where exactly do the authorities get their heroin from?

The government is considering whether legal, injectable heroin might be one way to tackle the effects of drug abuse, but where exactly do the authorities get their heroin from?After a trial reported success in tackling use of street drugs and crime, Justice Secretary Jack Straw has suggested that prescribing heroin on the NHS may be the only way to deal with some users. Most people probably think of opium poppies coming from Taliban-controlled fields in Afghanistan or from the Far East's Golden Triangle, but it is perfectly possible to produce opium in the UK.
Diamorphine for the addict treatment trial is produced in the UK
The UK has one diamorphine producerPoppies are grown in Hampshire, Wiltshire and elsewhere in the south of EnglandIndeed, all of the diamorphine - equivalent to heroin - used in the UK's addict treatment trial is produced in the country. Opiates firm Macfarlan Smith, a subsidiary of Johnson Matthey, is the country's sole diamorphine producer.
It holds contracts with farmers in the south of England - including Hampshire and Wiltshire - to grow crops of poppies, says Ian Godwin, communications director for Johnson Matthey. The firm takes the harvest and processes the poppies into what is called "active pharmaceutical ingredient" (API). This API is then passed on to a UK pharmaceuticals firm to be turned into doses. The processing of opium poppies is done under government licence in "extremely secure" conditions.

The world's pharmaceutical firms get their poppies from everywhere from Spain to India, but the biggest producer is Tasmania in Australia. In Tasmania, a thousand farmers grow poppies across about 13,000 acres and it is one of the island's major exports.

The growing of poppies there can only be done under licence and there are strict controls on access to the field. Possession of opium poppies is a crime. Heroin is not just for addicts but also for other medical uses
The heroin prescription trial in the UK, which is being run at the National Addiction Centre, initially used diamorphine imported specially from Switzerland and distinct from the NHS's own stockpile. It moved to using British diamorphine when that became a cheap enough option. The cost of a year's diamorphine treatment for an addict is about £15,000, although this includes administering and supervising the injections. There have been similar trials involving pharmaceutical heroin in the Netherlands, Switzerland, Germany and Canada. But the UK also has another use for diamorphine. It continues to be used in palliative care, to relieve pain in terminally ill people. A recent problem with supply led to many doctors using other opioids, says Dr Bill Noble, president of the Association for Palliative Medicine. "It is virtually the same as using morphine. The only difference is that diamorphine is much more soluble than morphine, which means you can have much lower volume injections."A regular part of the BBC News Magazine, Who, What, Why? aims to answer some of the questions behind the headlines
It is also used as part of the treatment for some patients with acute heart failure.
Diamorphine does not tend to be used in other countries for palliative purposes simply because it is illegal, says Dr Noble.

Health officials have stepped up their efforts to call attention to health risks caused by cocaine laced with levamisole

Health officials have stepped up their efforts to call attention to health risks caused by cocaine laced with levamisole, a veterinary anti-parasitic drug. The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued a nationwide health alert to medical professionals, substance abuse treatment centers and other public health authorities.
In humans, levamisole can cause agranulocytosis, a serious, sometimes fatal blood disorder. Ingesting cocaine mixed with levamisole can seriously reduce a person's white blood cells, suppressing immune function and the body's ability to fight off even minor infections, according to SAMHSA. People who use crack or powdered cocaine laced with levamisole can experience overwhelming, rapidly-developing, life-threatening infections, the agency said in a news release.Other serious side effects can also occur. If you use cocaine watch out for:
High fever, chills, or weakness.
Swollen glands,Painful sores (mouth, anal)
Infections that won't go away or gets worse very fast
Skin infections, abscesses
Thrush (white coating of the mouth, tongue, or throat)
Pneumonia (fever, cough, shortness of breath)
"SAMHSA and other public health authorities are working together to inform everyone of this serious potential public health risk and what measures are being taken to address it," said SAMHSA Acting Administrator Eric Broderick.
The number of reported cases of agranulocytosis due to tainted cocaine use is expected to increase as information about levamisole is disseminated through the medical community. Thus far, 20 known cases and two deaths have been confirmed.According to the U.S. Drug Enforcement Administration, Columbia cocaine producers are lacing their product with the medication to give it an extra kick.

