In 2000 only 578 Americans died of a meth overdose. By 2017, deaths increased 18-fold to 10,333 people
, the mayor of San Francisco, recently announced a new drugs task-force, which is the kind of thing mayors do. This task force, though, was unusual because it was not aimed at opioids but at methamphetamine. In 2017 meth overdoses killed 87 people in the city, more than twice as many as heroin. Open-air dealing, uninterrupted by the police, is a common sight in the poor Tenderloin district. Use is widespread among the city’s many homeless.
Another reason for the meth surge is the growth of so-called polydrug abuse. Half of those who died of meth overdoses in 2017 also had opioids in their system. Users usually have a drug of choice—opioids, which numb feeling, or stimulants such as cocaine and meth. When they cannot cheaply or easily obtain their preferred hit , they will often substitute another drug. In robust urban markets, doses of fentanyl-laced heroin or meth can be obtained for as little as $5.
In San Francisco, where the death rate in 2017 was nearly triple the national average, rates of use are especially high among gay residents, who take it as a party drug, and the homeless. Its cheapness has accelerated “a problem that has existed for decades among thecommunity around meth use,” says Raphael Mandelman, a member of the city’s board of supervisors. It is also used by “folks who are homeless who are trying to get through a cold night or stay awake,” he says.
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