difficulties begin in the home; parents who chew coca are not interested in sending their children to school and even force them to acquire the habit of this drug. The majority of the teachers in rural schools in Cuzco and Puno have told us that children with the coca habit have a very limited capacity for learning or are not interested in being educated. They add that such children are very shy, introverted, lacking in will power, and with little inclination to play The Salesian Fathers at the Salcedo Farm also told us that they found it particularly difficult to teach children who had had the coca habit or whose fathers were coca chewers. There is a connexion between cocaism and illiteracy; a statistical Study shows that the percentage of illiterates is closely related to the quantity of coca leaves consumed. In spite of all that has just been stated, it would be incorrect to say that illiteracy and lack of education are the sole causes of cocaism; there are undoubtedly other factors, many of which have already been referred to. On the other hand, it is also very important to bear in mind the determinative influence of cocaism as a factor aggravating the problem of illiteracy. Some of these have been referred to in earlier paragraphs, but there are others which require special mention. Great though the efforts made in recent years to improve education in Latin America have been, it might well be said that perhaps even greater efforts have been made in connexion with the campaign for better hygiene, whether it is regarded as 'the art of living in the full enjoyment of health', or as 'the care of health' Gesundheitspflege ; but this is a discussion that might lead us beyond the limits I have allotted myself. It is very difficult to define with absolute accuracy and precision what is meant by 'health'. In , it was declared in the Constitution of the World Health Organization that 'health is a state of complete physical, mental and social well-being and not merely the absence of disease'; in , however, a group of experts belonging to that organization said that ideas on health and life are as vague as the idea of well-being. All this tends to explain the difficulty encountered in any effort to estimate or evaluate the state of health of a given country or region. Despite the difficulties referred to, there are methods and techniques which, if properly applied, can produce information of appreciable value. It is a fact, and a deplorable fact, that Latin America has undoubtedly been backward in matters relating to hygiene. As Jorge Bejarano so well put it, 'the word 'atraso' back-wardness , by its very bluntness, gives us an over-all impression that the country has remained behind when compared with others; that, in short, it is 'en retardo' late. Fortunately, Latin America has awakened to the facts and, in a gesture that does it honour, is casting aside the narrow prejudice which makes it impossible to acknowledge the existence of age-old shortcomings. Groups of conscientious health experts, fully aware of the seriousness of national and regional problems, are now examining and reviewing procedures, adjusting the aims of policy, rectifying shortcomings and are, in a word, organizing the campaign for better health. The elimination of the backwardness already referred to; the improvement of health conditions simultaneously with economic and social conditions; the reduction of the death rate, both general and specific, for the various age groups; the eradication of endemic diseases; the control of infectious diseases; prevention instead of cure - such are the main tasks entrusted to the health experts in these countries. The efforts made by the coca countries, especially in recent years, are worthy of high praise, but there is still a long way to go. It is imperative that every possible help should be given to these countries to enable them to make up for lost time. In any anti-cocaism programme, the health campaign must always occupy a prominent place. Furthermore, the public health offices, sanitary units and rural dispensaries should act as centres for spreading knowledge about the harmful effects of cocaism and thus play their part in a strenuous propaganda campaign. In , Mario A. Puga described the whole tragedy of cocaism in the following words: 'It must be realized that the vested interests which encourage this habit have enormous political power based on their monopoly of the land. The grower owns large estates in the inter-Andean region and in the valleys on the verges of the Amazon forest. The peasant labourers on the coca plantations are absolute slaves. In exchange for an insignificant plot some 50 yards wide and yards long for each family, the vegetables produced on which are at their disposal, the peasants must work free one week a month for the feudal overlord. When they are so engaged, they receive in lieu of salary a ration of 'llipta' or 'tokra' and one pound of coca leaves a day. When working as peons they receive a daily age of 20 Peruvian centavos, rising to 80 centavos in exceptional cases; these amounts are equivalent respectively to 10 and 40 Mexican centavos, or 3 and 12 United States cents. In addition, the peasant's family work as 'pongos' in the master's house. The pongo is a non-manumitted serf; it is a feudal insitution that survives from colonial days. He is employed on domestic tasks in the estate owner's house, without payment other than food and space on the ground to sleep. Indian boys become pongos at the age of seven, and remain so until they are adult, at which point they become peons. The United Nations Commission was able to establish that cocaism produces harmful social and economic effects, both collectively and individually. The problem becomes much more serious when the very large number of coca leaf chewers is borne in mind. From the economic point of view the coca-chewer has a diminished general capacity