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About Street roots. (Portland, OR) 1998-current | View Entire Issue (Sept. 18, 2009)
1» & D EC A D E 13 ¡ street roots Education * Dialogue * Independence DRAGON, from page 11 concentrated.” “The quality seems to be a ldt better in ~ Portland than San Francisco,” Jake says, In general, police and social-service * who adds that the heroin in Portland began providers say heroin use has increased in getting purer in the past three years. part because it has become popular to “Seattle, it’s terrible, terrible quality.” smoke the drug, rather than inject i t “Most Sources say that Portland’s purer heroin people injected it in the past,” Reese says. may be one reason why there has been an “It’s potent enough now that they can just increase in overdoses in Portland and in smoke it a tiny bit and then they don’t fed Oregon.| like they’re a drug addict, because they’re According to the annual report by the , not using a needle,” says Jake, a user. Multnomah County Medical Examiner’s ; Jones says the decreased availability of office on the number of drug-related deaths methamphetamine, caused by Oregon’s . jn Oregon, heroin-related deaths have slowly crackdown on. the drug and its ingredients increased since 200.5 when there were 86 in recent years, has made people turn to related deaths, just over half of those in heroin. • j , > Multnomah County. In 2008 there were 119 “We’ve seen a corresponding increase in deaths , in Oregon, 71 of them in Multnomah heroin and cocaine,” says Mark McDonald, County. Dr. Karen Gunson, Oregon’s who prosecutes drug cases for Multnomah medical examiner, says this year’s total will County’s District Attorney’s office. probably be in the “140 range.” . Lejeune thinks younger heroin users are Tracking the number of non-fatal self-medicating mental illness and anxiety. “I overdoses is more difficult, because many think there’s a lot more stressors on heroin users who overdose may not go to people’s plate when they’re younger,” he the emergency room for treatment. Liana says.' ; - < •. / _ • Haywood, a spokeswoman for Oregon “People are hurting really bad,” Health and Science University, says that Lundberg says, noting that the recession “anecdotally, it appears th a t... more heroin may be driving people toward addiction. addicts are cominginwith overdoses than “For young people whose ability to project normal, but this is not something we track into the future is not fully developed yet, it’s in detail.” . ; • really bleak.” Jake, 30, says that has been addicted to joe Says he has been on heroin since he heroin for 15 years. In that time, he says he was 17. While in high school,: he says he hasoverdosed at least three times, known rollerbladed “semi-pro.” The father of one 50 to 60 people who have overdosed but not his friends was pretty competitive, died, and known six to eight people who “There was no exctise for not competing,” died from overdoses. ’' Roby Day Williams, 47, was outside the Joe remembers. The father was also a doctor. If Joe was in public library in downtown Portland rolling a pain and a game was coming up, he would cigarette when he overhead this reporter asking people if they knew, or were, heroin be given “candy pills, pain pills.” “Makes you a little woozy, then Adderall,” addicts. In recovery from heroin addiction for nine months, he says he used every day Joe says. “I was an addict before I knew J for 15 years, sometimes three or four times was an^addict.” a day. “I got incredibly strung out for a _ Joe started using OxyContin, an addictive synthetic opiate often prescribed as a painkiller. “It got too expensive” on the street, he said, costing him $150 a day. Joe started snorting and smoking heroin, and eventually started injecting it. All of a Sudden, his drug addiction dropped to $5 a day. “It was economic pressure that got me on heroin,” Joe says. < Lejeune says that Joe’s experience of moving onto heroin from prescription drugs is not uncommon. “Almost every young person I’ve talked to, that’s where they started off. That was the gateway,” he says. Coming from Mexico or South America, the heroin on Portland’s streets is known as black tar heroin, a black, gooey substance that is mixed with water, melted, and injected. “[It’s] everything we see here,” Jones says. Addicts and law enforcement sources say that the heroin found in Portland may be the purest of any major city in the country. While he was pulling the heroin into a syringe, Joe described the. potency of the drug he was using as “extremely number of years,” he says- Thinking about that time, and almost beginning to cry, Williams guesses he overdosed on heroin nine times. During his addiction, Williams thinks he knew 6 or 7 people who died from heroin overdoses, and at least “30 in this town” who overdosed, but did notdie. Jones says that the people dealing heroin in Portland are using “somewhat sophisticated organizations.” The dealers normally operate outside of Portland, sending people into the city for drug sales. Jones says that many of the Portland area’s professional drug dealers are coming directly from Mexico. g j “I think there are probably several - five, 10, 20 - different organizations bringing in largd quantities, pounds.and pounds, Jones says. • ' • - According to Jones, half a gram of heroin _ equivalent to one hit — is selling on the streets for approximately $40 to $50, making it slightiy less expensive than meth. Joe says he goes to Outside In s clinic PDC is proud to help preserve the historic Hung Far Low sign a symbol of the rich cultural heritage in Old Town/Chinatown. PDC assisted the project w ith a Signage and Lighting improvement