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The Milan metro ticket is made of stiff, glossy card: if rolled up carefully it can be used for smoking. As she takes out eyeliner and lip gloss from a make-up bag, he starts to roll up his metro ticket. The train arrives at the Rogoredo stop, on its way to the city centre, and the couple get on, with about thirty other passengers. Now the two are sitting down, only one space separating them. She props up her mirror and starts to put on her make-up with nervous movements; he turns towards the window and raises the smoothed-out foil to his mouth. Using his lighter, he starts to heat the substance on the foil from below, and as it liquefies, he inhales deeply through the rolled-up ticket held between his lips. Around them, the scene is typical of an evening on the Milan metro, with office workers on their way home, people with suitcases, others looking at their phones, and a few passengers reading; no one notices that the young man is smoking heroin. The picture we show here recounts a piece of the new Milan, the city of the Expo and skyscrapers, and a new heroin epidemic. Moreover, the only rule he broke was the ban on smoking. It only goes to prove that the spread of heroin, especially among youngsters, is not so much a security problem as some politicians would have us think as a social disaster. On the other hand, the criminal gangs that control the woods in Rogoredo, on the southern outskirts of the city — the largest drugs market in Northern Italy, where at least a thousand consumers a day have been buying heroin for years —, is experiencing its first real crisis. Yesterday, carabinieri from the provincial headquarters patrolled the entrances and paths into the woods all day, preventing the pushers from working. Meanwhile, drug addicts stood for hours on the other side of the road, some of them beginning to become agitated as they went into cold turkey. Their constant presence throughout much of the day limits the sales of drugs, and in fact, the two youngsters smoking heroin on the metro bought theirs late on Tuesday afternoon. As they emerged from the woods, walking past the stall of an association handing out water, tea, and rolls, nearby an ambulance had just picked up a youth who had collapsed on the ground. Those involved in security may have done their part, but the city and the regional council, especially the healthcare sector, will have to find a way to deal with the youngsters who continue to smoke and inject drugs. Because if it has go to the point that they smoke heroin on the metro, surrounded by rush-hour passengers, it means that the epidemic is getting worse and cannot be shrugged off as a minor problem. They emerged at street level and started begging near the cathedral. Lots of them do it, before heading back down to the metro in search of more drugs. English translation by Simon Tanner www. Article in Italian.
Italy, the Albanian heroin gang is banned
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Official websites use. Share sensitive information only on official, secure websites. We find that while both geographic location and social networks associated with segregation provide central city residents and African Americans with a strategic advantage over white suburbanites in locating and purchasing heroin easily and efficiently, this same segregation effectively focuses the negative externalities of heroin markets in central city neighborhoods. Finally, we consider how the heroin trade reflects and reproduces the segregated post-industrial landscape, and we discuss directions for potential future research on the relationship between ethnic and economic ghettos and regional drug markets. In addition to its other well-publicized troubles, Detroit, Michigan has long been haunted by associations with illicit drug use and crime Boyle, ; Neill, Detroit proper has now lost more than half of its peak population, and outmigration continues steadily to this day, as evidenced by the results of the Census Linebaugh, Detroit proper is more than eighty percent African-American, while in most of the surrounding suburbs the African American population is below ten percent. In the memorable words of Mike Davis , p. However, while researchers have extensively examined the impact of segregated sprawl on access to jobs and social capital Stoll, ; Kneebone, , little has been written on geographical differences in access to illicit products and criminal opportunities. In the early s, Pettiway , reported on the geographic selectivity of robbery and burglary offenders in Milwaukee, Wisconsin. At the same time, he also reported that residents of non-ghetto areas only rarely ventured into ghetto areas to commit crimes. In a later publication, Pettiway , p. Though Pettiway focused on select categories of property crime robbery and burglary , it is reasonable to assume that similar factors might affect other illicit activities, such as heroin acquisition and use, as individuals respond in clearly patterned ways to a matrix of structures and relationships—including racial divisions--that define their everyday lives. To what extent does this racially segregated landscape shape patterns of heroin acquisition, use and risk? Conversely, we might ask how is the landscape itself shaped by these patterns? In this paper, we explore these questions through an examination of the mobility and purchasing patterns of active heroin users residing in and around the city of Detroit. Through our analysis of these findings, we seek to connect to the larger landscape of the metropolitan region as it is reflected in the flow of this illicit commodity. We do this in three stages. First, we present background material on heroin markets and urban areas. Secondly, we offer a theoretical rationale for our methodological approach, which involves a blend of ethnographic and economic approaches to urban heroin