THE CREEPING CANCER
by B. Raman
According to a 1998 study of the International
Drug Control Programme of the UN, the international illicit
drug business generates an estimated $400 billion in
trade annually, which is about 8% of all legal international
trade and roughly equivalent to the total turnover of the textile
industry in all the countries of the world put together.
2. An idea of the kind of astronomical profits
earned in the illicit drug business could be had from the
following figures cited in a 2003 study of the UN Office on
Drugs and Crime. A smuggler buys a kilogram of heroin in the
production centres of Afghanistan and Pakistan for US $ 610,
smuggles it across to the US and sells it for US $ 25,000 to a
retailer who, in turn, sells it in the streets of New York
for US $ 55 per gram. In 2001, a kilogram of cocaine base in
Colombia cost around $940. It fetched in the US about
US $21,500, and in the streets of US cities and towns about US
$70 a gram in powder form.
3. The international community has been waging a
war against illicit drugs for much longer than it has been waging
a war against international terrorism--almost since the 1960sThe
Nixon Administration in the US spent on this war in 1969, US $65
million. In 1982 the Reagan Administration spent $1.65 billion; in
2000 the Clinton Administration spent $17.9 billion; and in
2003, the Bush Administration spent $ 19.179 billion. In the
US alone, there has been a twelve-fold increase in the money spent
by the State on this war. There have been considerable increases
in other countries too.
4.According to the US Office of National Drug
Control Policy, federal spending on the drug war in 2001 totaled
$18.095 billion, rising to $18.822 billion in 2002 and $19.179
billion in 2003. The $18.822 billion spent by the federal
government on the drug war in 2002 had the following expenditure
components:
* Treatment (with Research): $3.587 Billion
(19.1% of the total)
* Prevention (with Research): $2.548 Billion
(13.5% of the total)
* Domestic Law Enforcement: $9.513 Billion
(50.5% of the total)
* Interdiction: $2.074 Billion (11.0% of the
total)
* International co-operation : $1.098 Billion
(5.8% of the total)
In other words, a sum of $12.685 billion in 2002
was spent on supply reduction, i.e. law enforcement (67.4%
of the total), and $6.135 Billion on demand reduction, i.e.
treatment, prevention and education (32.6% of the total).
5.When can the international community
claim that it has started winning its war? According to the UN
Office For Drug Control and Crime Prevention, it can do so only
when its drug control and crime prevention agencies are in a
position to intercept about three-fourths of all illicit drug
shipments moving across the world. Also when there is a
significant reduction in the demand for illicit drugs due to
successful education and treatment campaigns and weaning away of
drug users from their habits of illicit drug use.
6. How much are the drug control and
prevention agencies intercepting to- day? According to the UN
Office, only 13 per cent of all heroin shipments and about
28 to 40 per cent of all cocaine shipments. We are nowhere near
winning the war.
7. As a result of the huge increase
in the money spent to reduce the supply of illicit drugs to the
market and the demand from old and new users, results have
been achieved, particularly in the reduction of demand for
cocaine, but the demand for illicit drugs of varous kinds is still
disturbingly high. In the US for which statistics are available,
in 2000, Americans spent an estimated $36 billion on cocaine, $11
billion on marijuana, $10 billion on heroin, $5.4 billion on
methamphetamine, and $2.4 billion on other illegal substances. It
is estimated that approximately 259 metric tons of cocaine
and 13.3 metric tons of heroin were consumed by U.S. drug users
during 2000. According to a study on What America's Users Spend on
Illegal Drugs, they spent $36 billion on cocaine in 2000, a
decrease from the $69.9 billion spent in 1990. Americans consumed
259 metric tons of cocaine in 2000, a decrease from the 447 metric
tons consumed in 1990. Despite this, there were an estimated
2,707,000 chronic cocaine users and 3,035,000 occasional cocaine
users in the United States. The annual U.S. consumption of heroin
is estimated at 13 to 18 metric tons. A rough estimate of the
hardcore heroin addict population in the US places the number
between 750,000 and 1,000,000 users.
8.Such large-scale use of illicit drugs
has an adverse impact on public health. The flow of part of the
money generated by the illicit drug trade into the hands of
insurgent and terrorist groups has an impact, inter alia, on
international peace and security and on the global economy. And,
the adverse impact of the illicit drug use on national economies
affects industrial produtivity and reduces the availability of
funds for puposes such as spread of education, better health care
and improving the quality of life of the deprived sections of the
population.
9.What is the impact on public health? According
to studies by experts, chronic heroin use can lead to
scarred and/or collapsed veins, bacterial infections of the blood
vessels and heart valves, abscesses and other soft-tissue
infections, and liver or kidney disease. Poor health conditions
and depressed respiration from heroin use can cause lung
complications, including various types of pneumonia and
tuberculosis. Long-term effects of heroin use also cause arthritis
and other rheumatologic problems, HIV/AIDS and hepatitis B and C
(which are contracted by sharing and reusing syringes and other
injection equipment). It has been estimated that injection
drug use has been a factor in one-third of all HIV and more than
half of all hepatitis C cases in the US.
