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what are the histocial indigenous uses of coca?
medical
overcome hunger, fatigue, thirst
against altitude sickness (peru)
anaesthetic for childbirth
heal broken bones (high calcium content)
stop bleeding (contricts blood vessels
ritual
consumed in religious rituals, social bonds
coca chewing and taking tea together
symbol of indigenous identity
Who invented cocaine?
Albert Niemann isolated active ingredient
coca wine was introduced
What was thw 1914 Harrison Narcotics Tax Act?
law that regulated and taxed production, importation, and distribution of opiates and coca products
precded by racialized scare campaign abt black men, cocaine and white women
cocain would make black men rape white women
What was 1919 Webb. Vs. US?
doctors were arrested and delicensed for prescribing as cure for addiction
1961 UN Single Convention on Narcotic drugs
banned all but “medical and scientific use” drugs
amended by Bolivia and Peru 1988 to exempt tradiitonal coca use
Where is most (90%) coca grown in?
colombia
bolivia
peru
What are some enviormental costs of production of cocaine
deforestation and biodiveristy impacts
unregulated pesticides
toxic waste
state use of defoliants
Who gains the most profits from cocaine?
cocaine dealers to the US
cartel heads
How was the globalization of cocaine
supply chain connects Andean peasants and US consumers
coca paste goes out
money and chemicals come in
division of labor in countryside
coca growers
mixers and helpers
runners/ “burros”
transnational smugglers
Colochos
pilots
money launderers
escobar
How do you use cocaine?
powder
snort
eat
inject
rub on
freebase
smoke the vapours
crack (cocaine and baking soda)
smoke
fastest high
What can powder be cut with?
epsom salts
talcum powder
cornstarch
chalk
detergent
levamisole
drug to rid animals of parasitic worms
what are some effects of cocaine?
euphoria (inhibits dopamine reuptake)
energy, focus
intense, quick high
desire to avoid crash
not as addictive as alcohol, barbiturates, opiates
crack cocaine
made with baking soda
cheaper than powder cocaine
smoked, reaches brain in 8 secs
increased heart rate, blood pressure, euphoria
crack lip
boosts dopamine for 5-15 minutes
Who is Alisse Waterson and what did she critique
critiques venkatrsh’s gang leader for a day
venkatesth erases others whove studied urban poor
exoticizes
doesnt look at causes of poverty outside ghetto
exaggerates memory
Who is Keith Humphreys and what were his cautions?
professor who researched addictioin
cigarettes being legal, #1 killer
legalization does not get people into treatment
cannabis stores make most money from addicts, where elite making money off addicting the poor
What is the canadian drug scheduling
schedule 1: heroin, cocaine, opium fentanyl, morphine, methamphetamine
schedule 2: cannabis
schedule 3: LSD and magic mushrooms
schedule 4: barbituates, diazepam, benzodiazepine
schedule 5: repealed
schedule 6: class A precursors
schedule 7: specifies 3 kilograms as an amount of cannabis that triggers higher penalities
schedule 8: specifies 1 gram of cannabis resin or 30g of cannabis as amounts that can attract lesser penalities
What are some facotrs underlying mass incarceration in US?
mandatory minimum sentences
three strikes laws
paid or coerced witnesses
coercive plea bargains
inadequate legal representation for poor
judges authority → prosecutors
What are some key practices allowed by courts?
mandatory drug testing
stop and frisk based onintuition
search warrants based on anon informants (sometimes paid)
sweeps
expanded wiretapping
drug sniffing dogs without warrants
incentives provided by asset forfeiture laws
what is Civil forfeiture?
a legal process that allows the government to seize property and assets from people suspected of committing a crime
What is Fetal Alcohol Spectrum Disorders? FASD
umbrella term describing the effects that can occur in an individual prenatally exposed to alcohol
History of Alcohol and pregnancy
pre 20th century
first clear recognition of alcs harm occured during the 18th century london gin epidemic
19th - mid 20th century
william silliivan research showed high infant mortality rates among children of alcoholic mothers
after prohibition ended → shifted attitudes and skepticism about alcohol’s harm to fetuses resurface
1960: medical acceptance of alcohol safety in pregnancy peaked
1970s-2000s
french pediatrician Paul Lemoine and American researchers Jones and Smith published findings linking alcohol to FAS
public awareness further solidified association bt. alcohol use and fetal harm
What do we know now about drug use and pregnancy
any amount mof drug use, illegal or legal can have detrimental effects on the fetus.
effects can be visible after childbirth
who invented the syringe?
1853: Alexander Wood
what are opiates?
active ingredients exist in nature
derived by plants (poppies)
opium
morphine
codeine
semi-synthetic opioids
hydrocone (vicodin
oxycontin
oxycodone (percocet)
heroin
dilaudid
tramadol
vicodin
buprenorphine
synthetic opioids
fentanyl
methadone
demerol
darvocet
what are the ways of administration of opioids in order of quickest to slowest onset?
smoking (7-10 seconds)
intravenous injection (10-20 sec)
intramuscular injection (5-8 miniutes)
oral ingestion (30-45 minutes)
transdermal patch (up to 16 hours)
what are some withrawal symptoms of opioid consumption?
vomiting
sweating
chills
diarrhea
cramps
depression
withdrawal not lethal
what is methadone?
developed in germany during WW2
synthetic, not derived from opium
kills pain
blocks heroin at recptor
better absorbed
slower acting
longer lasting
little to no euphoria
used to maintain addicts
what is naloxone
medicine used to rapidally reverse opioid overdose
what is death associated with (drug related)0
mixing alcohol and barbiturates
depressants slow heart rate down
opiates cut with fentanyl
surprise of purer dose
going back to same dose after absstinence
what is suboxone/bupenorphin?
combination of buprenorphine and naloxone
work to decrease severity of withdrawal symptoms and reduce dependence on opiods
methadone vs. suboxone
methadone: black ppl most likelye to be given, done at clinic, more addictive
suboxone: used to treat opioid addiction, still an opioid, can be used without doctors supervision, used at home, interacts with other substances poorly, tooth decay
what is tusi/pink cocaine?
largely ketamin, MDMA< sometimes fentanyl
hallucinogen
party drug
what vital sign did the Sacklers invent? (cannot be measured by a machine)
Pain
Who is Curtis Wright?
FDA official
what is Insite?
a safe injection site that allows drug users to use safely
reduces amount of overdoses
saves many from HIV