Scheme in which heroin is given to addicts in supervised clinics has led to big reductions in the use of street drugs and crime

Scheme in which heroin is given to addicts in supervised clinics has led to big reductions in the use of street drugs and crime, the BBC has learned. More than 100 users took part in the pilot – part funded by the government – in London, Brighton and Darlington. They either injected heroin or received the drug’s substitute methadone. Those given heroin responded best and an independent panel which monitored the scheme over six months are advising ministers to set up further trials. About three-quarters of those given heroin were said to have "substantially" reduced their use of street drugs. Research suggests that between half and two-thirds of all crime in the UK is drug-related. The Home Office says on its website that about three-quarters of crack and heroin users claim they commit crime to feed their habits.
PILOT SCHEME FINDINGS
Three-quarters reduced use of street heroin
Offences down from 1,731 in 30 days to 547 in six months
Spending on drugs down from £300 to £50 a week
Figures for group given heroin Professor John Strang, who led the project, said the results were "very positive" because the scheme had helped cut crime and avoid "expensive" prison sentences. Professor Strang, who is based at the National Addiction Centre, part of King’s Health Partners, said the individuals on the programme were among those who had been the hardest to treat. "It’s as if each of them is an oil tanker heading for disaster and so the purpose of this trial is to see: ‘Can you turn them around Is it possible to avert disaster’ "And the surprising finding – which is good for the individuals and good for society as well – is that you can," he said. The Randomised Injecting Opioid Treatment Trial (RIOTT) programme – which is funded by a number of agencies, including the Department of Health – began in 2005. It involved 127 chronic heroin addicts for whom conventional types of treatment had failed. Many of the addicts were also using other substances, including crack cocaine. During the trials, a third of addicts were given the heroin substitute methadone orally and another third injected methadone under supervision. The remainder, observed by nurses, injected themselves with diamorphine – unadulterated heroin – imported from Switzerland.
National roll-out,Those on the programme were also given psychological support and help with their housing and social needs. The results showed that addicts in all three groups cut the amount of heroin they obtained illicitly from street dealers. According to researchers, more than half of the heroin injecting group were said to be "largely abstinent" and one-in-five did not use street heroin at all. Before they began the programme, the addicts in the heroin injecting group were spending more than £300 a week on street drugs. After six months, this had reduced to an average of £50 a week."It used to be about chasing the buzz, but when you go on the programme you just want to feel comfortable"John, RIOTT participant
There was also a big drop in the number of offences addicts admitted committing to obtain money to feed their habit. In the previous month before the scheme started, addicts in the heroin injecting group reported carrying out 1,731 crimes. After six months, this had fallen to 547 offences – a reduction of more than two-thirds. One of the heroin addicts on the programme, a 34-year-old man called John, had been addicted for eight years when the trials began. He fed his habit by dealing. "My life was just a shambles… waking up, chasing money, chasing drugs," he said.
But John said the scheme had transformed his life "100 per cent" and he now had a part-time job. "It used to be about chasing the buzz, but when you go on the programme you just want to feel comfortable," he said.
"I’ve started reducing my dose gradually, so that maybe in a few months time I’ll be able to come off it altogether, drug free totally." In its drug strategy, published last year, the government said it would "roll out" the prescription of injectible heroin, subject to the findings of the pilot scheme. The National Treatment Agency for Substance Misuse (NTA), which administers drug treatment in England, said the results were "encouraging". The NTA said an independent expert group, set up to advise the government, had concluded that there was enough "positive evidence of the benefits" of the programme to merit further pilots. The NTA is understood to be keen to evaluate the financial implications of the scheme. At £15,000 per user per year, supervised heroin injecting is three times more expensive than other treatments.

PREGNANT Filipinas are the favorite “carriers” of drug syndicates bringing illegal drugs to China and Malaysia

PREGNANT Filipinas are the favorite “carriers” of drug syndicates bringing illegal drugs to China and Malaysia, according to former labor undersecretary Susan Ople, head of the Blas Ople Policy Center. Ople’s group is helping overseas Filipino workers victimized by drug syndicates. She said these groups use pregnant women as drug mules because they are least to be eyed as couriers and they get lighter penalties if they get arrested