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Heroin's back - but prescription opiates are still a bigger problem

A man shoots up heroin behind a dumpster in Los Angeles. 

The governor of Vermont, Peter Shumlin, gave his State of the State speech yesterday and devoted the address to a single issue, the heroin epidemic in his state. The number of heroin overdoses in Vermont has doubled since the previous year. Shulmin pressed lawmakers to increase the state's budget for treatment facilities, a much less expensive alternative to prison.

Vermont is not alone. Heroin use is on the rise in rural and suburban counties all across the U.S. In the latest federal survey of drug use found the number of people who used heroin recently nearly doubled to 335,000 in the last five years.

At the same time, the use of prescription opiates, like Oxycotin and Vicodin, has also risen. Prescription overdose is now the leading cause of death in at least 29 states, far larger than heroin. "That's a dramatic change over the last decade," says Jeff Levi , executive director of Trust for America's Health. "And that is reflected by the huge increase in prescriptions written for these drugs."

In response to the rise in prescription overdoses, the federal government and the medical community restricted access to prescription opiates. A secondary effect of that restriction says Levi, is that "many people have been turning to more accessible and less expensive approaches -- including heroin."

Dr. Christopher Jones heads the prescription drug overdose team at the CDC. His research found that many heroin users started on other opiates. "When you ask those people to report which drug they used first, about 77 percent of the time they say they used opioid analgesics prior to initiating heroin," says Jones.

The cost of the rise in heroin use is paid in a number of ways. Incarceration rates go up, crime increases, which lead to higher law enforcement costs, and ultimately there is the human cost. "I think about the families that are broken apart by this and the things that could have been," says University of Vermont sociology professor Andrew Golub.

He believes there is no single solution to solving the problem of addiction. "Each case is different, collectively they add to create a tragedy and loss of society, not just in crime, but loss of participation in community and economic sector."

According to the latest data available, heroin related deaths are up to just over 3,000. Still, five times as many people died from prescription opioids during the same period.

About the author

David Weinberg is a general assignment reporter at Marketplace.
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Mr. Ed21:

Please read the article. It says that pharmaceutical opiates are a FACTOR OF FIVE more of a problem (a cause of death) than "street drugs". And, the pharmaceutical variety often lead people into using the non-pharmaceutical form.

Where are *these* drugs coming from???

From the companies that make them, of course.

Another story about heroin and its consequences.
But when will one of these reporters have the "gonads" to ask WHERE THIS HEROIN is coming from?

Most likely the same place which has created a heroin drug epidemic in Russia and China in recent years.
That place where the heroin is coming from is Afghanistan where the US runs the show.
This is widely known in Europe and Asia from my contacts and from reading on line papers from overseas.
So why can't a reporter from America learn that fact.
Are you afraid of some repercussions from the US government or the military-industrial complex which is running these drugs to markets worldwide.
Its been known for many years that the premiere drug runner on the planet is the CIA. Yes, the CIA, known as Capitalism's Invisible Army, Criminals In Action or the Cocaine Importing Agency.

Just when will someone starting asking the real questions. Or are you people afraid of what happened to Gary Webb, an investigative reporter known for his 1996 "Dark Alliance" series of articles written for the San Jose Mercury News and later published as a book. In the three-part series, Webb investigated Nicaraguans linked to the CIA-backed Contras who had smuggled cocaine into the U.S. Their smuggled cocaine was distributed as crack cocaine in Los Angeles, with the profits funneled back to the Contras. Webb also alleged that this influx of Nicaraguan-supplied cocaine sparked, and significantly fueled, the widespread crack cocaine epidemic that swept through many U.S. cities during the 1980s.
Your people need to do some research on this topic before you write an article. I suppose if you report too much, someone could be "suicided" as Mr. Webb was.

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