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NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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From 1992 to 2000, the DMP found average heroin<br />

purities to be generally above 60 percent. Findings for<br />

2003, however, show an average purity of 53.5 percent,<br />

down from 61.4 percent in 2002. The associated price<br />

is $0.48 per milligram pure, an increase from $0.36 per<br />

milligram pure in 2002. According to the DEA, kilogram<br />

prices for January to June 2004 were $60,000–<br />

$70,000 for South American heroin and $60,000–<br />

$90,000 for Southwest Asian heroin.<br />

According to the SSU field staff, heroin in New York<br />

City continues to be highly available and accessible.<br />

However, street observers indicate that during the year,<br />

there were brief periods of sporadic shortages of heroin.<br />

Street sources reported some dealers from New York<br />

City were traveling to Newark, New Jersey, for their<br />

heroin. The DEA Drug Monitoring Program lists Newark<br />

as having the highest purity levels in their recent<br />

sampling.<br />

In general, heroin sellers tend to be less overt and less<br />

aggressive than their crack-selling counterparts. The<br />

selling of heroin in half-grams or larger amounts continues<br />

to be an indoor activity. Heroin for personal use,<br />

(i.e., the $10 bag) is primarily relegated to the street<br />

seller, who is better able to tolerate the greater pedestrian<br />

traffic. Street heroin is sold by independent sellers or<br />

small crews (2–4 individuals). The areas of the city in<br />

which heroin is most readily available are primarily lowincome<br />

Hispanic and Black communities. Many heroin<br />

users maintain that in Manhattan, the South Bronx, and<br />

Brooklyn, they are never more than five or six blocks<br />

away from a heroin connection. Although the use (i.e.,<br />

injecting or sniffing) of heroin is not a common public<br />

spectacle, field observers have reported a slight increase<br />

in the number of people seen nodding in public. This<br />

symptom is typically the result of a drug abuser combining<br />

heroin and pharmaceuticals, such as Xanax.<br />

The source of most of the heroin sold and used in New<br />

York City is South America. According to the DEA,<br />

Colombians are the principal importers and smugglers.<br />

Street sources indicate that the high and middle level<br />

distribution of heroin in New York City is done by Dominican<br />

drug gangs. The majority of the low-level<br />

distributors and street sellers in some sections of New<br />

York continue to be Hispanics and in other sections,<br />

Blacks.<br />

Several street sources indicate that Dominicans are<br />

starting to pull out of the low-level heroin dealing and<br />

street sales. In many instances, they are being replaced<br />

by Blacks or Mexicans. Recently, Mexican immigrants<br />

have been attempting to get a foothold in the street distribution<br />

of heroin. This phenomenon began in Queens<br />

and has spread to other parts of the city, as the Mexican<br />

population has grown and spread across the city. Ac-<br />

<strong>EPIDEMIOLOGIC</strong> TRENDS IN <strong>DRUG</strong> <strong>ABUSE</strong>—New York City<br />

cording to some informants, the Mexican heroin street<br />

sellers are working directly or indirectly for Dominican<br />

mid-level distributors, and, as time goes on, Mexican<br />

sellers may seek to establish their own direct importation<br />

connection.<br />

According to various street contacts, the most common<br />

form of heroin in the city appears to be associated with<br />

Colombian drug gangs. In general, quality throughout<br />

the city is reported to be good to very good for snorting.<br />

One exception is midtown Manhattan, where poor<br />

quality heroin, brownish in color and often sold under<br />

the brand name “the Cure” (the packet is stamped with<br />

a decal of a hypodermic), has appeared.<br />

Individuals from out-of-town continue to come into the<br />

city to take advantage of the better quality heroin. Once<br />

in their hometown, they often sell part of their drug<br />

supply at a higher price in order to defer the cost of<br />

their own habit. Recently, the DEA reported that Newark,<br />

New Jersey, has the highest heroin purity in the<br />

metropolitan area and that some New Yorker heroin<br />

users are traveling to Newark to purchase heroin.<br />

Heroin demonstrates far less price variation than other<br />

drugs sold on the streets of New York, and over the last<br />

6 months, heroin prices have been described as stable.<br />

The street seller usually sells one-sized packets. The<br />

predominant price for street-bought heroin is $10 per<br />

packet, and each packet contains approximately 0.10<br />

milligrams of powder. Recently, the $5 (0.5-milligram)<br />

bag appeared to be undergoing a limited resurgence.<br />

Last year, $5 bags were only found in North Manhattan,<br />

but now $5 bags are also being reported in other<br />

parts of the city as well. This appears to be an attempt<br />

to make the price of heroin more affordable, and it may<br />

be a consequence of increased competition among<br />

street sellers. There are some local sellers who are selling<br />

their product at slightly higher prices. For example,<br />

a street seller operating in Downtown Brooklyn sold his<br />

product for $13, claiming that his higher price reflected<br />

the better quality of his product. Out-of-town users/sellers<br />

usually resell part of their supply of $10<br />

packets for $15 in their home-town.<br />

The glassine bag is by far the most popular heroin<br />

packaging method. Observers report a continued decline<br />

in the use of the thumbnail-size bags and aluminum<br />

foil as packaging methods for heroin.<br />

At one point, the use of brand names was losing favor.<br />

Although most sellers do not use brand names, the use<br />

of brand names has recently experienced a resurgence.<br />

This new trend is probably a consequence of competition<br />

and a need to differentiate one’s product from a<br />

host of others selling essentially the same product. The<br />

following brand names are popular—Cross Over,<br />

Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 169

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