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Monday, May 6, 2019

The Harrowing Heart of Heroin -Tristin Benson


Many people try Heroin for the first time thinking “I’ll just do it this one time. I can stop whenever I want to.” Consider the words of Hannah, an 18-year-old addict: “I came home drunk and on Xanax, got kicked out of the house, and moved in with a heroin addict I had just met. And that was the beginning to a never ending cycle of destruction”(Bluff 1). Even one dose of heroin can be the beginning on the road to addiction. According to the National Survey on Drug Use and Health, about 948,000 Americans reported using heroin in the past year (What is NSDUH?).  The number has been in serious growth since 2007. Heroin addiction is a serious scourge and should be tackled immediately because it could possibly be you, or your loved one affected next. What can America do to stop this horrible epidemic?
History
            The misuse of the drug heroin has been occurring for hundreds of years, although during earlier times it was used for medicinal purposes also. Heroin is derived from morphine, an analgesic and recreational drug which is purified from the flower opium poppy. Opium was the first opioid to exist- and it was used by Egyptians and Romans, eventually expanding to Europe and China, if you were on the silk road to Asia then you would most likely find opium. The growth and use of this drug dates back to around 3400-- during the 19th century physicians used the drug as a therapeutic agent for a series of purposes, including childbirth, menstruation, and surgical procedures (Rosenblum). When used in the 1800s, morphine was known as one of the most powerful pain killing drugs known to mankind. It was not until the end of the 1800s that some medical professionals took notice to the addictive quality of opium.
The Bayer Company started the production of heroin in 1898 on a commercial scale (Hosztafi 1). At the beginning, the results were so strong that heroin was considered a wonder drug. Heroin showed more effectiveness than codeine had ever. Although, the repeated distribution of the drug became unhealthy for patients- they were soon addicted to heroin; “In the 1910s, the euphoric effects of heroin which caused the enhanced consumption of the drug” (Hosztafi). Heroin was transformed into a narcotic drug, and its abuse began to spread quickly. Street names for heroin came about due to the importance to hide the sales and trade of the drug from local law enforcement. Dope, White Nurse, Junk, and Smack are just a few  of the many- Although the users and dealers of the drug tend to swap out the names regularly, it is important to know the names because it could give insight as to what may be mixed within the drug. Though the sole production of heroin is not made in the United States, it is still supplied in great quantities. Mexico is the primary supplier for meth, cocaine, marijuana, and heroin. Also, heroin is gaining entrance into America through Southwest Asia, Southeast Asia, and Colombia.
Social Effect
            Although heroins impact may directly affect when you or a loved one is using it, it also has a negative effect on society. Heroin use has been steadily increasing among Texans in their teens and 20s according to a study through (The University of Texas at Austin). Also, The U.S. Sentencing Commission cites the Federal Western District of Texas as having had the fourth highest number of heroin trafficking offenders in fiscal year 2012 out of all the federal court districts: “In 2016, there were 1,375 opioid-related overdose deaths­­­ in Texas—a rate of 4.9 deaths per 100,000 persons compared to the national rate of 13.3 deaths per 100,000 persons. Since 2010, the number of heroin-related deaths steadily increased from 260 to 530 deaths, and deaths attributed to synthetic opioids (mainly fentanyl) rose from 156 to 250” (NIH). The epidemic is in serious growth in the states which has caused the nation as a whole to suffer. The heroin epidemic cost the American society more than $51 billion in 2015 (Jiang). Which means that American taxpayers are paying to support a drug sickness- when taxpayers could be spending their money on something more important. With this number, it has only began to increase. As mentioned above, heroin is not being produced in the United States, which means the United States economy is paying a tremendous amount of money to get it imported. Furthermore, heroin users are not performing in society as the average American does-- due to being incarcerated, enrolled in rehabilitation centers, early death, and unemployment. Heroin use, mainly through injection causes a plethora of chronic diseases-- Tuberculosis, Hepatitis B, Hepatitis C, and HIV-AIDS. The cost of treatments for these diseases are significant to the epidemic.  
Examples
            One should consider the short and long-term psychological effects of heroin. When a person uses heroin, it quickly travels to their brain where it connects with the opioid receptors, and triggers a flood of neurotransmitters, which are responsible for making the user feel the euphoric effects of the drug, this is the similar effect of most opioid drugs. After you’ve become dependent on Heroin, going without it can devastating. Past and current users have experienced
either one or more of the following: ”Emptiness and despair”, inability to sleep, anxiety, panic, feeling of dread, fatigue, and sexual dysfunction- similar to the stories of the two following people.
31 year-old Sarah Clay met her husband, Justin in, 2007 while they were working together at a factory, “We hit it off pretty quickly. We moved in and I was pregnant within four months,” according to Sarah. Sarah and Justin were living their what they imagined a happy life, until they feel deep in opioid addiction. The road for Sarah was bumpy- and after finally being able to get clean, Sarah received the devastating news that Justin had passed away. 
In the middle of their battle with heroin, Justin received the news that he had cancer. Justin had lost all his motivation; once in the middle of an overdose he told Sarah to not call for help next time. 
As mentioned above, using a drug can also affect the people around you. Kathy, Justin's mother was the one who had to care for the children during Sarah and Justin's episodes with the drug.  Kathy: “The kids would report that they had not eaten, or that they had to fix their own meals while the parents were resting. And that was unusual because I know, Sarah, you were an excellent cook and that you would fix meals on a daily basis. So, that was concerning.
How can you explain the overwhelming power to allow drugs to supercede the care of your children” (Mador). Addiction is hard on the family of the users because they aren't able to numb the pain as the user is.
 Solutions 

