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n2doc

(47,953 posts)
Mon Dec 2, 2013, 05:44 PM Dec 2013

How harmful is crack cocaine?

HOLLYWOOD seldom depicts junkies in suits and ties. But in recent weeks several public figures have admitted taking hard drugs while working in high-powered jobs. Toronto’s serially scandalous mayor, Rob Ford, has admitted that he smoked crack cocaine two years ago, while in office. Trey Radel, a Florida congressman, is under pressure to resign after being convicted of possessing powder cocaine. In Britain Paul Flowers, a former chairman of the Co-op bank (and a Methodist preacher to boot) was arrested after a newspaper filmed him apparently buying methamphetamine and other drugs. If people can take hard drugs and still go on running a national bank or Canada’s biggest city, how dangerous can such substances be?

One way of judging a drug’s harmfulness might be to see how it is treated in the courts. But the drug laws are frequently eccentric. Until recently in America an automatic five-year jail sentence was mandated by the possession of just five grams of crack cocaine, while it took at least 500 grams of powder cocaine to trigger the same penalty. (The Fair Sentencing Act of 2010 reduced the disparity from 100:1 to 18:1.) In Britain, the government classifies drugs’ harmfulness on a scale from A to C. But ministers' tendency to use the system to send warning messages to the public means that popular drugs are sometimes given higher ratings than they might deserve. Cannabis, which has been smoked by nearly one in three British adults, is officially deemed more dangerous than GHB, a “date rape” drug that can kill. Even the sanest legal systems cannot keep up with the stream of potentially harmful “legal highs” that are too new to have been classified at all.

Researchers have sometimes tried to compare drugs' harmfulness on a more scientific basis. Perhaps the best-known recent ranking was led by Professor David Nutt, a former chief drugs adviser to the British government, and published in the Lancet in 2010 (we reproduced a simplified version of its results here). Its conclusion was that alcohol was more harmful than any banned drug—which might seem odd, given that Mr Radel cited his alcohol abuse as the reason for his (implicitly far worse) cocaine habit. But to reach this conclusion the study factored in the harm done not just to the user, but to society. If one looks only at the risk to the user then banned drugs are indeed somewhat more harmful than alcohol. In the Lancet study crack, heroin and methamphetamine were all judged to do more harm to the user than alcohol (powder cocaine was not). The direct risk of death, which often grabs headlines, was reckoned to be highest under heroin and its cousin methadone. Crack and crystal meth contributed most to the “impairment of mental functioning”.

So is it better to have a politician who is an alcoholic or a drug addict? An alcoholic is a bit more likely than a crack-smoker to die, but the crack-smoker is more likely to have his judgment fuddled. Drinkers are also slightly less likely to slip into dependency; crack, heroin and meth are more moreish than alcohol (though no more so than tobacco). Drug-using public figures may also have more trouble maintaining the trust of voters. For one thing, taking drugs implies breaking laws, an undesirable characteristic in those who write them. There is also evidence that users of certain illegal drugs are slightly more likely to experience breakdowns in personal relationships than those who abuse alcohol. Professor Nutt and his colleagues found that on this score, meth and crack were the most damaging substances. That seems to have been borne out by Mr Flowers, the “crystal Methodist”, who has been disowned by many former allies and whose appointment to the Co-op is to be the subject of an inquiry. Mr Ford, by contrast, is doing his best to prove the researchers wrong. Still in his post, he has promised to run for re-election next year. One recent poll suggested that his approval rating had not been affected much by the scandal. Indeed, one-third of Torontonians intend to vote for him again.

http://www.economist.com/blogs/economist-explains/2013/12/economist-explains?fsrc=scn/fb/wl/bl/ee/harmfulcrackcocaine

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Th1onein

(8,514 posts)
1. I had a family friend, high on alcohol and cocaine, knock the crap out of me this weekend, for no
Mon Dec 2, 2013, 05:50 PM
Dec 2013

reason at all. It hurt to put him in jail, but he also threatened to come back and kill me and my the rest of my family, including my pregnant daughter and my four year old granddaughter.

