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Wednesday, May 10, 2017

Heroin Epidemic - Alex Garza

Alexandrya Garza
English 1302
Professor Hammett
Spring 2017

Epidemics: Heroin

We all question why would someone ever take a drug that could potentially kill them? All kinds of different people ranging from upper class celebrities to lower class junkies take this addicting drug, heroin, in hope of “having a good time.” This opiate has the same effects of morphine and produces euphoric feelings on the individual. Eventually the body begins to drastically adapt to the over consumption and stimulation of opioid receptors to a point where the abusers must take a deadly amount of heroin to reach the same “high” they once got through the initial usage. In the end, users of heroin will then go into a state of physical independence where their bodies fully depend on heroin, and if not used or abruptly stopped taken, the addict could become ill or worse, death. Unfortunately, heroin is now the leading cause of overdose deaths in the United States (U.S.) and one of the most powerful opiate drugs that exist (Forbes Magazine). As the years go on, users of this drug are getting younger, the price is getting higher, and the amount of deaths are going up (Heroin History and Statistics).
Heroin wasn’t just created out of nowhere. There were previous narcotic drugs that were used to treat injuries, illness’, and unfortunately, abused to the individual’s satisfaction. Opium was the “mother” creator of all drugs. In the early 1800’s, opium was brought to the U.S. by the Chinese who came to build railroads in the west. From there, San Francisco and Denver became the top 2 cities abusing this drug. In the year of 1853, needles were invented to inject morphine (a narcotic) into an individual to ease pain, usually for injured soldiers during the Civil War (Heroin History). Thousands of soldiers became addicted to the drug and used it even if they weren’t injured for their own satisfaction. This later became known as the “Soldier’s Disease.”
After the war, a pharmaceutical company by the name of Bayer Company began to promote the production of Heroin. While morphine had the image of becoming very addicting, not many people wanted to buy heroin (Heroin History). After all, heroin was morphine, just boiled for many hours. The pharmaceutical company pronounced that this drug was not addicting whatsoever and was actually a drug that would help with morphine addictions (Heroin Addiction Information). Just like morphine, heroin was used to treat cough and tuberculosis.
Finally, in 1906, the American Medical Association recommended that heroin be used in place of morphine. As a result, more than 300,000 people became addicted thus creating the Harrison Narcotics Act in 1914 (Heroin History). This act made it illegal to own or use the drug, but just like any rule or law, it was ignored and people began to try even harder to obtain and use this drug. Although the drug was illegal to be obtained or used, crime rates went up along with people in prisons. It was reported that 94% of crimes were committed by heroin addicts in 1924 (Heroin History and Statistics). It was quite odd to realize that crime rates went up after the law was passed, but that just proves that these heroin addicts were so addicted to the drug they would do anything to get ahold of it. As a result, more laws, restrictions, and regulations were passed in hope to improve the rate at which people were taking the drug.
The people who abused this analgesic began to feel no effect on their body, like any other drug, the body begins to build tolerance. Building tolerance can be good in some cases, but in this case it became very bad, it resulted in heroin addiction. As an individual continued to take heroin, they would increase their dose each injection to where they would finally feel something (Heroin Addiction Information). This developed physical dependence on the drug to a point where if the individual did not take it, they thought they would die. This was called withdrawal.
The process of withdrawal is very extensive and harsh. The symptoms of withdrawal would appear a 48 to 72 hours after the last administration of heroin. Symptoms such as restlessness, joint pain, insomnia, nausea and vomiting, agitation, heroin cravings, convulsions, increased heart rate, stroke, depression, increase in blood pressure, and suicidal behavior (Heroin Addiction Information). Reading all of these symptoms, we question, why take the drug if this is what an individual must go through to get off of it? It’s simple, just don’t take it.
