Socio-Economic Impact of Drug Abuse [Notes]

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Suraj Shetty
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    3.2. Socio-Economic Impact of Drug Abuse
    3.2 Objective
    3.2.1 Introduction
    3.2.2 Definition and important concepts
    3.2.2.1 What is Socio-economic impact of drug?
    3.2.2.2 What is Tobacco Addiction?
    3.2.2.3 What is alcoholism?
    3.2.3 Social Impact of drug
    3.2.3.1 Impact of drug on family and community
    3.2.3.2 Impact of drug on health
    3.2.3.3 Impact of drug on Education
    3.2.3.4 Impact of drug on crime
    3.2.3.5 Impact of drug on work
    3.2.3.6 Impact of drug on environment
    3.2.4 Economic Impact of Drug
    3.2.4.1. Impact of drug on Public safety
    3.2.4.2 Impact of drug on Governance
    3.2.5 Impact of drug and tobacco addiction and alcoholism
    3.2.5.1 Loss of physical and mental strength
    3.2.5.2 Loss of character
    3.2.5.3 Loss of family ties and relationship
    3.2.5.4 Loss of earning and livelihood potential
    3.2.5.5 Loss of societal respect and dignity
    3.2.6. Let us Sum Up
    3.2.7. Key words
    3.2.8. Check Your Learning
    3.2.9 Suggested Reading

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    3.2 Objectives
    Drug abuse is one of the major socio-economic problems affecting the physical and mental
    life of individuals and society. Substance Abuse or Drug Abuse means an over indulgence in a
    drug or other chemical substances. Addiction and use of drugs is increasing in the society day by
    day. This leads to a disease prone society and affects all aspects of human life. So, one has to
    understand how drugs are affecting the social harmony of the nation, society, individual and the
    world at large. This chapter will make you
    Understand about the socio-economic impact of drug abuse
    Appreciate how drug addiction affects the social and individual life
    Enable you to identify the economic loss due to drug abuse
    3.2.1 Introduction
    Drug abuse is a major social issue. Today there is no part of the world which is free from
    drug abuse. India is also caught in this vicious problem of drug abuse. Drug addiction causes a
    huge cost on human resources as well as it promotes illegal production and distribution of drugs.
    Drug abuse has a direct impact on social and economic aspect of the nation. The impact of drug is
    realized in workplace, family and the society. It results in violence at home and gang wars in
    cities, increase crimes and even stresses the public health system and we find young mass
    addicted to drugs. It leads to unsafe life. Drug addiction not only breaks the family harmony but
    also puts high economic burden on the society. The economic impact due to Drug abuse is
    immeasurable. The use, production and marketing of drugs, emergence of a class of drug
    consumers is a huge challenge for mankind. It ultimately leads to unemployment, weak human
    resources, weak brain power, unhealthy society and increasing crime at large. The socio-
    economic impact is associated with the expenditure incurred. We need to design a policy to
    prevent drug abuse. We must develop a prevention strategy and we need to educate the youth and
    protect the human resources. The impact is felt in various domains of life such as: family,
    industries, workplace and economy of the country.
    According to UNDCP report, the economic effects of drug abuse can be measured in two
    forms, i.e. cost of government drug enforcement polices and the lost human productivity such as
    lost wages and decreased production that results from illness and premature deaths related to drug
    abuse. There are many hidden costs relating to disturbance in social life, wastage of young energy
    and increased crimes.

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    Here are five facts about drug abuse in India:
    1) When the Punjab state government commissioned a drug abuse study in 2015, it found that 230,000 people
    in the state were drug users. That translated to 836 drug users per 100,000 people in the state. The All India
    number is 250 per 100,000 (for 2012), according to the Ministry of Social Justice and Empowerment. Even
    the figure of 250 drug abusers per 100,000 is very high when compared to other countries.
    2) In India, cannabis, heroin and opium are the most commonly used drugs. But there is an increasing
    prevalence of methamphetamine too. The number of users who inject drugs has also gone up substantially.
    There are one million heroin users registered in India according to a UN report. But unofficial estimates
    suggest 5 million is a truer figure.
    3) According to the National Survey on Extent and Pattern of Substance Use in India in 2019, about 2.1% of
    the country’s population (2.26 crore individuals) uses opioids which include opium (or its variants like poppy
    husk known as doda/phukki), heroin, and pharmaceutical opioids.
    4) The national survey of 2019 also showed that about 2.8% of Indians aged 10-75 years (3.1 crore
    individuals) were using cannabis as bhang, ganja and charas.
    5) But what is alarming is the number of suicides due to drug abuse and alcohol addiction has more than
    doubled in the last decade in India. In the year 2010, 3,343 cases of suicides were reported, and the number
    increased to 7,860 suicides in 2019.

