DO NOW • WHAT ARE SOME POSITIVE AND NEGATIVE INFLUENCES THAT DRUGS HAVE ON PEOPLE? 3/21/2016 Unit III: War on Drugs The War on Drugs TIP Don’t use drugs! Section 1: Drug use and its affects on society 3/21/2016 What is a drug? 1. Drug (Positive view): 3/21/2016 • 1. a substance used by itself or in a mixture in the treatment or diagnosis of disease. Meaning of the word (f) of who is asked Positive view: Webster’s Dictionary “a substance used by itself or in a mixture in the treatment or diagnosis of disease .” • 2. Drugs are used to: 3/21/2016 – 2. fight infection; – reverse a disease process; – relieve symptoms of illness; – restore normal functioning of human organs; – aid in diagnosing sickness … – maintain health. What is a drug? • Neutral view: • “any substance that causes or creates significant psychological and/or physiological changes in the body” • “any absorbed substance that changes or enhances any physical or psychological function in the body” • Coffee in the morning? • Tea in the afternoon? • Cigarettes when drinking at a bar? 3/21/2016 Neutral View of Drugs: (Write down these three examples) Coffee in the morning? Tea in the afternoon? Cigarettes when drinking at a bar? • 3. neutral view • 3. “any substance that causes or creates significant psychological and/or physiological changes in the body” 3/21/2016 – Ex: coffee, tea, cigarettes What is a drug? • Negative view: • “something (and often an illegal substance) that causes addiction, habituation, or a marked change in consciousness” • This is the focus of our war on drugs • against illegal forms of drug use and the activities which permit it (manufacturing, growing, distributing, selling, possessing) 3/21/2016 What is a drug? • 4. Drug (Negative • 4. “something (and View) often an illegal substance) that causes addiction, habituation, or a marked change in consciousness” 3/21/2016 WAR ON DRUGS: THE FOCUS • 5. focus of war on • 5. against illegal forms drugs of drug use and the activities which permit it (manufacturing, growing, distributing, selling, possessing) 3/21/2016 What do drugs do? • All drugs, whether legal or illegal affect the brain by interacting with naturally occurring brain chemicals known as neurotransmitters • This alters people’s behavior. • Every drug (including a legal drug such as aspirin) is potentially harmful. 3/21/2016 What do drugs do? All drugs, whether legal or illegal affect the brain by interacting with naturally occurring brain chemicals known as neurotransmitters • 6. impact of drugs • 6. affect the brain by interacting with naturally occurring brain chemicals known as neurotransmitters • 3/21/2016 Effects of drugs (write down four of these factors) • The Factors on how a drug effects people Effects of any drug depend on: • type of drug used • amount of drug used • drug potency • method of ingestion • frequency of use (tolerance) • setting of ingestion • mood of the user • biological & psychological make-up of user (e.g., genetics, brain chemistry) 3/21/2016 Is Drug Use normal? (Write down (4 Examples) • How do people use (legal) drugs? • “Happy Hour” • Parties with friends • “Pick up” girls/guys • Relieve boredom • Alter your mood • Inspire creativity • Medicinal purposes • Religious purposes 3/21/2016 • (adaptive) Drug use vs. Abuse: Drug abuse costs the U.S. economy more than $180 billion a year. • 7. drug abuse • 7. is a higher degree of consumption of drugs … suggests some problem level of use, or “overuse.” • 8. effects of drug• 8. is drug use that results in social, economic, psychological abuse or legal problems for the drug user 3/21/2016 • Costs U.S. economy more than $180 billion a year DO NOW • WHAT IS THE IMPACT OF DRUG USE WHETHER IT BE LEGAL OR ILLEGAL? EXPLAIN THE EFFECTS OF DRUG ABUSE? PROVIDE AN EXAMPLE OF AN EFFECT OF DRUG ABUSE. 3/21/2016 Effects of drug abuse on the brain. 3/21/2016 Drug use vs. Abuse • 9. drug use 3/21/2016 • 9. is ANY consumption of a drug (i.e., recreational or occasional; medical use) Drug Use v. Abuse • Drug use is ANY consumption of a drug (i.e. recreational or occasional use) • Drug abuse is a higher degree of consumption of drugs … suggests some problem level of use, or “overuse.” • Drug abuse is drug use that results in social economic, psychological or legal problems for the drug user • (maladaptive) 3/21/2016 Is Drug Use normal? • Weil (1998: 4) “The use of drugs to alter consciousness is nothing new. It has been a feature of human life in all places on the earth and in all ages of history” … as innate as hunger and sex. • Hamid (1998: vii) “The human use of psychoactive drugs is both primordial and nearly universal. In almost every human culture in every age of history, the use of one or more psychoactive drugs was featured prominently in the contexts of religion, ritual, health care, divination, celebration (including the3/21/2016 arts, music, and theater), recreation, and cuisine.” Drug Use v. Abuse • Oh yeah, and then there are college students … 3/21/2016 Outcomes of Drug Abuse • Physical dependence – growing tolerance of a drug’s effects so that increased amounts of the drug necessitate the continued presence of the drug in order to prevent withdrawal symptoms • Psychological dependence – craving for or compulsive need to use drugs because they provide the user with a feeling of well-being and satisfaction • Tolerance – continued regular use of a drug leading to progressively larger doses to attain the desired effect, thereby reinforcing the compulsive behavior known as drug dependence • Withdrawal – physical reaction of bodily functions that, when a body is deprived of an addictive drug, causes increased excitability of the bodily functions that have been depressed by the drug’s habitual use 3/21/2016 OUTCOMES OF DRUG ABUSE • 10. physical dependence 3/21/2016 • 10. the body’s growing tolerance of a drug’s effects so that increased amounts of the drug necessitate the continued presence of the drug in order to prevent withdrawal symptoms OUTCOMES OF DRUG ABUSE • 11. psychological dependence 3/21/2016 • 11. craving for or compulsive need to use drugs because they provide the user with a mental feeling of wellbeing and satisfaction War on Drugs: Short video clip • http://video.nationalgeographic.com/vide o/player/ • http://video.nationalgeographic.com/vide o/player/ • http://video.nationalgeographic.com/vide o/player/ 3/21/2016 DO NOW • WHAT IS A NEUTRAL VIEW OF HOW DRUGS ARE USED? GIVE AN EXAMPLE OF A NEUTRAL VIEW. 3/21/2016 Outcomes of Drug Abuse • 12. tolerance 3/21/2016 • 12. continued regular use of a drug leading to progressively larger doses to attain the desired effect, thereby reinforcing the compulsive behavior known as drug dependence Outcomes of Drug Abuse • 13. withdrawal 3/21/2016 • 13. physical reaction of bodily functions that, when a body is deprived of an addictive drug, causes increased excitability of the bodily functions that have been depressed by the drug’s habitual use DO NOW • NAME THE FOUR DIFFERENT OUTCOMES OF DRUG ABUSE. EXPLAIN EACH OUTCOME IN YOUR OWN WORDS. 3/21/2016 Drug Use v. Abuse • It is possible to use illegal drugs without engaging in abuse of them … • Only a small portion of drug users actually become drug abusers • According to ONDCP, 7 million people meet diagnostic criteria for drug abuse (out of 20 million users) • Percentage of drug abusers seems to remain relatively stable over time, even as number of drug users changes 3/21/2016 Major Types of Drugs • Drugs are categorized according to their major effects on brain function and human behavior • stimulants • depressants • hallucinogens / disssociative anesthetics • narcotics/opiates • Others add inhalants, analgesics, sedatives, and hypnotics 3/21/2016 Major Types of Drugs: Drugs are categorized according to their major effects on brain function and human behavior • Stimulants – stimulate central nervous system (CNS) / increase activity of the brain and spinal chord • Depressants – lessen activity of the CNS / decrease or stop vital functions • Hallucinogens – produce mood and perceptual changes varying from sensory illusions to hallucinations • Narcotics – opium and opium derivatives, and their synthetic versions, used mostly as pain killers • Others add inhalants, analgesics, sedatives, and hypnotics Stimulants – Nicotine, Cocaine, Amphetamines, Methamphetamine • 14. stimulants • 14. stimulate central nervous system (CNS) / increase activity of the brain and spinal chord • Ex: cocaine; methamphetamine; nicotine; caffeine 3/21/2016 • Amphetamine; ritalin Depressants – Alcohol • 15. depressants • 15. lessen activity of the CNS / decrease or stop vital functions – Ex: alcohol; tranquillisers 3/21/2016 Depressants (Alcohol’s effect on the brain) • Alcohol has effects on different areas of the brain. • In the region of the cerebral cortex, alcohol decreases a person's inhibitions and slows down thought processes as well as the processing of incoming visual and auditory information. • The cerebellum, the center of balance, is affected, leading to the staggering gait of a drunk. • The effect on the hypothalamus and pituitary increases sexual desire, but decreases actual performance. • Alcohol acts on the medulla to slow a person's breathing and decrease body temperature, which can cause death. 