Pubdate: Sun, 09 Jun 2002 Source: Observer, The (UK) Copyright: 2002 The Observer Contact: http://www.observer.co.uk/ Details: http://www.mapinc.org/media/315 Author: Kamal Ahmed and Martin Bright BRITAIN BACK ON THE BRINK OF VIOLENT CRACK EPIDEMIC Last time, it was a false alarm. This time, the escalating use of highly addictive cocaine rocks could ravage this country Kamal Ahmed and Martin Bright Sunday June 9, 2002 The Observer In the cold, wet autumn of 1986, Anthony 'Crumpet' Lemard choked to death on his vomit, face down in a police cell in Kensington, west London. He had been arrested a few hours earlier after police were called to a block of flats a few miles away where Lemard was 'going berserk', brandishing a knife and 'acting crazy'. It was just another death in the drug-fuelled parts of London, another statistic to add to the thousands of deaths recorded every year of people whose drug use ends in tragedy. But Lemard was different. When pathologists tested his blood and urine, they found the highest concentrations of cocaine ever seen in England. Experts were puzzled how anyone could have taken such huge amounts of cocaine. Then one official said Lemard may have been taking a new form of cocaine that enters the bloodstream more quickly and in far higher concentrations. It was a new drug from America. Lemard had been taking crack. A few months later, police in Toxteth, Liverpool, started reporting increasing levels of violence among drugs gangs. In May 1987 three police were severely beaten in a raid on a pub. Their assailants seemed 'totally hyped up', psychotic and lacking in fear. Police had found a number of 'crack factories' in backstreet houses. Yardie gangs were starting to encroach on inner-city areas. Kenneth Oxford, Merseyside's then Chief Constable, told the police authority that small amounts of a new drug called 'crack' had been found in the area. Use, he said, was not widespread. Since then, crack cocaine - also known as gravel, rock, stones and wash - has stalked Britain's drugs debate. After Lemard's death and Toxteth's problems, an early flurry of stories indicated that an epidemic was about to strike Britain, similar in its devastation to the one that ripped through inner-city America. Robert Stutman, from the US Drugs Enforcement Administration, told British police in April 1989: 'Two years from now you will have a serious drugs problem.' Panic was in the air, but the epidemic never materialised. Cocaine use rose and then stabilised through the 1990s. Crack was only a small part of the problem, although serious where it affected deprived inner-city estates. The Metropolitan Police's Crack Intelligence Unit, set up in the late 1980s, was quietly disbanded after three years because it did not have enough work to do. But now new worries are surfacing. Could the threat of a crack epidemic be re-appearing? Last autumn, little noticed in the depths of the annual Drug Misuse Declared in 2000 report, was a line which set alarm bells ringing in government: 'There were significant increases in the use of both powder and crack cocaine in 2000 compared with levels in previous surveys.' Use for young adults between the ages of 16 and 29 was particularly worrying. Officials from the UK Anti-Drugs Co-ordination Unit also noticed another worrying development from America. In February, drugs experts in Boston started reporting a sudden rise in use of crack cocaine. Boston had been one of the cities plagued by the drug more than a decade ago, but seemed to have the problem under control. Now it is not so sure. In a fortnight's time David Blunkett has called a 'cocaine summit' to discuss the issue, focusing on crack. The Metropolitan Police, whose Operation Trident has targeted cocaine use in London, will be joined by Avon and Somerset Police (Bristol has a particular crack problem), the National Treatment Agency for Substance Misuse, Home Office officials and Customs and Excise. The meeting, to be chaired by Bob Ainsworth, the Home Office Minister with responsibility for drugs, will discuss new treatment programmes for cocaine and crack users and look at one of the major problems for users of the drug - - there is no 'replacement' drug which can be prescribed for those seeking to rid themselves of the habit. Unlike heroin users, who can be prescribed methadone to control and eventually reduce their drug habit, you are either on crack or you are not. Research is continuing in America on finding an antidote to the drug. The British pharmaceutical firm Xenova is involved in trials with Yale University on a drug which blocks the movement of cocaine from the bloodstream to the brain. A spokeswoman admitted on Friday that they were still 'a number of years' from any widely available treatment. The figures on crack are worrying. 'If you combine crack and cocaine, this is the second most popular drug in this country,' said Aidan Gray of the cocaine charity Coca. 