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Epidemiology of Inhalant Abuse - Archives - National Institute on ...

Epidemiology of Inhalant Abuse - Archives - National Institute on ...

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<str<strong>on</strong>g>Inhalant</str<strong>on</strong>g> Use Am<strong>on</strong>g Brazilian<br />

Youths<br />

Beatriz Carlini-Cotrim<br />

In Brazil, inhalant abuse is an old phenomen<strong>on</strong>. As early as the 1920s a<br />

series <str<strong>on</strong>g>of</str<strong>on</strong>g> local medical articles focused <strong>on</strong> the so-called ether-inhaling<br />

vice, in which ether or the volatile product found in a comm<strong>on</strong> device<br />

called lança-perfume (meaning “perfume-thrower”) was inhaled by young<br />

people in Brazilian cities (Lopes 1924, 1925). This device, a small metal<br />

c<strong>on</strong>tainer filled with ethyl chloride, usually was commercialized during<br />

Carnival, the 4-day festival that has become famous internati<strong>on</strong>ally. The<br />

original purpose <str<strong>on</strong>g>of</str<strong>on</strong>g> lança-perfume, as its name indicates, was to be used<br />

as a prank, in order to throw ice-cold jets <str<strong>on</strong>g>of</str<strong>on</strong>g> fragrance <strong>on</strong> people during<br />

the festivities. As such, it was bought and sold without any restricti<strong>on</strong>s<br />

for many decades.<br />

It appears that ether and ethyl chloride in the form <str<strong>on</strong>g>of</str<strong>on</strong>g> lança-perfume<br />

c<strong>on</strong>tinued to be the major inhalant products to be abused in Brazil up to<br />

the 1960s (Neves-Manta 1956; Parreiras 1965). At that time, the<br />

producti<strong>on</strong> and commercializati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> lança-perfume became illegal. This<br />

was the work <str<strong>on</strong>g>of</str<strong>on</strong>g> President Jânio Quadros. Although he resigned after<br />

<strong>on</strong>ly 8 m<strong>on</strong>ths in <str<strong>on</strong>g>of</str<strong>on</strong>g>fice, the prohibiti<strong>on</strong> he issued endures to this day—as<br />

does the illegal c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> lança-perfume. It now must enter the<br />

country illegally by way <str<strong>on</strong>g>of</str<strong>on</strong>g> Uruguay or Paraguay; alternatively, it is sold<br />

in a homemade versi<strong>on</strong> called loló.<br />

Reports c<strong>on</strong>cerning other kinds <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant abuse began to appear in<br />

major Brazilian newspapers in the early 1980s. In most cases, they<br />

involved the use <str<strong>on</strong>g>of</str<strong>on</strong>g> glues or thinners (Carlini-Cotrim 1992). Typically,<br />

the abuse was reported am<strong>on</strong>g young lower income subjects living in<br />

large urban areas. Although such indicati<strong>on</strong>s would necessitate scientific<br />

investigati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the subject, Brazilian epidemiological research <strong>on</strong><br />

inhalant abuse is relatively limited. The research that is available is<br />

centered <strong>on</strong> the study <str<strong>on</strong>g>of</str<strong>on</strong>g> two populati<strong>on</strong> groups: young students and<br />

street children.<br />

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