10. Experts warn that cocaine use can lead to
disturbances in heart rhythm, heart attacks, respiratory failure,
neurological effects such as strokes, seizure, and
headaches, and gastrointestinal complications such as abdominal
pain and nausea. Other physical symptoms of cocaine use
include blurred vision, fever, muscle spasms, convulsions, and
coma. In rare instances, sudden death can occur on the first use
of cocaine or unexpectedly thereafter. Cocaine-related deaths are
often a result of cardiac arrest or seizures followed by
respiratory arrest.
11.Marijuana abuse leads to frequent
respiratory infections, impaired memory and learning, increased
heart rate, anxiety, panic attacks and tolerance.
12. A new complicating factor has been a
significant rise in the use of synthetic drugs such as
methamphetamine and Ecstasy, originating from Europe, China,
Thailand, and other countries. Netherlands is believed to be the
largest producer of the Ecstasy tablets. Since synthetic drugs are
made in clandestine laboratories and not harvested from fields,
there are no crops to eradicate, as with marijuana, heroin, and
cocaine. Collecting intelligence about such clandestine
laboratories has been more difficult than collecting intelligence
about agricultural plants that can be converted into illicit
drugs.
13. What does all this mean for society ? Visit
Manipur in India on the Myanmar border, which has been a favourite
destination of heroin smugglers from the Golden Triangle. The
increasing availability of heroin has weakened the administration,
governance, the maintenance of law and order, public
morality, public health and productivity and retarded
economic development. There has been a mushrooming of insurgent
groups, many of them not even having any political or economic or
other objective. They have taken to insurgency because it pays and
it pays because of the support they give to heroin smugglers.
Insurgencies thrive because of the support of heroin-smugglers.
Heroin- smugglers thrive because of the support from insurgents.
That is what we call narco-insurgency. Manipur is a disturbing
example of a failed state.
14.Have you heard of narco-terrorism? Terrorists
who thrive because of narcotics money and narcotic smugglers who
thrive because of the support that they get from the terrorists.
Why did many of the terrorists of the world gravitate towards the
tribal areas near the Pakistan-Afghanistan border before 9/11?
Because of the presence in Afghanistan of Osama bin Laden, his Al
Qaeda and their training camps. That was one important reason.
There was equally another important reason. Because of the easy
availability of heroin money.
15. Narcotics-smugglers have no permanent
friends or enemies. They have only permanent interests. Protecting
their narcotics trade. Anyone who protects their trade is their
ally of the moment. Before 9/11, they helped Al Qaeda in its war
against the US. After 9/11, they are helping the US in its war
against Al Qaeda. The result: opium and heroin production in
Afghanistan has reached record levels. Despite all the fighting
that has been going on in that region and despite US and other
coalition troops running around all over the place, Afghanistan
has maintained its position as the largest opium and heroin
producer of the world today.
16. It has been estimated by international
narcotics control experts that if all the poppy grown in
Afghanistan in 2003 were converted to heroin, it would
circulate in the market 337 metric tons . Compare this
with about 46 metric tons produced in Myanmar in 2003. Colombia
and Mexico produce less than 20 metric tons combined. Myanmar’s
production largely supplies the Chinese market, whereas
Afghanistan’s production is directed at Europe and feeds
large addicted populations in Iran, South Asia, Russia, and
Central Asia. According to United Nations estimates, illicit poppy
cultivation and heroin production in Afghanistan generate
more than $2 billion of illicit income, a sum equivalent to
between one-half and one-third of its legitimate gross domestic
product.
17. What does this mean for the regional
economy? Remember the Bali bombing in Indonesia of October,
2002?Remember what happened thereafter for some months? Tourists
in their thousands stopped visiting South-East Asia. International
flights to South-East Asia were largely empty. Hotels and
restaurants were deserted. Night clubs and massage parlours were
without business. Retail shopping suffered.
18. Before the Bali explosion, the South-East
Asian countries used to look upon terrorism as a threat to
regional peace and political stability. After the Bali explosion,
they also look upon terrorism as a threat to their economic
development and well-being. Before the Bali explosion, the ASEAN
statements used to talk of free trade as their objective. After
the Bali explosion, they are talking of free and secure trade as
their objective.
19. What is the use of trade and economy
being free if one cannot protect it from disruptions by
terrorists? How can one be effective in the war
against terrorism if one is not effective in the war
against terrorist funding? How can one be effective in the
war against terrorist-funding if one is not effective in the
war against narcotics production and smuggling?