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    Major findings of Survey by AIIMS at National and State level:
    A. Alcohol :
    i. At the national level, about 14.6% of people (among 10-75 year old) are current users of alcohol, i.e.
    about 16 Crore people. Prevalence is 17 times higher among men than women.
    ii. Among people consuming alcohol in India, Country liquor (‘desi’) (about 30%) and spirits (IMFL
    Indian Made Foreign Liquor) (about 30%) are the predominantly consumed beverages.
    iii. About 5.2% of Indians (more than 5.7 crore people) are estimated to be affected by harmful or
    dependent alcohol use. In other words, every third alcohol user in India needs help for alcohol
    related problems.
    iv. States with the high prevalence of alcohol use are Chhattisgarh, Tripura, Punjab, Arunachal Pradesh
    and Goa.
    v. States with high prevalence (more than 10%) of alcohol use disorders are: Tripura, Andhra Pradesh,
    Punjab, Chhattisgarh, and Arunachal Pradesh.
    (b) Cannabis :
    i. About 2.8% of Indians (3.1 Crore individuals) report having used any cannabis product within past
    12 months (Bhang 2% or 2.2 crore people; Ganja/Charas 1.2% or 1.3 Crore people).
    ii. About 0.66% of Indian (or approximately 72 lakh individuals) need help for their cannabis use
    problems.
    iii. Though bhang use is more common than ganja/charas, prevalence of harmful/dependent use is
    proportionately higher for ganja/charas users.
    iv. States with the higher than national prevalence of cannabis use are Uttar Pradesh, Punjab, Sikkim,
    Chhattisgarh and Delhi.
    v. In some states the prevalence of cannabis use disorders is considerably higher (more than thrice)
    than the national average (e.g. Sikkim, Punjab).

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    (c) Opioids :
    i. At the national level, the most common opioid used is Heroin, (current use 1.14%)
    followed by Pharmaceutical opioids (current use 0.96%) and then Opium (current use
    0.52%).
    ii. Prevalence of current use of opioids, overall is 2.06% and about 0.55% of Indians are
    estimated to need help for their opioid use problems (harmful use and dependence). More
    people are dependent upon Heroin than Opium and Pharmaceutical Opioids.
    iii. Of the total estimated approximately 60 lakh people with opioid use disorders (harmful or
    dependent pattern) in the country, more than half are contributed by just a few states: Uttar
    Pradesh, Punjab, Haryana, Delhi, Maharashtra, Rajasthan, Andhra Pradesh and Gujarat.
    iv. In terms of percentage of population affected, the top states in the country are those in the
    north east (Mizoram, Nagaland, Arunachal Pradesh, Sikkim, Manipur) along with Punjab,
    Haryana and Delhi.
    (d) Sedatives and Inhalants :
    i. About 1.08% of 10-75 year old Indians (approximately 1.18 crore people) are current users
    of sedatives (non-medical, non-prescription use).
    ii. States with the highest prevalence of current Sedative use are Sikkim, Nagaland, Manipur
    and Mizoram. However, Uttar Pradesh, Maharashtra, Punjab, Andhra Pradesh and Gujarat
    are the top five states which house the largest populations of people using sedatives.
    iii. Inhalants are the only category of substances for which the prevalence of current use
    among children and adolescents is higher (1.17%) than adults (0.58%).
    iv. At the national level, an estimated 4.6 lakh children and 18 lakh adults need help for their
    inhalant use (harmful use / dependence).
    v. In terms of absolute numbers, states with high population of children needing help for
    inhalant use are: Uttar Pradesh, Madhya Pradesh, Maharashtra, Delhi and Haryana.
    (e) Cocaine (0.10%) Amphetamine Type Stimulants (0.18%) and Hallucinogens (0.12%) are the
    categories with lowest prevalence of current use in India.
    (f) Nationally, it is estimated that there are about 8.5 Lakh People Who Inject Drugs (PWID). High
    numbers of PWID are estimated in Uttar Pradesh, Punjab, Delhi, Andhra Pradesh, Telangana, Haryana,
    Karnataka, Maharashtra, Manipur and Nagaland. Opioid group of drugs are predominantly injected by
    PWID (heroin 46% and pharmaceutical opioids 46%). A substantial proportion of PWID report
    risky injecting practices.
    Access to treatment Services: In general, access to treatment services for people affected by substance
    use disorders is grossly inadequate. Just about one in 38 people with alcohol dependence report
    getting any treatment. Only about one in 180 people with alcohol dependence report getting inpatient
    treatment / hospitalization for help with alcohol problems. Among people suffering from dependence
    on illicit drugs, one among 20 people has ever received inpatient treatment/ hospitalization for help
    with drug problems.

