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Table 1
Ethnographers and Epidemiologists Report on Heroin


Bridgeport, CT

San Antonio/
El Paso, TX

San Diego, CA

New York, NY

Use up up stable stable
Who's Using/ Change in Users traditional older users and teens/young adults; more teen users, more female users Hispanics, gang members, older users; more women, more young users males, 25-50 years old; more Hispanic users, more young users traditional older users; more young users, more middle-class users
Method of Use snorting
injecting
snorting
injecting
injecting
snorting
snorting
injecting
Drugs in Combination alcohol; cocaine; crack cocaine
cocaine
Who's Selling Young dealers, some selling through beepers. Both young dealers and older, established dealers Hispanic males Crews selling both heroin and cocaine, beeper sales
Purchase Amount/Purity $10/bag; high purity $10/bag,
$70-1/16 oz.;
variable purity
$140 - $200/gram;
40% - 60% purity
$10/bag
Other/Comments Some sales are through beepers, and deliveries are made to clubs, houses, and suburban areas. Many young users and sellers.
Methamphetamine is the number one problem. Young users seem to think heroin is controllable compared to crack, and it is part of a battery of drugs used to "party." Better organized street sales.



City

Denver, CO Miami, FL Chicago, IL Trenton/Newark, NJ
Use up up up up
Who's Using/ Change in Users young, some homeless, some college users; more use among people under 25 older users returning to use, middle class club goers traditional older users plus young users (teens and 20s); more young users 25-40 years old, some increase in young users; more non-urban users
Method of Use >injecting skin popping
injecting
snorting
injecting
snorting
injecting
Drugs in Combination cocaine
crack


alcohol
Who's Selling Mexican nationals and Hondurans at street level
Hispanic dealers for brown heroin; Nigerians for white heroin. Older teens/young adults
Purchase Amount/Purity $20/balloon; $30-$35 for 1/4 gram; 3% -15% purity $10/bag $20/bag; 5% - 20% purity high purity $15/bag; good purity
Other/Comments As compared to the past, more street dealers have both heroin and cocaine, though heroin is still easier to get. Methamphetamine available through white street level dealers. More old-time shooters are getting a taste for heroin again. It is also being skin-popped in after hours clubs by white upper middle-class adult users. Users are reporting difficulty getting into treatment and are fearful of medical cuts further limiting their options.



City

New York Austin, TX Newark, DE
Use up up (slightly) up
Who's Using/ Change in Users more young users older users (30+), primarily Hispanic traditional older users and many teen users; more young users
Method of Use injecting
snorting
smoking
injection snorting
injecting
Drugs in Combination crack cocaine
cocaine
Who's Selling more independent sellers evident

Purchase Amount/Purity $10/bag $100/bundle; declining purity Black Tar: $2,300 - $6,000/oz. Purity is good
Other/Comments There are many more independent sellers who are cutting heroin with odd adulterants i.e., Dramamine, aspirin. Increasing problems with illicit prescription drugs from Mexico. Also, increase in ER mentions for GHB, including one overdose death. Heroin use was down a little over the summer, but is gradually rising again, particularly among young (teen) users. It is easily accessible to teens.





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