In Pictures: Life of a Nepali drug addict Ineffective governance and the availability

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In Pictures: Life of a Nepali drug addict
Luc Forsyth
13 Aug 2014

201471114023538312_8.jpg



Ineffective governance and the availability of a cheap cocktail of pharmaceutical drugs contribute to a growing crisis.

Kathmandu, Nepal - An ineffectual government, a broken economy with few jobs to offer, and low-quality education, have all contributed to the Nepal's escalating drug crisis.

The country's drug problem started in the 1960s and 1970s when Nepal became the destination of choice for a generation of freedom-seeking Westerners looking to escape the restrictions in their own countries. At that time, Nepal - where marijuana plants grow wild in the countryside and are as tall as a two-story building - fit their criteria: an abundance of cheap drugs, a low cost of living, and an uninterested legal system.

But as their cash reserves dwindled, some found alternate means to fund their carefree lifestyle by smuggling heroin from Southeast Asia’s golden triangle across Nepal’s porous border.

And while the Nepalese government eventually banned the legal sale of marijuana products and the foreigners mostly drifted away, the legacy of the hard drugs they introduced remained.

"When the hippies left, the drugs stayed," Rajendra Shrestha, the head psychologist at one of Nepal’s oldest drug rehabilitation facilities, Freedom Centre, told Al Jazeera.

Eight years ago, 28 year-old Sujin Shrestha started experimenting with hash and pills, before moving on to the more visceral high of heroin, which he smoked and later injected.

When the prices of heroin rose to unaffordable levels, Sujin, like many young Nepalis, switched to the "Nepali cocktail", a mixture of pharmaceutical drugs blended in a syringe and shot directly into the bloodstream, often via the groin. The Nepali cocktail produces a high that can last a novice user 24 hours.

By the time Sujin realized he was addicted, it was too late. He lost his job as a bronze sculptor, found himself stigmatized by his community, was left as the sole provider for his epileptic mother, and had a $70 per day habit - well beyond his means. In an attempt to distance himself from the drug scene of Kathmandu, Sujin applied for a student visa in the UK, but was rejected when unable to provide proof of financial support. He turned to dealing drugs, which allowed him to both feed his cravings and purchase medicine and food for his mother, but left him hopelessly entangled in his addiction.

Tens of thousands of Nepali youth face similar prospects. For-profit rehabilitation facilities have been largely ineffective in curbing the problem.

Without decisive government involvement and a revamping of the rehabilitation process, more and more young Nepalis are likely to fall into the same trap as Sujin - unable to break out of the toxic cycle.

pictures http://www.aljazeera.com/indepth/inpictures/2014/07/nepal-drug-addiction-2014711135623505399.html
 
I would be very curious to know which 3 drugs make up the Nepali cocktail referenced in the article. I am assuming it is an opioid mixed with a benzo and maybe an anti histamine.

I am surprised how high the price for heroin would be in Nepal, considering Nepal's proximity to both The Golden Triangle and The Golden Crescent. I would honestly think heroin would be the cheapest way to get an opioid high.
 
‘South Asian cocktail’ - the concurrent use of opioids, benzodiazepines and antihistamines among injecting drug users in Nepal and associations with HIV risk behaviour

Abstract
Background
Data of the Central Bureau of Statistic of Nepal from 2008 show a total of more than 46,000 illegal drug users, out of which 61% are injecting drug users (IDU). An injecting mix of medicines like opioids, benzodiazepines and antihistamines (the so-called South Asian cocktail) was prevalent. Furthermore, it is estimated that about 70,000 people are living with human immunodeficiency virus (HIV). The government of Nepal has started realizing and recognizing drug use and HIV as significant health and social issues. Harm reduction programs such as needle syringe exchange and opioid substitution treatment are being implemented.


Table 2
Different types of polydrug injection on a single occasion of use consumed by drug users (N = 300)
Type of drug combinationa Men Women Total Significance (χ2, t test)
1. Buprenorphine + diazepam 64.7% 53.6% 63.7% χ2 = 3.2, p = .243
2. Buprenorphine + diazepam + promethazine 59.2% 46.4% 58.0% χ2 = 1.7, p = .193
3. Buprenorphine + diazepam + promethazine + other antihistamine 69.5% 42.9% 67.0% χ2 = 8.1, p < .01
4. Other (buprenorphine + promethazine or cocktail + pheniramine maleate) 15.8% 7.1% 15.0% χ2 = 1.5, p = .221
No cocktail use 11.8% 39.3% 14.3% χ2 = 15.7, p < .001
Mean number of cocktails (±SD) 2.1 (±1.2) 1.5 (±1.5) 2.0 (±1.3) t = 2.0, p < .05
 
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^ Cheers for that.

