Health

Boom in meth addiction adds to Afghanistan's opium and heroin woes

AFP

At a sprawling rehabilitation centre on the outskirts of Kabul, dozens of dazed-looking drug addicts clamber out of police buses and shuffle toward the facility. The men, arrested on the streets of the Afghan capital, have been sent to a compulsory detox programme established to tackle an explosion in the use and production of highly addictive methamphetamine. [NAJIBA NOORI / AFPTV / AFP]

KABUL -- At a sprawling rehabilitation centre on the outskirts of Kabul, dozens of dazed-looking drug addicts clamber out of police buses and shuffle toward the facility.

The men, arrested on the streets of the Afghan capital, have been sent to a compulsory detox programme established to tackle an explosion in the use and production of highly addictive methamphetamine.

Almost unheard of in Afghanistan until a few years ago, meth's sudden appearance has blindsided authorities in a country already suffering from a crisis in opium and heroin addiction.

"My life has been ruined by addiction," said 25-year-old Sulaiman, one of the 40 or so men arriving at the treatment centre.

Drug addicts rest at a drug treatment centre in Kabul on November 13 as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

Drug addicts rest at a drug treatment centre in Kabul on November 13 as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

In this photograph taken on November 13, drug addicts look on as they wait for registration after arriving at a drug treatment centre in Kabul, as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

In this photograph taken on November 13, drug addicts look on as they wait for registration after arriving at a drug treatment centre in Kabul, as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

Drug addicts exercise at a drug treatment centre in Kabul on November 13 as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

Drug addicts exercise at a drug treatment centre in Kabul on November 13 as part of a compulsory detox programme launched by the government. [NOORULLAH SHIRZADA / AFP]

Pharmacists examine seized samples of drugs to identify the substances in Afghanistan's main drug lab in Kabul on November 12. [NOORULLAH SHIRZADA / AFP]

Pharmacists examine seized samples of drugs to identify the substances in Afghanistan's main drug lab in Kabul on November 12. [NOORULLAH SHIRZADA / AFP]

The physical impact of the drug -- known locally as "shisha", or glass -- is evident by Sulaiman's sunken eyes and hollow cheeks.

He says he got hooked while living in Iran several years ago. "I would do whatever it takes to get the drug, from labouring to stealing," he added.

Sulaiman and other patients at Ibn Sina, Afghanistan's largest addiction treatment facility, must undergo 45 days of mandatory rehab.

Situated on a former military base, Ibn Sina houses about 900 men. Smaller facilities elsewhere are available for women.

Until 2017, it was filled mainly with opiate addicts, said Abdul Jabar Jalili, Ibn Sina's chief physician and counsellor.

"Today, around 70% of patients here are addicted to meth," he told AFP, pointing to a group of addicts ambling around a sun-filled yard in the vast compound.

Statistics are bleak, with many of the patients addicted to both meth and opiates. More than 80% of the patients will relapse, say Afghan health officials.

Naqibullah, another addict, started using the synthetic stimulant two years ago when his sister was killed in a Taliban bombing and a villager offered him a "non-addictive" drug to ease his grief.

"Initially... I liked it," the 34-year-old said.

"But then came the dark side, and I started to go mad, becoming violent and attacking members of my family."

Overtaking opium?

Data from 2015 -- when the last comprehensive national survey took place -- showed Afghanistan had about three million drug addicts, a huge proportion of the country's estimated 37 million inhabitants.

The number has only risen, say analysts, and the proportion of addicts using meth could be as high as about 40%, estimate health officials.

But just a few years ago, meth was practically non-existent.

The first meth seizure was reported in Helmand Province in 2008 -- a meagre amount of a few grams, according to Afghan counter-narcotic officials.

In the first 10 months of 2019, a massive 935kg had been seized, said Kabir Ibrahimkhail, a senior counter-narcotics officer.

"At the rate it is increasing, it will not be a surprise if it soon replaces opium in Afghanistan," he told AFP.

That shift would be hugely significant in a country that grows roughly 90% of the world's illicit opium and raises the question of whether Afghan meth could end up following the same international drug trafficking routes.

No data are available on how much Afghanistan exports currently. In the past two years several shipments have been intercepted heading to Iran, India and Saudi Arabia, according to Khaled Mowahed, spokesman for Afghanistan's Counter Narcotic Justice Centre (CNJC).

Before 2015, Afghan production was scarce, with most of the drug believed to have come from neighbouring Iran, where pseudoephedrine, an ingredient found in cold medicine, is used as a precursor to cook meth.

But manufacturers have found they can use a local mountain shrub known as "Oman".

Afghan officials realised what locals were doing with this type of ephedra plant only in 2017, when security forces stopped a bus carrying 1,400kg of Oman in Farah Province.

Taliban involvement

Meth dealers use persuasive tactics to spread its use, said Abdul Shakoor Haidari, deputy chief of Afghanistan's Drug Demand Reduction Programme.

"They say meth is not addictive and can help beat your opiate addiction. Then they lower prices and in some cases stop distributing heroin, so addicts are forced to turn to meth," Haidari said.

The Taliban, who long used opium to fund their insurgency, have also moved into the burgeoning market.

"In the areas they control, the Taliban charge a tax on each kilo of meth produced," said Jasmine Bhatia, a research fellow at the University of London's School of Oriental and African Studies.

The US military in 2017 began targeting drug-making laboratories in Taliban areas.

Last May, US air strikes hit meth-producing labs in Farah Province that the Taliban operated and owned.

The country is ill prepared to deal with meth, warn officials back at the Ibn Sina treatment centre in Kabul.

"We will have to work harder to save our people," said Ibn Sina director Zalmai Nawrozi.

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