use, and we explain the specific methods that were used, including the sampling procedure and its limitations. Third, we present findings from our ethnographic and economic investigation concerning patterns of heroin procurement and mobility across the urban-suburban divide. We then interpret these findings in the context of other research on substance use patterns in Detroit and other cities. Finally, we discuss the implications of our findings for our understanding of post-industrial cities, the relationship between racial and spatial segregation and illicit substance use patterns, and potential future research. In popular discourse, illicit drugs such as heroin are often viewed biologically or morally, as aids to healing or as corrupting influences, or as demons that possess and ruin lives Acker, ; Reinarman, Historians have taken a broader view, examining heroin use as it relates to American culture and politics Musto, ; to the strains produced by the racial divisions and inequalities of urban environments Schneider, ; and to modernity itself Hickman, But drugs are also tangible physical commodities that command a price and actively mobilize buyers and sellers across multiple geographic scales Pearson and Hobbs, Reuter and Haaga have attempted to summarize the literature concerning the market structure for illegal drugs, stating that market power is elusive the drug market is clearly not a monopoly and prices are highly variable by and within geographic locations. Although drug deals and drug use take place in particular locales, these are not fixed, but are mutable and dynamic, dissolving and reassembling in response to fluctuations of supply and demand as well as environmental factors such as police action. This is not a new insight. In his pioneering work on opium addiction in Chicago, Dai explored the relationship between neighborhood characteristics, social contexts and opiate use. Parker, Bakx and Newcombe documented the changes brought on by the growth of the heroin market and its integration into pre-existing working-class subcultures of North-West of England. Ruggiero and Vass have described the interrelationship between illicit heroin distribution networks and the licit economy in three Italian cities: Naples, Verona and Turin. They found that the heroin market was adapted and integrated into the pre-existing social and economic structure, to the point where the two became symbiotic. Likewise, Sullivan compared youth crime and employment patterns in three neighborhoods in Brooklyn, New York and found significant variation in the social relationships and contexts that surrounded drug-selling activities, in spite of similar levels of access to illicit drugs. Valdez and Cepeda have examined the connection between the formation of segregated Mexican enclaves in San Antonio, Texas and the development of heroin markets and local heroin practices, and Garcia has explored heroin addiction in relation to the landscape and the history of loss among the Spanish-speaking people of rural New Mexico, where heroin use is largely contained and transmitted within close familial relations. Draus and Carlson , reported both parallels and significant variations between patterns of crack cocaine and heroin use in rural Ohio and those evident in the research literature. Tourigny has explored the impact of neoliberal welfare policies on the lives of poor families in Detroit, especially in regards to drug-dealing, and Bergmann drew connections between political and economic abandonment and the creative resistance of drug-dealing youth in the same city. As these works illustrate, social sciences have become more sensitized to the importance of place in shaping human behaviors and relationships Gieryn, ; McLafferty, Economics has been more resistant to considerations of context, relying more on highly individualized rational choice models Barnes, While the effects of these incentives may be described in abstract equations, the actual incentives are highly dependent on context, and may vary across time and space. In mathematical economic models these factors are often considered exogenous. However, in economic geography, Peck has called for more focus on the social characteristics of specific labor markets. Ghezzi and Mingione have likewise argued that empirical research should document the particularities of networks and locations in which market relations are inevitably enmeshed. We draw on a sample of economic inventories that were conducted with active heroin users. These inventories covered a broad range of areas, including daily income, both illegal and legal sources of income, amounts spent on heroin, other opiates or other drugs, as well as time and money spent in other activities. We also utilize data from in-depth qualitative interviews conducted among a smaller subsample of 30 individuals. Both the economic inventories and ethnographic interviews were gathered over a period of approximately two years, from through Participants were recruited on a volunteer basis after they had completed an initial telephone screening for two larger biobehavioral studies, both of which focused on drug-seeking behavior among active heroin users, conducted by Wayne State University School of Medicine in Detroit, Michigan. These larger studies excluded applicants younger than 18 or older than The investigators established 18 years as the lower end due to adulthood and ability to provide informed consent, and 55 years as set as the upper cutoff due to safety concerns related to older age-altered metabolic changes, because experimental drugs were administered to these participants. These criteria were therefore put in place primarily to limit potential risk to participants. They also excluded those who had current diagnosable mental illness other than substance misuse itself or serious medical issues, or were seeking drug abuse treatment. However, because psychiatric