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Crack cocaine in the Dublin region - Health Research Board

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Prevalence of crack use among homeless peopleLawless and Corr (2005) at Merchants Quay Ireland assessed <strong>the</strong> nature, extent andexperience of alcohol and drug use among people who were homeless <strong>in</strong> four cities<strong>in</strong> Ireland – Cork, Dubl<strong>in</strong>, Galway and Limerick – between June and October 2003. 12In Dubl<strong>in</strong>, <strong>the</strong> sample was selected us<strong>in</strong>g a quota sampl<strong>in</strong>g based on gender, age andprimary accommodation type, while <strong>in</strong> Cork, Galway and Limerick <strong>the</strong> quota samplewas based on primary accommodation. The majority (247, 70%) of <strong>the</strong> sample wasrecruited <strong>in</strong> Dubl<strong>in</strong> and <strong>the</strong> rema<strong>in</strong>der (108, 30%) was recruited <strong>in</strong> <strong>the</strong> o<strong>the</strong>r three cities.Of <strong>the</strong> 355 participants, 19% had used crack <strong>coca<strong>in</strong>e</strong> at some po<strong>in</strong>t <strong>in</strong> <strong>the</strong>ir life and 3%were us<strong>in</strong>g crack <strong>coca<strong>in</strong>e</strong> <strong>in</strong> <strong>the</strong> month prior to <strong>the</strong> survey.Nature and extent of crack use among TravellersIn 2005, Professor Jane Founta<strong>in</strong> of <strong>the</strong> University of Central Lancashire assessed <strong>the</strong>nature and extent of illicit drug use <strong>in</strong> <strong>the</strong> Traveller community <strong>in</strong> Ireland (Founta<strong>in</strong>2006). The qualitative <strong>in</strong>formation presented <strong>in</strong> this report <strong>in</strong>dicates that crack <strong>coca<strong>in</strong>e</strong>was rarely used by <strong>the</strong> Traveller population.Pilot national drug trend monitor<strong>in</strong>g reportThe national drug trend monitor<strong>in</strong>g system pilot study <strong>in</strong>vestigated emerg<strong>in</strong>g nationaldrug use patterns <strong>in</strong> Ireland by collect<strong>in</strong>g <strong>in</strong>formation from 156 drug workers who hadregular contact with drug users <strong>in</strong> October 2004 (NACD 2007a). Just under one-third(32%) of drug workers reported that crack <strong>coca<strong>in</strong>e</strong> was used by <strong>the</strong>ir clients, and justover a half of <strong>the</strong>se reported an <strong>in</strong>crease <strong>in</strong> its use by <strong>the</strong>ir clients. <strong>Crack</strong> <strong>coca<strong>in</strong>e</strong> wasalso identified by 10 respondents as be<strong>in</strong>g a newly available drug <strong>in</strong> <strong>the</strong>ir area <strong>in</strong> <strong>the</strong>previous 12 months.Nature and extent of crack use among attendees at harm reduction andtreatmentIn an unpublished analysis, 15 of 28 needle-exchange services’ representatives<strong>in</strong> Dubl<strong>in</strong>, Kildare and Wicklow reported that crack <strong>coca<strong>in</strong>e</strong> was <strong>the</strong> fourth mostcommon drug used by needle and syr<strong>in</strong>ge-exchange attendees <strong>in</strong> 2007. The routesof adm<strong>in</strong>istration for crack were ei<strong>the</strong>r through <strong>in</strong>ject<strong>in</strong>g or smok<strong>in</strong>g. Three servicesreported an <strong>in</strong>crease <strong>in</strong> <strong>the</strong> comb<strong>in</strong>ed use of <strong>coca<strong>in</strong>e</strong> and hero<strong>in</strong>. This <strong>in</strong>volved ei<strong>the</strong>rsmok<strong>in</strong>g crack <strong>coca<strong>in</strong>e</strong> or <strong>in</strong>ject<strong>in</strong>g powder <strong>coca<strong>in</strong>e</strong> and <strong>the</strong> subsequent use of hero<strong>in</strong>to ‘br<strong>in</strong>g clients down’ from <strong>the</strong> <strong>coca<strong>in</strong>e</strong>-related high (J Rob<strong>in</strong>son, HRB, personalcommunication, 2008).12 Merchants Quay Ireland is a voluntary organisation provid<strong>in</strong>g a wide range of services to people who arehomeless and for drug users.<strong>Crack</strong> <strong>coca<strong>in</strong>e</strong> <strong>in</strong> <strong>the</strong> Dubl<strong>in</strong> <strong>region</strong>: an evidence base for a crack <strong>coca<strong>in</strong>e</strong> strategy35

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