3/21/2016 Depressants (Alcohol’s effect on the brain) • In the long run, heavy drinking can cause severe and permanent brain damage, and your brain can really shrink. Many alcoholics come down with Wernicke-Korsakoff syndrome because alcohol interferes with the body's absorption of thiamine. This syndrome causes mental confusion, lack of coordination and problems with memory and learning. Dependence on alcohol also causes changes in the brain's chemistry, and if a person tries to stop drinking suddenly, withdrawal symptoms of delirium tremens (DTs), hallucinations, nausea and seizures can result. Detoxification centers can help to alleviate these symptoms. 3/21/2016 Hallucinogens : LSD, PCP, Marijuana, Shrooms, Peyote • 16. Hallucinogens • 16. produce mood and perceptual changes varying from sensory illusions to hallucinations; to change in blood pressure • Ex: LSD, Marijuana, Shrooms 3/21/2016 Hallucinogens • Hallucinogens are drugs that distort the way you perceive reality. They can cause you to see, feel and hear things that don't exist, making it hard to communicate or think clearly. They can also cause rapid, intense emotional mood swings. • Hallucinogens work by disrupting how your nerve cells and the neurotransmitter serotonin interact throughout the brain and spinal cord.25 By changing the normal, healthy structure of serotonin in the body, hallucinogens twist and alter the way your brain processes your senses, feelings and visual information. When you are unable to get a grip on reality, normal events and situations can take on an unreal and frightening quality. Narcotics – Heroin, Codeine, Morphine, Oxycodone • 17. Narcotics • 17. opium and opium derivatives, and their synthetic versions, used mostly as pain killers • Ex: opium, heroin, morphine; oxycodone 3/21/2016 Narcotics • Narcotics affect the body in different ways, depending on the particular drug and how it is taken. Some common effects include constricted pupils, dizziness, drowsiness, and loss of appetite, nausea and vomiting. Codeine elevates the blood pressure, increases the heart rate and causes tremors and seizures. Over time, narcotics can cause chronic constipation, impaired vision, and irregular menstrual cycle and decreased sex drive. 3/21/2016 Some “club drugs” … • Methylenedioxymethamphetamine or MDMA aka ecstasy (stimulant) • Gamma-hydroxybutyrate or GHB aka grievous bodily harm (depressant) • flunitrazepam / Rohypnol aka roofies (depressant) • Ketamine aka special K (hallucinogen) • 18. club drugs 3/21/2016 • 18. ecstasy (stimulant), roofies (depressant), special K (hallucinogen) MDMA and its affect on the brain • MDMA acts by increasing the activity of three neurotransmitters, serotonin, dopamine, and norepinephrine. The emotional and pro-social effects of MDMA are likely caused directly or indirectly by the release of large amounts of serotonin, which influences mood (as well as other functions such as appetite and sleep). Serotonin also triggers the release of the hormones oxytocin and vasopressin, which play important roles in love, trust, sexual arousal, and other social experiences. This may account for the characteristic feelings of emotional closeness and empathy produced by the drug; studies in both rats and humans have shown that MDMA raises the levels of these hormones. 3/21/2016 A close-up of Ecstasy pills in assorted shapes and colors. MDMA, (3,4-methylenedioxymethamphetamine), AKA ecstasy, is a synthetic drug that is chemically similar to the stimulant methamphetamine and the hallucinogen mescaline. 3/21/2016 MDMA (AKA: Ecstasy) • A close-up of Ecstasy pills in assorted shapes and colors. MDMA, (3,4-methylenedioxymethamphetamine), AKA ecstasy, is a synthetic drug that is chemically similar to the stimulant methamphetamine and the hallucinogen mescaline. Taken orally in tablet or capsule form, MDMA effects brain cells’ utilization of serotonin, a chemical transmitter that plays an important role in regulating mood, aggression, sexual activity, sleep and sensitivity to pain. MDMA has a similar chemical structure to serotonin, and when it enters brain cells, it causes an excessive release of that chemical. As a result, users experience feelings of increased energy, euphoria, emotional warmth, and distortions in time, perception, and tactile experience. 3/21/2016 Ketmine (aka: Special K) • A pile of ketamine and pills. Ketamine—chemically, a compound called ketamine hydrochloride—is a drug that was developed in the 1960s to sedate animals and humans for surgery, though it eventually was replaced by medications that worked faster with less risk. Beginning in the 1990s, initially to the puzzlement of police, burglars began breaking into veterinary clinics and stealing ketamine. They soon learned that recreational drug users had discovered ketamine and were turning it into the new hallucinogenic party drug. In its standard powdered form, ketamine looked like cocaine, and could be snorted in the same way. But it also could be easily modified for injecting, smoking or even mixing into drinks. 3/21/2016 A pile of ketamine and pills. Ketamine—chemically, a compound called ketamine hydrochloride—is a drug that was developed in the 1960s to sedate animals and humans for surgery, though it eventually was replaced by medications that worked faster with less risk. 3/21/2016 If we’re going to have a “war on drugs” which drugs should we pursue??? (WRITE THESE DOWN) • Answer depends on …?: • Degree of harm caused to individuals by drug use/abuse? • Degree of harm caused to families, communities and society by drug use/abuse? • Degree of dependence/addiction triggered by drug use experimentation? • If we used these criteria, on what drugs would we focus? Activity • What are discrepancies in descriptions of drugs from ONDCP and the Drug Policy Alliance/Safety First??? 3/21/2016 DO NOW • Effects of any drug depends on what:(List four) 3/21/2016 If we’re going to have a “war on drugs” which drugs should we pursue??? http://www.thelancet.com/journals/lancet/article/PIIS0140673607604644/fulltext Extent of Drug Use in USA • Major sources of information about drug use: • Monitoring the Future (MTF) -- national survey/interviews with approximately 50,000 randomlythselected students in th th 8 , 10 and 12 graders • Started in 1975 (12th graders), added other grades in 1991 • National estimates of the past month, past year, and lifetime use of tobacco, alcohol, illicit drugs, and non-medical use of prescription drugs • Also measures disapproval and perceived harmfulness & availability Extent of Drug Use in US (NSDUH) • NSDUH findings: • Lifetime use: 114.3 million users (46.1% of pop.) – Mostly marijuana (40.6%) followed by psychotherapeutics (20.3%) • Past year use: 35.7 million users (14.4%) – Most marijuana (10.1%) followed by psychotherapeutics (6.6%) • Past month (current) use: 19.9 million users (8% of pop.) Extent of Drug Use in US (NSDUH) • Current use (NSDUH) Extent of Drug Use in US (NSDUH) • Current use (NSDUH) Extent of Drug Use in US (NSDUH) • Current use (NSDUH) Extent of Drug Use in US (NSDUH) • Other