Pubdate: Wed, 07 Sep 2005 Source: Spooner Advocate (WI) Copyright: 2005 Spooner Advocate Contact: http://www.spooneronline.com Details: http://www.mapinc.org/media/3894 Author: Frank Zufall Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) FROM MEXICO, MADISON, TO MINONG: STRATEGIES TO FIGHT METH EPIDEMIC Fifth In A Series On Meth Use In The Area A photo taken in 2001 of a ditch outside of Tijuana, Mexico, and included in a June 5 article of The Oregonian offers a clue as to why the methamphetamine (meth) epidemic is overwhelming U.S. counties like Washburn. Stretching apparently 20 to 30 feet long is a mound of white medicinal cardboard boxes flattened out and thrown carelessly, like a pallet had tumbled off a truck and spilled its contents. The boxes are for the Mexican drug FERPil, the Mexican version of Sudafed. The pills, which contain pseudoephedrine, the precursor for meth, were probably used in what law enforcement refers to as "super labs," large factory-like operations where meth is made in huge quantities to be illegally trafficked in the United States. American law enforcement officials believe super labs are turning 100 tons of pseudoephedrine pills into 80 percent to 90 percent of the meth used in the United States, including meth used in Washburn County. If meth is largely made in Mexico and the key ingredient, pseudoephedrine pills, is an import, then it would seem logical that the way to control the production of meth in Mexico would be to limit the amount of pseudoephedrine to legitimate needs. The Oregonian, a newspaper that for years has been covering the U.S. meth epidemic, which largely started on the West Coast, has researched the imports of pseudoephedrine in Mexico and compared it against legitimate documented uses of the pills. According to an article by Steve Suo of The Oregonian, titled "Mexico's math problem adds up to a U.S. meth problem," June 5, 2005, Mexico imported 224 tons of pseudoephedrine in 2004 but only had a legitimate need for 81 million tons required to make the 140 different cold medicines produced in Mexico. Add in all other legitimate uses, included those consumed by Mexican citizens, and the newspaper calculated that Mexico's legitimate use totals around 129 tons, or 95 tons more than the country needs on paper. It has long been suspected that one of the primary feeders to the Mexican super labs has been pills smuggled from Hong Kong. Now it appears that Hong Kong is probably the second largest source meth precursor behind established pharmaceutical companies filling import orders. The U.S. government is looking to hold Mexico and other countries accountable for the illegal use of pseudoephedrine by slashing foreign aid to countries that allow the imported pseudoephedrine to end up in the super labs. One of the sponsors of the legislation is U.S. Representative Mark Kennedy, R-Minn. Kennedy said the legislation is meant to put the hurt on super labs that are beyond the reach of U.S. law enforcement. It is a measure several Western states, who have dealt with the drug for years, are touting as the critical answer to cutting back the prevalence of meth, just one of many measure taken in response to the meth epidemic. Getting Tough The Bush Administration has been criticized for not taking the meth epidemic seriously. Critics claim the Bush policy has focused too much on marijuana which is considered a gateway drug to harder substances like cocaine, heroin, and meth. Although the projected 8-10 million who have used meth pales in comparison to the number who use marihuana, experts say meth is the number one drug law enforcement officials around the country are struggling with, mainly because of its addictive nature, and the crimes spawned from users, from stealing to child abuse. Even though President Bush is taking some hits, Congress is beginning to focus on meth. Currently there are 15 measures in Congress to address meth, including the Foreign Relations Authorization Act co-sponsored by Rep. Kennedy. One recent legislation has allowed local governmental units to take children out of environments where meth has been used. Washburn County has exercised that legislation by removing 14 children in the last year from a meth environment. Proposed Madison legislation, Bill 213, present even more problems for meth producers in Wisconsin. The bill goes beyond taking custody of children to taking away all parental rights where children are in the same environment that meth is produced. The bill reads, "This bill permits the parental rights of a parent to a child to be terminated involuntarily on the ground that the parent has manufactured methamphetamine with a child of the parent present." Not In Aisle Five Anymore If you don't think you are affected by the meth epidemic, just try to buy Sudafed capsules at your local pharmacy or grocery store. The TV commercial says Sudafed is "in aisle five" but not in Wisconsin and not in several states. Sudafed and other medicines using pseudoephedrine as an ingredient are now only sold behind counters after passage of bill this summer by the Wisconsin legislature and signed by the Gov. that attempts to make the drug less available for local meth labs. The bill tries to prevent a practice called "smurfing," where several individuals go to a store and individually buy a couple of the off-the-shelf products, and collectively, after several store visits, acquire huge amounts of the precursor to meth. The new law requires those who buy the drug produce identification and sign for the drug creating a paper trail for law enforcement. Oklahoma was one of the first states that imposed such requirements and has seen a noticeable decrease in number of meth labs discovered by law enforcement. The state of Oregon has also required behind the counter sales and sign up but those efforts, although producing some results, have not curb local meth labs satisfactorily for law enforcement. Recently Oregon has consider legislation that would require anyone needing cold medicine to acquire a physicians prescriptions, making it a hassle for anyone, legitimate or otherwise, to acquire the cold medicine. Comprehensive Approach A search on the Internet sites for strategies to fight meth will produce a number of plans that all start with language "The need for a comprehensive approach." The epidemic is so widespread that individual agencies are finding their resources strained. In Washburn County several agencies work together to fight meth through memorandum of understanding called the Drug Endangered Children (DEC) protocol. Agencies involved include the Washburn County health and Human Services Department, Washburn County Sheriff's