The international heroin trade affects the lives of
millions of people worldwide. It is
destructive for producer and user countries, if in different ways. For heroin users, addiction often means a
life of misery and despair that is difficult to overcome. Jeff Swicord introduces us to an addict in
is one of 6,000 heroin addicts in the east coast city of Baltimore. She lives
in this abandoned and dilapidated row house on the west side of the city. She agreed to let us follow her for part of
"This is where a lot of
people do sleep, and they get high here," Sandra said. Sandra first tried heroin six
"This is what a normal
junkie's purse looks like, all paraphernalia.
Hypes," she said.
Her life is consumed by one
thing: feeding her addiction. "That's only half a pill
because I did the other half earlier. But that is what heroin is," she
Afghanistan, Burma and
Colombia produce most of the world's heroin. The United Nations estimates there
are eight million addicts worldwide.
Baltimore is known for its
neighborhoods with charming row houses. But the port city, north of Washington
D.C., is also known as the heroin capital of the U.S. The U.S. Drug Enforcement Administration
or DEA says one in ten of the city's 6,000 residents is a heroin addict. Carl
Kotowski is Assistant Special Agent in Charge of the DEA's Baltimore office.
"The heroin that is
being distributed in Baltimore City is not very expensive whatsoever," Kotowski
said. "So, that makes it very lucrative for the abusers."
Most of the heroin in
Baltimore comes from South America and Central Asia.
Sandra says she does not care
where her drugs come from. She says
heroin does not give her a high anymore.
Her concern is the painful withdrawal she feels when her body craves
She has been arrested three
times and spent six months in jail.
Doyle, an addiction counselor in Carol County, Maryland, which borders
Baltimore, says that is common. "Once they become addicted, they now have
to chase the drug," Doyle said. "It becomes not any fun anymore because they
are constantly looking for the drug, looking for the money to get the
drug. And they start doing things they
said they would never do. They are
stealing from their parents. They are
stealing from their neighbors. They are
Sandra survives by working as
a street prostitute. She says she needs
to see three clients a day to earn enough money for drugs and food. She says violence is a
"I have had a knife put to me and my money robbed. But as far as really getting beat up - I did
have a trick, trick is what we call our dates, actually try to rape me. And, that was a weird experience," Sandra
said. She shows her leg. "This is what somebody's legs looks like that shoots drugs for a
long period of time," she said.
Sandra has health problems
related to her addiction. She has endocarditis, an
infection of the heart lining. Her
Hepatitis C can damage her liver and lead to cirrhosis. Her teeth are rotting.
All are common for heroin addicts.
When we asked Sandra if she
would ever stop using heroin, she said: "I am hoping I end up in
rehab before I end up out here dead. I
really don't know."
Doyle says there are four
options for addicts: death, jail, hospitalization or rehab. She says rehab is probably the most
difficult. "Most of our clients don't get recovery on the first try,"
Doyle said. "It is a chronic long-term disease. We correlate it to diabetes or high blood pressure. You don't give one treatment and say you are
Sandra recently tried to
enter a city rehab clinic. She was
turned away. In Baltimore, the wait
list is more than a month long.
For now, Sandra remains on
the streets surviving day by day and living with addiction as best she can.