Pubdate: Mon, 04 May 2015 Source: Guardian, The (UK) Copyright: 2015 Guardian News and Media Limited Contact: http://www.guardian.co.uk/guardian/ Details: http://www.mapinc.org/media/175 Author: Nicola Davison BREAKING BAD COMES TO BEIJING IN FACTORY THAT PUMPS OUT 'LEGAL HIGHS' FOR THE WEST Beijing Turns Blind Eye to Chemists Whose Drugs Mimic Banned Substances At midnight in a Shanghai laboratory, a Chinese chemist who called himself Terry was eager to close the deal. In the lab itself, a bright yellow liquid whirred around in a flask, an intense smell of fumes leaving a bitter aftertaste. "Let's just be quick," he shouted. "Tell me what you want, how much you want, then we can talk about price, we can talk about shipment." "Terry" is not the only rogue Shanghai chemist looking to make a living from the surging global trade in "legal highs". China has long been the workshop of the world, for everything from iPhones to Christmas tree lights. So it was only a matter of time, perhaps, before it filled the same role for drugs, churning out huge quantities of the synthesised products for recreational use in clubs and streets across the western world. Legal highs are chemical compounds synthesised in labs that stimulate or depress the central nervous system in a way that mimics banned substances such as cannabis or cocaine. Chemists tinker with the structure of compounds so that they fall outside international drug controls - at least when they first emerge. Exact data on Chinese involvement is hard to come by, but a Guardian investigation found a proliferation of Shanghai labs where it was perfectly possible to order products in batches of up to 50kg. Local officials, if adequately bribed, look the other way. The Chinese government appears more concerned with rising domestic consumption of banned drugs than chemicals that are legal and headed abroad. And so more products are reaching the market every year, often via shadowy websites: since 2009, the number, type and availability of these drugs has seen an unprecedented increase, according to a report by the European Monitoring Centre for Drugs and Drug Addiction. Drug control agencies have now categorised more than 400 substances. The deluge of toxic substances and a recent spate of hospitalisations have shattered any illusion of government control. In the past month, New York, Mississippi and Alabama have all issued state health alerts following a dramatic rise in legal high overdoses, while Arizona, Florida, New Jersey and Texas report a similar surge. In Tuscaloosa County, Alabama, where one person died and two dozen were hospitalised after taking a substance known as "spice", police declared a public safety crisis. One in five Americans told the Global Drugs Survey that they had taken a legal high in the past year - more than any other country in the world. Another Shanghai chemist "Charles" invited the Guardian to his company HQ on the 12th floor of a near-deserted office building on the edge of the city. His company offers 1kg of a cannabinoid called AB-Chminaca (AB-C), a substance that is banned in the US, but not the UK. The cost: UKP1,120 ($1,720). On a UK vendor site, 10g costs UKP60 ($92). Based on this sales price, the vendor makes UKP4,880 ($7,500) profit per kilo before shipping, processing and packaging. "We divide into one-kilo packages and can ship all in one day," Charles says. "If you write down a couple of addresses, I can deliver 50kg." After a lunch of prawns with rice noodles and pumpkin - Charles chainsmokes throughout - we drive across the city to an industrial park in Pudong. At the door, a chubby woman in her 30s with cropped hair and a white coat greets us: she is the head chemist. We walk through a spotless lab of quietly industrious technicians ("I like a clean lab - I'm a girl," says the chemist) to an expensive-looking machine that performs gas chromatography-mass spectrometry analysis. "Our purity is above 99%," she says with pride. A large plastic bag contains 50 samples of off-white powders and crystals - stimulants, depressants, opioids. "I'm afraid this [compound] is not good," the chemist says in accented English. "First, somebody give us the feedback that it's not strong. Second, it seems it has already [caused death] in Russia. Do you know the news? So why do you still want it?" AB-C, first mentioned on drug forums in early 2014, is a synthetic cannabinoid that is typically dissolved in solvents before being packaged in 1g-3g foil packets with brand names such as Spice, K2 and Herbal Haze. In order to keep ahead of the law, the legal high market must constantly evolve: a small variation on the chemical structure of a banned drug allows the new substance to skirt around most legislation - - but the tiniest molecular tweak can create a drug with dramatically different psychoactive effects. On 2 April, Alan Jones, chair of the emergency department at the University of Mississippi Medical Centre in Jackson, received a phone call from a nurse in ER. "She told me that we were receiving our fourth patient by ambulance who had reportedly used spice - the fourth patient in two hours," he said. "We don't typically see that." Over the next 72 hours, a further 25 patients arrived, and Dr Jones notified the state health department. "I have been working in emergency medicine for almost 20 years, and I've never seen anything like this," he says. Most arrive hallucinating, agitated and profusely sweating. Often, because they are confused, they are violent. "A couple of patients have had problems with their breathing - - not breathing sufficiently to maintain life," Dr Jones says. A toxicological analysis of the Mississippi compound identified MAB-Chminaca, an AB-C derivative. Since the DEA first encountered AB-C in March 2014, it has caused at least four deaths in the US. Soon after it was banned, users of online drug forums started discussing which compounds could be "compared to or better than" AB-C. MAB-Chminaca was considered a sound alternative, and the endless "game of whack-a-mole", as one DEA official has put it, continued. [sidebar] Too fast for legislators? The emergence of legal highs has created an unprecedented challenge for drug policymakers worldwide. The UK and US use subtly different legislation to prohibit, though neither approach has proved successful. The US "analogue" controls can designate a substance not named in legislation illegal if f it is "substantially similar" to a drug already controlled - a system criticised for being ambiguous. In contrast, the UK's "generic" controls list individual drugs or familieslies of drugs on the recommendation dan of the Advisory Council on the Misuse of Drugs (ACMD), a body of sci-scientists, academics and other experts. But this system proved too clunky - it could take months for the experts to conclude that a drug was unsafe - so in 2011 the UK introduced new measures called Temporary Class Drug Orders, allowing the government to ban a substance temporarily while evaluating its harm harms. Despite these measures, only 60% of known cannabinoids are currently controlled in the UK. Danny Kushlick, head of external affairs at Transform, a British drug reform thinktank, calls the UK's legislative res response to legal highs "terrible". "Legal highs appear to have arisen because of success in the enforcement on the supply side for cocaine and ecstasy particularly," tic he says. "The demand remains, and the entrepreneurs, whether they be criminal or legit, move in to exploit that demand." - --- MAP posted-by: Jay Bergstrom