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The UN estimates there are around half a million chronic heroin users in Pakistan, with many living in the country's biggest city Karachi. But help for addicts is in short supply, and locking them up is one of the only forms of treatment. The street outside Zainab market in Karachi is a great place for people-watching. Everyone has a story. A moment of eye contact can inspire an entire imagined history. Traders, customers, students - and heroin addicts. It is here I talked to year-old Hussain. With him there is no need to imagine. All dark skin and scars, Hussain has been plagued by addiction most of his adult life. His face is resigned, as if the universe has conspired against him. He is at an all-time low in a life that has already reached some very dark depths. I just want to die. When I first met Hussain a few weeks earlier, things seemed more hopeful. He and his brother Yusaf were at a rehab centre run by the Edhi Foundation - a Karachi based charity. Hussain said his addiction had ruined everything, so in an attempt to get his life in order he had summoned all his strength to drag himself and Yusaf into rehab. He gets angry and calls me a druggy. I have to give up for him,' he told me. I've told them I'll give up heroin. The Edhi Foundation treats about 4, addicts at any one time. Yusaf is like Hussain's shadow. Speaking to them together, Yusaf nods when his brother does and often repeats the end of Hussain's sentences. The first day I meet them they are both going through withdrawal. Their bodies shake and they tell me they feel like they are covered in 'fire and needles'. The Edhi Foundation offers addicts a free rehabilitation service and runs six centres in Karachi with around 4, patients receiving care at any one time. Treatment is basic. Instead the centre provides a drug-free environment. What this means is a system of enforced 'cold turkey', with only sedative injections and paracetamol tablets offered for pain relief. Many of Edhi's patients - most of them men - are admitted by their families, against their will. Once in a clinic, they are locked behind bars. Patients are housed in four distinct sections, marking progressive levels of heroin dependency. As I walk through the centre, the men inside push against the bars to tell me they are 'completely better now'. One pleads with me to shake his hand. As I did so, he gave me a small rosary and asked that I pray for him. I spent several weeks in Karachi and each time I visited the Edhi centre I saw men trying to convince family members that they are ready for release. Staff tell me they see a constant stream of patients leave and return within weeks - sometimes even days. There is little they can do to stop family members taking patients home midway through the withdrawal process. These people will say whatever they need to get out,' says Dr Ayaz. Some patients I met were on their sixth round of treatment. The scale of the foundation's struggle to reduce heroin addiction in Karachi can be appreciated when driving through the city. One afternoon I ask the Edhi staff if I would be able to meet addicts on the city's streets. An ambulance driver takes me on a tour of various districts - Esa Colony, then onto Liyari and Maleer. I see groups of men injecting openly in the middle of the street. They share needles and look on as children pass, returning home from school. The war in Afghanistan has seen opium poppy cultivation spiral and Karachi's port is a hub from which heroin is shipped around the world. As a result heroin here is readily available and, addicts tell me, is often cheaper than food. The addicts I speak to have a shared experience of poverty. Men without work, prospects or hope, dive into heroin use as an escape. After eight days in rehab, Hussain and Yusaf decided they were ready to start their new lives and left the centre, claiming the Edhi Foundation had 'saved them'. As they had checked themselves into the clinic, they were free to leave. Hussain told me he could not wait to see his wife and son and was optimistic about his future, but his return home did not produce the welcome he had been expecting. His years of heroin abuse have frustrated his wife beyond redemption. She no longer trusts him. Distraught, Hussain tells me his wife has asked him for a divorce and has refused to let him into the family home. She wants to move on with her life and concentrate on raising her son. At their family home, she tells me she is unconvinced his spell in rehab will work. What kind of father is he? I'm a mother, I can't tolerate this. That is all he is. With nowhere to live, Hussain now sleeps on the street, and survives by working his way through Karachi's soup kitchens. To make matters worse, his brother Yusaf has run off, having stolen his phone and his last rupees. For the first time in his life, he is all alone, the lust for heroin even overwhelming brotherly love. For now, though, Hussain is at least drug-free, but whether this will last is anyone's guess. The Edhi system of rehab may not be ideal and little is known about the charity's success rate. Its team of staff and volunteers often seem swamped by the scale of addiction they are dealing with in Karachi. But the foundation offers a single lifeline for desperate people and is the only form of support for many addicts in a city that can sometimes feel like it is floating on a sea of heroin. You can listen again via the Radio 4 website or the Crossing Continents download. By Mobeen Azhar. This video can not be played To play this video you need to enable JavaScript in your browser. Around the BBC. BBC Radio 4. Related internet links. Edhi Foundation.

