Skip to main content

Public Health Approaches to the Cocaine Problem: Lessons from the Bahamas

  • Conference paper
The Cocaine Crisis

Abstract

We are witnessing the unprecedented spread of a relatively new form of cocaine called freebase or “crack” cocaine, which is smoked or inhaled rather than being snorted or injected, as is the powdered cocaine hydrochloride. For most North Americans, the first awareness of the new form of cocaine came with Richard Pryor’s burning himself in 1980, allegedly while making freebase cocaine from powder using ether. General awareness of the availability of “crack” became news on the east and west coasts of the U.S. during 1985, although many drug users in North America had been making their own freebase cocaine from powder for as long as a decade. Most Americans only began to appreciate the danger of cocaine in 1986, due to intense media coverage and the sudden deaths of two young athletes from the use of cocaine in June, 1986. The cocaine hotline started by Gold and Washton (1-800-COCAINE) has been receiving a rapidly increasing proportion of calls about the freebase form of cocaine. (1)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Newsweek Magazine, June 16, 1986, p. 20.

    Google Scholar 

  2. R. K. Siegel, Cocaine Smoking, J. Psychoactive Drugs 14:271–355 (1982).

    PubMed  CAS  Google Scholar 

  3. L. N. Robins, The natural history of adolescent drug use, Am. J. Public Health 74:656–657 (1984).

    Article  PubMed  CAS  Google Scholar 

  4. P.M. O’Malley, J. G. Bachman, L. D. Johnston, Period, age, and cohort effects on substance abuse among American youth, Am. J. Public Health 74:682–688 (1984)

    Article  PubMed  Google Scholar 

  5. J. J. Forno, R. T. Young, C. Levitt, Cocaine abuse: the evolution from coca leaves to freebase, J. Drug Education 11:311–315 (1981).

    Article  Google Scholar 

  6. D. F. Musto, Lessons of the.first cocaine epidemic, Wall St. J., June 11, 1986.

    Google Scholar 

  7. J. F. Jekel, D. F. Allen, H. Podlewski, et al., Epidemic freebase co caine abuse: Case study from the Bahamas, The Lancet 1:459–462, March 1, 1986.

    Article  CAS  Google Scholar 

  8. R. Byck, personal communication.

    Google Scholar 

  9. Nassau Guardian, Cocaine freebase houses sweeping South Florida, Jan. 6, 1986.

    Google Scholar 

  10. Newsweek Magazine, Crack and crime, June 16, 1986, pp. 16–22.

    Google Scholar 

  11. There are no recent studies, but several references which state this include: R. Byck, TQStimony before the Select Committee on Narcotics Abuse and Control, House of Representatives, Ninety-sixth Congress, July 24, 26, October 10, 1979. The studies reported by the National Institute of Drug Abuse and elsewhere show a curious lack of interest in reducing the availability of the drug.

    Google Scholar 

  12. F. H. Gawin, H. D. Kleber, Cocaine use in a treatment population: patterns and diagnostic distinctions, National Institute on Drug Abuse Research Monograph Series 61, National Institute on Drug Abuse, Washington, D. C. (1985).

    Google Scholar 

  13. R. Wilbur, A drug to fight cocaine, Science 86:42–46 March, 1986.

    Google Scholar 

  14. I. M. Rosenstock, What research in motivation suggests for public health, AJPH 50(2):295–302 March, 1960.

    Article  CAS  Google Scholar 

  15. D. Elkind, “The Child and Society,” Oxford University Press, New York (1979).

    Google Scholar 

  16. F. H. Gawin, H. D. Kleber, Cocaine abuse treatment, Arch. Gen. Psych. 41:903–909 (1984)

    CAS  Google Scholar 

  17. D. Paly, P. Jatlow, C. van Dyke, et al., Plasma cocaine concentrations during cocaine paste smoking, Life Sciences 30:731–738 (1982).

    Article  PubMed  CAS  Google Scholar 

  18. R. Zahler, P. Wachtel, P. Jatlow, R. Byck, Kinetics of drug effect by distributed lags analysis: an application to cocaine, Clin. Pharm. and Therap 31(6):775–782 (1982)

    Article  CAS  Google Scholar 

  19. J. Mausner, S. Kramer, “Epidemiology: An Introductory Text, 2nd Ed.” W. B. Saunders & Co., Philadelphia (1985).

    Google Scholar 

  20. J. V. Toohey, Activities for the Clarification of Values in Drug and Substance Abuse Education: A Manual for the Instructor, Arizona State University, Tempe (1985).

    Google Scholar 

  21. V. Frankl, “Man’s Search for Meaning,” Washington Square Press, New York (1963).

    Google Scholar 

  22. M. Neville, Treatment issues, medical and criminal perspectives in the realities of the provision of treatment to cocaine addicts in the Bahamas, presented at the First International Drug Symposium, Nassau, Bahamas, 20–22 November, 1985.

    Google Scholar 

  23. H. D. Kleber, F. H. Gawin, Cocaine abuse: a review of current and experimental treatments, in “Cocaine: Pharmacology, Effects, and treatment of Abuse, 1984, National Institute on Drug Abuse Research Monograph Series 50,” National Institute on Drug Abuse, Washington, D.C. (1984).

    Google Scholar 

  24. H. D. Kleber, F. H. Gawin, The spectrum of cocaine abuse and its treatment, J. Clin. Psych. 45(12):18–23 (1984).

    CAS  Google Scholar 

  25. C. L. Perry, R. Jessor, Doing the cube: preventing drug abuse through adolescent health promotion, in “Preventing Adolescent Drug Abuse-: Intervention Strategies, National Institute on Drug Abuse Research Monograph Series 47,” DHHA, ADAMHA, Washington, D.C. (1983).

    Google Scholar 

  26. J. D. Swisher, H. Tehwei, Alternatives to drug abuse: some are and some are not, in “Preventing Adolescent Drug Abuse” Intervention Strategies, “National Institute on Drug Abuse Research Monograph Series 47” DHHS, ADAMHA, Washington, D. C. (1983).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Plenum Press, New York

About this paper

Cite this paper

Jekel, J.F. (1987). Public Health Approaches to the Cocaine Problem: Lessons from the Bahamas. In: Allen, D.F. (eds) The Cocaine Crisis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1837-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1837-8_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9026-1

  • Online ISBN: 978-1-4613-1837-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics