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By Daily Maverick. In this in-depth article Spotlight delves into the drivers of heroin use in the country, the policies that could help curb it, and those that could make it even worse. This is according to a study published recently in the Journal of Illicit Economies and Development , which also finds that somewhere between 78,kg to ,kg of the drug was consumed that year the equivalent of about one to two A Airbus jets used by SAA. Even if we rely on the lower figure, the research suggests that heroin use has ballooned over recent years as there were only about , people estimated to be using the drug in This lines up with the views of drug specialists who argue that heroin use shot up in the mid- to late s. To work out the new figures, researchers worked with people who use narcotics across nine major cities to map out areas where drug users congregate. Teams of researchers then visited these hotspots and interviewed users in order to work out the size of the illicit drug market in individual wards across each city. A panel of researchers then collated this data to approximate how much drug consumption was taking place across the country. Consequently, there is a fair amount of guesswork that goes into developing the figures. Yet, this is only one of several sources of data that shows that South Africa has a serious and growing heroin problem. Take data from rehab facilities. Previous research shows that the majority of opioid-related admissions to Sacendu sites take place because of heroin specifically. When the body digests drugs like heroin, it produces particular substances called metabolites, which are excreted and serve as biological markers. Scientists snooping about in four wastewater treatment plants across Gauteng detected metabolites for heroin as well as a range of other opioids in the sewage at each plant. Additionally, between and , the South African Police Service dealt with an increasing number of heroin cases each year, while household surveys reveal that over roughly the same period, there was a sharp increase in the number of South Africans who admitted to recently taking opioids Spotlight dissected these findings here. Opioids are a category of drug which are either derived from the poppy plant or are developed in a laboratory to mimic its properties. This has wide-ranging health effects. For instance, while treatment centres find that most heroin users in South Africa smoke the drug , a sizeable minority also inject it. Since contaminated needles are sometimes used and shared , such people face an increased risk of contracting blood-borne viruses like hepatitis C , which has already become widespread among users in some South African cities. Researchers argue that the heroin epidemic is largely going unnoticed due in part to public narratives that have misrepresented the problem. Earlier this year, however, a laboratory analysis of nyaope samples obtained from the South African police found that for the most part the drug is just ordinary high-grade heroin. This supports an argument that has long been made by certain scholars, that media accounts that frame nyaope as a new and exotic drug are often misleading, and have obscured the fact that South Africa simply has a major heroin crisis. One explanation is that several other laboratory studies have found that some nyaope specimens contain substances other than heroin. For instance, a paper found small amounts of an old ARV drug called zidovudine which is no longer used in standard ARV treatment in some of the nyaope that was tested. However, rather than making up a precise mixture, the presence of additives other than heroin varies across samples and studies. For instance, in the research, traces of zidovudine were only present in three out of 12 samples, while many other chemical analyses did not find any ARVs in the drug. Contaminated needles increase the risk of contracting blood-borne viruses like hepatitis C. Working out exactly how to define nyaope nevertheless remains contentious. This is in line with a report by the Global Initiative Against Transnational Organised Crime, which found that drug dealers in South Africa make no distinction between heroin, nyaope and whoonga, and that the same product is being sold regardless of the title used. And people in South Africa face no shortage of hardships. Research shows that people in the country who face domestic abuse — which is widespread — are more likely to say that they had recently taken illicit substances. Part of the crisis is also being driven by factors that are external to South Africa, such as the shift in international drug supply routes, which have made greater use of South Africa to get heroin from Afghanistan where poppies are cultivated to consumer markets in Europe and Asia. This spike in supply likely contributed to the fall in heroin prices during the s and s, meaning the drug became more accessible than ever. Now that tonnes of the product is flowing into the country, trying to plug the supply through stricter border enforcement is unlikely to be effective, according to Dr Andrew Scheibe, a harm reduction researcher at the University of Pretoria. Much like pushing down on a balloon would only displace the air instead of eliminating it, monitoring of border posts more strictly just results in drugs entering through new routes. Consider the US-Mexico border, for instance, or the huge amounts of illicit substances entering Europe. Many others agree. Even if the country were able to block the supply of heroin, this may have unintended consequences. In that country, more than 70, people died in due to overdoses on synthetic opioids mainly fentanyl. These deaths frequently occur alongside other substances like heroin, partially because in the US powdered drugs are sometimes laced with fentanyl , which can increase the risk of overdose. Shelly says that adulteration happens for financial reasons — the drug is more potent than heroin and therefore smaller amounts of it are required to get a user high. Blocking the supply of heroin could change this calculus. In the absence of straightforward policing measures, public health tools offer one solution to reducing the harm. When a person takes heroin, the body quickly converts it into morphine, eliciting euphoric feelings. However, most of that morphine exits the body within a few hours, leaving people who are dependent on heroin with cravings for more. OST is a treatment option in which a person who is dependent on heroin can replace the drug with medically prescribed opioids such as methadone or buprenorphine. This is typically offered in combination with other forms of support such as therapy. This process takes time, however. Clinical trials have repeatedly shown that rehabilitation programmes that rely on OST for at least six months are more effective than abstinence-based approaches. Despite this, heroin users who rely on government services are largely unable to access medically assisted rehabilitation — at most they can get methadone for about a week, either at public hospitals or state-run rehab centres. An exception is an OST programme in Tshwane which is funded by the municipality. One obstacle to increasing the roll-out of the drug is likely to be financial. In , the Tshwane-based project spent about R2, per person to procure methadone at the recommended dose. However, Scheibe notes that with enough political will, prices can always change. Indeed, research on state-run rehab centres in Johannesburg where methadone is only offered in the first week of treatment paints a grim picture. Roughly five months after people were first initiated in rehabilitation, self-reported depression had skyrocketed the opposite has occurred at small South African OST projects. Meanwhile, two-thirds of heroin users had gone back to the drug though many were using less frequently. And among those who had stayed off heroin, some started using other illicit substances to cope — as a result, there were more people relying on crystal meth after treatment than at onset. Stay informed with The Namibian — your source for credible journalism. Invest in journalism, invest in democracy — Subscribe Now! Search Search. File photo of a drug addict injecting heroin, Vrededorp, Johannesburg. A panel of researchers then collated this data to approximate how much drug consumption was taking place across the country Consequently, there is a fair amount of guesswork that goes into developing the figures. More policing could backfire Now that tonnes of the product is flowing into the country, trying to plug the supply through stricter border enforcement is unlikely to be effective, according to Dr Andrew Scheibe, a harm reduction researcher at the University of Pretoria. Opioid substitution therapy needed When a person takes heroin, the body quickly converts it into morphine, eliciting euphoric feelings. British farmer Harvey Boulter appeals to Supreme Court to avoid prosecution for fatal shooting of farm manager 21 October

