''TIDE HAS TURNED' IN THE WAR ON HEROIN'

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CIA-RDP75B00380R000300060014-2
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RIPPUB
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K
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3
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December 16, 2016
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March 29, 2005
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14
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Publication Date: 
July 16, 1973
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OPEN
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U.S. flews and World Report J Approved "Mu: 5/FAGS By Dr. Hans H. Neuman, Director of Preventive Medicine, Department of Health, New Haven, Conn. We have arrived at a turning point in ,the heroin epidemic. In New Haven, as in many other cities, overdose and death due to this drug have become a rarity, and the number of persons coming under care for detoxification is showing a sharp decline. The result of education? Of methadone substitution? What has brought about this remarkable change in the addiction picture after seven years in which there was a dis- tressing annual increase in the number of heroin addicts? This promising turnabout appears to be the resua.lt of .lasyear sT telrom s ns ortage, U-nited--States an ra ua y spread west- . tivar n Connecticut, t e neroin content per bag sold in the streets has dropped steadily since early 1972, while its price doubled. Impor- tantly, the dire prediction that "the higher price of heroin will only increase the crime rate, so that addicts will be able to get the larger sums of money they need for the purchase of the drug," has not materialized. AtAhe two major treatment programs in New Haven, the decline in the requests for admission has been dramatic- roughly 50 per cent in the last six months-and similar de- creases are reported from other areas throughout the county Admissions with a diagnosis' of drug abuse to all Connect- icut State institutions averaged 213 per month in 1971, and 166 per month in the first half of 1972. In the second half of 1972? these were the number' of admissions: July, 157; August, 126; September, 91; October, 90; November, 81, and December, 44. Wherever the heroin shortage is acute, its impact is mani- festing itself in two ways: in fewer people to detoxify, and, because of the greater dilution of what is available on the -street, dependence among habitues is less severe and detoxi- fication easier. In many addicts,' instead of the usual increase in dosage and tolerance, a gradual drug withdrawal took place during the last year. y wit t-e l ero n el - i n or t an y'li4A J cl,ul lJ prove that it catr one, one o' the ere it s ou no .oubt, go to the new ccr of of Drug Abuse Law Enforce- ment. Apparently the harassment and prosecution of big- ti d me tra ers can upset supply systems. Paradoxically, the enormous number of heroin United States-over half a million-turned into sorts. A limited supply in a huge market makes for costly and meager doses of heroin in the envelopes, and, with it, for forced withdrawal on a mass scale. Two other methods of attacking the heroin problem have been drug-education and treatment programs. Regarding the education of adolescents on this subject, there is a growing concern that its usefulness is an illusion. While it might help a few-the youngsters least likely to become drug addicts with or without education-it induces many of the potential users to experiment. "Se- duces" might be a better word for it. In immature youngsters, drug education may have the paradoxical effect of stirring a morbid curiosity. Often enough the urge to daring and defiance under even ordinary circumstances is a part of growing up. Researchers at the University of Michigan did a study of the relationship between drug education and drug use and found that junior-high-school students who were ex- posed to a drug-education program sharply increased their experimentation with drugs. Control groups experimented far less. Other surveys in California and Texas have pro- duced similar evidence. There is enough IN THE WAR ON HERON catItlt angle, the most effective way to comae doubt about its effects to declare a morn-? torium on drug education as part of the school curriculum. Do we have methadone substitution and other treatment methods to thank for the turnabout? Experiences in New Haven do not support such?a theory. The reason our hospitals are admitting fewer heroin addicts is not because they were redirected to methadone centers. Our outpatient facilities are also experiencing a lower patient load. Methadone programs in more and larger centers can be a curse, as evidenced by the massive leaks of methadone into some communities and the frightening increase in the num- ber of methadone-related deaths nationally. Even if all pro- grams were run faultlessly, there are other strong objections from a public-health. viewpoint. In times of ample heroin supply, th abuse ;n a communi- ty expan s to t o -extent of the drug obtainable. And i 'for every hundredm users entering metha one treatment a hundred new ones will fill their places, nothing is gained from a )rublic health. angle even if some individuals benefit. This lesson has been learned in Washington, D. C., in a period when heroin was readily available... . Our current experience provides strong evidence that the of y e ec the way to CO e witIl t re Heroin epi citric is to disrupt its traffic.n clam e 9Y-2 in crime, ew .a murder, produces a lit , ;rttrrtron r' ate ir; the narco cs type e. ret e enninec aw enforcement is acid to these III t-in pressures the final blow it Ica s rnt, ,r very to tn+TT Last ears efforts in this dirtiQp have paid off at the hosnita c el s- nd at tlI n,nt. tie r. -The tide s turned. Whether we can keep it that wav will depend on our efforts and our ingenuity in keeping rite drugs from reaching the streets-and on the amount of public support we will obtain in giving this endeavor the priority it deserves. The foregoing are excerpts from an article by Dr. Neumann, "Progress in the Other War. the Heroic De-escalation," re- printed by permission from the "Mecttcal Tribune" of June 6. Copyright 1973, Medical Tribune, Inc. Approved For Release 2005/04/21 : CIA-RDP75B0038OR000300060014-2 Approved For Release 2005/04/21 : CIA-RDP75B0038OR000300060014-2 The Washington Post July 13, 1973 !'