Source: The Dallas Morning News http://www.dallasnews.com Contact: A heroin chronology 07/13/97 To better understand the new surge in heroin use, it's helpful to examine the opiate's family history. 2000 B.C. Opiates were first used to ease pain and suffering. The Sumerians, Egyptians and Chinese noted the paradoxical nature of opium, recording it as a cure for all illness, a pleasurable substance and a poison. It's believed that early Greek and Egyptian cultures used extracts from the opium poppy to prevent the "excessive crying of children." A drug of "forgetting" was described in detail in Homer's Odyssey. The Greek physician Galen praised opium to cure headaches, deafness, epilepsy, asthma, coughs, colic, fevers, women's problems and melancholy. In those days, opium cakes and candies were sold in the streets. The opium poppy (papaver somniferum) was named after Somnis, the Roman god of sleep, because the drug was often used to induce sleep. The abuse potential initially was low because the extract from the poppy was taken only by mouth and had a bitter taste. A.D. 47610th century The Arabic world embraced opium in the Middle Ages because the Koran forbade the use of alcohol. Those Middle East merchants traded opium with India and China. By the 10th century, opium showed up in Chinese medical writings. About this time Arab physicians such as Avicenna began writing about the "other side" of the opium family addiction. Tellingly, he died as a result of drinking too much of a mixture of opium and wine. 16th century A clinician named Paracelsus cooked up an opium potion with saffron, cinnamon, cloves and Canary wine and called it laudanum. It was widely used as a panacea from the 16th through 18th centuries in Europe. Those who became hooked on laudanum's charms were known as "opium eaters" and included literary figures Elizabeth Barrett Browning and Samuel Taylor Coleridge. 19th century Although opium had been introduced in China, it was used only moderately until the introduction of tobacco and the discovery that the two could be combined and smoked. To curb the druginduced haze, China passed laws in 1729 that opium dealers be strangled. But opium was being poured into China by the British and American traders who brought opium from India and exchanged it for silk and spices. When the Chinese dumped millions of dollars worth of the toxic opium into the sea in 1839, the Brits crushed them in the Opium Wars and won Hong Kong as part of the payment for the opium loss. In a parallel development, in 1805 a German pharmacist's assistant isolated the primary active agent in opium. It was 10 times as potent. He named it morphine after the god of dreams, Morpheus. By 1832, a second key opium product, codeine, was developed and named after the Greek word for poppy head. Morphine's use as a painkiller was multiplied dramatically by the perfection of the hypodermic syringe in 1853. It was believed mistakenly that injecting the drugs would not be as addictive as oral use. Throughout the last half of the 1800s, the use of morphine was spread by military medicine in wars in the United States and Europe. So many returning veterans from the Civil War were addicted to morphine that the illness was later called "soldier's disease." Then along came heroin, the most potent opiate family member of all. In 1898, Bayer Laboratories marketed heroin, a variation of morphine, as a cough remedy and painkiller. It was three times as potent as morphine and faster acting. Because it was initially ingested orally in smaller doses, it was believed to not be habitforming, a perfect drug. This proved wrong again. By the end of the 19th century, three forms of opiate addiction had developed in the United States: the oral intake of "patent medicines" created from opium such as laudanum, opium smoking that was brought by Chinese laborers to the West Coast, and the injection of morphine. At the beginning of this century, it was estimated that 1 percent of the U.S. population was hooked on the poppy family products. 20th century Concern about the opiates led to the first war on drugs. The Pure Food and Drug Act was passed in 1906, and the Harrison Act in 1914. By 1915 the Supreme Court had ruled that possession of smuggled opiates was a crime. From the 1930s to the 1960s, opiates like heroin were primarily used by entertainers, racketeers, thieves, prostitutes and pimps. Then came the rock 'n' roll of the 1960s and the Vietnam War. It was estimated that 5 to 15 percent of the American troops in Vietnam became addicted because of the ready availability of recreational heroin. It took a massive military drug testing and treatment program to bring the number down to 1 to 2 percent. Today there are an estimated 300,000800,000 heroin abusers in the U.S. There are an estimated 5 million to 10 million worldwide. What has changed dramatically, however, is that the newest users are teenagers. (Sources include Uppers, Downers, All Arounders, by Darryl S. Inaba and William E. Cohen, and Drugs, Society and Human Behavior, by Oakley Ray and Charles Ksir.)