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Harm Reduction Is giving out needles to addicts really still "harm reduction" in this age of Fent and Nitazenes?

Its my understand that the UK's nitazene problem is shaping up to be similar to the fentanyl problem in the US so far. Well, it sounds like the beginnings of how the fentanyl problem started in the US anyway. I could be wrong, but that is what it sounds like from the webinars I have listened to on drug consumption throughout Europe as well as the data I have seen on it and information I have gained here.

Does this seem accurate to you??
Just based on bluelight posts alone that seems accurate to me. There have been a few reports in EADD of 'heroin' ordered on the darknet testing positive for nitazines and it's coming up more and more in mainstream media.

For example:
one of 179 people in England recorded as having died from nitazenes in the past year, with the highest number of deaths occurring in the East of England
That's from the beginning of this month.
 
It might be simpler if drugs weren't criminalised so we can just get on with treating it as a public health issue rather than conflating it with crimes of necessity. Shoplifting is a symptom. Address the cause.


How does this actually work? Like can I just walk into any store nick $900 worth of gear and just keep repeating that on the daily? Seems to good to be true.
The way I understand it is thaf once it became a misdemeanor tor theft under 1000$, eventually alot of retailers gave up on calling the cops for it, because an already stretched-thin police force would not show up in a timely manner or would not show up at all for a misdemeanor crime.

Also, it sounds like even if they were arrested, they would only receive a slap on the wrist anyway.

However it seems Californians had enough of this system, as they recently overwhelmingly voted in a ballot measure that rescinded much of this.
 
Its my understand that the UK's nitazene problem is shaping up to be similar to the fentanyl problem in the US so far. Well, it sounds like the beginnings of how the fentanyl problem started in the US anyway. I could be wrong, but that is what it sounds like from the webinars I have listened to on drug consumption throughout Europe as well as the data I have seen on it and information I have gained here.

Does this seem accurate to you??
It could well be the beginning of something bad, but the difference here is that the proportion of the population who engage in problematic opioid use is absolutely tiny. We don't have the legacy of mass over-prescription of opioids to regular Joes, so whilst things could get very bad for the IV heroin using community, it's pretty unlikely that there will be much impact beyond that (not suggesting for a minute that this makes it any less of a concern, but it's important context).

Statistically, Americans are more likely to die from an opioid overdose than a car accident. There is precisely zero chance of the situation in the UK ever getting remotely close to that
 
It could well be the beginning of something bad, but the difference here is that the proportion of the population who engage in problematic opioid use is absolutely tiny. We don't have the legacy of mass over-prescription of opioids to regular Joes, so whilst things could get very bad for the IV heroin using community, it's pretty unlikely that there will be much impact beyond that (not suggesting for a minute that this makes it any less of a concern, but it's important context).

Statistically, Americans are more likely to die from an opioid overdose than a car accident. There is precisely zero chance of the situation in the UK ever getting remotely close to that
Sure, this absolutely makes sense. The drug problem in America is unlike any other country, so this does have to be taken into account. Americans love their drugs and there is no denying this fact. The thing that needs to be addressed is the root cause of that issue rather than the drugs themselves, but that's another story entirely. I was just trying to guage how accurate it was to say the nitazenes are taking their toll big time in the UK right now among the drug using population which you did well in answering for me. I always try to keep in mind these factors that you mention when determining the overall situation (being mindful of drug users to say non-users, and what percentage of drug users are affected versus non-drug users and such.) Sadly, this is not the take many have due to misrepresentation of these things in the media and even in mainstream academia to some extent from what I am finding as well the more I learn about the current paradigm we live in in terms of our understanding and treatment of addiction.

Thank you for sharing the information :)
 
For example:

That's from the beginning of this month.
Why do you suppose its the East of England that is being most affected? I know when it comes to wealth that the city of London, for example, is divided in terms of such between the North and South regions. But, is something similar causing this situation to disproportionately affect the East versus the rest of the country? Just wondering you thoughts on this matter.
 
Why do you suppose its the East of England that is being most affected? I know when it comes to wealth that the city of London, for example, is divided in terms of such between the North and South regions. But, is something similar causing this situation to disproportionately affect the East versus the rest of the country? Just wondering you thoughts on this matter.
Couple of potentially salient points here - as with elsewhere in the world, problematic drug use in the UK is highly associated with areas that experience high levels of deprivation. The east of England contains some of the most deprived places in the country, so that's one factor.