I guess I can see how this stuff could dominate the market if it is bupe, I imagine that few drug users in Nepal are particularly educated to the drugs they are taking and how they interact in the body, from what I understand of buprenorphine an addict could take a decent shot of this shit and not be able to get off properly using heroin for at least the next day or so. Still, I am a little perplexed that heroin would not be cheap enough to beat this shit out in pure cost effectiveness, but I guess that is greedy drug traffickers for you...

It is sad people are resorting to IV'ing this garbage just to get by, I don't imagine they have any real access to micron filters, I can't imagine one spends more than a few years shooting this garbage before they encounter serious health problems.
 
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I wonder what the avg street quality is of the heroin there. I'd imagine its pretty good, just since everyone is super poor they can't afford it and resort to cockrailing stuff. Same thing ppl do at the Mmt clinic
 
Page four, purity level not listed, 9$us/g, 4,000$us/kg (2003) 5.1. Opiates: Wholesale, street prices and purity levels

smaller amounts of heroin are trafficked from Myanmar into Tibet .
brookings research drug trafficking zhang
Asia’s heroin now sold in lemon yellows and cotton-candy pinks


The purity level data has been provided by informants and also by the testing departments designated for the purpose. As per data collected the purity of heroin at the street level in Punjab is between 10-12%[66], in case of Delhi it is around 12%[67], for Kolkata (Kolkatta) it is 3% to 6%[68], for Chennai it is 10%[69], and for Mumbai it is 3-5%[70], the data being with regard to drug sold at the street level.
http://laniel.free.fr/INDEXES/PapersIndex/INDIAMOLLY/DRUGSDYNAMICSININDIA.htm#VIII

More modern figures possibly in here.
World Drug Report 2014
 
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Heroin use definitely carries its risks, but its inherent risks have been severely exacerbated by the war on drugs.

Instead of receiving a pure product, it's always cut - sometimes with very dangerous additives, such as pure fentanyl. As such, he never knows the exact dosage he's consuming, nor whether it's cut with something which can make him very ill or be fatal regardless of tolerance.

Instead of paying what his drug of choice costs to manufacture + some extra for the labor involved, he has to pay a lot more. As such, other bare necessities which he could use may be unaffordable.

Instead of being sure that he will always be safe with respect to AIDS, Hep C, etc, there's a chance he could be infected by a needle shared with (or perhaps even used unknowingly) by another person.

Instead of knowing that he can have his drug of choice sold or dispensed at a specific location and at the same time each day of the week, and knowing that he can depend on them to be there, there's always the chance that his dealer will have vanished.

Instead of having some peace of mind knowing that like alcoholic beverages and tobacco/nicotine products he can consume his drug of choice without fear of prosecution, there's always a chance that he will be caught by law enforcement and his life will end up going even more downhill (if convicted and sent to prison) thanks to them. He may not like alcohol and/or tobacco for some reason, and that's to be expected as we're all different, and we all have our personal preferences with respect to pretty much everything of which there is multiple choices.

Instead of choosing to end all the above risks created by this stupidity of war, governments around the world continue to attempt a futile quest of ridding the world of all demand of certain drugs which they deemed to be unacceptable just because they said so and don't ask them why. As such, the $350 billion a year street drug market is controlled and run by organized crime, who will always have extra drugs, extra manpower, and extra resources to continue their operations. They have infiltrated the highest levels of law enforcement in many nations, and their products flow like a tsunami, penetrating every wall, including those of supermax prisons.

Considering what I wrote above, I can only conclude that the world's governments have figured out a way to profit big time by keeping the status quo, or by some chance, they are all beacons of discombobulating stupidity - or both.
 
The purity level data has been provided by informants and also by the testing departments designated for the purpose. As per data collected the purity of heroin at the street level in Punjab is between 10-12%[66], in case of Delhi it is around 12%[67], for Kolkata (Kolkatta) it is 3% to 6%[68], for Chennai it is 10%[69], and for Mumbai it is 3-5%[70], the data being with regard to drug sold at the street level.

How do people even get high on that?
 
It seems crazy those drugs are so jumped on, no wonder people are resorting to pills if that is the case... Part of me cannot help wonder though, if the Cops seizing the drugs are taking a shitload for themselves and cutting it before turning them in, it does seem like sort of a stretch, but honestly I can't see how it is more profitable to sell 3-6% pure dope than it would be to sell a product actually worth coming back for.
 
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