I've seen him drinking, or on pot, never have I seen him violent until this incident, and the cops found cocaine on him. Now, I can never trust him again, no matter how contrite he might be.

 

closeupready

(29,503 posts)
3. Wow, that sucks. Sorry for your encounter this weekend.
Mon Dec 2, 2013, 05:57 PM
Dec 2013

I have a personal rule that if I find out someone I've met is doing some kind of abuse of substances, excl. alcohol since that's more of a fundamental part of our traditions, then I end the relationship immediately.

Hugs to you.

Th1onein

(8,514 posts)
8. The trick is going to be ending this friendship without getting hurt, or my family hurt.
Mon Dec 2, 2013, 06:05 PM
Dec 2013

I called the jail and found out that they only set his bond at a thousand bucks! I don't know if he will have the money to bond out, but they have my phone number and I'm on their list of contacts, if he gets out.

Apparently, he had the coke hidden on him and when they took him to the hospital, they found it. They called me and told me that they found one of my credit cards in his wallet (I gave it to him in case he needed it, a long time ago), and brought it back to me. They told me he was dangerous and NOT to bail him out. But why set his bond so low then?

Incitatus

(5,317 posts)
4. I have friends who drink and smoke pot on a regular basis.
Mon Dec 2, 2013, 05:59 PM
Dec 2013

I couple of them moved onto harder drugs like crack and destroyed their lives. They would pawn/steal anything they could, ignore their power and rent payments for that next hit. I have never known a person to do that for a drink or bag of weed. I guess it is possible, but far less likely.

Incitatus

(5,317 posts)
11. I don't know if I buy the whole gateway thing.
Mon Dec 2, 2013, 06:16 PM
Dec 2013

Or the theory is at least played out as worse than it is. Do people drink before they snort a line of coke or smoke crack, most likely. There are a lot of people who drink and a lot of people who smoke, most stop there. I don't know the statistics, but I suspect most people do drink before they smoke pot, some move onto pot, some move onto other drugs. With the gateway argument, you can call caffeine a gateway drug that leads to alcohol and then worse drugs. The practice of one lesser drug being used before a stronger one is likely, but do not buy that as a cause. There are a lot of other factors involved that have more to do with the individual than the drug.

Th1onein

(8,514 posts)
12. I agree with that, as well. No gateway in many cases. But alcohol lowers inhibitions.
Mon Dec 2, 2013, 06:19 PM
Dec 2013

That could lead to people doing a lot of things that they wouldn't ordinarily do, including experimentation with drugs.

Incitatus

(5,317 posts)
14. Yes, which indicates to me Rob Ford wanted to smoke crack.
Mon Dec 2, 2013, 06:24 PM
Dec 2013

I don't care how much I drink and I have been pretty damn wasted a few times, there is no way in hell I would touch a drug like that. So for people like Ford, I can see where the Gateway theory applies.

 

Comrade Grumpy

(13,184 posts)
7. Drugs aren't radioactive. Most people who use them do so without any harm.
Mon Dec 2, 2013, 06:04 PM
Dec 2013

We should treat illicit drug like alcohol: Leave the cops out of it, except to clean up the messes.

This needs to be approached as a public health issue, not a law enforcement one.

Jessy169

(602 posts)
10. Like most drugs, used intelligently and in moderation, not too bad
Mon Dec 2, 2013, 06:15 PM
Dec 2013

The problem with crack cocaine however is that it is almost impossible to use in moderation or intelligently. Once ingested via a halfway decent crack pipe, what once was intelligence becomes extremely compromised and the powerful addictive nature of the drug is nearly impossible to resist. Way back in the day, a few friends and I had a short little run with this drug, and we still talk about it after these many years, wondering how we survived. We refer to that first puff off the crack pipe as "letting the monster out of the cage". And once the monster is out of the cage, you don't know what will happen, except whatever it is, it ain't gonna be good. Thank God I kicked that nasty drug. Do yourself a favor, don't try it, period.