20. What is the effect on national economies?
According to a comprehensive study of the over-all cost of illicit
drug abuse in the US made for the US Office of National Drug
Control Policy, the cost increased from US $ 102.2 billion in 1992
to US $ 143.4 billion in 1998. Since then, it is estimated to have
further increased to US $ 160 billion plus. Since 1992, the
cost of illicit drug abuse to the US national economy
registered an average annual growth rate of 5.9 per cent, which
was more than the GDP growth rate.
21. Sixty-nine per cent of the total cost to the
national economy as a result of illicit drug abuse is due to the
decrease in productivity for reasons such as absenteeism due to
illness, hospitalisation and involvement in criminal offences,
decrease in alertness and concentration at the work place
affecting the performance of the workers/employees, increase in
industrial accidents, premature deaths of trained workers etc. The
total loss to the US national economy due to the decrease in
productivity increased from US $ 69.4 billion in 1992 to an
estimated US $ 110.5 billion in 2000.
22. Twenty-two per cent of the cost of drug
abuse was due to the spending on law enforcement measures against
suppliers and users of drugs and the maintenance of the criminal
justice system to deal with them. This increased from US $ 21.9
billion in 1992 to an estimated US $ 35.3 billion in 2000.
23. The remainig nine per cent of the cost was
accounted for by medicare for drug abuse victims, which increased
from US $ 10.8 billion in 1992 to an estimated US $ 14.9 billion
in 2000.The largest single item of expenditure was on the
treatment of HIV positive/AIDS victims due to illicit drug abuse,
which came to US $ 3.4 billion. This was followed by an
expenditure of US $ 503 million on the treatment of children of
drug addicts, US $ 434 million on the treatment of Hepatitis B and
C victims due to illicit drug abuse and US $ 24 million on the
treatment of tuberculosis.
24. There has not been a similar quantification
of the cost of illicit drug abuse to the national economies of the
countries of South Asia, but it is a steadily upward graph. What
are the warning or worrisome indicators in the South Asian region?
Reports of international drug control experts draw attention to
the following:
* Traditional abuse of opium and cannabis
is shifting to the more dangerous heroin and injecting drug use
(IDU), with the associated spread of HIV infection.
* The number of drug abusers is estimated at
over 4 million, with the rate of increase among youth. being
quite high.
* Heroin from Afghanistan and Pakistan enters
India from the north-west and from Myanmar through Bangladesh
and the north-eastern states of India. Heroin seizures in India
amounted to 850 kilograms in 2001 .
* International narcotics control experts
claim that the southern ports of India are increasingly used by
Indian and Sri Lankan drug traffickers to ship supplies of
heroin and cannabis to the Maldives and Sri Lanka.
* There has been an increase in HIV/AIDS cases
due to the fast spreading habit of injecting drugs.
* Estimated HIV prevalence is as high as
80 per cent among injecting-users in the north-eastern states of
India, which together have over 100,000 injecting drug
users.
* Use of synthetic illicit drugs such as
Ecstasy tablets is on the increase, particularly amongst
the youth. Synthetic drugs are fast becoming part of the disco
and dance party culture.
* Public education and awareness on the
economic and health costs of illicit drug abuse is still weak in
the South Asian region, as compared to the West.
* Sharing and re-using injecting equipment is
widespread in the region since poor people who use drugs cannt
afford to buy the injecting equipment. Professional injectors
(those who receive payment for injecting a client with an
illicit drug), with unhygienic practices, are increasing in
number.
* In the North Eastern States of India, the
prevalence of HIV infection among injecting drug users (IDUs)
in Manipur is estimated to have increased from
zero in 1989 to 50 per cent of the users within six
months of the practice appearing on the scene. In Imphal,
capital of Manipur, the prevalence of HIV infection among IDUs
is estimated to have increased from 61 per cent in 1994 to 81
per cent in 1998. There have been worrisome reports of HIV
infection spreading from male IDUs to their non-drug using
wives in Manipur. It has been estimated that about 45 per
cent of the non-drug-using wives of IDUs have also caught the
infection.
25. Any strategy for the war or campaign against
illicit drugs has to have the following components:
* Eradication at the point of production.
* Interdiction of supplies along the
smuggling routes.
* Education of the public on the economic
and social cost of drug abuse.
* Rehabilitation in order to wean away not
only drug users from their habit, but also poor and unemployed
people who take up jobs as street sellers of drugs away from
their profession by providing them with education and
opportunities for gainful employment in various sectors of the
economy.
26. In South Asia, while eradication and
interdiction have been receiving considerable attention, the
attention paid to the other two aspects is still very
inadequate.
(The writer is Additional Secretary (retd),
Cabinet Secretariat, Govt. of India, and, presently, Director,
Institute For Topical Studies, Chennai, and Distinguished Fellow
and Convenor, Observer Research foundation (ORf), Chennai Chapter.
E-mail: corde@vsnl.com )