~"~?"`-'~^'r" zi~[7.r !ris..,rz .~+r' -"y.< ..v+y- -.-~~} s-r-,r .~"`~;T wvt 'K*~v.^ i B [ki'~i:.}.? rod III Heron iJsetuuea . By Stuart Auerbach ' -core'dd;` The new chief of President- "There are relatively'-, few To get these hard Nixon's war on drugs, Dr. Rob- new users coming in," he saic{~ diets, DuPont said, "We will red yes- In the District of Columbia,. no longer wait passively for`r ert L: DuPont., declared terday that the nation's heroin for example, 2,500 - persons. individual dependents on her-" ;epidemic "is now approaching were found to have first used oin to come to treatment cen- the point of a turnabout-' i heroin in. 1969. Last year, ters. Rather, we will actively :`.'While stopping just short of there were only 90 first time . reach out to penetrate the ad users. diction underground and urge= saying that the nine-year epi-' He said that deaths 'frame ?heroin abusers to become pa cited .has ended, DuPont) overdoses of both heroin and. tients in our varied types of :--cited three indications that methadone (a synthetic opiate' care."- ?he number of heroin users inj used in narcotic treatment, DuPont, who ran a largil~io - t h e na ion as en cut in half programs) decreased almost 50.'. methadone maintenance pro- 000 to 600,000 daily users in down fastest on the East Coast - ~1971, and in the Middle West, and:' i ,Only a year ago," said Du- slowest on the West Coast; ,Pont, former director of Wash- The number of cases-of heP fngton's Narcotics Treatment atitis--often caused by the. Administration, "the increase dirty needles used by addtets-:f In heroin addicts was our chief decreased by one-fourth in the f th? e h the country compared to 500,- that the epidemic was slowing--- #3> gram In Washington credited with cutting the crime rate and, - ending the drug epidemic, here, said addicts who are' weaned from heroin through' the use of methadone do not?-! DuPont, wno was ap- area. become. addicted to the new pointed director of the White! In New York City, he said;`' " drug. ,,louse's special action officel overdose deaths decreased' In fact, he said, only 2,200 1 from 267 to 167; In Chicago out of the 15,0001 addicts for drug abuse prevention a from 48 to 15; in Washington"= month ago, estimated there fr -'t 27 to 9 and in San Fran- started re the l taki ngton pea ~ gram are still taking metha? 'are now between 200,000 and ciscofrom 11 to 9. done. ?ince a epidemic Brea in per cent during the first three., 1 7T-, rya ew years - he re- months of this year compared'-, fused to specify ow many - to the same time. in 1972. e er o a acts ;Overdose deaths traditionally s ou a re uce to a pre-epi- have been used to measure ` MIS eve the number of addicts in an., problem and concern. "Today, signs are that the '.rate of increase in the number of newly addicted individuals Is on the down side. This indi- eator signals a likely red e- .'tlon in e o a a let popula- .tion- in the forPeeeatile 'trt. To ,bolster his optimistic= prediction-th( first from -an- administration official on the'- nation's : drug problems-Du- s o is y -- -4first three mont compared to the same period: in 1972- By contrast, there.wa$j only an ti per cent decrease- between 1971 and 1972. DuPont credited the sharp,; decrease in heroin use to three factors: the spread fl1rou-nout the country of.- Law rs; a ? ell foremen a uce to a un o i =e on. umrz: 1: e s n to realu?. on an~ang nia voun~ eo le tha ieroin is a dung erous, c; is ive rug. Pont cited decreases in heroin; + espi a js optimistic fore. overdose deaths, decreases -in . ! cast, DuPont said, "We "ill r hepatitis cases and data show hay a Ian w?.. ~ in the.i lag that the number of people., treatment of heroin addicts.", , who, started u-iing heroin for. -i He said the government wild ." the first time. in the last year,; be treating chronic heroin ad-`: decreased sharply,; q - . 1 1 for many yeats to,eonj~ v{ Approved For Release 2005/04/21 : CIA-RDP75B0038OR000300060014-2 ROBERT L. DUPONT!' .... "turnabout" CONFIDENTIAL - ^ SECRET ROUTING AND RECORD SHEET - SUBJECT: (Optional) - FROM: C/DDO/OPSO -~ EXTENSION NO. 2 E 14 DATE T HD. S TO: (Offi building) cer designation, room number, and DATE REatYED FORWARDED OFFICER INITIALS COMMENTS (Number each comment to show from whom to wham. Draw a line across column after each comment.) I. OLC 7 D 35 T4n Q -, The first attached 2. . article by Dr. Neumann attributes the decline in narcotics addiction to the 3. shortage of heroin in the northeast portion of the United States during the 4. ~~ - past year (note underlined portions). According to Dr. Neumann, this shortage 5. results from increasingly effective domestic and international enforcement b. action. This view is supported in the second attached article from 7. today's Washington Post, whi reports at Dr. Robert L. DuPont has also concluded 8? that within a few years the number of heroin addicts will be substantially reduced. 9. If this is so, we can - take some satisfaction in 10. the knowledge that the CIA has contributed significantly to the curtailment of the 11 flow of illicit narcotics in l the United States. Assuming t-wide h h 12. Copies have been fo rwarde d to: e governmen at t t (including CIA) momentum DDO continues over the next `ew d k f l 13. S C/AF C/EUR EA orwar oo years, we can to a time when this Agency can begin to plan for a i h 14. C/NE C/SB C Wei: n t reduction e resource tTA committed to the narcotic program. 15. OGC 0/DCI C DDO OPS FORM 610 USED EDITIONS 3-42 F-1 SECRET Q CONFIDENTIAL IN ItKMAL ^ UNCLASSIFIED USE 4tilY Approved For Release 2005/04/21 : CIA-RDP75B0038OR000300060014-2