Program (SLIP) grant. The program provides property owners and tenants w ith funds to upgrade signage and awnings, and improve window andTacade lighting. This in turn helps create a positive retail and pedestrian environment in our city. PDC urges citizens to help restore Portland's iconic sign by purchasing a commemorative Hung Far Low t-shirt available at Ping restaurant In Old Town/Chinatown. Investing in Portland's Future PDC t>O8TtANP D6VEtOPM£NT COMMISSION www.pdc.us/busmess Duke thinks that to effectively respond to the increase of heroin use in Portland, there will have to be increased accessibility to Suboxone in treatment programs, more low- barrier treatment programs to more easily target people with addictions, and have treatment programs focus on harm reduction strategies as much as drug treatment After moving to Portland from San Francisco in 2007, Peter Geissert founded Portland’s chapter of the Portland Overdose Prevention Project in 2008. Th^ Project is a grassroots non-profit assisting agencies and individuals in developing response plans and skill sets to decrease the risk of overdose. In July, Geissert taught a training course at Janus Youth for the agency’s staff and people using the services that presented the risk factors for overdose, how to recognize someone who is overdosing, and how to get individuals out of the overdose, whether that meant breathing for them or reviving them with Narcan. Lundberg says that he and his staff are now more “planful” and aware of some of the drug-related problems Janus’s clients might have. Calling Oregon’s drug laws “the rriost lax of any state on the West Coast, if not the nation,” McDonald thinks that people who Tripping like it’s 1999? use and deal heroin are not properly punished. The maximum sentence a person When speaking about heroin in 2009, •| in possession of heroin can receive is 30 sources kept mentioning 1999, sometimes . days in jail, if there are beds available* More in tones suggesting that year is now a part typically, McDonald says, people caught of Oregon drug lore. That year, 250’people possessing heroin are given 10 days in jail, died from a heroin-related deaths. then placed on probation. “We had a huge year in 1999,” Gunson Rather than entering a drug treatment says. “It was the number one cause of death program, McDonald says “it’s much easier” among illegal drugs.” for an addict “to. just plead guilty” because ? Although the number ofheroin-related of the lack of punishment for drug deaths in Oregon isn’t anywhere near that possession. number, Gunson also says, “We’re pretty “I think there needs to be some increase much steadily growing.” “~inpen3Tties. I’m noFChHiiig foreverybody * every day to pick up and exchange 10 needles. Taking three to five shots a day, he says his habit probably now costs $20 a day. To pay for it, he panhandles. Lundberg and Reese both say they are seeing more people panhandling for drug money. It is one way addicts maintain their habit Often, they áre pushed to commit petty crimes. Lundberg fears there may be a rise in youth prostitution. Reese says that property crimes, theft, robberies, and assault have been on a rise as an effect of drug use as well. . To blame the rise of heroin use in Portland solely on youths, or oh the homeless population, would be a mistake. Lejeune says that many of the Outside In clinic’sclients are housed. “They’re still a lot of.guys out there in their 40s and 50s that are shooting heroin,” Reese says. “It crosses all ages.” According to Harriman, 66 percent of the clients using the county’s needle exchange services are between 30 to 54, which is the same age range of the majority of people Gunson says are dying from heroin overdoses. “It’S not young people,” she says.' “It’s people who have plenty of needle tracks in their arms.” “I would stop short of calling it an epidemic,” Lundberg says. “It’s not like what meth was in 2004,” going to jail, but there needs to be some says McDonald with the Multnomah County District Attorney’s office. “I would cajl that an epidemic. This is a very serious problem, much more of a problem than people realize.” An epidemic of the proportions seen in the late 90s may not happen in Portland because of the presence of needle exchange clinics and other harm-reduction strategies. In 2008, Outside In received funding from the Substance Abuse and Mental Health Services Administration to start the Rise Program, which provides case management and permanent supportive housing to homeless youth who are 18 to 24 years old who have a mental illness and substance abuse addiction^ The program administers Suboxone to people in the program, a mixture of Buprenorphine, an opiate blocker, and Narcan, a drug that can instantly revive someone from an opiate overdose. deterrent, and some incentive for people to go into, treatment,” McDonald says. Ultimately, McDonald says, Portland and Multnomah County can do little to control the drug trafficking acrdss the Mexican border/and thinks that heroin use in Portland won’t truly drop until thefederal government tackles drug importation. Joe thinks he probably will never get off heroin, and he isn’t interested in treatment. “I have to learn how to live with it,” Joe Says, calling himself a “responsible jurikie” and thinking of heroin as a medicine keeping him from being sick. Joe says there was a period of two years when he was clean. But he said he wanted to die the whole time” because the physical t ’pain from withdrawal was.too much. “You don’t sleep. You twitch. It s as close to hell on earth as you can get. “Heroin changes you,” he says. “You never feel the same. 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