Karachi heroin addicts: Cold turkey the only cure

Karachi buy Heroin

These datasets underpin the analysis presented in the agency's work. Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More events. More news. We are your source of drug-related expertise in Europe. We prepare and share independent, scientifically validated knowledge, alerts and recommendations. About the EUDA. Key findings and threat assessment. Global context. Trafficking and supply. Criminal networks. Prices, purities and offences. Retail markets. Actions to address current threats and increase preparedness. Price and purity are key metrics of wholesale heroin markets. In the EU, wholesale purity data are not systematically reported, and this represents a key data gap. Nonetheless, based on the data available, wholesale purity appears to be stable or increasing in some countries. Also of note are detections of heroin hydrochloride, albeit in a limited number of wholesale markets in the EU, which imply heroin processing in or near the EU see Box Chemical profiling provides insights into heroin available on EU drug markets. This is of concern, as price reductions could lead to increased use, in terms of both the number of users and the amounts used by existing users. For a more comprehensive analysis, consistent purity data at wholesale level are needed. The source data for this graphic is available in the source table on this page. Such comparatively low prices on darknet markets suggest that the heroin may have been adulterated or that these are mislabelled or fraudulent listings. In general, the retail price is viewed as a marker of availability relative to demand. However, in an illicit drug market, where there are no quality controls and where many users are dependent on drugs, the picture is more complex and the market may react in other ways to supply problems. For example, to maintain supply the price of heroin may be stable while the purity is reduced, and users may seek substitutes due to price or purity fluctuations, which may also be a driver of diversifying opioids on the market. However, the comparatively large increase in average heroin purity between and should be interpreted with some caution. Therefore, represented an unusually low point for heroin purity. The slight decrease in purity since is probably due to supply disruption arising from the COVID pandemic and related restrictions. However, price and purity varied widely, both within and between countries. There are likely to be several factors, related to both supply and demand, that explain why heroin prices have been declining overall in Europe. The amount of heroin produced and its purity are determined by factors including the alkaloid content of the raw opium, the methods used to extract morphine, the procedures used during acetylation, and the techniques used during the purification processes see Section From poppy cultivation to heroin production. The end product can also contain opiate alkaloid impurities found in opium such as codeine, morphine, thebaine, noscapine and papaverine , or chemicals used in the manufacturing process such as acetic anhydride. There have also been cases of heroin contaminated with pathogens such as Clostridium novyi type A McGuigan et al. In addition, adulterants and diluting agents are often added to increase volume and profits, but also to enhance the effects of the heroin or to relieve its unwanted effects, such as itchiness and pain from the injection. Adulterants and diluting agents can be sugars dextrose, sucrose, lactose , starches corn powder , local anaesthetics procaine, lidocaine , antihistamines, stimulants caffeine or other substances e. In Europe, caffeine and paracetamol are the most commonly used adulterants found in heroin. Pre-mixed bags of these adulterants that are ready to be added to heroin have been seized by EU law enforcement agencies, indicating specialisation of criminal networks in preparing heroin adulteration mixtures for sale to traffickers see Box Dutch criminal networks specialise in heroin cutting mixtures. There is evidence to suggest that adulteration occurs along the heroin supply chain. For example, analysis of heroin samples seized in Luxembourg between and at importation and street level provides evidence of adulteration with both paracetamol and caffeine at the importation level, followed by another step of adulteration, also with caffeine, at the level of retail dealers Bourmaud et al. None of the heroin samples from Luxembourg were reported to have been adulterated with fentanyl derivatives or other synthetic opioids Bourmaud et al. However, recent non-systematic data indicate the potential adulteration of heroin with fentanyl and alpha-methylfentanyl Spasov, and synthetic cannabinoids EMCDDA, c , and this has been linked to outbreaks of drug-related deaths in Varna, Bulgaria, and the northern area of Paris, France, respectively. Drug law offence statistics provide insights mainly on the implementation of drug laws. They are therefore influenced by factors that affect law enforcement activities, including registration and reporting practices. The pattern broadly follows the overall decline in the number of heroin seizures see Section Heroin trafficking within the EU. The proportion of overall heroin offences that were supply-related remained broadly stable, apart from an increase in , from which point onward they remained stable at a new slightly higher level. While the reason for this increase is not entirely clear, it may have been influenced by changes in reporting see Figure Heroin-related offences in the EU, As with drug seizures, the recording and reporting of drug law offences data are influenced by a range of economic, political and institutional factors. Consult the list of references used in this module. Homepage Quick links Quick links. GO Results hosted on duckduckgo. Main navigation Data Open related submenu Data. Latest data Prevalence of drug use Drug-induced deaths Infectious diseases Problem drug use Treatment demand Seizures of drugs Price, purity and potency. Drug use and prison Drug law offences Health and social responses Drug checking Hospital emergencies data Syringe residues data Wastewater analysis Data catalogue. Selected topics Alternatives to coercive sanctions Cannabis Cannabis policy Cocaine Darknet markets Drug checking Drug consumption facilities Drug markets Drug-related deaths Drug-related infectious diseases. Recently published Findings from a scoping literature…. Penalties at a glance. Frequently asked questions FAQ : drug…. FAQ: therapeutic use of psychedelic…. Viral hepatitis elimination barometer…. EU Drug Market: New psychoactive…. EU Drug Market: Drivers and facilitators. Statistical Bulletin home. Quick links Search news Subscribe newsletter for recent news Subscribe to news releases. This make take up to a minute. Once the PDF is ready it will appear in this tab. Sorry, the download of the PDF failed. Table of contents Search within the book. Introduction Introduction Key findings and threat assessment Key findings and threat assessment Global context Global context Production Production Trafficking and supply Trafficking and supply Criminal networks Criminal networks Prices, purities and offences Prices, purities and offences Retail markets Retail markets Actions to address current threats and increase preparedness Actions to address current threats and increase preparedness. Search within the book Operator Any match. Exact term match only. Main subject. Target audience. Publication type. EU Drug Market: Heroin and other opioids — main page. On this page.

Karachi buy Heroin