interesting facts re current use (NSDUH): • Current use lower for full-time college students than non-students (but higher lifetime use for students) • Current use lowest for college grads • Current use lowest for full-time employed (but most users are employed) • Highest rates in the west, lowest in the south • Highest rates in cities, lowest in rural counties Extent of Drug Use in US (NSDUH) • Now more initiates of prescription drug use per year than marijuana! Extent of Drug Use in US (NSDUH) • Other interesting facts re current use (NSDUH): • 51.1% use alcohol • 23.3% binge drink (5 or more drinks at one setting at least once a month) • 6.9% heavy drink (5 or more drinks at one setting at least five times a month) Extent of Drug Use in US (NSDUH) Extent of Drug Use in US (NSDUH) • Highest rates of smoking for 18-25 year olds (36.2%) versus 9.8% of 12-17 year olds Extent of Drug Use in US (NSDUH) • Other interesting facts re current use (NSDUH): • Users of alcohol and tobacco more likely to be current users of illicit drugs • Tobacco users about 9 times more likely … • Heavy drinkers about 12 times more likely … Extent of Drug Use in US (MTF) • MTF findings (12th, 10th, 8th graders) • Lifetime use: 47.4%, 34.1%, 19.6% • Past year use: 36.6%, 26.9%, 14.1% • Past month (current) use: 22.3%, 15.8%, 7.6% • Current use is higher among 12th graders for virtually every drug (one drug consistently th higher for 8 graders) Extent of Drug Use in US (MTF) • MTF Prevalence of Current Use (12th graders): • Alcohol – 43.1% • Been drunk – 27.6% • Cigarettes – 20.4% • Marijuana – 19.4% Extent of Drug Use in US (MTF) • Smokeless tobacco – 6.5% • Narcotics – 3.8% (heroin – 0.4%) • Amphetamines – 2.9% (meth – 0.6%) • Sedatives – 2.8% • Tranquilizers – 2.6% Extent of Drug Use in US (MTF) • Hallucinogens – 2.2% (LSD – 1.1%) • Cocaine – 1.9% • Ecstasy – 1.8% • Inhalants – 1.4% • Steroids – 1% Extent of Drug Use in US (MTF) 30 25 • Current use (MTF) Trend lines 20 15 10 5 0 1991 2008 12th grade 10th grade 8th grade Extent of Drug Use in US (MTF) • Other interesting facts re current use (MTF): • Perceived harmfulness of drug use generally NOT up • Perceived disapproval of drug use generally NOT up • Perceived availability of drugs generally NOT down If we’re going to have a “war on drugs” which drugs should we pursue??? (WRITE THESE DOWN) • Answer depends on …?: • Degree of harm caused to individuals by drug use/abuse? • Degree of harm caused to families, communities and society by drug use/abuse? • Degree of dependence/addiction triggered by drug use experimentation? • If we used these criteria, on what drugs would we focus? DO NOW • THE EFFECTS THAT A DRUG HAS ON A PERSON DEPENDS ON WHAT FACTORS? LOOK IN YOUR NOTES!!!!!!!!!!!! 3/21/2016 DO NOW • WHAT IS A STIMULATE? NAME SOME EXAMPLES OF A STIMULATE. • YOU HAVE UNTIL 12:38 SECTION 2: DRUGS INC. • Some call methamphetamine the "Devil's Drug." Often made in less than an hour from a common cold remedy, this powerful stimulant is sweeping across the U.S. and Asia. • It can be injected, smoked, or snorted, and one hit can keep a user high for as long as eight hours. More addictive than cocaine or alcohol, meth locks users in a devastating cycle. Some call methamphetamine the "Devil's Drug." Often made in less than an hour from a common cold remedy, this powerful stimulant is sweeping across the U.S. and Asia. Follow a raid on a suspected meth lab, stake out a neighborhood pharmacy where addicts attempt to accumulate cold and flu pills, and meet a neuroscientist urgently searching for a cure for addiction. See the dangers of meth and the unexpected physical damages caused by the drug. • 1. Methamphetamine • 1. one of the world’s most powerful stimulants “Devils Drug” • It can be injected, smoked, or snorted, and one hit can keep a user high for as long as eight hours. More addictive than cocaine or alcohol, meth locks users in a devastating cycle. All over the United States, thousands of dealers sell methamphetamine under the street names crank, crystal, glass, or ice. Every year Mexican drug cartels produce approximately 200 metric tons of meth for the U.S. market alone, with an estimated revenue of $8 billion. In China and India, a small number of pharmaceutical factories produce thousands of tons of pseudo-ephedrine for legitimate use. Criminal middlemen legally purchase vast quantities of these chemicals but then sell them on to illegal meth producers. Supplying chemicals illegally is a lucrative business. In Asia, a kilo of pseudo-ephedrine costs $68. But international criminal organizations, like the Mexican cartels, pay up to $10,000 for the same kilo. • 2. street names for Meth • 2. crank, crystal, glass, or ice • 3. Mexican drug cartels • 3. produce approximately 200 metric tons of meth for the U.S. market alone Facts about Meth • All over the United States, thousands of dealers sell methamphetamine under the street names crank, crystal, glass, or ice. • Every year Mexican drug cartels produce approximately 200 metric tons of meth for the U.S. market alone, with an estimated revenue of $8 billion. • In China and India, a small number of pharmaceutical factories produce thousands of tons of pseudo-ephedrine for legitimate use. Criminal middlemen legally purchase vast quantities of these chemicals but then sell them on to illegal meth producers. • Supplying chemicals illegally is a lucrative business. In Asia, a kilo of pseudo-ephedrine costs $68. But international criminal organizations, like the Mexican cartels, pay up to $10,000 for the same kilo In the United States, imported Mexican methamphetamine has spread rapidly eastward. With increased Mexican migration, traffickers and dealers can now hide amongst lawabiding Hispanic communities across America. Seventy percent of the 250 metric tons of meth coming into the U.S. originates from Mexican sources. But Mexican ice is by no means the only kind of methamphetamine available. Unlike heroin or cocaine, methamphetamine can be produced at home, using a concoction of easily available household chemicals. • 4. Mexican sources of meth • 5. Missouri • 4. 70% of the 250 metric tons of meth coming into the U.S. originates from Mexican sources • 5. Almost 1,500 meth labs were discovered in Missouri last year, making it one of the worst hit states in the epidemic of home methamphetamine cooking Facts about Meth • In the United States, imported Mexican methamphetamine has spread rapidly eastward. With increased Mexican migration, traffickers and dealers can now hide amongst law-abiding Hispanic communities across America. • Seventy percent of the 250 metric tons of meth coming into the U.S. originates from Mexican sources. But Mexican ice is by no means the only kind of methamphetamine available. Unlike heroin or cocaine, methamphetamine can be produced at home, using a concoction of easily available household chemicals. • Almost 1,500 meth labs were discovered in Missouri last year, making it one of the worst hit states in the epidemic of home methamphetamine cooking. America is the largest methamphetamine market in the Western Hemisphere. In the state of Missouri, an estimated 53,000 people use methamphetamine. Methamphetamine makes the user feel euphoric, alert, and powerful. But the horrific after-effects of this extraordinary rush include severe depression and an inability to eat or sleep. • 6. America • 6. is the largest methamphetamine market in the Western Hemisphere; 1.4 million • In the state of Missouri, an estimated 53,000 people use methamphetamine • 7. effects of meth 3/21/2016 • 7. makes the user feel euphoric, alert, and powerful Facts about Meth • America is the largest methamphetamine market in the Western Hemisphere. • In the state of Missouri, an estimated 53,000 people use methamphetamine. • Methamphetamine makes the user feel euphoric, alert, and powerful. But the horrific after-effects of this extraordinary rush include severe depression and an inability to eat or sleep. • Large doses of methamphetamine can also cause hallucinations. As with powerful hallucinogens such as LSD, meth-induced delusions seem entirely real. Methamphetamine makes the user feel euphoric, alert, and