Pubdate: Wed, 08 Oct 2003 Source: Mitchell News-Journal (NC) Copyright: 2003 Mitchell News-Journal Contact: http://www.mitchellnews.com/ Details: http://www.mapinc.org/media/1777 Author: Mett Ausley, Jr., MD Note: Newshawk title REGARDING "METHAMPHETAMINE USE RISES IN THE AREA" Dear Editor, Regarding the News-Journal's Sept. 24 article "Methamphetamine use rises in the area", northwestern North Carolina's recent meth lab outbreak is cause for concern as such facilities present fire, explosion and toxic hazards. Methamphetamine is rapidly addicting, and prolonged use causes mental and physical deterioration. However, the unsupported assertion that "only six percent of people addicted to methamphetamines recover from the addiction" is dubious. Compared with the severe distress and prolonged complications of opiate detoxification, amphetamine withdrawal is mild and transitory. Most addicts can be treated as outpatients, requiring little more than light sedation and psychological support. Late relapse is common but implicates psychosocial circumstances rather than physiologic drug craving. Long-term treatment results vary but generally much exceed the negligible success rate claimed earlier. Certainly, no clinical evidence supports dismissing the option of medically treating methamphetamine addicts. While the matter is serious, the public should be wary of purposeful alarm and exaggeration aimed at securing political support and taxpayer funding for a "war on meth" controlled exclusively by criminal justice authorities. Such expensive efforts' repeated failures to halt meth labs' decade-long transcontinental march attests to enforcement's inadequacy as a solitary anti-drug strategy and calls for reassessment. Mett Ausley, Jr., MD Lake Waccamaw - --- MAP posted-by: Beth Wehrman