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    Key Take home Facts
    No single factor can be identified as a contributor to substance use in society.
    Multipliable factors interplay with each other to bring substance use among individuals.
    Adolescents are more prone to substance use.
    Genetic factors, mental health issues, and environmental issues contribute significantly to
    making one prey to substance use.
    Family discords, community acceptance, failures in life and academics, peer pressure, and
    ganging are some of the prime reasons which propel individuals to resort to substance use.
    However, it needs to be kept in mind that substance use is a reflection of poor personality
    and strong willpower can enable an individual to get out of its grip.
    Adolescents need to realise that “It is not substances that can make them their servants, but
    it is individuals’ strong self-confidence and determination that can help them to fight against
    substances.

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    3.2.2 Definition and important concepts
    3.2.2.1. What is Socio-economic impact of Drug?
    In simple terms socio-economic impact of drug abuse means undesirable or negative
    changes in the social fabric due to drug abuse; it also includes negative economic impact on
    individual, society and Government. It has many aspects. Use of drug by common people
    leads to many social consequences such as Instability in family relationship, Domestic
    Violence, Crime prone life, Reduction of sense of belongingness to the family and the
    society. There is also lack of social harmony and happiness within the family. On the other
    hand, family plays an important role in the life of an individual. Family members have a
    strong bond with each other, they support each other, face crisis together and affect the
    behavior and attitude of each other. Once any member becomes a drug addict the entire
    family is negatively affected. The family can play a major role in preventing drug addiction
    within the family. Further even if unfortunately a member becomes a drug addict, de-
    addiction is impossible without the support of the family. Doctors alone cannot cure a drug
    addict without the support of the family. Use of drugs by any family member particularly the
    parents and the elders negatively affect the young ones. Weak family link also reduces its
    influence for preventing drug abuse. It has been found that use of drugs by elders leads to use
    by youngsters. Use of drugs by a family member creates a vicious circle of drug users and its
    leads to a drug prone society.
    Definition of Social impact
    Social impact can be both positive and negative.
    Social impact is defined as
    Any significant or positive changes that solve or at least address social injustice
    and challenges”
    Social impacts have been continuously bringing changes in many parts of our
    lives
    Social impacts can be derived from many sources such as business, science and
    technology, politics and climate changes etc. Say, use of mobile phone has
    brought many social changes. A student can write 500 words on impact of mobile
    phones on the society.
    Drug abuse directly affects the society and destroys the family life. Thus, young men should
    protect the family life by creating awareness and preventing drug addiction.
    3.2.2.2 What is Tobacco Addiction?
    The term Tobacco addiction means when a tobacco consumer has been using it for a
    long period of time and cannot give up such use. Tobacco contains nicotine which is
    poisonous. Nicotine creates dependence. Nicotine produces pleasing effects in the brain.
    Though it is temporary in nature but an addicted person is tempted to consume it again for
    that pleasing effect. This addiction cannot be easily given up. In fact, it creates dependence.

