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what is opium?
Psychoactive sap harvested from the seed pods of the opium poppy. Native to the central mediterranean area
how did opium become a global drug of abuse?
British imperial economics
Trade imbalance with China
treat of Nanking (1842)
signed abroad British warship – imposed humiliating terms on the Qing Dynasty marked as beginning of “Century Humiliation”
Pay 6 mill to compensate Opium
12 million in damages
Hong Kong ceded until 1997
Trade resumed and expanded deepened the Chinese addiction
convention of Peking (1860)
ended conflict
Opened the Chinese ports to foreign trade, legalized opium trade entirely
Gold Rush of 1849
Chinese entered for the Gold Rush and cheap labor from the Transcontinental Railroad (1869)
Opium Use In America
Traveling salesman, newspaper advertisements, and mail-order catalogs promoted opium-laced tonics as miracle cures
Hypodermic Syringe
1856
Cheaper than alcohol and available
Highly addictive with severe withdrawal symptoms
Used extensively in the Civil War to treat battlefield casualties – resulting in estimated 400,000 soldiers left the war as morphine addicts
Harrison Narcotics Tax Act (1914)
effectively criminalized non-medical use of heroin – the beginning of the federal government's role in drug prohibition
The Jungle by Upton Sinclair (1906)
Directly contributed to the passage of the Pure Food and Drug Act of 1906 – first federal law requiring accurate labeling of food and drug
Pure Food and Drug Act 1906
required manufacturers to accurately label goods
Narcotic Drugs Imort and Export Act 1922
only allowed trade and importation for medical use
Cocaine
European chemists isolated cocaine's active alkaloid in the 1850’s creating a more potent and addictive substance
Sigmund Freud’s Endorsement
1884, Freud recommended cocaine for depression, morphine addictions, and as a general tonic
Jazz Musicians
cocaine was closely associated with this group
the Anti-Drug Abuse Acy of 1865
5 yr mandatory minimum sentence for possession of just 5 grams of crack vs 500 grams of powder cocaine.
the Fair Sentencing Act of 2010
reduced the crack-to-powder disparity to 18:1
The First Step Act of 2018
made this change retroactive
medical use for cocaine
ENT surgery, Novocain in Dentistry, Schedule II status
Federal Marijuana Tax Act - 1937
placing a prohibitive tax on all cannabis transactions
Controlled Substances Act of 1970
Leary v. US (1969), Restricted the condition under how it could be prescribed
Life Magazine 1969
featured photographs of white, middle-class Americans enjoying marijuana – normalizing its image
Shafer Commission (1972)
Nixon made this to study the problem of Marijuana in the US recommending decriminalization
State Law 2024
24 states and D.C. have legalized marijuana
38 states allow medical marijuana
Created ongoing legal uncertainty
Medical Marijuana
Chemotherapy, Glaucoma, Epilepsy (CBD)
Amphetamines
An artificial product substance (synthetic) exerts a powerful simulant effect on the CNS
Combat Methamphetamine Epidemic Act 2005
Restrict certain cold medicines limiting purchases and obtaining identification of purchasers
Project MKUltra
CIA secretly established LSD to soldiers and civils without their consent attempting to develop a “truth serum” and manipulation tool
FDA Control (1962)
Food and Drug Administration took control over all new investigational drugs – requiring clinical trials. Shut down the Harvard program
American Indian Religious Freedom Act (1994)
only member of the Native American church is allowed to use it in religious ceremonies
Comprehensive Drug Abuse Prevention and Control Act 1970
centerpiece, the Controlled Substances Act (CSA) - remains the cornerstone of federal drug policy today
Bureau of Narcotics and Dangerous Drugs (BNDD)
later reorganized into the Drug Enforcement Administration (DEA) in 1973
two prong strategy
(1) reducing supply by investigating and prosecuting traffickers; (2) reducing demand through prevention and treatment
Schedule I
is the highest (LSD, Heroin)
Anti-Drug Abuse Act of 1988 & Zero Tolerance
idea that no amount of illegal drug use is acceptable and that even first-time possession carry significant penalties
Comprehensive Addiction and Recovery Act (CARA) 2016
most sweeping legislation since the 1970s – authorized 181 mill. for prevention, treatment, and recovery support. Focus on opioid crisis
Strengthening Opioid Misuse Prevention Act (SUPPORT Act) 2018
8.5 bill. Over 5 years for opioid treatment and prevention, expanding Medicaid coverage for substance use disorder treatment
Fair Sentencing Act 2010
Reduced the crack-to-powder sentencing disparity from 100:1 to 18:1. Eliminated the 5-yr mandatory min for simple crack cocaine possession.
MORE Act (2020 & 2022)
First act to decriminalize marijuana federally
Passed house but has stalled in Senate