powerful. But the horrific after-effects of this extraordinary rush include severe depression and an inability to eat or sleep. Large doses of methamphetamine can also cause hallucinations. As with powerful hallucinogens such as LSD, meth-induced delusions seem entirely real. • 8. after-effects of meth • 8. include severe depression and an inability to eat or sleep; hallucinations 3/21/2016 A few ingredients such as ingredients, including ammonium fertilizer and lithium from household batteries, are placed in a simple soda bottle The chemicals react, producing not only methamphetamine, but also poisonous fumes that can explode • 9. Sources of Methamphetamine 3/21/2016 • 9. can be produced at home; Mexican drug cartels are another source A few ingredients such as ingredients, including ammonium fertilizer and lithium from household batteries, are placed in a simple soda bottle. The chemicals react, producing not only methamphetamine, but also poisonous fumes that can explode • 10. harmful ingredients of meth 3/21/2016 • 10. ammonium fertilizer and lithium from household batteries METH LAB 3/21/2016 DO NOW • AFTER WATCHING THE NATGEO VIDEO “WORLD’S MOST DANGEROUS DRUG” WHAT ARE YOUR THOUGHTS ON THE AFFECTS OF METH TO PEOPLE’S LIVES AND SOCIETY? 3/21/2016 DO NOW • HOW DOES METH AFFECT THE BODY? 3/21/2016 SECTION 2: DRUGS INC. Cocaine is a global business. From coca farmers in Colombia and trafficking cartels in Mexico to crack slingers in Miami and cocaine dealers in London, the supply chain of cocaine stretches around our world. • 11. Cocaine • 11. powerful stimulant that produces feelings of intense pleasure and well being Social effects of Cocaine Drug traffickers are the real "winners" in the cocaine business. They earn millions of dollars by smuggling large shipments of drugs across international borders. The cocaine trade wreaks havoc on countries around the world. Cash from the sale of cocaine has financed coups in Bolivia, fuelled guerrilla wars in Nicaragua and Colombia, and threatens the stability of the Mexican state. • 12. social effects of cocaine 3/21/2016 • 12. financed coups in Bolivia, fuelled guerrilla wars in Nicaragua and Colombia, and threatens the stability of the Mexican state Miami, Florida, is America’s first city of cocaine. Since the 1970s it’s been a point of entry for traffickers and home to a large population of dealers. There are two forms of cocaine: Cocaine powder is snorted predominantly by the wealthy, many of whom believe it’s non-addictive and can enhance both work and play. Crack cocaine is sold in rock form and smoked. It delivers an intense high and a way to escape the reality of life, if only for a brief while. • 13. Miami, Florida • 14. two forms of cocaine 3/21/2016 • 13. is America’s first city of cocaine • 14. cocaine powder; crack cocaine While the drug cartels earn millions of dollars smuggling cocaine, the peasant farmers who grow the coca plants, from which cocaine is extracted, are lucky to earn enough to survive. Over half of the world’s cocaine is produced in Colombia. Tens of thousands of peasant farmers grow coca in Colombia. Growing food crops does not yield nearly as much profit as growing coca. Colombian farmers sell yucca plants for 40 cents a kilo, whereas cocaine paste sells for $750 per kilo. The profit from coca farming is the only way these growers can provide a better life for their families • 15. Source of Cocaine 3/21/2016 • 15. Over half of the world’s cocaine is produced in Colombia When cocaine is used it interferes with the reabsorption of dopamine, a brain chemical associated with pleasure and movement, producing a euphoric effect. Shortly after cocaine is ingested the user may experience the following symptoms: Constricted blood vessels. Dilated pupils. Increased body temperature. Increased heart rate. Higher blood pressure. • 16. effects of cocaine • 16. produces a euphoric effect; restlessness; mental alertness • 17. after-effects of cocaine • 17. dilated pupils; higher blood pressure; paranoia; anxiety 3/21/2016 Crack cocaine first emerged in 1984. Up until then, cocaine, costing $100 per gram, was seen as a drug that was the preserve of the rich. Crack revolutionized the cocaine business by offering a cheap, yet intensely powerful high for only $5. It soon swept through America’s inner cities. Within a year 5.8 million people had succumbed to addiction. • 18. crack cocaine • 18. revolutionized the cocaine business by offering a cheap cocaine • Plagued the inner cities 3/21/2016 The profit from coca farming is the only way these growers can provide a better life for their families. For the million peasant farmers growing and producing cocaine paste in Colombia, the international drugs trade is economically brutal. They receive a mere 5 cents for every gram of cocaine sold, but growing any other crop would condemn them to poverty. 3/21/2016 Facts about Cocaine • Miami, Florida, is America’s first city of cocaine. Since the 1970s it’s been a point of entry for traffickers and home to a large population of dealers. • There are two forms of cocaine: – Cocaine powder is snorted predominantly by the wealthy, many of whom believe it’s non-addictive and can enhance both work and play. – Crack cocaine is sold in rock form and smoked. It delivers an intense high and a way to escape the reality of life, if only for a brief while. • Crack cocaine first emerged in 1984. Up until then, cocaine, costing $100 per gram, was seen as a drug that was the preserve of the rich. • Crack revolutionized the cocaine business by offering a cheap, yet intensely powerful high for only $5. It soon swept through America’s inner cities. Within a year 5.8 million people had succumbed to addiction. Facts about Cocaine • In the 1990s the appetite for cocaine in the UK exploded, seen as a glamorous drug that enables users to work and play harder and longer. Cocaine became the drug of choice for Britain’s middle class. Forty-two U.S. tons of cocaine are consumed in the UK each year. • Around the world there are two million people working as cocaine dealers. Selling cocaine and crack can provide a profitable living, but few make a fortune • Drug traffickers are the real "winners" in the cocaine business. They earn millions of dollars by smuggling large shipments of drugs across international borders. • The cocaine trade wreaks havoc on countries around the world. Cash from the sale of cocaine has financed coups in Bolivia, fuelled guerrilla wars in Nicaragua and Colombia, and threatens the stability of the Mexican state. • DO NOW • PROVIDE A NEUTRAL VIEW OF DRUG USE? WHAT ARE SOME EXAMPLES OF NEUTRAL DRUGS? • LOOK IN YOUR NOTES!!!!!!!!!!!!!! 3/21/2016 The global heroin industry funds terrorism and international crime while undermining the fabric of society. America’s prisons hold half a million drug offenders — more than any country in the world. Drug abuse costs the U.S. economy more than $180 billion a year. • 19. a drug that changes • 19. Heroin the way the brain works, so when an addict is deprived of the drug, they become physically sick. These physical changes in the brain lead to chemical dependence. • Heroin is one of the deadliest drugs on the face of the planet. The global heroin industry funds terrorism and international crime while undermining the fabric of society. America’s prisons hold half a million drug offenders — more than any country in the world. Drug abuse costs the U.S. economy more than $180 billion a year. • 20. America’s prisons • 20. hold half a million drug offenders costing U.S. economy $180 billion per year • 21. U.S. government • 21. spends less than a 1/4 of its drug control budget on treatment • 22. methods heroin of use 3/21/2016 • 22. injected, snorted, or smoked (mostly injected) Soon after injection (or inhalation), heroin crosses the blood-brain barrier. In the brain, heroin is converted to morphine and binds rapidly to opioid receptors. Abusers typically report feeling a surge of pleasurable sensation a "rush." The intensity of the rush is a function of how much drug is taken and how rapidly the drug enters the brain and binds to the natural opioid receptors. Heroin is particularly addictive because it enters the brain so rapidly. With heroin, the rush is usually accompanied by a warm flushing of the skin, dry mouth, and a heavy feeling in the extremities, which may be accompanied by nausea, vomiting, and severe itching. • 23. effects of heroin • 23. in the brain heroin is converted to morphine and binds rapidly to opioid receptors; creating a euphoric state within seconds • 24. receptors located in the brain and various organs that bind opiates or opioid • 24. opioid receptors substances Opioid Receptors • Medications such as morphine and oxycodone bind to these receptors in the brain to reduce feelings of pain, and these drugs may also cause feelings of euphoria. Increasing the scientific understanding of opiate receptors may help pharmaceutical companies develop medications for pain without the threat of addiction. 