All but forgotten, Kabul's drug addicts live amid detritus of war

erosion

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All but forgotten, Kabul's drug addicts live amid detritus of war
International Herald Tribune
December 21, 2007


KABUL, Afghanistan: The sound of gunfire once echoed in the imposing, bullet-scarred structure. Now, a stale whiff of heroin hangs in the air. The spent bullet cartridges have been replaced by used syringes.

Huddled in a tight circle, a group of men smoke hashish. In a corner, a 22-year-old man mumbles incoherently, almost invisible beneath the plastic sack wrapped around him.

About a dozen drug addicts call this once grand building — Kabul's former Russian Cultural Center — their home. Most fled to Iran as refugees during the harsh Taliban rule. Many became addicts while away. Now, Iran is sending many of them home, often against their will.

Mohammad Sultan, 45, was deported from Iran nine months ago. He says the drugs keep him from dwelling on his problems. His wife and three children are still in Iran, and he hasn't heard from them for some time. The story is repeated around the room.

Police officers harass the addicts for money. Of the government, Sultan says, "They don't care whether we live or die. We are just like insects for them."

About half of Afghanistan's drug users are returning refugees from Iran or Pakistan, said Mohammad Zafar, the director general for policy and coordination in the Afghan Ministry of Counter-Narcotics.

"Most of the drug users from Iran are heroin addicts and frequently use injections," he said. "Life for refugees is very hard in other countries, with no jobs, and they are introduced to the habit through drug users in other countries."

In Afghanistan, they have a ready supply: The country's farmers produce 93 percent of the world's opium, the main ingredient in heroin.

Doctors and medics from the Zendagi-e Nawin rehabilitation center visit the addicts often to examine and administer much-needed medicines.

AIDS is a concern. A study by Action Aid Afghanistan found that while the country does not have many HIV cases, there is a high risk that the virus could spread because of an increasing number of injecting drug users.

Nearly half of the 99 injecting drug users interviewed by Action Aid did not know HIV could be spread through sharing needles, and 69 percent did not know where they could get an HIV test.

The former cultural center, built during the Russian occupation in the 1980s, saw heavy fighting during Afghanistan's three decades of conflict.

Today, its battle-scarred walls are witness to a new cycle of destruction.

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^ Same here.

Aside from that pesky HIV thing, if you are gonna be a junkie I think this would be the place to be.
 
"In Afghanistan, they have a ready supply: The country's farmers produce 93 percent of the world's opium, the main ingredient in heroin."

Gosh, and i thought heroin was more like a sooped up "cousin" of morphine. So THAT explains why my heroin sometimes came package in a fresh unscored poppy pod!

Great article Teddy Rucksbin
 
The funny (not ha ha funny) thing is that Iran has methadone programs. Methadone is SO cheap that surely some clinical time could be set aside, even just for MMT...
 
I think there are some rudimentary methadone programs in Afghanistan as well. I swear I read about them. But, they don't have the funds to treat everyone.
 
phrozen said:
I think there are some rudimentary methadone programs in Afghanistan as well. I swear I read about them. But, they don't have the funds to treat everyone.

oral opium in my mind would be better then morphine to get off junk. i bet alot of addicts there do use opium to wean off the junk.
 
The problem is twofold, one, opium base, morphine base, and some heroin is very cheap, even by Afgan standards so the incentive to stop using due to cost is not there.

Secondly, the dearth of trained treatment professionals and Harm Reduction / Prevention agencies is woefully absent. Doctors Without Borders, the group mentioned in the article and other international aid agencies are focused on the economy, education, infrastructure and security. Until security is fixed (2007 had the highest percentage of combat deaths and injuries since the invasion) it is problematic at best to provide extensive health care to the population. Most health care now is provided by teams of military doctors, dentists, vets for the animals, and medics. With the exception of the biggest cities like Kabul, emergency care is almost non-exsistent or provided on a limited basis by the military.

Unfortunately, treatment of addiction / drug use is far down the list of all goverments of the countries particapating in the rebuilding ( term used loosely ) of Afganistan.

