Drug Abuse: Bayelsa State At A Tipping Point? (II)

This is the conclusion of this article first published on Wednesday, May 17.

This is the concluding part of the opinion piece on the ongoing drug-related crisis in the State of Bayelsa. The initial instalments of this article were drawn from news stories in the past few months of 2023 to show that all is not well in the war against drug trafficking, and drug abuse in the state. This huge mortal problem is staring us in the face, such that the average Bayelsan might be compelled to ask if there is any hope. Yes, there is hope, but not with old approaches that have been tried and proven ineffective. Preventing the growth of substance use and dependence in the state, as well as the zone calls for a multi-pronged approach that must entail thinking outside the box.
In my opinion, the major key to tackling the monster of drug addiction in South-South is to set up a special regional task force, drawing men from all the relevant agencies and governments within the zone, and give them resources and clear targets, which must include making it hard to access drugs, reducing the prevalence rate of any drug use in the zone to a single digit. Firstly, it must be made clear from the onset that the purpose of the task force is to save lives. Secondly, since the 2018 report mentioned the paucity of rehabilitation centres, states in the zone must improve existing facilities, or put new ones in place.
Thirdly, two key lessons learnt during the COVID-19 pandemic must be brought to bear. In the first instance, there must be daily state-wide randomised drug testing (using a fingerprinting technology uniquely designed to expose substance abusers using what is called the fluorescence-based lateral flow competition assay) in every local government to constantly track prevalence, and death rates through the duration of the task force.It must be noted that in spite of the losses during the recent global COVID-19 pandemic, the experince was a major teacher in that, it show the world how, and how not to manage a global health crisis. For instance. The Diete- Spiff administration appointed and recruited seasoned academics, administrators and technocrats to join in the task of building the nascent State particularly after the civil war. COVID-19 pandemic, the experience was a major teacher, in that, it showed the world how, and how not to manage a global health crisis. For, instance, with hindsight, medical practitioners and policymakers across the globe can to a reasonable extent agree that lockdowns does not work.
But then, on the other hand, the world saw what difference testing made, especially in isolation and the treatment of the infected. The same can be applied to the ongoing drug abuse crises in the Bayelsa State.The Health and Safety departments of most corporations have been managing alcoholism and drug abuse for decades using on-the-spot testing, during accidents for drivers, and routine and impromptu testing of members of staff. The merit of this approach is that alcoholic beverages like beer remain in the blood for eight hours and spirits, like whisky and brandy, can last up to 20 hours in the bloodstream. Interestingly, this technology is not exclusive to the safety departments of multinational corporations.
Currently, a fingerprinting technology uniquely designed to expose substance abusers has been developed. The system is designed to work with the process by which the human body metabolises substances to generate a plethora of metabolites, some of which are excreted through the sweat glands. Currently, the system is only able to capture amphetamines, cannabis, cocaine, and opiates.Like alcohol, different drugs are metabolised by the body in a variety of ways, generating a myriad of metabolites, some of which are excreted through the sweat glands. For instance, Tetrahydrocannabinol, the primary psychoactive component in cannabis can be detectable in the sweat of an individual following consumption for up to a week in most cases; while cocaine can passively diffuse through capillaries into sweat glands in its non-ionised form and can diffuse directly through the skin.
Similarly, opiates such as heroin produce the major metabolite 6-acetylmorphine, which is the main indicator in the sweat that confirms opioid use. Opiates too are generally detectable within two hours and up to a week in the sweat following consumption. Cocaine and ethyl methyl ecgonine are detectable in the sweat as soon as two hours following consumption, whereas benzoylecgonine is detectable in four to eight hours. The metabolites are detected by performing a lateral flow assay, utilising fluorescent tagged probes to indicate that particular complementary molecules are present in a sweat sample. In plain language, this test is akin to the instant pregnancy test available at pharmacies.
The taskforce must also work in collaboration with telecommunication companies and every media house in the zone to keep the public informed on daily basis. To achieve a downward trend in the prevalence rate quickly, every state governor must use this daily information to put their local government chairmen to work. They must be held accountable for using this information in driving awareness at every level in their various local governments, including churches, mosques, and markets.  Since most of the victims are from institutions of higher learning in the states within the zone, they should be viewed as epicenters that merit extra attention. Consequently, that taskforce should work with the management of these institutions to make one random testing mandatory for every student, at least once every semester.
On the face alone, since the students might be invited for drug tests without prior information, it would serve as a major deterrent. Beyond that, because of the consequences tied to it, truant students might also rethink their movements, especially if reporting to parents, guardians, or scholarship bodies happens to be one of the consequences.The testing is not an end in itself; rather, it is also a means to apprehend the dealers on the street. Therefore, for everyone who tests positive for any drug, the intention is to extract actionable information to arrest his/her dealer with confidentiality guaranteed. Just imagine that 100 tests reported a positive result, across various local governments within a state, and the users volunteer valuable information about their dealers, this war can easily be won in six months.
But then, the fourth term of reference for the taskforce is most critical, because it deals with those who are already vulnerable, or dying due to the miseries of extended drug abuse or substance dependence. It is very important that each state within the zone puts in place an emergency medical unit ready to move at a moment’s notice in every Senatorial District at least. The purpose of this team is primarily to save lives, and they should be given all they need to enable them to save lives.Furthermore, Local Government Areas must regularly hold seminars in schools, churches, mosques, and markets to educate their people on the current drug epidemic ravaging our region.
It is in the general interest of parents, Pastors, Imams, and community leaders to be fully aware of how far this cancer has eaten into the fabric of society. It is also very important for leaders to understand what is about to happen to our common way of life if the average youth on the street is a druggy. Clearly, Bayelsa State is at a tipping point, but almost all other states within the zone are more or less next-door neighbours to each other, therefore is safe to assume that other states are not faring better. This is more reason all the states in the region must work together to end the menace of drug trafficking and drug addiction. Lastly, the National Drug Law Enforcement Agency (NDLEA) and other security agencies should take the war against drugs personal, because the next victim might just be a member of their family.

By: Raphael Pepple