3/21/2016 After the initial effects, abusers usually will be drowsy for several hours. Mental function is clouded by heroin's effect on the central nervous system. Cardiac function slows. Breathing is also severely slowed, sometimes to the point of death. Heroin overdose is a particular risk on the street, where the amount and purity of the drug cannot be accurately known. 3/21/2016 Within the after effects of heroin the use may feel drowsy for several hours Mental function is clouded by heroin's effect on the central nervous system. Cardiac function slows. Breathing is also severely slowed, sometimes to the point of death. • 25. after effects of • 25. drowsy for several hours; heroin mental function is clouded; cardiac function slows; breathing is severely slowed sometimes to the point of death 3/21/2016 Because it’s injected, heroin’s impact on the brain is extreme. Unlike other drugs that rely on snorting or smoking, heroin’s effects are felt within seconds. It quickly crosses from the blood stream into the brain, releasing huge amounts of dopamine which trigger a euphoric state in the user. • 26. symptoms of heroin withdrawal • 26. Physical symptoms of heroin withdrawal include severe muscle pain, vomiting, diarrhea, and in some cases, even death. Two million people across the country are involved in the cultivation of opium poppies. Poppies contain opium sap — the raw ingredient needed for heroin. Some families rely on the sale of poppies to feed their families. An Afghan farmer earns more than the average yearly wage ($9,000) by selling the opium needed to make just one kilo of heroin. In America, that kilo fetches $130,000. • 27. Source of heroin 3/21/2016 • 27. More than 75% of the world’s heroin supply of heroin originates in Afghanistan Two million people across Afghanistan are involved in the cultivation of opium poppies. Opium sap, the raw ingredient of heroin, comes from poppies. • 28. opium sap 3/21/2016 • 28. the raw ingredient of heroin, comes from opium poppies FIELD OF OPIUM POPPIES USED TO CREATE HEROINE IN AFGHANISTAN 3/21/2016 Facts about Heroin • Opiates, like heroin, kill more people than any other narcotic — around 100,000 a year worldwide. Its victims die primarily from infection from dirty needles or overdose. • The U.S. government spends less than a quarter of its drug control budget on treatment • In 2007 more than 1.8 million drug-related arrests were made in the U.S. Heroin use is risky because it’s almost always injected. Sharing needles spreads HIV and other infectious diseases. The Insite project, a government run facility that provides users with clean needles and a safe place to shoot up, was set up in 2003 after Vancouver’s Downtown Eastside posted the highest rates of HIV in the Western world. • 29. victims of heroin use • 29. die primarily from infection from dirty needles or overdose DO NOW • LIST THE FOUR MAJOR TYPES OF DRUGS AND GIVE AN EXAMPLE OF EACH. 3/21/2016 DO NOW • EXPLAIN THE EFFECTS AND AFTEREFFECTS OF HEROIN USE. WHAT TWO WAYS DO HEROIN USERS TEND TO DIE PRIMARILY FROM? 3/21/2016 To many, it's an evil weed, but to some, it's a sacred herb, even a lifesaver. For decades the global supply was controlled by criminals, but now a quasi-legal industry worth billions of dollars is booming. Visit growers who are leading a horticultural revolution, hear from users consuming for medicinal purposes, go inside the "Green Rush" of medical marijuana in cities across the U.S. and the violent marijuana cartels in Mexico. • 30. Cannabis • 30. psychoactive plant commonly known as marijuana, grass, pot, or weed; the most widely used drug on the planet Cannabis Revolutionaries vs. Law Enforcement • Used by 167 million people worldwide, cannabis polarizes public opinion. On one side, there are cannabis revolutionaries trying to legitimize the plant. On the other, law enforcement is trying to wipe it off the planet. The Facts on Cannabis • Used by 167 million people worldwide, cannabis polarizes public opinion. On one side, there are cannabis revolutionaries trying to legitimize the plant. On the other, law enforcement is trying to wipe it off the planet. • In 1970, the U.S. Federal Government passed the Controlled Substances Act classifying cannabis as a Schedule 1 drug, just like heroin. This designation identifies the drug as having a high potential for abuse with no medicinal value. • In defiance of Federal law, 14 U.S. states now allow patients to grow or purchase cannabis on a doctor’s recommendation. Chief among these rebel states is California. In 1970, the U.S. Federal Government passed the Controlled Substances Act classifying cannabis as a Schedule 1 drug, just like heroin. This designation identifies the drug as having a high potential for abuse with no medicinal value. In defiance of Federal law, 14 U.S. states now allow patients to grow or purchase cannabis on a doctor’s recommendation. Chief among these rebel states is California. • 31. classified cannabis as • 31. Controlled a Schedule 1 drug, just Substances Act (1970) like heroin • 32. Schedule 1 drug • 33. California (1996) • 32. drug has a high potential for abuse w/no medical value • 33. allow patients to grow or purchase cannabis on a doctor’s recommendation In defiance of Federal law, 14 U.S. states now allow patients to grow or purchase cannabis on a doctor’s recommendation. Chief among these rebel states is California. •States that have decriminalized possession or allow medical marijuana. 3/21/2016 •States considering decriminalization, legislation, or medical marijuana in 2012 •States with existing decriminalization or medical marijuana laws that are considering further reform. Cannabis contains a complex mixture of more than 60 unique active compounds known as cannabinoids. The two most abundant of which are Tetrahydro-cannibinol, or THC, and cannabidiol, or CBD. • 34. cannabis compounds • 34. contains a complex mixture of more than 60 unique active compounds known as cannabinoids • 35. two main cannabinoids • 35. THC & cannabidiol 3/21/2016 When ingested, the compounds attach themselves to cannabinoid receptors, molecules affecting neural signals in parts of the brain governing memory, anxiety, appetite, coordination, and pain. • 36. effects of cannabis 3/21/2016 • 36. affects neural signals in parts of the brain governing memory, anxiety, appetite, coordination, and pain. California’s tolerance of cannabis for medical use dates back to the early outbreaks of AIDS in the 1980s. In 1996, California passed Proposition 215, a state law allowing doctors to recommend cannabis to patients. • 37. proposition 215 3/21/2016 • 37. a state law allowing doctors to recommend cannabis to patients Facts about Cannabis • When ingested, the compounds attach themselves to cannabinoid receptors, molecules affecting neural signals in parts of the brain governing memory, anxiety, appetite, coordination, and pain. • California’s tolerance of cannabis for medical use dates back to the early outbreaks of AIDS in the 1980s. • In 1996, California passed Proposition 215, a state law allowing doctors to recommend cannabis to patients. • Once a patient has a doctor’s recommendation, they can legally grow their own or purchase cannabis from a dispensary. The so called “Cannabusiness” is booming. Like ordinary goods, cannabis is subject to a sales tax and it’s underpinning California’s economy. Once a patient has a doctor’s recommendation, they can legally grow their own or purchase cannabis from a dispensary. The so called “Cannabusiness” is booming. Like ordinary goods, cannabis is subject to a sales tax and it’s underpinning California’s economy. California has up to 400,000 medical cannabis patients, serving them are an estimated 2,100 dispensaries and co-operatives — a total that outnumbers the state’s Starbucks, McDonald’s and 7-11s combined. 