for labour and displays no aptitude for specialized work requiring greater concentration or skill; he is incapable of assuming responsibility, does not possess the mental lucidity needed for certain types of work, and is more prone to industrial accidents. If to these drawbacks we add the harm done to the health of the worker and his children, some idea will be obtained of the economic damage caused by cocaism. But there is another most important economic aspect of the matter, and that is the role of coca growing in the national economies of the producing countries. Very careful attention must be paid to this point whenever plans are made for the introduction of measures to suppress it. A very large number of people derive their incomes from growing and selling coca leaves. Many owners of large estates have invested a considerable amount of capital in the areas where it is grown; large numbers of small land-owners, tenants arrendires, arrenderos, mejoreros, yanaconas, etc. Furthermore, the treasuries of the countries concerned levy taxes which form an important contribution to revenue. Contrary to what many people had thought, the fiscal policy of raising taxes on coca has caused neither production nor consumption to decrease. It is reasonable to suppose that, far from solving the problem, sudden and total suppression would on the contrary create a dangerous lack of balance. For this reason the conclusion has been reached that, however desirable suppression might be, it should take place gradually and pari passu with the replacing of coca cultivation by other crops that would not be injurious and would at the same time contribute to national wealth and a better diet. Such replacement is not utopian; it is feasible and desirable from every point of view. The governments concerned should realize that the production of coca is a typical example of monoculture, with all the shortcomings and drawbacks that this implies. The fact is that coca growing benefits only a very small sector of society while doing harm to the greater part of the population. As has been stated earlier, the period of time during which its replacement should take place should be established after a very careful consideration of the numerous factors involved. Owing to the extreme complexity of the problem, the process 'should not be so long as to permit the harmful continuation of the habit, nor so short as to damage the economic interest involved'. The habit of chewing coca leaves cocaism is one that affects several million inhabtitants of the New World. It is a habit that is harmful to the person practising it; in many cases it is also harmful to the community. The coca leaf contains a statistically significant proportion of toxic alkaloids, especially cocaine, its active constituent, the toxicity of which has been amply proved. Even supposing that the coca leaf contains natural nutritive principles, its use as food cams to be justified owing to its high cocaine content. Moreover, the supposed nutritive properties of this plant are practically insignificant when compared with the properties of other natural products that could be grown in the same areas as those in which coca is produced. The deadening of the feeling of hunger that coca produces leads to a permanent condition of under-nourishment and thus establishes a vicious circle. Physical, physiological and mental alterations produced by the abuse of coca in people who chew it prevent them from attaining a higher social level. The coca habit contributes to decreased economic output of work, perpetuates a very low economic level of living and is thus anti-economic. It has not been possible either now or in the past to find any scientific proof of the fallacy that coca leaf chewing is necessary, or even useful, for adaptation to life at high altitudes. The assertion that the indigenous peoples of the high Andean plateaux 'respond differently' to the action and effects of coca has also not been proved scientifically. The problem of cocaism is not an isolated phenomenon. It is the result of a series of unfavourable social, economic, cultural and hygienic factors. In any campaign against cocaism - the ancient vice of the New World - it is necessary to take into account the need for better social conditions and for the improvement and wider dissemination of education. The raising of the standards of physical and moral health must be encouraged, nutrition must be improved, hygienic housing provided and the economic level raised. There must be a fight against superstition and mistaken beliefs; working conditions must be improved; and intensive propaganda must be carried on in order to eradicate once and for all this injurious habit. It is essential that the governments of the countries concerned should make a joint inquiry into the most useful reforms that could be made in legislation and in the criminal law. It is not enough to promulgate laws, decrees or regulations restricting or prohibiting coca growing; it is absolutely necessary that severe punishment should be meted out to offenders. If complete success is to be achieved, a joint policy must be carried out by all the countries concerned. At the meeting of the Inter-American Consultative Group on Narcotics Control, also held at Rio de Janeiro from 27 November to 7 December , the problem of coca leaf chewing was considered and a resolution was adopted in which the United Nations was invited to consider favourably requests of the governments concerned for technical assistance in organizing a seminar for the exchange of experience among the competent officials of the countries interested in the coca leaf problem; such a seminar would be most helpful in adopting the most effective approach towards the solution of this question. It is to be hoped that this regional seminar on coca leaf chewing will be held as soon as possible within the special programme for technical