Pubdate: Sun, 09 Sep 2007 Source: Sunday Mail (Australia) Contact: http://www.news.com.au/couriermail/editorial/letter Copyright: 2007 Queensland Newspapers Website: http://www.news.com.au/couriermail/sundaymail Details: http://www.mapinc.org/media/435 Author: Edmund Burke Cited: Queensland Injectors Health Network http://www.quihn.org.au Cited: Tough on Drugs campaign http://www.drugs.health.gov.au/internet/drugs/publishing.nsf/Content/home Referenced: Queensland Drug Strategy 2006-2010 http://www.health.qld.gov.au/atods/documents/31976.pdf Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/pot.htm (Marijuana) Bookmark: http://www.mapinc.org/coke.htm (Cocaine) Bookmark: http://www.mapinc.org/mdma.htm (Ecstasy) Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) TIME FOR A REALITY CHECK "SARAH" sometimes likes to do a line of cocaine with friends after a nice glass of red wine. Occasionally the 28-year-old Brisbane-based university lecturer will drop some ecstasy. She has tried ice, but says she didn't like it. She has dabbled in heroin, and now and again she'll smoke some weed. She doesn't view her occasional drug use as a problem - she says she doesn't see it as anybody's business but her own - and she has absolutely no intention of stopping. "It's just something I do. It is part of my life, but it's not a big deal," says the attractive, dark-haired woman. "I sometimes like to take a pill or do some speed if I am going to go out. "To be honest, as I've got older, alcohol makes me kind of tired. "I'd rather do a line of speed instead. A lot of my friends feel the same way as I do. One girl is a scientist, there's an architect, graphic designer, teachers and," she laughs, "journalists, for sure." Sarah is a successful academic, who by most people's standards seems to have her life in good order. She doesn't suffer from depression and she isn't bipolar. She says she doesn't have a mental illness or emotional problems. She doesn't fit into the stereotype of a drug user but the confronting fact is, experts say, that most drug users in Queensland and the rest of Australia don't. "Andrew" is in his 40s but his hobby of bodybuilding makes him look much younger. Yet the Brisbane primary school teacher occasionally uses speed and ecstasy. "It knocks you around sometimes but I feel far worse after a big weekend on bourbon and Coke, the normal kind of Coke. Alcohol affects my training far more," he says. "I'd lose my job if they (his school) found out and the truth is I have missed a few Monday mornings. But how many of us can say we haven't called in sick after a big night out?" There are very few studies into "white collar" drug use in Australia. Researchers say it is difficult to gather information in surveys because there is no value in responding to it for the professional who doesn't feel he or she has a problem. But most experts agree there are many "recreational" drug users in Australia who manage their habit, do not develop any serious health problems and continue to be useful members of society. The confession by rugby league star Andrew Johns that he regularly used "party drugs" throughout his 12-year NRL career shocked people who struggled to understand how a professional athlete could be a "druggie" and still function at the highest physical level. Johns, regarded by many as a great player, admitted to more than a decade of recreational drug use after London police caught him with an ecstasy tablet. The recent controversy in Melbourne with Channel 7 seeking to report on the stolen medical records of two AFL players would seem to confirm that "party drug" use among athletes is widespread. Last week a defensive Brisbane Broncos NRL coach Wayne Bennett said sports people were unfairly held to standards not expected of the rest of the community. "If you are a doctor or solicitor or politician or whatever, no one else gets paraded like our people do," he told The Sunday Mail. "That's a real downside to me personally. The problem is society's problem, it's not our problem. We are doing something about it. That makes us absolutely stand out." Bennett's comments may have been dismissed as a typical closing of NRL ranks. But does the normally tightlipped coach have a valid point? Many social scientists and drug counsellors believe the time has come to present to the public a more realistic view of drug use. Geoff Manu is manager of the Queensland Injectors Health Network (QuIHN), a government-funded facility to provide information and services on illicit drug use within a harm-reduction philosophy. "The majority of people we see here do not fit the stereotypical view of a drug user. We don't ask people about their backgrounds because that is not what we are about here," he says. "But we see people pull up in good cars and be neatly dressed. Well-spoken, intelligent people who obviously have jobs and lives beyond their drug use. "Substance abuse can create havoc, but it is different for every person. Everyone who picks up a drink doesn't become an alcoholic, and to a certain extent drug use is the same." QuIHN is working on an advertising campaign which will feature a poster with pictures of 100 people and the tagline: "Pick the Drug User." "Sometimes I can't even tell if someone is a drug user or not," Manu says. "The stereotype of a user is someone whose life is out of control but the truth is they are probably in the minority. "We don't condone or condemn drug use but there are recreational users. People will make their own choices and we need to be presenting a more balanced view so at least it can be an informed one." NE police officer who worked in Brisbane's Fortitude Valley entertainment precinct said drug use was much more widespread than many people realised. "With some of the clubs there might be a queue of 100 people and 99 of them will be on something," he said. "People with good jobs, law students from good families, all types of people. "If he's from Woodridge he might be smoking ice, if he's a middle-class student from Paddington he's probably on ecstasy. But they're all on something." The police officer admitted that some drug users, particularly those on marijuana or ecstasy, were often less trouble than alcohol or amphetamine abusers. "But as far as we are concerned, we'll be policing them in 10 years' time when they develop depression and bipolar disorders," he said. The State Government's Queensland Drug Strategy 2006-2010 contains some uncomfortable facts for those who argue drug use is inherently "wrong" while alcohol and tobacco use are acceptable. "Despite the widely held perception that drug-related problems are mainly caused by the use of illicit drugs, tobacco and alcohol are responsible for the most harm associated with drugs in our community," reads the report. In Queensland, it is estimated that tobacco smoking and alcohol consumption account