Jesus Malverde

(10,274 posts)
13. 'Crack baby' study ends with unexpected but clear result
Mon Dec 2, 2013, 06:20 PM
Dec 2013
Did cocaine harm the long-term development of children like Jaimee, who were exposed to the drug in their mother's womb?

The researchers had expected the answer would be a resounding yes. But it wasn't. Another factor would prove far more critical.


"We went looking for the effects of cocaine," Hurt said. But after a time "we began to ask, 'Was there something else going on?' "

While the cocaine-exposed children and a group of nonexposed controls performed about the same on tests, both groups lagged on developmental and intellectual measures compared to the norm. Hurt and her team began to think the "something else" was poverty.

As the children grew, the researchers did many evaluations to tease out environmental factors that could be affecting their development. On the upside, they found that children being raised in a nurturing home - measured by such factors as caregiver warmth and affection and language stimulation - were doing better than kids in a less nurturing home. On the downside, they found that 81 percent of the children had seen someone arrested; 74 percent had heard gunshots; 35 percent had seen someone get shot; and 19 percent had seen a dead body outside - and the kids were only 7 years old at the time. Those children who reported a high exposure to violence were likelier to show signs of depression and anxiety and to have lower self-esteem.

More recently, the team did MRI scans on the participants' brains. Some research has suggested that gestational cocaine exposure can affect brain development, especially the dopamine system, which in turn can harm cognitive function. An area of concern is "executive functioning," a set of skills involved in planning, problem-solving, and working memory.

The investigators found one brain area linked to attention skills that differed between exposed and nonexposed children, but they could not find any clinically significant effect on behavioral tests of attention skills.

Drug use did not differ between the exposed and nonexposed participants as young adults. About 42 percent used marijuana and three tested positive for cocaine one time each.

The team has kept tabs on 110 of the 224 children originally in the study. Of the 110, two are dead - one shot in a bar and another in a drive-by shooting - three are in prison, six graduated from college, and six more are on track to graduate. There have been 60 children born to the 110 participants.

The years of tracking kids have led Hurt to a conclusion she didn't see coming.

"Poverty is a more powerful influence on the outcome of inner-city children than gestational exposure to cocaine," Hurt said at her May lecture.


http://articles.philly.com/2013-07-22/news/40709969_1_hallam-hurt-so-called-crack-babies-funded-study
 

Egalitarian Thug

(12,448 posts)
18. +1 and thanks. It still amazes me that the average American is so easily conned,
Mon Dec 2, 2013, 06:33 PM
Dec 2013

and it never gets any harder. No matter how many times they are lied to or stolen from, the very next hairdo with a Bible or a business card that comes along, they just start nodding and saying yes while they look for the pen.

 

pretzel4gore

(8,146 posts)
16. how harmful is the Man's 'war on drugs'?
Mon Dec 2, 2013, 06:28 PM
Dec 2013

since 1945, about 750 thousand dead Americans; about $2 trillion spent on the 'war' and untold billions lost in productivity....a veritable reactionary takeover of the news/info media, with attendent terrorism of any politicians or community leaders who aren't pro-war (watch 'The Wire' for a 10 year old take on a sincere public servant trying to make the drug biz less costly and deadly to the community).
Fact is, the USA has been conquered by the reactionary rightwing-who were symathetic to nazis in WW2 and finally crushed the revolution in 1990 with collapse of Union of Workers Socialist States (the USSR)...and there aint anything we all can do about it.
God, if God exists, either WANTS to do something about evil, and CAN'T, or he Can do something but WON't (due to respect for human freedom etc) Either way, we're in this mess (100 million tonnes carbon inserted into earth 12 mile thick atmosphere EVERY FUCKEN DAY!)
and no one gonna rescue us....so eatdrinkandbemerry


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