3/21/2016 The last 15 years have seen a medical revolution across America. Doctors are recommending cannabis for everything from cancer to stress. But critics say the system is abused by recreational users who exploit medical endorsement to bypass the law. Despite being legal under State law, dispensary owners still risk prosecution under Federal drug laws, which don’t recognize medical cannabis. • 38. dispensary owners • 38. still risk prosecution under Federal drug laws, which don’t recognize medical cannabis • 39. cannabusiness • 39. subject to a sales tax and it’s underpinning California’s economy Marijuana can be cultivated anywhere on the planet by growing it indoors, a process that began in Holland. • 40. Source of Marijuana 3/21/2016 • 40. Marijuana can be cultivated anywhere on the planet by growing it indoors, a process that began in Holland. Marijuana 3/21/2016 Facts about Cannabis • California has up to 400,000 medical cannabis patients, serving them are an estimated 2,100 dispensaries and co-operatives — a total that outnumbers the state’s Starbucks, McDonald’s and 7-11s combined. • The last 15 years have seen a medical revolution across America. Doctors are recommending cannabis for everything from cancer to stress. But critics say the system is abused by recreational users who exploit medical endorsement to bypass the law. • Despite being legal under State law, dispensary owners still risk prosecution under Federal drug laws, which don’t recognize medical cannabis. Quiz #1 Essay • DESCRIBE SOME NEGATIVE AND POSITIVE INFLUENCES THAT DRUGS HAVE ON PEOPLE. 3/21/2016 DO NOW • WHICH STATE IN THE U.S. IS THE PIONEER STATE FOR LEGALIZING MEDICAL MARIJUANA? • EXPLAIN PROPOSITION 215. HOW IS MEDICAL MARIJUANA AIDING CALIFORNIA’S ECONOMY? 3/21/2016 Section 3: The Enforcers Atlanta is home to “Spaghetti Junction,” a concrete jungle where two U.S. interstates and a number of other major highways converge. A tractor trailer leaving here can reach about 80 percent of the population in the United States within 48 hours. It’s a logical transshipment point for legitimate business and for loads of drugs and money. Spreading through America like wildfire, meth is seen by many law enforcement agencies as the number one drug threat because it can drive users to desperate acts. • 1. Atlanta • 2. drug shipment • 1. home to two U.S. interstates and a number of major highways • 2. uses this Spaghetti Junction for loads of drugs and money In 2006, Federal anti-meth laws cracked down on methamphetamine production. Sales of pseudo-ephedrine are now strictly limited to nine grams a month per person. Nationally, the cost of methamphetamine-related crime is estimated at $4 billion. • 3. Federal anti-meth laws • 3. have cracked down on meth production; cost of crime $4 billion Rotterdam is the third biggest port in the world with 25 miles of harbor handling over a million tons of cargo a day — and not all of that cargo is legal. Officers in the port have to determine which ships to search for drugs. It's one of the most difficult jobs in the harbor. • 4. Rotterdam (Holland) • 4. third largest port in the world; officers must determine which ships to search for drugs But they have a tool to make their job a bit easier: an X-ray machine so powerful it can see through the steel walls of shipping containers. Despite the best efforts of border police, 340 tons of heroin made it onto the world’s streets last year. • 5. x-ray machine • 5. can see through the steel walls of shipping containers Since the 1970s the war on drugs has cost more than two trillion taxpayer dollars, but it hasn’t eliminated marijuana. In fact, cannabis use is so widespread that 41 percent of Americans admit trying it, including President Obama. In the 1930s Federal Bureau of Narcotics chief Harry Anslinger began America’s war on drugs. He created a moral panic, claiming cannabis use led to insanity, rape, and murder. • 6. Federal Bureau of Narcotics chief Harry Anslinger • 6. began Americas war on drugs in the 1930s • 7. Anslinger’s claim on cannabis • 7. claiming cannabis use led to insanity, rape and murder; outlawed in 1937 by U.S. Congress • 8. Taxpayers money against War on drugs • 8. since 1970s the war on drugs has cost U.S. $2 trillion Despite objections from the American Medical Association, Anslinger persuaded Congress to outlaw the drug in 1937. Since Cannabis was outlawed in the 1930s, stopping its use has been the main focus of America’s War on Drugs. While medical marijuana patients can legally consume their medicine in 14 U.S. states, more than 800,000 people are arrested for illegal cannabis use every year. For the past 25 years governments around the world have been fighting a war against cocaine. Austin, Texas, is one of the main battlegrounds in this war. In Colombia, the American government has financed an eradication operation to reduce cocaine production in the country by 50 percent. Since 2000 the U.S. Government has poured $5 billion into these eradication missions to little effect. • 8. Austin, Texas • 9. U.S. gov • 8. main battleground for war against cocaine • 9. financed ($5 billion) eradication operation in Columbia to reduce cocaine production The amount of cocaine manufactured in Colombia remains the same today as at the beginning of the century. The majority of this cocaine is smuggled into America. Instead of shipping large loads across the country, smugglers have been forced to ship smaller units due to the successes of the DEA and Border Patrol. But with the huge number of cars crossing the border and coming into Austin, law enforcement knows it has no hope of stopping all cocaine from reaching the city. But even containing the cocaine problem is an uphill battle. Not only have the drug cartels divided their shipments between hundreds of traffickers, they now employ thousands of dealers to sell their product. • 10. drug cartels • 10. employ thousands of dealers to sell their product Cartel Spheres of influence and U.S. Presence Cartel Spheres of influence and U.S. Presence Gulf Cartel Juarez Cartel Sinaloa Cartel Tiajuana Cartel 3/21/2016 La Familia Michoacana Beltran Leyva DO NOW • WHAT DID THE FEDERAL BUREAU OF NARCOTICS CHIEF HARRY ANSLINGER CLAIM THE USE OF CANNABIS LEAD TO? WHAT IS THE CONTROLED SUBSTANCES ACT OF 1970? DO YOU AGREE WITH THIS ACT? EXPLAIN YOUR ANSWER. • LOOK IN YOUR NOTES 3/21/2016 DO NOW • WHY IS ROTTERDAM SUCH A NIGHTMARE FOR THE DEA (DRUG ENFORCEMENT AGENCY)? WHAT TOOL HAS MADE THEIR JOB MUCH EASIER FOR THE DEA IN ROTTERDAM? 3/21/2016 Section 4: The Traffickers 3/21/2016 Cocaine Submarines • http://channel.nationalgeographic.com/c hannel/videos/built-for-speed/ 3/21/2016 San Ysidro, the point of entry between Tijuana, Mexico, and San Diego, California, is the busiest land border crossing in the world, and America’s front line in the war on drugs. Large Mexican drug trafficking organizations have begun producing methamphetamine on an industrial scale. It’s marketed to the masses as “Mexican Ice” or “Crystal.” Many traffickers use the San Ysidro border crossing to smuggle meth from Mexico into the United States. Working almost exclusively with midlevel drug dealers, many traffickers rarely associate with the end user. • 1. San Ysidro • 1. busiest land border crossing in the world; U.S. front line in the war on drugs • 2. large Mexican drug trafficking • 2. organizations have begun producing meth on and industrial scale Many traffickers use the San Ysidro border crossing to smuggle meth from Mexico into the United States. San Ysidro, the point of entry between Tijuana, Mexico, and San Diego, California, is the busiest land border crossing in the world, and America’s front line in the war on drugs. 