'With this proportion of people using, you have a higher number with problems.' Lord Adebowale, chief executive of the Turning Point drugs charity, told the Home Affairs Select Committee: 'Five years ago, 1 per cent of users in the southern region were crack cocaine users; it is now 12 per cent. We are seeing a rapid increase. There does not appear to be a huge body of evidence about what we do with crack users in this country.' At a conference last month on the implications of increased crack-cocaine use for the criminal justice system, the National Association of Probation Officers presented worrying evidence about crack users on the Government's new Drug Treatment and Testing Orders. Across 10 London boroughs there had been significant rises in crack users being seen by the drug teams since September 2000. In east London the numbers had risen by half and in west London by 70 per cent. Probation workers said violence was almost always an issue with crack users, who were difficult to control without serious coercion. Early statistics show that success rate of existing treatments is low. In south and west London half of all crack users were shown to have breached the conditions of their orders and returned to court. If the rules were strictly applied, workers said, more than 90 per cent of crack cocaine addicts now on treatment orders would end up in prison. For users, the first rush of crack soon descends into the darkness of addiction, crime and a crumbling lifestyle. When Louis had his first smoke, he thought it was just a different way of taking cocaine. A successful computer salesman in his late twenties, earning UKP50,000 a year and driving a Saab convertible, Louis thought he had it all. His UKP200-a-month cocaine habit was an indulgence, but he saw it as a secret luxury that suited his high-stress lifestyle. Crack changed everything. 'It was a completely different buzz - 100 per cent more intense, much more euphoric. They say the first hit is the best and it was, but there was also a more-ish factor.' Louis was already having problems with a constantly blocked and bleeding nose from his cocaine habit, so he was happy to switch to smoking crack. In months he was spending UKP500 a day on 'rocks' and taking on massive bank loans to support his habit. Louis, a former public school boy now aged 32, is evidence that consumption of crack crosses all social boundaries. Drug workers call it the 'equal opportunities drug' because users are found in all parts of the country, across the race and class divide. But unlike social drugs, such as cannabis, ecstasy or even cocaine it is difficult to sustain a normal life as a crack user because of its addictive qualities. Louis started to prowl the streets of north London in his Saab, looking for new sources of crack. 'I cringe now about the danger line I crossed, in my suit with all my computer equipment, to make contact with a dealer. Anything could have happened.' Louis's life was collapsing around him. 'I would leave my flat at night with the lights on and the stereo still playing, thinking I'd be out for half an hour while I scored. I would go out on Monday, end up at the crack house and not get back home until Wednesday.' For 18 months, Louis sank into the violent underworld of the north London crack gangs. 'Guns were involved and I saw street battles. I was asked to use my car to transport vast quantities of drugs.' Louis was eventually targeted by the police as a possible big-time dealer, but when he was stopped and searched they found only Rohypnol, the date rape drug, which he used to come down from crack so that he could sleep. He got away with a caution, but it acted as a warning and Louis decided to seek help. By now he had lost his job and girlfriend and built up UKP40,000 of debts. He now attends a day programme at Turning Point, one of the few agencies with specialist training to deal with crack addicts. Fellow Turning Point client Jim, a 32-year-old builder with three children, was introduced to crack when a friend came into some money and bought UKP1,000 worth of rocks. 'I never had any trouble with powder [cocaine] and I never really fancied crack. But it was such a buzzy feeling. They say it's better than sex, but it's not like that at all. It's a different sort of feeling, like your brain goes into overdrive.' Jim also found it impossible to hold down a job once he he got 'the taste', and the shift into crime was immediate. 'I was getting through UKP300 of crack over a couple of days. I could borrow maybe UKP50 or UKP60, so the rest of it had to come from somewhere. I wouldn't think twice about going on the rob. It feels like nothing else matters. It affects different people different ways, but if you had the flavour and you saw someone at a cash machine, it wouldn't matter if he was 12ft tall and 6ft wide, you'd just take the money.' Jim found himself in court, and his girlfriend stopped him seeing his children. Two months ago, he finally went to his doctor for help and was referred to Turning Point, where he is undergoing intensive therapy in an attempt to keep him off crack and out of trouble. 'The problem is that it's everywhere. I've seen people smoke it on building sites. Sometimes you're stuck there all day with nothing to do. That's when it starts.' The highs and lows of crack addiction * According to the Home Office, there are 178,000 regular crack users in England and Wales. * Crack, often referred to as 'ice', 'rocks' or 'tornado', is crystallised freebase cocaine. * The name crack is thought to refer to the crackling sound crack makes when it is smoked. * A typical hit from one vial of crack costs around UKP20. The subsequent high lasts between five and 10 minutes. * Side-effects of heavy use include sleeplessness, hallucinations, convulsions and paranoid delusions, which can lead to violent behaviour. * Users can smoke as many as nine vials in one sitting, with the cost spiralling to UKP500 a day. - --- MAP posted-by: Jay Bergstrom