            The DSM-5 helps clinicians to specify the severity and how much of a problem the substance use disorder is. Two or three symptoms indicate a mild substance use disorder— four or five symptoms indicate a moderate substance use disorder.Taking the substance in larger amounts or for longer than you’re meant to. “Wanting to cut down or stop using the substance but not managing to ,Cravings and urges to use the substance, Not being able function as you would regularly at work, school, or home due to substance use” (ASA 234). Sine the American Psychiatric Association is a credible source for the topic of mental health, the symptoms seen above have been seen in many patients said to have a substance addiction.
The most important solution to America’s opioid epidemic is not unknown: vital expansion of facilities that treat addictions. Olga Khazan provided information as to what France's response was the their heroin epidemic in the 1980s and ’90s. The solution was to drastically expand access to the anti-addiction medication buprenorphine, a drug that reduces cravings and withdrawal for a person with an opioid addiction:
 In 1995, France made it so any doctor could prescribe buprenorphine without any special licensing or training. Buprenorphine, a first-line treatment for opioid addiction, is a medication that reduces cravings for opioids without becoming addictive itself. Suddenly, about 10 times as many addicted patients began receiving medication-assisted treatment, Within four years, overdose deaths had declined by 79 percent. (Lopez 1)


Though everyone can't be helped, the results shown after just a few years of using the drug proved to be substantial to the problem of heroin in the country. As America is the most powerful country in the world, this should not be hard to access. Though the change would only come if the people in power decided it was time for a change.  When diagnosing substance abuse disorders and mental problems-Psychologists use nature and nurture to help understand the patients conflict.  The concept of nature states that about half of a person's susceptibility to addiction can be linked to their genes. Genes are passed down to offspring and they determine all sorts of factors. These can be altered, but they can’t be changed through therapy. For nurture As life goes on people experience events that can change the way they think about their bodies, minds, and their whole point of view of the world. So as people continue throughout life, they tend to develop habits that could be good or bad for the nurture side. These two factors are two major solutions as well as problems for someone who is battling with an addiction. As stated before everyone can't be reached and addictions cannot be avoided by some people, it's a matter of if we try to crack down on the problem or not.
Camus and Absurdity
            Camus conveys that the most noble thing a person can do is exist in defiance of the absurd world surrounding us. So fleeing the absurdity is to be a form of escape from the pervasive anxiety of living in the absurd. In The Fall, the narrator lives a life where he hopes to be from judgement and socially accepted. However, he is not always successful in this way, where he lets a patient commit suicide without stepping in to resolve the issue:
Every night I would strut at the bar, in the red light and dust of that earthly paradise, lying fantastically and drinking at length. I would wait for dawn and at last end up in the always unmade bed of my princess, who would indulge mechanically in sex and then sleep without transition. Day would come softly to throw light on this disaster and I would get up and stand motionless in a dawn of glory. (Camus 103)
The excerpt above is meant to present the belief that the usage of drugs, alcohol, and unsafe sexual practices are a form of escaping living in the absurd.Intent and effect of drug usage seems to be the deciding factor- is it a means to escape the absurd, or to dive into it more deeply, or to rebel against it? Camus would not be against using drugs every once in a while if that meant that something worthwhile was going to happen.
Conclusion

            The use of drugs has proved to be deadly to all that use them only for recreational purposes. As the economy continues to grow, the use of heroin becomes more popular. Viewing them from a unified perspective is essential to improving public health. To address the problem it requires attention from all sectors of society. If the epidemic continues, the problem will get way out the scope to where we could handle it. Right now most people don't contain the worry of them or a loved one being affected by the drug, but soon someone that everyone knows will become affected.


                                                          Works Cited
Camus, Albert. The Fall. CreateSpace Independent Publishing Platform, 2016.
“Federal and State Heroin Crimes in Texas | Tritico Rainey, PLLC | Houston, Texas.” Tritico Rainey, PLLC, www.triticorainey.com/Articles/Federal-and-state-heroin-crimes-in-Texas.shtml.
“Heroin Overview: Origin and History.” Edited by The University of Arizona, Treatment Settings : Treatment Settings | Methoide, methoide.fcm.arizona.edu/infocenter/index.cfm?stid=174.
Hosztafi, S. “[The History of Heroin].” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, Aug. 2001, www.ncbi.nlm.nih.gov/pubmed/11862675. 
MacLaren, Erik. “Heroin History and Statistics.” DrugAbuse.com, 4 Dec. 2018, drugabuse.com/heroin/history-statistics/.
Mador, Jess. “The Beginning Of My Life: Family On The Journey From Heroin Addiction To Recovery.” WYSO, 91.3 WYSO, 2 Oct. 2018,
National Institute on Drug Abuse. “Texas Opioid Summary.” NIDA, 28 Feb. 2018, www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/texas-opioid-summary.
National Institute on Drug Abuse. “What Is the Scope of Heroin Use in the United States?” NIDA, www.drugabuse.gov/publications/research-reports/heroin/scope-heroin-use-in-united-states

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