interviews were not conducted until the second screening visit for the biobehavioral study, participants in the smaller study described here were not necessarily affected. In any event, the data were not joined together, so we cannot state categorically that no individuals with a diagnosable mental illness were included. Therefore, the sample cannot be construed as representative of all heroin users. Nevertheless, we believe that the patterns of procurement and use evident in the sample are reflective of the regional heroin market as a whole. Likewise, the daily routines exercise that we employed, though intensely descriptive, was conducted to protect subject confidentiality above all else. Therefore, geographic address data were not collected, though we did ask how far individuals traveled each day, using what means of transportation. In some cases, however, individuals did identify specific areas, neighborhoods or intersections. We complement our original economic survey data and ethnographic interviews with an array of other sources, drawn from newspapers and other media as well as academic journals, policy analysis think tanks and government agencies, in order to make connections and pose questions. These, in turn, may lead to new directions of research on Detroit and other de-industrialized cities with thriving drug markets. In the selections from ethnographic interviews included below, the study participants are each identified by a three-digit number, with some basic demographic descriptors. Quotations are largely kept intact to preserve the context of the interaction between participants and the interviewer first author. The voice of the interviewer is identified by italics. In the interviews, participants were asked to outline their daily routines in terms of the places that they went and the people they interacted with on a typical day—their active social networks. Sometimes participants adopted this terminology into their responses. For example, a white suburban-dwelling male, 29 years old , described his routine this way:. Place 1 would be my house and my mom lives with me so I interact with her every morning like clockwork. And then on a day I would use this is how it would work. Place 2 would be the gas station at the corner of my street and the two people that work there are there every single day like clockwork and they say the same thing to me every day. This individual worked alone, as a self-employed handyman and house painter, so his schedule could be effectively wrapped around his heroin acquisition and heroin use. He might repeat this pattern two or three times in a given day, depending on how much money he was able to earn. This contrasted significantly with the schedule described by a year-old African-American man who lived in the central city also sharing a home with his mother :. Each of these individuals purchased heroin an equal number of times 21 during the week. In the economic interviews, the second man claimed to spend 25 minutes, traveling 0 miles, while the first man claimed to spend only 5 minutes, traveling 0. This is a case where the details provided in the ethnographic interviews allow us to infer that the first man is probably underestimating his travel time and distance, because we know that his stated purchase site is located about 2 miles from the suburban border although close to an expressway, which might reduce travel times while the second man is counting the time waiting for his heroin dealer to arrive. Strictly speaking, the second man is not spending any time traveling , only time waiting. In other cases, commuting users used public transportation to make the journey to their heroin source. A 48 year-old white man , described his routine, which varied depending on whether he used public and private transportation:. Um, ride with a friend or my nephew will let me use his van…. And ya know, and sometimes I get mine for free, ya know. In his economic interview, he estimated that he traveled 3 miles, that it took him 30 minutes to do so, and that he purchased heroin 5 times a week. A year-old African American man described a much different routine, involving more purchases per week 14 but less time and distance per journey. He would begin by driving himself to his heroin source:. He reported purchasing heroin 14 times a week, although he also stated that his pattern might vary from day to day in its particularities. However, he almost always remained in the same bounded area:. Whatever I wanna do the rest of the day it changes. It varies. Whatever I can do, if I got some work, some people need me to rake leaves or cut grass or whatever I can do to make a dollar in my pocket. Yeah, around the neighborhood, or, anywhere else I try to make a dollar. It can be… I can go on the west side, see what I can do on the west side. Anything I can do to make a dollar. The descriptions contained in these accounts reflect patterns of purchasing that are evident in the larger economic sample. In contrast, daily heroin consumption bags used per day , percentage of income spent on heroin and unit purchase amount i. Thus, availability factors proved to be more influential in the larger sample than other potential determinants. These data are inconsistent with the hypothesis that a purposeful strategy by those who have access to more income is to buy larger amounts of heroin less frequently, unless of course, that income is obtained in small but frequent increments. Another African American man, age 51 , would typically stay up until 6 a. This is how he described his routine:. Hours, I be there. I be there for a while. You have to be there by , you gotta go through a hour church service, after service it be seven and they start feeding. But I usually go down there get me something to eat, do that. As with many of the African Americans in the sample, there is a high degree of geographic concentration evident here. Money is