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Table 1
Ethnographers and Epidemiologists Report on Heroin

 
City
  Bridgeport, CT San Antonio/
El Paso, TX
Seattle, WA New York Statea
Use stable at a high level up up up
Who's Using/ Change in Users majority over 30 years old, but some new young (18-25) users apparent older Chicano users; some young recreational users White, females increasing; in 30s; some new young users older users, White
Method older users inject; some snorting among new users primarily injection or cooking down and squirting into nose injection increased snorting but primarily injection
Drugs in Combination younger users may also use crack cocaine crack cocaine blunts (i.e., marijuana) laced with heroin
Who's Selling young (18-25) sellers; some gang activity; sellers often not users; double breasting continues Mexican Mafia and Syndicate; seeing more double breasting   NYC dealers, and residents who travel to NYC for supplies, are sources for suburban dealers and users
Purchase Amount/Purity $10/bag $10-$20/spoon $450-1/2 oz. low purity (black tar) purity has increased as prices drop; less than $1/mg pure
Other/Comments High purity heroin most available; rarely see "scramble" or heavily cut bags Primarily Mexican brown heroin available   Increased number of ER mentions and overdose deaths

a The New York data describes drug use in suburban Orange County, rather than the city, and is based on a study being conducted by the New York State Office of Alcoholism and Substance Abuse Services.

Table 1, cont'd.
Ethnographers and Epidemiologists Report on Heroin

City
  Denver, CO Miami, FL Atlanta, GA
Use stable up up
Who's Using/ Change in Users some young users, but primarily an older population some new users; "old shooters" returning to use African Americans, older White users, new young White users
Method injection, some smoking injection, skin popping (injecting into soft tissue rather than vein) injection; snorting among young users
Drugs in Combination cocaine in speedball among older users   crack (with heroin sprinkled over it)
Who's Selling gangs involved in street sales, tend to specialize in one drug diverse sources: South American, Mexican dealers sell all drugs available at one time
Purchase Amount/ Purity $120-$140/gram $20/"pill" or 1/10 of a gram increasing purity $10/bag; recent reduction in purity
Other/Comments marked increase in methamphetamine use-injecting, smoking, snorting more ER reports and deaths attributable to heroin use heroin is now available in almost all inner city neighborhoods, whereas before it was more localized


Table 1, cont'd.
Ethnographers and Epidemiologists Report on Heroin

 
City
  Austin, TX San Francisco, CA
Use up up
Who's Using/ Change in Users older, Anglo and Hispanic users; some young snorters older addicts and new young users
Method injection, low amount snorting (maybe 3%)  
Drugs in Combination    
Who's Selling Mexican Americans or Mexican Nationals some convergence between heroin and crack markets
Purchase Amount/Purity black tar ($2,300- $5,300/oz.) high purity
Other/Comments a little white heroin; mainly Mexican brown and black tar; increased ER mentions and deaths  




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