It's also pretty remote from the rest of the country, so I'd assume that the effects of a bad batch could potentially be worse out there when compared with bigger cities, due to less choice for users when it comes to drug supply
 
Sure, this absolutely makes sense. The drug problem in America is unlike any other country, so this does have to be taken into account. Americans love their drugs and there is no denying this fact. The thing that needs to be addressed is the root cause of that issue rather than the drugs themselves, but that's another story entirely. I was just trying to guage how accurate it was to say the nitazenes are taking their toll big time in the UK right now among the drug using population which you did well in answering for me. I always try to keep in mind these factors that you mention when determining the overall situation (being mindful of drug users to say non-users, and what percentage of drug users are affected versus non-drug users and such.) Sadly, this is not the take many have due to misrepresentation of these things in the media and even in mainstream academia to some extent from what I am finding as well the more I learn about the current paradigm we live in in terms of our understanding and treatment of addiction.

Thank you for sharing the information :)
Trust me, people in the UK love their drugs as well! But the vast majority of drug users over here will never take opioids - we had our heroin epidemic earlier than the US, so for the most part members of the opioid taking community are approaching middle age, with very few younger users coming along to replace them, due to the stigma associated with heroin/IV drug use
 
It could well be the beginning of something bad, but the difference here is that the proportion of the population who engage in problematic opioid use is absolutely tiny. We don't have the legacy of mass over-prescription of opioids to regular Joes, so whilst things could get very bad for the IV heroin using community, it's pretty unlikely that there will be much impact beyond that (not suggesting for a minute that this makes it any less of a concern, but it's important context).

Statistically, Americans are more likely to die from an opioid overdose than a car accident. There is precisely zero chance of the situation in the UK ever getting remotely close to that
Is it really tiny? There's a lot of heroin users. Oxycodone and DHC used to be incredibly easy to get here ~10 years ago, DHC was essentially free and Oxy was very cheap. From what I've heard, DHC was prescribed pretty freely in the past

At the drug and alcohol centre I go to virtually everyone there is picking up Methadone scripts

Also the nitazenes aren't just being found in H, they're being found in benzos. Quite a lot of people do benzos.
 
Is it really tiny? There's a lot of heroin users. Oxycodone and DHC used to be incredibly easy to get here ~10 years ago, DHC was essentially free and Oxy was very cheap. From what I've heard, DHC was prescribed pretty freely in the past

At the drug and alcohol centre I go to virtually everyone there is picking up Methadone scripts

Also the nitazenes aren't just being found in H, they're being found in benzos. Quite a lot of people do benzos.
Even using the higher end estimates of problematic heroin and crack users across the UK (a decent number of which will only use light and not dark), you're still talking around 0.5% of the total population. I actually think this could protect us from some of the worst effects seen in the US, as there's not much sense in dealers killing off their clientele, when there's only a finite number of them in the first place. I live in area with lots of housing for people with multiple complex needs, so there is a lot of heroin addicts around here, but it's hardly typical of the UK as a whole.

It's a fair point about benzos, although street benzo use seems to be clustered in certain parts of the country, and if I'm being honest it's something I'm much less qualified to comment on!
 
Trust me, people in the UK love their drugs as well! But the vast majority of drug users over here will never take opioids - we had our heroin epidemic earlier than the US, so for the most part members of the opioid taking community are approaching middle age, with very few younger users coming along to replace them, due to the stigma associated with heroin/IV drug use
Sounds very similar to the situation in the Netherlands in those regards that being said.
 
Even using the higher end estimates of problematic heroin and crack users across the UK (a decent number of which will only use light and not dark), you're still talking around 0.5% of the total population. I actually think this could protect us from some of the worst effects seen in the US, as there's not much sense in dealers killing off their clientele, when there's only a finite number of them in the first place. I live in area with lots of housing for people with multiple complex needs, so there is a lot of heroin addicts around here, but it's hardly typical of the UK as a whole.