Office, Department of Corrections - Probation and Parole, Distract Attorney, Spooner Health System, and the police departments of Spooner, Birchwood, Minong, Shell Lake, and Spooner. The primary goal of the cooperative effort is to "minimize the re-victimization of drug exposed children and improve the health and safety of those children by providing treatment and appropriate services to the family." The secondary purpose is to address the epidemic itself, the more elusive goal by all measure. Not only is there cooperation on the county level, but also between the counties through regional drug task force, like the Northwest Area Crime Unit, which consists of 14 law enforcement agencies in seven counties, including Washburn. This task force focuses largely on law enforcement and the sharing of resources and information in the prosecuting of meth users and sellers. Legal Gets Lethal On the legal side, one strategy to deal with those convicted of all drug crimes, including meth, is a drug court that features close and frequent follow-up visits and court appearances for those in the system. Pierce County already has a drug court and St. Croix County is looking closely at implementing one. However, like any new initiative there are cost. In St. Croix it means adding a fourth judge and spending $160,000 to train and hire a drug court coordinator and drug abuse counselor. In Washburn County, with already tight budgets which will only getting tighter after projected finance committee cuts this fall, the concept of a county-wide drug court may be an unreasonable expectation, but growing number of meth cases may force county officials to look at this as a future option. Another area that the legal system can have apply pressure is sentencing. Observers say St. Croix judges are issuing some of the heaviest sentencing in the state to those selling meth in the county, discouraging those who bring the drug from the Twin Cities. Information And Education One refrain heard often by those fighting the meth epidemic is the need for more public awareness and education. Washburn County Law Enforcement officials have been active in giving educational presentations about the dangers of meth, but the comments by Sheriff deputies and police officers around the county is that turnout to these presentations have been small, making them wonder if the public is truly aware of the scope of the epidemic. In St. Croix County were meth use is estimated to be two to threes ahead of Washburn County, an ad-hoc committee has formed to fight meth. Lori Bernard is a St. Croix County supervisor and also a member of the committee committed to fighting meth. "The sooner a county starts dealing with this problem, the better," she said. The committee just formed this summer and has already set in motion initiative to educate the public. "We have already done a lot of education," said Bernard. "We travel to different events and show a video tape that focuses on public outreach." Bernard said even though St. Croix has some of the worst meth problems in the state there are still many in her county who are still unaware of the problem and unconcerned. Soon those traveling through St. Croix county will see the second initiative sponsored by her committee: large signs asking citizens to call law enforcement and offer information leading to the arrest of those illegally using or making meth. Another common response is reaching youth, sooner rather than later, is necessary. Washburn County Chief Deputy Michael Richter said he was shocked to learn after a presentation at a Spooner eight grade that two students indicated they had used the drug at least three times. Ricther said this eight-grade encounter made him think that the meth awareness needs to start even sooner in the elementary grades. Washburn County Investigator Pete Fry said some drug awareness already is offered in the fifth grade and he said talking to kids. younger tends to create more confusion than understanding. Recovery Besides the importance of awareness and education, those fighting the meth problem say, ultimately, the users have to be helped to get off the drug. There is some disagreement amongst local law enforcement officers, humane service providers and those providing professional treatment on the effectiveness of treatment for meth users. Many in fields says meth users need 90-120 days to detox, to let the drug leave their system, before in-patient treatment can be effective. An once in treatment, cost can soar up to $6,000 a month and often taking two to three months to be complete. After all that, much of the published literature states the success rate is 5 percent or less. Carol Falkowski is director of research communications at Hazelden Foundation in Minnesota and author of the article, "Methamphetamine Across America: Misconceptions, Realities and Solutions." She was recently interviewed for the Newsweek magazine issue dealing with the meth epidemic in America. Falkowski is not nearly as pessimistic about meth users recovering as most Washburn County law enforcement officials and drug counselors. She said whenever there is new drug surge there is always a lot of pessimism. She agrees that meth is one of the most dangerous drugs and not one the government can ignore in fighting, but she said even out-patient treatment can be effective, even before detox has fully set in, in the right environment. (An interview with Falkowski will be featured in next week's Spooner Advocate.) She said the key is accountability for users, keeping them away from others using and selling meth while they are receiving treatment. Washburn County Mental Health/Alcohol and Other Drug Abuse (AODA) Supervisor Jim Le Duc said outside of incarceration, it is very difficult to keep meth users from other meth user and off the drug. One local volunteer effort that may make the difference for recuverying meth users is a program called "Meet Me at the Gate," sponsored by Tom Terrell of the Washburn County Chaplain program. Terrell said he is coordinating with local churches an effort to match people coming out of the criminal system, many who are also meth users, and those coming out of drug programs like Teen Challenge with a network of mentors that will help individual readjust to civilian life and be successful outside the system. Terrell, who son is a recovering meth user, said he is looking churches coming up with at least three mentors and one host family for each person, an ambitious goal for rural congregations, but maybe the kind of measure needed to turn an epidemic around. (More about the Meet Me at the Gate program will be in next week's Spooner Advocate.) - --- MAP posted-by: Elizabeth Wehrman