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The recent surge in the use of crack in Brussels , notably around parts of the city centre, distracts from the growing prevalence of middle-class cocaine use, leading some experts to call for health solutions not just for addicts but society as a whole. Cocaine has surged in prominence across all levels of Belgian society. Cocaine use can be traced by analysing untreated sewage. Anecdotal evidence suggests that the statistic is likely much higher. The price of cocaine has evolved greatly: from being an expensive commodity used almost exclusively by the wealthy, the drug has become widely available at much lower prices. It was very expensive and difficult to obtain. In the s we saw the price gradually begin to decrease across Europe. Established in , Project Lama is a multidisciplinary therapeutic drug addiction centre with locations across Brussels, notably in Anderlecht and Molenbeek, where the problem of substance dependence is particularly acute. The centre supports around 1, drug addicts across the capital and is at the forefront of the Brussels crack pandemic. Crack, a 'freebase' purer form of cocaine which is smoked by the user, is fundamentally the same chemical as cocaine that is snorted. Crack cocaine users are much more visible due to the drug's stronger habit-forming potential. The powerful and potent high comes on much faster than for powder cocaine but the high is relatively short-lived, leading users into a dangerous cycle of binge consumption to maintain their high. This often leads to addiction. To explain media attention towards the crack pandemic gripping Brussels, Husson evokes French-American sociologist Phillipe Bourgois who notes that while powder and crack cocaine users both consume the very same chemical, crack cocaine users face far greater social stigma. You see that in Brussels. Crack is also cocaine…The very poor can buy their very cheap flash by going to Gare du Midi or to Yser or Ribaucourt. While poor and precarious cocaine users are forced into dangerous neighbourhoods to buy their fix, facing much greater social prejudice and pressure in the process, wealthier powder cocaine users benefit from increasing public indifference, driven by the drug's abundance across the country. But Husson warns that the risk of addiction is the same. The face of addiction is not always so apparent. Cocaine addicts often wear a shirt and tie, enjoy an active social life, and are high achievers. Unlike other drugs such as opiates, cocaine users are typically able to stagger their consumption, consuming exclusively in the evening or at weekends out of sight of prying eyes. You might consume cocaine only in the evenings, on weekends, and abstain from using it during the day. Husson notes that it can often be that a romantic breakup or a professional failure leads these users to a point of dependence which might eventually require help from a specialised service. Especially among young male adults, Husson affirms that cocaine use is widespread in Brussels, typically taken in the 'Horeca context': in restaurants, nightclubs, and bars. Many will be familiar with long lines for bathrooms in bars and nightclubs. Husson calls on the city's health authorities to change the lens through which drug addiction is viewed and argues that health policies must be adopted globally instead of focusing exclusively on the most visible and socially excluded drug addicts. Decriminalisation, he posits, may offer a pathway to harm reduction and safer drug use. This approach is echoed by experts in the United States: the US Surgeon General advocates a global approach to substance abuse in health policy, focusing on reduction solutions for substance use across society, rather than treating addiction as it occurs. Similarly, the UN calls for states to 'eliminate stigma and discrimination towards individuals with substance use disorders' and 'address substance use disorders as public health problems. Project Lama endorses a transition towards the Portuguese model of drug control, which decriminalises the possession of most drugs instead shifting the focus onto public health and addiction management. Husson says that it is necessary to regulate and control drugs, removing them from the hands of violent mafias. Middle-class cocaine use overlooked amidst Brussels crack epidemic. Middle-class cocaine use overlooked amidst Brussels crack epidemic Thursday, 21 September By Dylan Carter. Credit: Pexels. Growing market The price of cocaine has evolved greatly: from being an expensive commodity used almost exclusively by the wealthy, the drug has become widely available at much lower prices. Crack cocaine. Credit: Canva. The interior of a bar in Brussels. Credit: The Brussels Times.
Experts urge authorities to take a holistic health stance on rising middle-class cocaine use, rather than 'pointing the finger at one.
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