3/21/2016 The global opiate market is estimated to be $65 billion. The global heroin industry funds terrorism and international crime while undermining the fabric of society. Raw opium is taken to a group of drug warlords who control large areas of Afghanistan. These warlords traffic opium to international crime syndicates across the Iranian border, which turn it into heroin that they sell for up to $5,000 a kilo. Perhaps to ensure prices remain consistently high, traffickers have stockpiled 12,000 tons of opium. That’s enough to keep the world’s heroin addicts fixed for two whole years. • 3. heroin industry • 4. drug warlords • 3. funds terrorism and international crime • 4. in Afghanistan traffic opium across Iranian border 3/21/2016 The Mexican drug cartels that dominate the supply of cannabis are fighting for their share of the worldwide cannabis market estimated to be worth $142 billion annually. In California the Mexican cartels’ profits are being eroded by “mom and pop” operators who are supplying the booming legal medical marijuana business. People from all over America are flocking to California to be part of the so called “Green Rush.” • 5. Mexican drug cartels • 5. dominate supply of cannabis • 6. “mom and pop” operators in California • 6. supplying the booming legal medical marijuana business eroding Mexican drug cartels’ profits 3/21/2016 America’s multi-billion dollar demand for marijuana is fueling devastating bloodshed on Mexico’s streets. Two of Mexico’s biggest drug gangs, the Sinaloa and the Juarez cartels, are fighting a war over El Paso’s strategic location on the Mexican-U.S. border. The war over lucrative smuggling routes has turned Juarez, Mexico, into the murder capital of the world. • 7. Sinaloa and Juarez • 7. Mexico’s biggest drug cartels gangs • 8. both gangs • 8. are fighting a war over El Paso’s location on the Mexican U.S. border • 9. Juarez, Mexico • 9. considered to be the murder capital of the world Cartel Spheres of influence and U.S. Presence Cartel Spheres of influence and U.S. Presence Gulf Cartel Juarez Cartel Sinaloa Cartel Tiajuana Cartel 3/21/2016 La Familia Michoacana Beltran Leyva DO NOW • Why is Juarez, Mexico considered to be the murder capital of the world? 3/21/2016 DO NOW • WHICH DRUG DID YOU CHOOSE TO DO YOUR PROJECT ON WHEN DISCUSSING “WAR ON DRUGS”? EXPLAIN WHY? If we’re going to have a “war on drugs” which drugs should we pursue??? (WRITE THESE DOWN) • Answer depends on …?: • Degree of harm caused to individuals by drug use/abuse? • Degree of harm caused to families, communities and society by drug use/abuse? • Degree of dependence/addiction triggered by drug use experimentation? • If we used these criteria, on what drugs would we focus? DO NOW • If we’re going to have a “war on drugs” which drugs should we pursue??? • WHAT ARE SOME FACTORS THAT THIS QUESTION DEPENDS ON 3/21/2016 DO NOW • MISSOURI IS NOW TRYING TO PUSH FOR A LAW WHICH WILL LEGALIZE MEDICAL CANNABIS. DO YOU AGREE THAT MEDICAL CANNABIS SHOULD BE LEGALIZED. EXPLAIN YOUR ANSWER. • SHOULD CANNABIS BE LEGALIZED COMPLETELY. EXPLAIN YOUR ANSWER 3/21/2016 Section 5: The Doctors 3/21/2016 The volatile substances used to manufacture meth can cause an explosion powerful enough to kill. The Vanderbilt Hospital in Nashville has one of the United States’ premier burn units. Patients are flown here from all over the southeastern U.S. At any time, victims of exploding methamphetamine labs make up about a quarter of the unit’s patients. In the U.S. overall healthcare costs for methamphetamine users are estimated at almost $864 million per year. • 1. Vanderbilt Hospital • 1. premier burn units in in Nashville U.S.; meth lab explosion victims make up ¼ of unit’s patients • 2. health cost for • 2. estimated at almost $864 meth users million per year; 48% of meth users do not have health insurance Meth burn victim from meth lab explosion: Mark Buckner is one of the 48 percent of meth users who have no health insurance, putting a great strain on hospital resources. One hospital in central Tennessee provided approximately 300 million dollars in charity care last year. 3/21/2016 • When it comes to heroin use is especially risky because the drug is almost always injected. Sharing needles spreads HIV and other infectious diseases. Opiates, like heroin, kill more people than any other narctoic—around 100,000 a year worldwide. Its victims die primarily from infection from dirty needles or overdose. • 3. opiates (heroin) • 3. kill around 100,000 a year world wide; through dirty needles or overdose • 4. blood-borne • 4. transmitted by sharing infections needles Insite is a government-run facility in Vancouver that provides users with clean needles and a safe place to shoot up. This project was set up in 2003 after Vancouver’s Downtown Eastside posted the highest rates of HIV in the Western world. Heroin use is especially risky because the drug is almost always injected. Sharing needles spreads HIV and other infectious diseases. Physical symptoms of heroin withdrawal include severe muscle pain, vomiting, diarrhea, and in some cases even death. • 5. Vancouver, Canada • 5. in 2003 posted the highest rates of HIV in the Western world • 6. Insite • 6. a government-run facility in Vancouver that provides users with clean needles and a safe place to shoot up. 3/21/2016 Insite is a government-run facility in Vancouver that provides users with clean needles and a safe place to shoot up. Heroin use is especially risky because the drug is almost always injected. 3/21/2016 In Chicago, Illinois Greg Scott, Research Director of the Chicago Recovery Alliance, sees the 50,000 addicts in his city as victims in need of medical treatment. Scott’s day begins on the wrong side of the tracks. He heads to some of the city’s most dangerous areas to help homeless addicts. A lack of access to clean needles for addicts during the 1980s helped fuel an AIDS epidemic. Scott’s primary concern is not to get users into addiction treatment but, instead, to teach them safer injection practices. • Greg Scott, Research Director of the Chicago Recovery Alliance, sees the 50,000 addicts in his city as victims in need of medical treatment. Scott’s day begins on the wrong side of the tracks. He heads to some of the city’s most dangerous areas to help homeless addicts. Opiates, like heroin, kill more people than any other narcotic — around 100,000 a year worldwide. They do so in two main ways — by infection from dirty needles and by overdose. Blood-borne infections are transmitted by sharing needles. A lack of access to clean needles for addicts during the 1980s helped fuel an AIDS epidemic. Scott’s primary concern is not to get users into addiction treatment but, instead, to teach them safer injection practices. Greg Scott, Research Director of the Chicago Recovery Alliance, sees the 50,000 addicts in his city as victims in need of medical treatment. Scott’s day begins on the wrong side of the tracks. He heads to some of the city’s most dangerous areas to help homeless addicts. Scott’s primary concern is not to get users into addiction treatment but, instead, to teach them safer injection practices. • 7. Greg Scott • 7. research director of the Chicago Recovery Alliance • 8. Chicago Recovery Alliance • 8. provider of community outreach • 9. narcan programs including harm reduction, better vein care, and safer injection resources • 9. a drug that can reverse an opioid overdose. It blocks opioids from attaching to opioid receptors in the brain DO NOW • EXPLAIN THE PURPOSE OF THE CHICAGO RECOVERY ALLIANCE PROGRAM. • DO YOU AGREE WITH THIS PROGRAM? EXPLAIN YOUR ANSWER. 