for 93 per cent of all drug-related deaths and illnesses. Each year an estimated 812 deaths and 20,900 hospital admissions are due to alcohol misuse, while an estimated 90 deaths and 4100 hospital admissions in Queensland are due to illicit drug use. Of course there are more alcohol users than illicit drug users but, statistically at least, alcohol is still more dangerous than other drugs. Government figures show about 80 per cent of Queenslanders drink alcohol, while at least 12 per cent use drugs of some description. That means about seven times more people drink than take drugs, but about nine times as many deaths are attributed to alcohol than to illicit drug use. It is this apparent hypocrisy in our attitude to drugs and alcohol which is often seized upon by young drug users. "James" is a 22-year-old final-year science student who intends to study for his medical degree following a gap year overseas. He is strikingly articulate and comes from a wealthy and close-knit Queensland family. During his years as a student at the University of Queensland, he says, he smoked marijuana almost every day, often took ecstasy, tried cocaine and smoked ice on two occasions. "Ice is maybe a bit different. I could tell that could be really addictive but the only one that I ever felt was getting a bit out of control was the weed," he says. "That was affecting my personal relationships but I smoked for years and I never had any problems with my grades. "I would wait until after dinner before I started smoking and try to get all my work done during the day." The young man says a shocking amount of his peers shared his attitude to drugs. "I would say that a third to a half of the people I studied with took drugs. Nobody sees it as a big deal," he said. "It is the same as drinking. Alcohol is probably worse than most of the stuff I have tried. Nobody wants to be around a sloppy drunk." James says ecstasy tablets are getting cheaper, from about $40 a pill two years ago, to about $25 to $30 now. "Cocaine is expensive, around $300 a gram and you could easily go through half a gram in a night. That's a big night . . . a treat," he says. Marijuana, or weed, is bought in "sticks", which are a 16th of an ounce, for $25 and a heavy smoker might use two sticks in a night. "I never bought ice . . . I don't really know how much that is," says James, who adds that drugs are normally bought from friends or acquaintances. The young man admits his marijuana smoking did start to worry him this year and says he stopped using the drug about two months ago. But he is critical of campaigns to stop young people using drugs and says most of his peers regard government advertising with derision. "They tell you that if you take ecstasy there is a danger that you are going to overheat in a club and die. But you look around you and you see people taking it every week and they are not dying," he says. "They try to scare you into not trying stuff but you just end up not believing any of the things they tell you." Paul Dillon, of Drug and Alcohol Research Training Australia, says a Federal Government television campaign last year, which targeted marijuana, amphetamines and ecstasy, had mixed results. "The ads for marijuana and amphetamines had a relatively moderate message. They warned that the drugs can affect different people in different ways," he said. "There was some really positive feedback for them, but the ads for ecstasy showed a young girl collapsing in a club and dying and there was some really negative feedback from that." Dillon accepts that the Government must walk a tightrope between deterrence and credible information in its education programs. But he warns that many of the conventional scare tactics in the war against drugs are being rejected by young people. "If the Government continues to project a message that is not seen as credible that could do more harm than good," he says. "There are some really serious potential consequences of drug use and we need to get that message out in a way that is going to be accepted." Dr James Rowe is a lecturer at the School of Global Studies, Social Science and Planning, at RMIT University Melbourne. He gained his doctorate while he was a heroin user (something he says he has now ceased) and has sharply criticised government drug campaigns in the past. "You see these exaggerated representations based on a few individual cases and what it does is rob them of their credibility," he says. "There are many people for whom drug use becomes a problem and I was one of them. But there are many for whom drug use doesn't become a lifelong habit or addiction. "I would never encourage anyone to use an illicit drug because there is that risk that there is a price that you will have to pay, but we need to present a more balanced view." The Howard Government has recently launched its Tough on Drugs campaign and a booklet titled Talking With Your Kids About Drugs was distributed to thousands of Queensland homes this week. The publication, with an accompanying television advertising campaign, has received some tentative support from academics. Rowe has praised the scheme for its focus on honest communication between parents and their children. "There is a line on Page 5 of that booklet that says when parents talk to their children they should not exaggerate or make false claims because if they do their children will not accept their advice," he says. "That is a lesson the Government would do well to listen to itself." There is no doubt drug use can lead to serious physical and mental health problems. AMA Queensland president Dr Ross Cartmill warned drug users that they may be harming their health despite feeling they are in control of their drug use. "All of the evidence shows that people steadily increase dosage to get the same effect. People may think they are managing their usage but it is the insidious nature of drugs that is their most dangerous aspect," Cartmill said. "The first problems that people experience will be in their brain - mood swings, depression - we don't even fully understand all of them yet. "The second organ that will be affected is the liver. The liver has to process all the toxins and the stress on the liver will depend on how many toxins it has to process. "There is also the fact that we don't know what a lot of these drugs will do over time because they haven't been around long enough. It seems likely that people are storing up problems for themselves that we don't yet know about." But "Sarah" says these are risks she is willing to take. "I know some people crack up on drugs, but to be honest I think those cracks were there already," she says. "We've all heard horror stories. We've seen the headlines about evil drugs and, as far as most of us are concerned, it's just a lopsided representation that hardly anyone believes." - --- MAP posted-by: Richard Lake