Pubdate: Sun, 10 Dec 2000 Source: Province, The (CN BC) Copyright: 2000 The Province Page: A13 Contact: 200 Granville Street, Ste. #1, Vancouver, BC V6C 3N3 Canada Fax: (604) 605-2323 Website: http://www.vancouverprovince.com/ Author: Kathy Tait, Sarah Papple and Fabian Dawson Bookmark: http://www.mapinc.org/mdma.htm (Ecstasy) Bookmark: http://www.mapinc.org/raves.htm (Raves) HOSPITALS ALARMED BY WAVE OF TEEN ECSTASY VICTIMS Physicians, Police Warn Of Dangers Of Locally Produced Designer Drug Lower Mainland hospital emergency centres are seeing a big increase in the number of young people suffering acute reactions to rave drugs, as well as comatose teens brought in the day after using them. Dr. Sal Denny, a pediatrician who consults at B.C. Children's Hospital and is with the addiction medicine service at Royal Columbian Hospital, says rave drugs - mainly ecstasy and crystal meth - are very dangerous because some kids have "quirky" acute reactions. Dr. Denny says there's been a "definite increase" of ravers in ERs over the last two years, most aged 15 or 16 and some as young as 12. "The last death was a 22-year-old through Royal Columbian a couple of months ago," she said. The designer drug ecstasy is sweeping through B.C. and has become the recreational drug of choice among young people. "It's huge," says Cpl. Scott Rintoul of RCMP's drug awareness squad. "The only reason we don't have users dying in B.C. is much of the stuff in the capsules is not pure." Bad reactions include extremely high blood pressure, high temperature and seizures. Says Dr. Denny: "Ecstasy is a terribly unpredictable and dangerous drug. More than half of those I see are first-time users and I see them in very dangerous shape." Many of the teens are good students, she said, who are getting their first taste of freedom and have just started experimenting with drugs. Most of the cases are happening at Royal Columbian or outlying hospitals, said Denny, because raves typically take place in outlying warehouses or barns. She said some youth are being brought into emergency the day after the rave by parents or others who can't wake them up. "They need ventilator support. Maybe they've been drinking too much water and they have kidney failure." The longer-term problems are depression, said Denny. "Ecstasy overdrives the feel-good centre of the brain and then in withdrawal, the brain cannot replace those chemicals. "So we're getting kids who were good students, some straight As, who are not sleeping, are down in the dumps, not going to school and not getting along with their parents. "Down the road there may be significant bio-chemical depression. We don't know if it is permanent because we don't know enough about the drug." Police say the producers behind this wave of problems are organized-crime groups, who are running at least 15 chemical laboratories in B.C. The labs, which police suspect are mostly in the Greater Vancouver area, are making ecstasy capsules and selling them for between $20 and $25 a hit, mainly to teenagers attending raves. Rintoul of the RCMP said many of the labs are mixing in other, cheaper chemicals, even caffeine, and selling them as ecstasy. He said police have already taken down 15 underground labs this year and it will only be a matter of time before the others are dismantled. Once associated with raves, the drug has hit university campuses, high schools, bars and chemical users in the gay community. Investigators say outlaw motorcycle gangs, Asian gangs and the Russian and Eastern European mafia all have a hand in the manufacture and distribution of the lucrative designer drugs. In addition to the recent death at Royal Columbian, there have been three ecstasy-related deaths in B.C. in recent years. Ontario has had nine deaths this year alone. Rintoul said the relatively low number of ecstasy deaths here is only due to the low quality of the drugs on the street. "If our kids weren't getting ripped off by dealers, getting partial mixes and low concentrations of ecstasy, we'd have the same problem with overdoses," he said. "Of the drugs we've seized being sold as ecstasy, only 30 per cent are actually 'e.' The rest are different mixes of 60 per cent stimulants and 40 per cent hallucinogens. "Poly" drug use - simultaneous use of a number of drugs - is another emerging trend that is worrying," said Rintoul. The same trend is making it difficult for emergency room staff to identify exactly what kind of overdose is coming through the door. "When people go to raves, they are ingesting different drugs," said Dr. Kirk Hollohan of St. Paul's Hospital's emergency room in Vancouver. "It's really a situation where we are never completely sure what we're dealing with." - --- MAP posted-by: Richard Lake