often earned through a combination of legal and illegal activities and food and shelter are obtained locally through social networks and charitable sources. He described these activities this way:. In his words,. When I wake up, I usually try to have that \[money for heroin\] the night before. I need to have something planned, I have to plan something, every day for the next day. For a year-old white woman , living in a near suburb of Detroit, the routine is just as regular, though the ground covered is greater and the means of obtaining income are less varied—she had some savings from a job as a steelworker, and she also borrowed money from her family. She reports driving, with her boyfriend, to an apartment building in Detroit, where she buys heroin from a rotating group of African-American men:. Yeah, sometimes. It all depends. In that case they would get in the car with us. My bedroom. In that case, uh actually we just pull around the side of the road somewhere. Probably for a few hours. Just going out and getting high and coming home. An African-American woman in her late forties had a daily routine which illustrated both sides of the spatial mismatch. She lived in Detroit, in a vacant house that she squatted in with a male friend. She caught a bus at a. You know the jobs are usually you know six \[a. She made these long daily journeys to earn a modest daily wage hanging Christmas lights in suburban downtowns this interview was conducted in mid-December. However, she only had to make a brief walk from the bus stop in Detroit to buy her daily heroin. So and like I said down \[names a particular intersection\], in that square area I can walk to someone that I personally know…I get off the bus right there…I got to walk three blocks. This pattern was unusual in our sample, simply because most African-Americans did not leave the city of Detroit on a daily basis, if they left it at all. As we have seen, some remained in their own neighborhoods. However, it vividly reveals the larger landscape that surrounds the mobility patterns of both heroin use and work. In the next section, we consider these mobility patterns, as revealed by both ethnographic and economic data, in relation to the larger regional context. This trend received national attention in as a result of a string of overdose deaths linked to heroin that was mixed with the powerful synthetic opiate fentanyl. The outbreak was significant not only in and of itself, but because it threw the sociology of the heroin market into sharp relief. The victims all obtained their fatal doses from sources in the city, yet their places of residence were scattered throughout the metro region. After reporting the continuing trend of younger, white, suburban-based heroin users migrating to Detroit to purchase heroin on a daily basis, one of the presenting officers drew a conceptual map of the city in which he outlined the areas where arrests of commuting addicts were most frequent. These included the long borders between Detroit and its northern suburbs, which are characterized by multiple major thoroughfares and numerous exit routes. The same officer observed that heroin users who resided within central cities were more likely to purchase their heroin locally. This geographic awareness has also informed social control efforts. For example, law enforcement agencies have targeted the bus routes that commuting addicts are most likely to employ, resulting in arrests of 70 individuals within a single week in ClickOnDetroit. These users had reportedly turned to riding buses in larger numbers because the police had begun aggressively impounding vehicles. In other cases, police specifically target those who commute by automobile, impounding the vehicles of those suspected of purchasing heroin in city neighborhoods. All of these tactics may work to effectively suppress activity within a targeted area for a period of time. Nonetheless, given the porous nature of the urban-suburban boundaries, the power of heroin addiction, and the economic incentives to continue operating markets within distressed communities, the flow of bodies, drugs and money are unlikely to abate. The pattern of addicted individuals who reside in less deprived areas obtaining their supplies of illegal drugs in more deprived areas has been observed in studies from Glasgow Forsyth et al. The Detroit metropolitan region displays some characteristics of all three cities described by Ruggiero and Vass, a fact that reflects the extremely segregated geography of the city, along both economic and racial or ethnic lines. The white, suburban users that we interviewed occupy an environment much more like that of Turin, where illicit drug economies exist in the shadow of licit employment, especially in manufacturing, while the African-American Detroit residents live in a world more like that of Naples, where underground and criminal networks touch on almost every aspect of neighborhood life. Meanwhile, other suburban users find their way to heroin through recreational or pharmaceutical drug use, and only later become enmeshed in the urban environments where heroin markets are based. These users are more like those of Verona, though crossing into Naples every morning and evening. The spatial mismatch problem, as we have discussed, pertains to significant disparities in access to resources, networks, and opportunities that tend to correlate with both race and place of residence, especially in aging industrial cities defined by a legacy of segregation. Whites are advantaged overall, both by the relative stability and affluence of the communities where they reside, and by their more convenient access to resources and opportunities. Conversely, and somewhat perversely, both geographic location and social networks provide central city residents and African Americans with a strategic advantage over white suburbanites in locating and purchasing heroin easily