Pubdate: Thur, 25 Feb 1999 Source: Toronto Sun (Canada) Copyright: 1999, Canoe Limited Partnership. Contact: http://www.canoe.ca/TorontoSun/ Author: Michele Mandel FUROR OVER DRUG-FUN LEAFLET When your kid heads downtown to a rave this weekend, he may be getting advice on drug use by a city-funded outreach program. And it's not advice on just any recreational drug -- it's a blueprint on using potent GHB -- gamma hydroxy butyrate -- a drug increasingly used in date rape. The Toronto Raver Info Project has put out a pamphlet advising club kids on the safe way to use GHB. It practically waxes poetic on its power to leave the user with "the feelings of relaxation, inner peace, happiness and pleasure touching it can create (hence its nickname 'liquid ecstasy'...)." It does mention that the clear, odourless, colourless drug "can be risky" and can result in seizures, coma and even death. It does warn that knowing how much to take is difficult because most GHB is homemade and strength can vary from batch to batch. Yet after all that, the pamphlet still goes on to recommend a dosage to "reduce your risks. "Start with no more than 1/2 teaspoon/2 ml -- and wait at least half an hour (an hour is better) before doing only a little more. Remember, it's super easy to OD on this drug." For A.J., a woman who came close to death after GHB was secretly slipped in her drink by two men who later raped her, the chirpy advice is outrageous. "It's just not right," she said yesterday. "The whole danger of this drug is that you don't know how your body is going to react. You're playing with a loaded weapon." Florida paramedics told her she was just minutes away from death when they found her unconscious outside a Boca Raton nightclub almost exactly three years ago. Blood tests later would find she had been overdosed with more than 18 mg of GHB in her 90-pound body. A 200-pound bodybuilder usually uses 1.5 to 2 mg. "Whose idea was this?" A.J. demanded of the pamphlet. "It's like telling them it's okay to use it." The idea came from the Toronto Raver Info Project, which receives $4,400 from the city to do outreach in "drug prevention." Connie Clement, director of Toronto public health planning and policy, is quick to point out that the city didn't fund this pamphlet and so wasn't able to review it. Instead, it was produced by the group through raver donations. And while she probably would have worded it differently, Clement still defended the effort as part of their harm-reduction philosophy, which admittedly "is always politically sensitive." Harm reduction operates from the belief that the reality of drug use is never going to disappear and rather than punishing or lecturing the user, it strives to minimize the harm they do to themselves and society. "If you just say don't use it, it'll be thrown into the garbage," Clement said. But she admitted they are always treading a "very fine line" between advising drug users on ways to reduce harm and actually appearing to promote the drug. "It's a struggle," she said. But while I can buy the argument for harm reduction when it comes to hard-core addicts who are well past the "Just say no to drugs" naivete, it seems rather irresponsible when you're talking about club kids experimenting with an incredibly dangerous drug, especially one that already has a reputation as part of the date rape arsenal. Mary Addison, director of Women's College Hospital Sexual Assault Care Centre, says she is hearing from more and more victims who believe they were slipped GHB. It has become so popular that the recipe for it is now easily available on the Internet, using easily obtainable ingredients. It has been linked to numerous deaths in the United States. So she doesn't understand how any agency could possibly recommend its use in any way. "It's very scary. I don't feel there's any safe way of taking this drug." Just last week, York Regional Police made the biggest seizure of GHB in Ontario history. They found a homemade batch of the party drug that would fill more than 2,500 vials, at $20 a pop. Not surprisingly, police agencies are against any message, as well-meaning as it may be, that seems to suggest a safe dosage of GHB. "It's marketed as somehow less harmful (than other drugs), but mixed with alcohol or other substances, it becomes extremely deadly," said Toronto Police Det. Court Booth of the Central Drug Information Unit. "To me, abstinence is the best possible approach." Yet Dr. Joyce Bernstein at Toronto Public Health stands by the pamphlet. "I think it's wonderful advice actually. I have teenagers and I don't approach them with 'Don't do this,' and ' Don't do that.' GHB is a very dangerous drug, especially when taken with alcohol and I think if you read this, that's clear ... I'd rather see a kid experiment with this in their hands, than without it." Even if it means experimenting with their lives? - --- MAP posted-by: Don Beck