The main focus too is the symptom of depression. Although an individual may completely overcome his or her addiction, depression is something they may have to face for a few weeks or worse, the rest of their life (Heroin Addiction Information). There have been multiple cases where attempts to abort the drug usage by an individual has failed because the individual can no longer take the depression or symptoms of withdrawal. As a result, the individual begins to take even higher dosage of heroin than used before in order to disguise his symptoms of withdrawal (1). This not only worsens the individual, but his cravings make them capable of doing anything to get a hold onto heroin. As you can see, heroin empowers an individual but for all the wrong reasons.
Taking heroin primarily affected women, children, and men in lower class communities. The price of heroin was at an ultimate low in the 1800’s vs now, where it sits at $995 per 0.1 gm (Forbes). In the 1800’s, it was easy for the lower class communities to abuse this drug because, unfortunately, they had nothing going for them. Statistics show that within the 10 years of heroin being present in the U.S., researchers noticed the dramatic growth of this epidemic and could not find an explanation or solution to treat the widespread epidemic (Heroin History and Statistics).
As people began to manufacture heroin, companies came up with the bright idea of creating drug kits. The packets contained needles, opiates, and other drugs packed nice and neatly to look attractive. Many people bought this kit and used it for their own benefit, creating new drugs and elixirs. As a result, the alcoholic drink laudanum was created.
Laudanum was an alcoholic elixir that was used for a variety of illnesses, it was passed around to ease pain just like morphine and heroin was, which would eventually lead to addiction. Since laudanum was made out of morphine and other opiates and heroin was made out of morphine, the alcoholic mixer became so addictive to thousands of people and created the same feeling of either taking morphine or heroin (Heroin History). Men began to abuse the alcoholic beverage and became alcoholics who would beat their children and wives. The women would also use the laudanum to “hush” their baby and if too much was used, the baby could possible die of an overdose. As you can see, everyone was affected, the men abused the women, and the women used it to calm their baby. This brought the nation, communities, and families futures of prosperity to an all time low as the working class began to become addicted to drugs.
            Over the years, society has been trying to find a solution to this heroin epidemic. Government intervenes by opening rehab centers, withdrawal centers, and even approving a $700 million dollar bill that is to fund a combat against the heroin epidemic (Weller). In the latest update of statistical data, over 2 million Americans live with an opioid addiction. In an interview, a professor from New York University (NYU) named Dr. Marc Galanter claims that the $700 million dollars could help put the epidemic to an end by involving the following:
1.      Suboxone
2.      Naloxone
3.      Vivitrol
4.      Methadone
5.      Education
6.      Rehab
(Weller).
Reading the list, one may think that the first four of the list are just more drugs and might ask, why incorporate more drugs and opioids on top of an heroin epidemic crisis?
Suboxone is in fact one of few opioid antagonist that helps with the withdrawal of an opioid such as heroin. Galanter suggests that the 700 million dollar bill be put towards clinics allowing suboxone to be offered (Weller). Suboxone is a mixture of both buprenorphine and naloxone (1). When on suboxone, both drugs play a role on the individual’s body. If someone were to take an opioid drug, such as heroin, then the buprenorphine would block any “high feelings” the individual would usually feel when normally taking heroin. Studies have shown that the use of suboxone has had a success rate of 60% (2).
Although most of the options above are for long term use, the drug naloxone is for on the spot, life saving purposes. If someone was pulled into the hospital because of an opioid overdose, naloxone would be the first thing doctors turn to. Naloxone reverses the effects of an opioid on the individual’s brain. Government has recognized that the importance of naloxone is high and have the intentions of making it more available to society with the 700 million dollar bill (Weller).
Next on the list is Vivitrol. Vivitrol is another drug similar to suboxone. Like suboxone, vivitrol is a long term drug used to ease the withdrawal of an opioid such as heroin. Vivitrol, also known as naltrexone, blocks all opioid receptors in the brain (Weller). While on this drug, patients do not feel any “high feelings” because the target of an opioid is blocked and never reached. Dr. Galanter believes that the 700 million dollar bill should also be used to enhance studies of vivitrol and its long term effects on a patient (1). Some studies have been ran, but none are quite accurate. It all depends on the patient as a whole and whether or not they really care to eliminate their addiction. 