3/21/2016 Switzerland is one of the richest and, by reputation, most conservative countries in Europe. But during the 1980s and 1990s, Switzerland was in the grips of a heroin plague. In the capital of Bern, drug-related crime was through the roof. It was a national disgrace. In response to public outcry, the government came up with a revolutionary program way beyond the clean needles and counseling offered in North America: free heroin for addicts who meet the criteria, prescribed by doctors and courtesy of the taxpayer. Dr. Christoph Bürki has been part of this radical experiment from the beginning. • 10. Switzerland • 10. plagued with heroin addiction during the 80’s & 90’s; created an revolutionary drug program • 11. HAT program • 11. free heroin for addicts (heroin assisted prescribed by doctors & courtesy treatment of taxpayers In 1994 Switzerland became the pioneer of the ‘heroin clinic’, a safe environment where addicts go to be prescribed and inject pure heroin, as opposed to its sometimes ineffective substitute, methadone. Initially, this programme was met with scepticism, but the Swiss public were persuaded of the benefits of heroin-assisted therapy (HAT) and endorsed it twice in nationwide votes. This new-found confidence in HAT was primarily due to a cost-benefit analysis estimating that the rewards of the programme (money saved in law enforcement and health costs) were double that of the cost, tackling areas such as crime, social reform and stopping the spread of HIV & AIDS. 3/21/2016 His clinic in Bern is one of 23 centers around the country that dispense heroin like medicine. It’s nothing compared to the soup-like consistency of street heroin. Here, it’s 100 percent pure. Every patient in this clinic receives a controlled dose of pharmaceutical grade heroin. Before Bürki’s clinic was established, heroin addiction forced his patients into a life of crime, prostitution, and homelessness. They were disconnected from medical services and addiction treatment. • 12. Dr. Christoph Bürki • 12. dispenses heroin like medicine • 13. Bürki’s clinic • 13. every patient in this clinic receives a controlled dose of pharmaceutical grade heroin 3/21/2016 Treating an addict rather than just imprisoning them, where they will more likely be exposed to an even deeper criminal lifestyle, allows them to make a positive contribution to society. Upon admission to the HAT, 73% of the addicts were unemployed and 69% were funding their habit via an illegal income. After 18 months of treatment, the figures dropped dramatically, to 45% and 11%, respectively Crime Rate/Implementation of HAT • 69% funding habit illegally • After 18 months of treatment; the figures dropped to 45% and 11% The last 15 years have seen a medical revolution across America. Doctors are recommending cannabis for everything from cancer to stress. But critics say the system is abused by recreational users who exploit medical endorsement to bypass the law. Despite being legal under State law, dispensary owners still risk prosecution under Federal drug laws, which don’t recognize medical cannabis. •States that have decriminalized possession or allow medical marijuana. 3/21/2016 •States considering decriminalization, legislation, or medical marijuana in 2012 •States with existing decriminalization or medical marijuana laws that are considering further reform. • Once a patient has a doctor’s recommendation, they can legally grow their own or purchase cannabis from a dispensary. The so called “Cannabusiness” is booming. Like ordinary goods, cannabis is subject to a sales tax and it’s underpinning California’s economy. California has up to 400,000 medical cannabis patients, serving them are an estimated 2,100 dispensaries and co-operatives — a total that outnumbers the state’s Starbucks, McDonald’s and 711s combined. Harborside Health Center in Oakland is one such dispensary. Here, patients can choose from around 100 different marijuana products, which cost between $30 and $60 for an eighth of an ounce. The Harborside has 38,000 registered patients who legally grow medical marijuana and sell it to the Harborside collective. In the back office the owners ensure the marijuana meets the high standards needed to qualify it as medicine. Despite being legal under State law, dispensary owners still risk prosecution under Federal drug laws, which don’t recognize medical marijuana. • 14. Californian • 14. 2100 dispensaries serving dispensaries 400,000 medical cannabis patients • 15. Harborside • 15. cannabis dispensary patients Health Center can choose from around 100 different marijuana products, which cost between $30 and $60 for an eighth of an ounce. Harborside Health Center in Oakland is one such dispensary. Here, patients can choose from around 100 different marijuana products, which cost between $30 and $60 for an eighth of an ounce. 3/21/2016 Professor Nora Volkow is America’s leading specialist on drug addiction. As late as the 1980s many scientists and politicians believed cocaine was non-addictive, but Volkow believes they’re wrong. In order to better understand the nature of cocaine addiction, Volkow used a PET scanner to view the brains of hundreds of users and ex-users. While scanning exusers, she noticed an anomaly — when they were discussing cocaine, their dopamine levels rose. • 16. Dr. Nora Volkow • 17. ex-users of cocaine 3/21/2016 • 16. specialist on drug addiction proved cocaine is majorly addictive • 17. when discussing cocaine, their dopamine levels rose • Cocaine is so addictive that simply showing images of its use is enough to increases users’ dopamine levels and lead them into a relapse While scanning ex-users, she noticed an anomaly — when they were discussing cocaine, their dopamine levels rose. Volkow theorized that people become addicted to the lifestyle. In another experiment, volunteers were placed in a PET scanner and shown images of people preparing and snorting lines of cocaine. Incredibly, these images significantly increased the dopamine levels in the brains of users. Dr. Volkow’s research is revolutionary — it shows that cocaine is so addictive that simply showing images of its use is enough to increases users’ dopamine levels and lead them into a relapse. 3/21/2016 DO NOW • What do you think about Dr. Burk’s clinic in Switzerland where every patient receives a controlled dose of pharmaceutical grade heroin in order to cut down on drug related crimes and transmitted diseases. Do you disagree or agree with their methods? Should the U.S. try these “radical” methods? Explain your answer. 3/21/2016 DO NOW • DO YOU AGREE OR DISAGREE WITH THE DISPENSIARIES SUCH AS THE HARBORSIDE HEALTH CENTER WHICH DISPENSES MEDICAL MARIJUANA TO PATIENTS WITH A DOCTOR’S RECOMMENDATION. SUPPORT YOUR ANSWER. 3/21/2016 DO NOW • EXPLAIN TWO THINGS TO ME THAT YOU HAVE LEARNED ABOUT YOUR PART OF THE PROJECT WITHIN THIS WAR ON DRUGS WEBQUEST. 3/21/2016 DO NOW • IN YOUR OWN OPINION DO YOU AGREE OR DISAGREE WITH MARIJUANA BEING LEGALIZED FEDERALLY? EXPLAIN YOUR ANSWER. 3/21/2016 DO NOW • WHY DO YOU THINK THE UNITED STATES GOVERNMENT IS SO AGAINST THE FEDERAL LEGALIZATION OF MARIJUANA? 3/21/2016 DO NOW • SINCE MARIJUANA IS ILLEGAL FEDERALLY, DO YOU THINK THAT CIGARETTES AND ALCOHOL SHOULD ALSO BE MADE ILLEGAL IN THIS COUNTRY? EXPLAIN YOUR ANSWER. 3/21/2016 DO NOW • AFTER READING THIS ARTICLE ANSWER THIS QUESTION: DO YOU BELIEVE THAT THIS WOMEN DESERVES THE PUNISHMENT THAT SHE RECEIVED FOR HER ACTIONS? IF NOT, THEN WHAT PUNISHMENT DO YOU BELIEVE SHE DESERVES. EXPLAIN YOUR ANSWER. 3/21/2016 DO NOW • EXPLAIN THE POSITION THAT YOUR GROUP HAS CHOSEN WHEN IT COMES TO THE LEGALIZATION OF MARIJUANA. HOW DIFFICULT WAS IT TO REACH YOUR DECISION? WHY DID YOUR GROUP CHOOSE THE POSITION? 3/21/2016 DO NOW • EXPLAIN THE EXPERIENCE OF WORKING IN A GROUP WHEN WRITING THE LEGISLATIVE DOCUMENT OF YOUR PROJECT. WERE THERE ANY DIFFICULT MOMENTS. DID EVERYONE GET TO PLACE THEIR INPUT IN THE LEGISLATION? 3/21/2016 DO NOW • I WANT YOU TO GRADE YOUR TEAMMATES WITHIN YOUR GROUP DURING THE WAR ON DRUGS WEBQUEST PROJECT BY RATING THEIR PERFORMANCE WITHIN THE GROUP. RATE EACH OF YOUR GROUP MEMBERS FROM 1-5. 1 BEING THE LEAST PRODUCTIVE AND 5 BEING THE MOST PRODUCTIVE IN THE GROUP. DO NOT SHARE THIS WITH YOUR CLASSMATES OR ANYONE IN YOUR GROUP. MAKE SURE TO EXPLAIN YOUR RATINGS FOR EACH GROUP MEMBER! 3/21/2016 DO NOW • TELL ME TWO THINGS THAT YOU LEARNED FROM ME THIS SEMESTER. • IT DOES NOT HAVE TO BE HISTORY RELATED. • ONCE FINISHED BEGIN STUDYING INDEPENDENTLY FOR YOUR FINAL EXAM • WE WILL BEGIN SHORTLY Section 1 DO NOW • TELL ME TWO THINGS THAT YOU WOULD LIKE TO CHANGE ABOUT YOURSELF FOR THIS NEW YEAR AND THIS 2ND SEMESTER. 3/21/2016