Pubdate: Mon, 16 Feb 2015 Source: Daily Telegraph (UK) Copyright: 2015 Telegraph Media Group Limited Contact: http://www.telegraph.co.uk/ Details: http://www.mapinc.org/media/114 Author: Max Pemberton THE MENACE FROM LEGAL HIGHS IS JUST A CLICK AWAY As far as futile activities go, the fight against legal highs is a textbook example. According to figures released last week, police incidents involving legal highs substances sold in high street shops and on the internet, including products for the home such as "plant food", but which contain psychoactive elements that mimic the effects of cannabis, amphetamine and heroin have more than doubled in a year, The web enables ever quicker and easier access to these substances. Their cheapness and the veneer of respectability because they are nominally "legal" means that more people are eschewing illicit drugs in favour of taking the alternative. It is placing tremendous pressure on resources, with police forces reporting a surge in incidents, in some areas an increase more than 100 times the level seen just three years ago. From my own experience of working in A&E, the number of people we see who are victims of legal highs is growing exponentially. The Government is in an impossible position, because the traditional response to drugs - ban them - doesn't work. Every time one is outlawed, another takes its place within weeks. Not only has the web made it easy for anyone with a rudimentary knowledge of chemistry to identify the structure of a banned compound and alter it sufficiently so that it can be classed as legal, it also enables the production and distribution. Enterprising individuals can locate small chemical plants, usually in China, where labour and materials are cheap, and go into business. And there's not a thing we can do about it. I have, for many years, worked with addicts and I do not take drug use lightly. I certainly don't advocate decriminalising them. In an ideal world, people wouldn't feel the need to take intoxicants, but the fact is that many prefer a stimulant to a depressant such as alcohol. From a pragmatic perspective, then, our main priority should be ensuring that children and teenagers do not have ready access to these substances. In many ways, I think legal highs are more worrying than illegal drugs. We have long experience of this latter group and most aren't nearly as physically harmful as socially sanctioned substances such as tobacco or alcohol. The effects they have on the body are wellknown. Legal highs, in contrast, are entirely unknown. Every person who takes them is a guinea pig. Each time a new one hits the market, it's Russian roulette as to the consequences. We certainly have no idea what the long-term effects will be. But, worst of all, is the fact that anyone with an internet connection can get hold of them. While you wouldn't want your teenager hanging out with known drug dealers on a street corner, they can, in effect, do precisely this every time they log on. As I see it, there are two options, neither of which is ideal. The first is to introduce legislation similar to the Analogue Act in the United States. This rules that substances similar to those that are already subject to control are banned automatically. In theory, this would prevent the cat-and-mouse game between the authorities and illicit drug manufacturers. In reality, of course, it can't prevent their use; it will just stop them being available in shops. The US legislation was introduced in 1986, long before the dawn of the internet, and despite its existence, new psychoactive substances continue to be widely available there because they can be ordered online. It doesn't stop them being taken, and it isn't sufficient a measure to protect minors. The alternative is that you accept that some people will always seek out psychoactive substances and so allow these to remain legal, but license them while we investigate the longterm effects. They could be sold in pharmacies rather than in corner shops or late-night garages as they are currently. Age restrictions could be applied, too. This would go a long way to limiting the access. It's an imperfect solution, but the current policy of banning and criminalising simply doesn't work and doesn't protect our children. We banned mephedrone in 2010 - the first legal high to hit the headlines - and yet it's everywhere and it has spawned a hundred imitators. It is time for a rethink. - --- MAP posted-by: Jay Bergstrom