and efficiently. Tables 1 and 2 see below illustrate some of the recurring patterns that reflect racial and spatial differences in terms of accessing heroin. The larger sample provides a better index of the overall differences in the mobility patterns adopted by whites as opposed to African Americans, with whites traveling further, spending more time, and making fewer purchases per week. While this finding may seem intuitive, as critical researchers we must ask why this is so. After all, other profitable commodity markets involving in poor, urban neighborhoods are not uniformly dominated by neighborhood residents themselves; nor do they serve consumers from across an entire metropolitan area, as heroin markets do. Corner liquor stores, for example, cater almost exclusively to local residents. This thorough dominance of a regional illicit market would seem to be a potential source of economic and social power for inner city communities. Unfortunately, it does not seem to translate into capital accumulation or other forms of investment in those communities. While little research has been done on those who occupy the higher levels of the drug-trafficking hierarchy, what evidence there is suggests that those who make large profits from the drug trade are just as likely to locate in wealthier areas, insulated from the daily chaos of the street economy Adler, ; Adler, ; Desroches, In other words, upper-level dealers are also living in the suburbs, and likely spending much of their money there as well. Ironically, the only legal taxes paid on drug-derived wealth from inner-city markets may also be contributing to suburban coffers. However, the brunt of the damage done by illicit markets—their negative externalities—are largely borne by central city neighborhoods. The spatial mismatch hypothesis Kain, , , contends that the persistent poverty of urban African Americans specifically derives from their spatial and social segregation, because of the distance from available job opportunities and the inefficiencies in accessing those opportunities due to lack of access to transportation, educational and cultural barriers, and limited social networks Meiklejohn, , Grengs, ; Johnson, ; Stoll, In our interviews with active heroin users concerning their daily routines, one emergent pattern was the difference between the modes of travel and time expended locating and purchasing heroin, which seemed to correlate with both racial identification and place of residence. Heroin, of course, is a habit-forming drug, which entails long-term commitment on the part of its users; they are nothing if not a stable clientele. The average length of use in our sample was nearly twenty years. Heroin misuse, therefore, takes a substantial toll in both diverted and directed energy on a yearly and cumulative basis. Though heroin itself does not discriminate and its effects are widespread, the heroin trade, as an organized subculture and sub-economy, is a good deal more selective, reflecting long-term patterns of racial and spatial segregation Cooper et al. As Aalbers has argued concerning Rotterdam, the processes of urban decline and the establishment of local illicit economies are symbiotic and mutually reinforcing. Both criminal behavior and the perpetuation of racial segregation may be conceived as dynamic interactions of individuals with these already segregated environments Pettiway, , ; Yin, In each case, the ghettoized geography may be seen as both cause and effect of exogenous phenomena. Heroin users are daily navigators of this post-industrial, wreckage-strewn landscape. Research on Detroit has emphasized the confluence of segregation, deindustrialization, decentralization, and state devolution—trends that have decimated Midwestern industrial cities in general and the Motor City in particular Wilson, ; Reese, ; Draus, As Cox has suggested, the particular geographical formations of race, class, unemployment and opportunity cannot be considered apart from the larger landscape of American ideology and social policy. Likewise, attention should be paid to ongoing changes in urban segregation patterns, both in the US and internationally, as a factor in drug use and drug market patterns. Given the current state of the US economy, it is unlikely that any sweeping efforts to reconstruct cities will emanate from the federal government, much less cash-starved state or local governments. The forces arrayed against urban communities are intense and growing. Local residents, institutions and organizations will need to improvise solutions on their own, although as Fairbanks has argued, such efforts may simply reproduce the geographic of inequality while diffusing governmental control. One might imagine law enforcement or legal system dollars being plowed into restorative justice programs that benefit communities most affected by addiction, rather than channeling them into expensive and socially destructive correctional systems Clear More research needs to be done on these local efforts, and more attention paid to those which offer some promise of success. The views of the authors do not necessarily represent those of the funding agencies. We would like to acknowledge the assistance of Dr. Jacob Napieralski in constructing the map used in Figure 2 based on data gathered by the Detroit Free Press. We would also like to thank Gerry Polverento for permission to use his map of homicides and drug-related deaths in Detroit. As a library, NLM provides access to scientific literature. J Ethn Subst Abuse. Published in final edited form as: J Ethn Subst Abuse. Find articles by Paul Draus. Find articles by Juliette Roddy. Find articles by Mark Greenwald. PMC Copyright notice. The publisher's version of this article is available at J Ethn Subst Abuse. Open in a new tab. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel. Data Mean Sample Mean
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