assistance in narcotics control set up under General Assembly resolution XIV , in view of the great advantages it will afford to the countries concerned with this problem. Archivos Bolivianos de Higiene Mental, 1: 2, p. Bulletin on Narcotics, IV; 3, p. BUES, C. Anales de la Facultad de Medicina Lima , 4, p. Bulletin on Narcotics, IV: 2, p. Nuevas Observaciones. Boletin indigenista Mexico , 7: 4; Bulletin on Narcotics, XIV: 1, p. Revista Argentina de Higiene Mental, 4: p. Archivos Bolivianos de Higiene Mental, 1: p. Gabriel: El indio ecuatoriano y la coca. Revista de Historia Pasto, Colombia , 1: 2, p. Proyecto de ley. Revista de Medicina Experimental Lima , 3: p. Revista de Medicina Experimental Lima , 5: p. Anales de la Facultad de Medicina Lima ,. The Scientific Monthly, February ; p. Lima, Publicaciones del Instituto de Medicina Social Lima , ; pp. Tesis de doctorado, Lima, Bulletin on Narcotics, IV: 4, p. Golden: Peru, History of Coca. New York, , pp. Bulletin on Narcotics, IV: 2, pp. El Pueblo Arequipa , 24 June Revista de Medicina Experimental Lima , 3: 4, ; Pharmazeutische Zeitung Berlin , 24, ; 30, ; La coca. Tauchnitz, Leipzig, Gall, Reisen durch Sudamerika, Band 5, Leipzig, Bulletin on Narcotics, XII: 4, p. Voeding, Jaargang 16, No. Schweizerische Medizinische Wochenschrift, p. United Nations. Office on Drugs and Crime. Site Search. Topics Crime prevention and criminal justice. This spread had the following causes, among others: Trade in coca was one of the most lucrative forms of business during the colonial era; It was during that period that the marked decrease in the production of foodstuffi took place, so that the coca- chewing habit became indispensable as a means to assuage the pangs of hunger; These words were written in As this article is confined to the sociological aspects of the question, it has been divided into the following sections: The geographical distribution of the zones in which the coca leaf is produced and in which it is chewed The environment The human element involved in coca-chewing Housing conditions under which coca chewers live Nutrition Living and working conditions Education Health conditions Economic factors General conclusions Geographical distribution of the zones in which the coca leaf is produced, and in which it is chewed Coca can be grown in tropical and sub-tropical regions. According to statistics prepared by the Permanent Central Opium Board, the quantity of leaf consumed in recent years was as follows in tons : , , 14 , 80 , 86 , , , One feature that cannot be ignored is the illicit traffic. In , total production that could be checked was very similar - 7,, kg. United Nations Office on Drugs and Crime.
coca chewer. The ab- sorption of cocaine, the active constituent of coca, causes well- established changes in the intellectual faculties of the person.
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Trump is 'cruel,' says Harris about abortion in Georgia, former president goes off script in Pennsylvania. At tribute for cyclist killed in Paris: 'What happened to Paul isn't an isolated case'. The DZ Mafia, a Marseille drug enterprise turned criminal brand with mafia ambitions. Report reveals why Israeli intelligence failed to foresee October 7 attack. What is Hezbollah, and why has it been in conflict with Israel for the past 40 years? COP 'The need to reform the global financial architecture has become even clearer'. Gigantic animals come to life again at the 'Giants' exhibition in Toulouse. Tom Wesselmann, the pop artist long in Warhol's shadow, enters the spotlight. Philippe Charlier, exhibition curator: 'The zombie is a very relevant figure today'. On January 5, 8. Six months earlier, in May , Bolivia's interior minister, Eduardo del Castillo, then 34 years old, dressed in camouflage fatigues and a bullet-proof vest, described another crackdown in the Cochabamba region, in the center of the country, as 'historic'. Twenty-seven cocaine paste factories and seven refining laboratories had just been dismantled there by the special anti-narcotics force Fuerza Especial de Lucha Contra el Narcotrafico; FELCN. These operations publicized by the government of left-wing President Luis Arce, in power since November , aim to convince public opinion of its effectiveness against drug trafficking. In total, in , almost 33 tons of cocaine were seized compared with However, these figures reveal an alarming reality for Bolivia: The amount of drugs in circulation is skyrocketing. For a long time, Bolivia was only a producer of coca leaves, consumed for medicinal or traditional reasons, ranking third behind Colombia and Peru. In recent years, however, the country has become one of the world's leading cocaine manufacturers. In La Paz, in the heart of the largest indoor coca leaf market, producers from the Yungas, a traditional production region to the northeast of the city, dismiss any confusion. It's the same with coca,' said one of them, Oscar Mercado, who dries his leaves on the ground. In Bolivia, while coca leaf cultivation is authorized on 22, hectares, the actual area under cultivation is much larger. According to the United Nations Office on Drugs and Crime, some 30, hectares are in use in the country while other analysts put the figure at 45, hectares. Yungas growers are keen to distinguish themselves from another, more recent, producing region, Chapare center , a stronghold of former president Evo Morales , himself a former grower and head of the powerful regional cocalero union. In , Morales extended the legal area for coca cultivation, which has mainly benefited Chapare. Nous vous conseillons de modifier votre mot de passe. Videos Investigations Explainers. French Delights Exhibitions Gastronomy Culture. Read more Subscribers only Colombia's year war on drugs proves costly and futile. Subscribe to continue reading. Already a subscriber? Sign in.
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