SA is facing a fast-escalating heroin crisis — and it’s being misunderstood

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Windhoek-The increase in the usage, selling and trafficking of illicit drugs in Namibia such as cocaine, ecstasy and heroin has become a serious threat for the general population and law enforcement alike. Illicit drug use include the non-medical use of a variety of drugs that are prohibited such as amphetamine crystal meth , cannabis, mandrax, cocaine, crack cocaine, ecstasy and heroin, among others. Cocaine is trafficked into Namibia from Latin American countries such as Brazil, while cannabis dagga comes mainly from South Africa, Angola and Zambia where there are drug plantations. Speaking in a telephonic interview with New Era from Brazil, an employee at the Namibian embassy in Brazil said there are five Namibian women in Brazilian prisons for drug-related crimes. There are no details of men regarding drug offences because women are used as drug mules. The sentence imposed on offenders is up to ten years, he added. Over the years, many Namibians completed their prison time. Further, he said, he does not know whether the drug mules are told of the dangers of carrying drugs before embarking on their journey. The usage and selling of drugs in the country is just as much a problem as the smuggling of drugs, noted Musweu, who together with Detective Inspector Maria Louw of the Drug Law Enforcement Division gave detailed insight on the situation in Namibia. Most of our people are using drugs. The youngest person we arrested was nine years old, while the oldest one is 75 years old. In Khomas alone people were arrested last year for drug crimes in Windhoek, of whom were Namibian. From this, 18 were women. This year people were arrested for drug-related crimes in Windhoek. These statistics are up to last Friday June Dagga, crack cocaine, cocaine powder, ecstasy, crystal meth known as tik, compressed cannabis dagga , as well as skunk cannabis are found in the country. Tik is a mixture of methamphetamine, ARVs, crack cocaine and other types of household and industrial chemicals and are currently trending on the market, said Louw. They also showed the New Era team the cocaine pellets, which are usually swallowed by drug mules. They break it up in grams or they cook it. Crystal meth and cocaine powder have similar effects, said Louw. Furthermore, most schoolchildren who do drugs are hooked to drugs such as cannabis and crack cocaine and use ecstasy at entertainment places. Home National Drugs a menace to society.

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SA is facing a fast-escalating heroin crisis — and it’s being misunderstood

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