SubAbusePro1
 
I have read that a lot of American soldiers that are stationed there are getting hooked on heroin. I wonder how much of the dope made there actually stays there. Until I read about the soldiers, I was under the impression that the opium was harvested there and then moved somewhere else to make the morphine and heroin. I guess it could be moved to somewhere else in country, but I thought all of the finished product was sent out. Anybody know how much dope is left to sell in country? I wouldn't imagine a lot, since you could get a much higher price in Europe or the US, but apparently something is staying there.
 
^well yeah man, it's not like they're cavemen. They know how to make IED's and shoot stinger missles and are probably one of the best country/culture of warriors that have every existed. They can/do take all the equipment they get from western sources (or i guess i mean western equipment/weapons), and they tweak them out magiver style to make them even more deadly/useful..Hell, they supposively produce 93% or the worlds poppies. Surely they have enough to keep whole fields for personal use. and with the advent of the internet and the low cost of cellphones, "they" are more connected then ever...learning things that were never possible before. Like how to synth heroin from opium. Or how to make an IED. The fucking internet..."the common man's news source and library"...not to mention it levels theplaying field in many ways...one of them being that no goverment or corporations can stop people from sharing knowledge over the net.
I don't think there really needs to be methadone clinics all over that country/region. Like one of the posters above said, they could just eat oral opium, or tea, etc to get off dope. IMO, I agree, it would definately be a lot easier to then get off that then methadone...well the wd's wouldn't be as long...but they would sure as hell be a son of a fucking bitch...i mean for christ sakes, legal "x"-bay dried pods, a strong habit of that, even just a moderate habit can give you some of the most vicious and prolonged WD's. I could only imagine what it would be like with opium.
And then there's the factor that oral opium (for most people statistically) find it to be far more euphoric then methadone. So they'd be running the risk of getting hooked on the whole euphoric aspect of using a drug that they had started out in the first place as a maintinence drug (their version of methadone since they're a 3rd world country and that's what they got), and end up going back to the smack because of getting more and more attached (again) to the euphoria, ending back up at sqaure one. Then again it could all work out fine, and actually be better then methadone.

IMO, like i said earlier i dont think they really even need methadone clinics all over the place. Maybe some in the few major cities. But i mean, shit, they have all thee fucking poppies...do we? If we, the actual people of this country, not the fucking government,..had endless supplies of endless fields and fields of poppies, i'm pretty sure that most addicts would actually be able to function better in society, let alone function. why? because of the obvious; that eating opium (or making smack outta it) would be as abundant as water, and fucking hamburgers and sht. Crime would go WAY down all across the board. Now back to my point for Afghanistan, (which my example for the US mirrors it in a number of ways), is that they have had and endless supply of poppies flooding all the soil of the country (a slight exaggeration :) ), since they've existed...pretty much, yep. Doing opium (in whatever form, prepping it however, and whatever route of administration, etc), they have the best all around medicine to "cure all that ails ya' ", then EVERYWHERE/everyone else. So I don't see what they have to complain about.

Then again, A LOT, (more then we think even maybe), of the addicts/moderate users, hell anyone that uses at all (any opium or it's by products), are doing so because they live in such shit and sqauler and endless violence and bloodshed. ...and always everyday worrying about trying to get a single small loaf of bread to free their family...if they get lucky enough to even eat that day or week at all. My point being, if you dont get it, is that they are essentially being FORCED to use and then get addicted to opium(ates/oids) because of the fucked up type of environment that they call their home..when they're lucky to call it home of course since most of them are people that have been refugees more then a few times ;) (learn your history kids!)...k, i'm all hung over from drinking yesterday, and my hands wont stop tingling with that annoying hangover "eletical shock-like" feellings in my hands...so i'm gonna go hit up some more weed. i hope i gave someone somehwere some insight. You never know, maybe an english speaking/reading/writing Afghan might be a BL'r and has been reading this thread. :) heh. Stay smart, have fun, be safe. Moderation beats out excess any day, even in the short run.
-DM
 
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