Another one of the risks of heroin use is that all heroin users--not just those who inject the drug-- becoming addicted. Individuals who abuse heroin over time develop a tolerance for the drug, meaning that they must use increasingly larger doses to achieve the same intensity or effect they experienced when they first began using the drug. Heroin ceases to produce feelings of pleasure in users who develop tolerance; instead, these users must continue taking the drug simply to feel normal. Addicted individuals who stop using the drug may experience withdrawal symptoms, which include heroin craving, restlessness, muscle and bone pain, and vomiting. In general, most heroin comes from opium poppy farms in SW Asia (the “Golden Crescent,” primarily Afghanistan and Pakistan), SE Asia (the “Golden Triangle,” primarily in Myanmar), and Latin American (primarily Colombia). Heroin trafficking is heavy worldwide. According to U.N. sponsored survey, as of 2004, Afghanistan accounted for production of 87 percent of the world's heroin. Heroin users who inject the drug expose themselves to additional risks, including contracting human immunodeficiency virus (HIV), hepatitis B and C, and other blood-borne viruses. Chronic users who inject heroin also risk scarred or collapsed veins, infection of the heart lining and valves, abscesses, pneumonia, tuberculosis, and liver and kidney disease. About 5.5% of 19-22 year-olds surveyed had used Ecstasy in the previous year. |