Pubdate: Sat, 10 Jun 2000 Source: New Scientist (UK) Copyright: New Scientist, RBI Limited 2000 Contact: Reed Business Information Limited, 151 Wardour St, London W1V 4BN, England Fax: +44-20-7331 2777 Feedback: http://www.newscientist.com/letters/reply.jsp Website: http://www.newscientist.com/ Page: 3 Author: New Scientist Editorial NO QUICK FIX It Will Take More Than A Shot In The Arm To Wipe Out Addiction AT FIRST glance, vice vaccines look just great. These injections promise to inactivate drugs such as cocaine, heroin, speed and nicotine in the bloodstream before they reach the brain. Without the "hit", people just won't come back for more (see p 22). It's true that these vaccines are still being developed, so their full risks and benefits are not yet clear. But all the signs are that for people who are in danger of overdosing, or for addicts who want to get themselves clean but need some help to overcome their craving, the vaccines will be immensely valuable. But like many new technologies, they also bring difficult choices. Will convicted criminals who steal to feed their drug habit be allowed back onto the street if they agree to be vaccinated, for example? Could a judge even compel these people to be vaccinated? Perhaps the most contentious debate that vice vaccines have raised is whether they should be given routinely to children, like polio or measles vaccines. This is not a distant worry. No sooner have some researchers published the results of vaccine trials than they have found themselves inundated with requests from worried parents who want their children vaccinated. Is this really what we want for future generations? For any society that values personal freedom, the answer has to be no. People have the right to choose how to behave, whether it's good or bad, legal or not. Let's not ignore the fact that millions of people take illicit drugs for pleasure without becoming addicted. Administering vice vaccines will mean that youngsters are no longer free to make such choices for themselves. It would be like a return to Pleasantville. And, remember, we're just talking about illicit drugs here. One vaccine under development acts against nicotine, and if it's nicotine today, why not caffeine tomorrow? Society's attitudes to drugs change. Forty years ago, smoking was fine. A century ago, American ship operators were giving stevedores cocaine to speed up their work. Like it or not, people have been taking mindaltering chemicals since before recorded history. Each vaccine acts only against a specific drug, and stopping people getting high on one drug will simply push them to take others-as addiction researchers have already found. So drug use won't go away, the drugs will just change. Opposing the widespread use of vice vaccines for youngsters is not to advocate drug use. By all means let vice vaccines spark a revolution in detox clinics. But when it comes to helping children deal with drugs, the way to help them is through education, ensuring that they can follow lifestyles that are incompatible with drug taking, and giving them the tools to spot risks and make informed choices. The problem of drug abuse is bound up with modern society in complex ways. Simple chemical solutions are unlikely to provide the whole answer. - --- MAP posted-by: Derek