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Peter Duesberg and David Rasnick dictors of human immunodeficiency virus-type 1 (HIV) infection (Penkower et al., 1991), recreational psychoactive drug use has been associated with HIV- related illness or infection among homosexual men.” 104. In 1995, the National Institutes of Environmental Health Sciences reconfirmed the nitrite-AIDS hypoth- esis. Based on exposure of mice to isobutylnitrites (IBN) (poppers) for 15 weeks the Institute published in 1995, “The results suggest that, in the absence of impaired pulmonary host defenses, IBN produces sig- nificant and partially reversible suppression of systemic humoral immunity” M1. And in the summer of 1996 the Royal Pharmaceutical Society first banned the sale of nitrites in the UK citing: “Our primary concerns were the health risks associated with the drug, includ- ing the suggestive links between poppers and Kaposi’s 147 sarcoma . Also in 1996 a Swiss court convicted a sex offender for popper use because poppers cause “headache, arrhythmia, vertigo, fainting, paralysis, and uncon- sciousness”. During the same year an official of the Swiss Public Health Office, BGA, stated to the gay interest journal aKthat it was not possible yet to pre- dict the health effects of popper use (“noch keine Risikoabschatzung des Poppers-Gebrauchs möglich”), although he acknowledged that a man had just died after inhaling two grams of amyl nitrite ". 2) Lifestyle factors contributing to drug pathogenicity. Many drug diseases are consequences not only of direct drug toxicity, but also of frequent drug-induced sup- pression of appetite causing malnutrition and sleep depravation, 126 both of which are the world’s leading causes of immune suppression 143. These health risks are compounded by poverty due to the enormous costs of illicit drugs. For example, an average cocaine habit of lg per day costs $800 per week 67. One of the first to ring the alarm about drug diseases among male homosexual drug users was the American writer John Lauritsen, author of Death rush, poppers andAIDS 144 and TheAIDSWar ,7. In The AIDSWar Lauritsen descibed in 1993 the explosion of drug use in the gay scene in London: Every Saturday night an estimated 2,000 gay men attend a dance club where drug consumption is the main activity. According to London sources, virtually 100 per cent of the men are on drugs, from 3.0 in the morning, when the club opens, until it closes many hours later. Especially popular is a variety of Ecstasy (amphetamines), whose ingredients are claimed to include heroin. Poppers are sold legally in London. No one seems to thinlc they even count as drugs, as gay physicians, writing in the gay press, have said that pop- pers are harmless. None of the major AIDS organisations have proper- ly warned about the dangers of drugs. At most, their risk-reduction literature has urged people to use alco- hol and drugs in moderation, so as not to affect the ‘judgement’. Drugs are portrayed as risky only to the extent that they might facilitate a lapse into ‘unsafe sex’. Poppers - which cause genes to mutate, which cause severe anemia, which can kill through heart attacks, which suppress the immune system — are depicted as bad only if they cause someone to forget condoms. 97. But recently even the established gay press appears to show some concern that recreational drugs may do more than facilitate HIV infection. For example, the British magazine Gay Times cited in its survey of the bewildering drug use of male homosexuals in 1996 (Table 5) the concerns of a first aid officer from a London gay club: I see some faces in the same dire state every weelc for years and I personally think there’s gonna be an awful lot of very ill people in a few years time. Taking all these substances on such a regular basis cannot be good for you. Medically it can’t. Sooner or later, some- thing’s got to give. 107. And an article in 1996 in the American gay magazine The Advocate with the title “A deal with the devil” asked philosophically: So why is it that in the gay world, where almost half the urban male population is dead or sick from an epi- demic closely associated with substance use, there is such ambivalence about drugs that AIDS organizations profess to see nothing wrong with raising money from events that glamorize drug use? Why, despite the bit- ter legacy of AIDS, do we continue assuring ourselves that being gay means we have to be totally non-judg- mental about the very things that have wiped us out? 72 3.5. Conclusions. The chronology and epidemiology of the American and European drug epidemics, which affects primarily 25-54 year old males, coincide exactly with the AIDS epidemic. Moreover, a comparison of the long-established list of drug diseases with the LÆKNANEMINN 102 1 • tbl. 1997, 50. árg.
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