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    Tobacco is the common name for tobacco product from several plants. They are
    known as “Genus Nicotiana”. More than 70 species of tobacco are available in nature. The
    chief commercial crop is N tabacum. It is generally used in dried form especially in cigarettes
    and cigars. There are many Indian variants like bidi, sutta, nasa or snuff etc. It contains
    highly addictive stimulant which makes the person to consume it time and again. Tobacco
    use is highly risky for human body. It directly damages lungs, heart, liver and also leads to
    cancer. Nicotine dependence effects our body. Which include:
    Lung cancer
    Variety of cancers
    Heart and circulatory problems
    Diabetics
    Eye problem
    Infertility and impotence
    Complications during pregnancy
    Cold, flu and other illness
    Infections
    Hearing loss
    Chronic respiratory problem
    Osteoporosis
    Dental problems
    Irregular periods of women
    The tobacco smoker also negatively affects the health of other people. People living with the
    smokers are periodically exposed to them and are known as passive smokers. In fact, even
    though they are not smokers they are forced to inhale the toxic smoke and as such can suffer
    from all the above health problems. Smokers create group of smokers. They in fact create
    peer pressure on their friends and force them to smoke. Social smokers become addicts in
    course of time. Tobacco consumption leads to pre-mature death. The society has the sacred
    responsibility of promoting a tobacco free society.
    In Odisha and many other parts in India people consume paan. It contains many harmful
    substances like tobacco and beetle nut. This is also quite harmful. In addition people spit out
    the liquid and negatively affect cleanliness. Other tobacco product includes gutka which is
    very dangerous.
    3.2.2.3. What is alcoholism?
    The word alcoholism” means addiction to the consumption of alcoholic drink. In other
    words, it is alcohol dependence. An addicted alcoholic is forced to drink by habit. Alcohol
    addiction has a direct impact over the society. Such a person starts stealing to pay for it. He
    becomes a habitual liar. He hides alcohol. He loses his sense and has no control over his
    behavior. He even has very little control over his motor action (say walking). He suffers from
    frequent irritation. He suffers from increased heart rate, nausea and vomiting. Alcoholism or
    alcohol addiction leads to many unhealthy behaviors and also health problems. There are
    physical, mental and social problems faced by the alcohol addicts. The following problems
    are faced by alcohol addicts.

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    The inability to control alcohol intake
    Obsession with alcohol
    Their behavior is unacceptable to the society
    They socialize with other alcohol addict
    Getting drunk in workplace and home
    Having frequent blackouts
    Drinking daily
    Negative drunken behaviors
    Inability to imagine their life without alcohol
    Using alcohol as the reward of life
    These are the common behavioral problems of the alcohol addicts. Therefore, one should
    seek professional help when trying to quit their drinking habit. Depression, anxiety, low self-
    esteem and enjoyment lead to drinking. None of these is justified. In fact, drinks will not help
    to reduce depression and low self-esteem. It does more harm than good. The enjoyment part
    is also not true. In fact, the so called enjoyment is only a kick for a short time. This
    outbalances the enjoyment. There are social smokers and drinkers. Who in course of time
    become habitual drinkers and smokers?
    3.2.3. Social Impact of drug
    3.2.3.1 Impact of drug on family and community
    Family is the basic unit of the society. The harmony of the family depends on the
    family members. When one member of family becomes drug abuser then he disturbs the
    entire family harmony. Every family member suffers due to a single drug abuser. It affects
    the life style, behavior, personality formation of the children and also financial condition of
    the family. The money spent on drugs can be put to better use. Amongst the poor the
    spending on drugs deprives others from food. The nation also pay heavy price in terms of
    workforce and from economic point of view relating to absenteeism, lack of performance and
    accidents at work place are the common problems created by the drug abusers. The drug
    abusers show criminal attitude in family. It ultimately breaks down the family bondage.
    Parents of young drug abuser suffer a lot. Parents cannot face the child who is taking
    drugs and behaves abnormally. When the younger ones observe the elders using drugs, they
    wrongly assume that drug abuse is an accepted behavior. The family members ultimately
    accept this with anger, fear, shame and embarrassment. Drug abuser in family generally
    shows socially unacceptable behaviors, violence, aggression, irresponsibility and selfishness.
    Many addicts also indulge in gambling. Drug addicts in the family affect children negatively.
    They create fear amongst children. When the children grow up many of them take drugs. The
    negative attention of the society also spoils child’s life. This vicious circle of parent children
    becoming drug addicts must be broken. The drug addicts and their children suffer from loss
    of identity, depression and low self- esteem. Only a healthy family creates a healthy society.

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    Domestic Violence
    Men who commit domestic violence also have problems with substance misuse
    Research indicates that up to 75% of individuals who suffer from substance use
    disorder are engaged in physical assault, mugging, using a weapon to attack their
    wives at home, and committing other violent crimes when prevented to take
    substances
    Alcohol caused approximately 90,000 domestic violence deaths worldwide
    Alcohol or drug use is involved in 40-60% of domestic abuse situations. More than
    30 percent of men are drunk at the time they commit a domestic assault, and 90
    percent abuse substances on the same day, with alcohol
    More than half of the individuals who abuse their elder parents (age 60 or older)
    are dependent on alcohol or drugs
    Each year, about 300,000 victims of violent assaults report that their attackers were
    under the influence of alcohol

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