Methadone has been one of the most reliable medications to ease off of opioid addiction. Like heroin, methadone does cause the euphoric feeling but does not have the withdrawal feeling heroin causes. Using the 700 million dollar bill, the government wants to open public clinics in local communities that off methadone. Unfortunately, survey shows that 58% of people do not want the clinic in their community because of the presence of former and current addicts that will seek this clinic (Weller).
One of the most important topics on the list above is education. If people were or became more educated on the effects of heroin and other opioids, then the numbers of opioid addicts would dramatically decrease. Dr. Galanter believes that the government should put some money into the efforts of educating the public rather than keeping the addiction of heroin and other opioids a secret (Weller). Dr. Galanter also believes that doctors themselves should study alternate therapeutic treatment options for those who need an opioid to decrease pain (1). This option is one of the best ones which is allowing the government is consider it to be top priority (2).
Finally, one of the last options of solutions to solving the heroin epidemic problem is rehab itself. Most addicts see rehab as a brutal camp or prison because of all the pain most addicts will go through because of the opioid withdrawal. Many physiological research has showed that an individual who becomes addicted is influenced by their surroundings, but research has also proven that the individual is also influenced by their surroundings when it comes to making the decision about rehab (Weller). Dr. Galanter believes that money should also be put towards the promotion and building of rehab centers . Communities such as the Phoenix House and the Samaritan Village both accumulate positive emotions in group discussions with addicts. These homes have success rates up to 70% and relapses of about 15% (1). If homes like these were across America, studies show that the number of addicts would quickly diminish.
The epidemic of heroin relates to Camus’ beliefs because the outlook on life for the two types of people is, ‘what is the point of life?’ For Camus, he believed life had no meaning and that there was no point in trying to find it (Camus and Absurdity). This is similar to heroin addicts because of what heroin does to the mind and body. Heroin makes an individual feel like there is no point in living. After creating the euphoric feeling, the addict becomes so addicted to the drug that all they do is crave the opioid to a point where they could potentially overdose and cause death.
Camus’ thoughts or feelings of this epidemic are unclear. But if one were to come up with his thoughts on this epidemic, he would not care as much as society does today. Camus’ beliefs on individualism and absurdism proves that he would not care about what one decides to do to their own mind and body. Camus’ thoughts on the outcome also would not be too much different than his thoughts on the epidemic as a whole. Camus’ meaning of existence was “...a little depressing. He thought that life had no meaning, that nothing exists that could ever be a source of meaning, and hence there is something deeply absurd about the human quest to find meaning” (Camus and Absurdity). His thoughts on life itself supports the idea of him not caring about the outcome of the epidemic continuing; death.
The epidemic of heroin is important because it’s one of the leading causes of death in the world. Rather than pushing it aside people and the government should face it head on to try to find a solution to decreasing the number of addicts. In all, government should increase the amount of clinics open that are available with suboxone, naloxone, and methadone. Government should put more effort in making rehab more available to those in need.


Works Cited
"Camus and Absurdity." Philosophy Talk. N.p., n.d. Web. 12 Apr. 2017.

Forbes. Forbes Magazine, n.d. Web. 21 Feb. 2017.

Heroin Addiction Information." Narconon International. N.p., n.d. Web. 28 Feb. 2017.

"Heroin History and Statistics." DrugAbuse.com. N.p., 17 May 2016. Web. 21 Feb. 2017.

"Heroin History - 1900s." Narconon International. N.p., n.d. Web. 28 Feb. 2017.

Sandino, Jake Sandino Jake. "Jake Sandino." Addiction Blog Drug RSS. Addiction Blog, n.d.
Web. 28 Feb. 2017.

"Watch Truth About Drugs Documentary Video & Learn About Substance Addiction. Get The
Facts About Painkillers, Marijuana, Cocaine, Meth & Other Illegal Drugs." Foundation
for a Drug-Free World. N.p., n.d. Web. 15 Feb. 2017.
Weller, Chris. "6 Ways to Stop America's Heroin Epidemic." Business Insider. Business Insider,
09 Mar. 2016. Web. 12 Apr. 2017. 

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