The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
It is this class of youthful addicts that has so alarmingly increased
since the enforcement of the various narcotic laws. I have previously
called attention to this situation, and also to the fact that for
this increase the laws themselves are not so much to be blamed as
is the totally inadequate meeting of the clinical and therapeutic
and educational needs of the narcotic drug situation. There has been
practically no organized scientific, medical or public health activity,
so far as I know, directed towards the clinical and laboratory
investigation of this disease--towards a dispassionate review, analysis
and testing out of the truths and errors of its literature--towards an
investigation of the scientific and other qualifications and experience
of those whose utterances or writings influence medical and lay opinion
and action, towards the establishing of pathological and physical
facts and reactions and of clinical symptomatology and phenomena as
fundamental bases for its rational handling and therapeutics, and for
practical education of the public as to its sufferings and dangers.
The neglect of this education is largely indirectly responsible for
illicit traffic in narcotic drugs. Illicit and underground traffic
exists because it is profitable. This is the direct and immediate
reason for its existence. Every new addict made of an adventurous youth
means a new customer for the smugglers and vendors. If that adventurous
youth had been taught the facts of the physical hell of the “withdrawal
signs” of opiate addiction-disease--if he knew the sufferings attendant
upon body-need for opiate drug--if he knew that any red-blooded animal
will develop this physical body need if opiate drug is administered
for a sufficiently prolonged period--that no living being is immune
to the development of this disease--if he thought of addiction as
he thinks of tuberculosis, and as he is now being taught to regard
venereal-disease, instead of it as being something vague and surrounded
by a halo of adventure and experience, he would not fall an easy
victim to the agents of the trafficker. In other words, the most
potent activity in the arrest of development of even the vicious and
criminal aspects of the narcotic addiction situation lies in education.
Laws and their enforcement in the control of the incorrigible and
vicious will always be a necessity, but laws and their administration
alone are not sufficient for the control of the many-sided addiction
situation. Even in the control of smuggling and illicit traffic we
need the application of every available influence capable of exertion,
not only upon its end results but upon the machinery of its origin
and development. As so much of it originates and develops through
ignorance, the method of its remedy lies in education, education as to
the facts of narcotic drug addiction-disease.
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