It's a fair point about benzos, although street benzo use seems to be clustered in certain parts of the country, and if I'm being honest it's something I'm much less qualified to comment on!
Fair enough, but what are the numbers on crack and heroin use in America? I'd doubt it's even 5%

Re the benzos, it's not just "Street Benzos" that nitazines are turning up in, they've been found in real looking boxes/blister packs of valium
 
Fair enough, but what are the numbers on crack and heroin use in America? I'd doubt it's even 5%

Re the benzos, it's not just "Street Benzos" that nitazines are turning up in, they've been found in real looking boxes/blister packs of valium
When looking at all cause mortality data, Americans have a 1 in 55 chance of dying from an opioid overdose. It causes more deaths out there than car accidents or cancer. During the pandemic, more people were killed by opioid overdoses than Covid.

The situation in the US isn't remotely comparable to the UK, but even if it were, using the estimate in your post - 0.5% of ~70m is tiny compared with 5% of ~350m

Edit: and sorry just to add, I really can't comment on benzos, but I'm sure you're right to raise it as a concern, and definitely something I hadn't considered
 
When looking at all cause mortality data, Americans have a 1 in 55 chance of dying from an opioid overdose. It causes more deaths out there than car accidents or cancer. During the pandemic, more people were killed by opioid overdoses than Covid.

The situation in the US isn't remotely comparable to the UK, but even if it were, using the estimate in your post - 0.5% of ~70m is tiny compared with 5% of ~350m

Edit: and sorry just to add, I really can't comment on benzos, but I'm sure you're right to raise it as a concern, and definitely something I hadn't considered

Sorry, I probably should have picked a lower figure. What I meant to get across is that it's probably waaaaay lower than 5%. I don't have the numbers to hand. 2% maybe? 1%?

And larger countries are always going to have more drug deaths, obviously. You need to be looking at deaths per capita, not total deaths.
 
Sorry, I probably should have picked a lower figure. What I meant to get across is that it's probably waaaaay lower than 5%. I don't have the numbers to hand. 2% maybe? 1%?

And larger countries are always going to have more drug deaths, obviously. You need to be looking at deaths per capita, not total deaths.
Given that opioid overdose is a bigger cause of death in America than car accidents or cancer, 1% - 2% is almost certainly an underestimation.

For per capita data: in the UK the drug misuse death rate is 53.2 per million of the population. In the US it was 32.6 per 100,000 of the population in 2022. That's an absolutely huge difference
 
Given that opioid overdose is a bigger cause of death in America than car accidents or cancer, 1% - 2% is almost certainly an underestimation.

For per capita data: in the UK the drug misuse death rate is 53.2 per million of the population. In the US it was 32.6 per 100,000 of the population in 2022. That's an absolutely huge difference

Fair enough, I just don't can't see 1/20 Americans being high on skag, but maybe I'm wrong

Could it be that our drug deaths are way lower because we don't really have fent in our heroin supply, or didn't until very recently? Whereas the level of drug use is more similar?

From my few dalliances with heroin, UK stuff is pretty darned weak.
 
Could it be that our drug deaths are way lower because we don't really have fent in our heroin supply, or didn't until very recently? Whereas the level of drug use is more similar?
It's absolutely a factor, but even if fent took off over here and the rate of death from drug poisonings increased rapidly, we'd still get nowhere near the US's figures due to much lower per capita opioid usage across the population
 
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We do appear to have been discussing the issue in more of a global sense.

Therefore, I am moving this thread from EADD to Drug Culture.

I also want to leave a friendly reminder for everyone to try and stay on topic. Tangents happen but this thread is supposed to be about discussing needle exchanges and harm reduction vis a vis fentanyl/nitazines. I’d rather not have to start removing posts so if you want to talk about the current state of North Korea or whether Sharia law is about to take over Europe or anything else unrelated to the thread title then please either take it to DM or save it for CEPS or the lounge.
That is what we are talking about, and approaches to drugs that North America is doing in relation to drugs to Europe
 
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That is what we are talking about, and approaches to drugs that North America is doing in relation to drugs to Europe
We did become off topic though which I mentioned a couple of times at very least, and I attempted to reroute the conversation back to the main topic which did not work.

This discussion we got onto was not appropriate necessarily which is why I barely got into it with you. I like political chat, but its not the place for it here when we are supposed to be focusing on the original topic of the thread. It detracts from the usefulness of the thread/forum when we do this...
 
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