Information about Black Tar Heroin

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Black tar heroin
Black tar heroin is a variety of heroin produced primarily in Mexico, but similar in appearance and texture to so called Home Bake Heroin from New Zealand. It is the most prevalent form of heroin in the western United States. In the eastern United States, South American-produced "white" (actually beige to off-white) powder heroin is most common. Black tar heroin is also occasionally found in western Canada, though Southeast Asian heroin is the most predominant form there. Almost all of the heroin produced in Mexico is destined for the western United States.

"Black tar heroin" is the typical street term for the drug,[1] but it has many other street (colloquial) names, such as:
  • Pigment
  • Negro: the Spanish word for black
  • Piedra: the Spanish word for stone
  • Chiva: a Spanish word for a young goat
  • Nut Job
  • "Muck"
  • "Slab"
Mexican drug syndicates were producing heroin by the mid-1960s. Lacking the experience in chemistry that other syndicates had gained through years of illicit heroin production, Mexican organizations used less-refined morphine and also substituted primary chemicals in synthesis.The opium from which heroin is ultimately produced is a golden brown-to-black, gummy latex containing an average of 10% morphine, although morphine content can vary from 3 to 20 percent of content. Pure morphine and heroin are both fine white and odorless powders. In order to produce heroin, morphine is extracted from raw opium and reacted with glacial acetic acid, primarily acetic anhydride for its efficiency. The purity of the final product, and therefore its color and texture, depend on the purity of the source material. Early black tar heroin was notable for its low purity (usually under 30%, at a time when white powdered heroin from the east coast often tested at over 90%), but purity levels have increased dramatically as the producers have gained experience. Accordingly, the price per kilogram of black tar heroin has increased from one-tenth that of South American powder heroin in the mid-1990s to between one-half and three-quarters in 2003.

The effects of black tar heroin are identical to those of powder heroin. Because of the consistency of black tar heroin, it is usually injected or smoked. It can also be ground into powder (see below) or dissolved in water and snorted.

Health matters specific to black tar heroin

Users who intravenously inject black tar heroin are at higher risk of venous sclerosis (a condition where the veins narrow and harden, making injection there nearly impossible) than users of powder heroin. Researchers at UC-San Francisco have found that the rapidity with which black tar heroin destroys veins compared to powder heroin (forcing users to inject subcutaneously), along with its gummier consistency (requiring that needles be thoroughly rinsed between use), may put users at lower risk of HIV infection.[2] Black Tar Heroin is also associated with necrotizing fasciitis (NF). NF is a severe form of cellulitis where infected tissue and muscle rapidly dies and patients can ultimately die of sepsis and kidney failure. Necrotizing Fasciitis has a mortality rate of 20% for treated cases and almost 100% for untreated cases. Black tar heroin can be associated with Wound Botulism (infection with Clostridium botulinum at the site of heroin injection). Botulism presents as generalized weakness, followed by paralysis of major muscular groups and finally respiratory paralysis. Botulism is treatable with intravenous type A equine antitoxin and mechanical ventilation.

Variations

Mexican brown powder heroin is actually #4 heroin without the addition of activated carbon and the final step of ether and ethyl alhohol used by most #4 producers. As it is often produced by the same syndicates producing Tar, they are considered for practical purposes to be a closely related product. In reality however, they are two different classes of heroin.

Documentary

The effects of the drug are realistically captured on the 1999 documentary Black Tar Heroin: The Dark End of the Street.

References

Heroin (INN: diacetylmorphine, BAN: diamorphine) is a semi-synthetic opioid synthesized from morphine, a derivative of the opium poppy, Papaver somniferum.
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Anthem
Himno Nacional Mexicano


Capital
(and largest city) Mexico City

Official languages Spanish (
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The Golden Triangle is one of Asia's two main illicit opium-producing areas. It is an area of around 350,000 square kilometres that overlaps the mountains of four countries of Southeast Asia: Myanmar (Burma), Laos, Vietnam, and Thailand.
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 Spanish, Castilian
}}} 
Writing system: Latin (Spanish variant)
Language codes
ISO 639-1: none
ISO 639-2:
ISO 639-3: —

Spanish (
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 Spanish, Castilian
}}} 
Writing system: Latin (Spanish variant)
Language codes
ISO 639-1: none
ISO 639-2:
ISO 639-3: —

Spanish (
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 Spanish, Castilian
}}} 
Writing system: Latin (Spanish variant)
Language codes
ISO 639-1: none
ISO 639-2:
ISO 639-3: —

Spanish (
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Morphine (INN) (IPA: [ˈmɔ(ɹ)fin]) is a highly potent opiate analgesic drug and is the principal active agent in opium and the prototypical opioid. Like other opiates, e.g.
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Heroin (INN: diacetylmorphine, BAN: diamorphine) is a semi-synthetic opioid synthesized from morphine, a derivative of the opium poppy, Papaver somniferum.
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Intravenous therapy or IV therapy is the giving of liquid substances directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip.
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Atherosclerosis
Classification & external resources

Changes in endothelial dysfunction in atherosclerosis (note text comments about geometry error)
ICD-10 I 70.
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University of California, San Francisco (UCSF) is one of the world's leading centers of health sciences research, patient care, and education. UCSF's medical, pharmacy, dental, nursing, and graduate schools are among the top health science professional schools in the world.
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An injection is a method of putting liquid into the body with a hollow needle and a syringe which is pierced through the skin to a sufficient depth for the material to be forced into the body.
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    Human immunodeficiency virus 1
  • Human immunodeficiency virus 2
International Statistical Classification of Diseases and Related Health Problems Codes
Classification & external resources

ICD-10 B20-B24
ICD-9 042 - 044
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Necrotizing fasciitis
Classification & external resources

ICD-9 728.86

MedlinePlus 001443
eMedicine emerg/332   derm/743

MeSH C01.252.410.890.
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MeSH D002481 Cellulitis is an inflammation of the connective tissue underlying the skin, that can be caused by a bacterial infection. Cellulitis can be caused by normal skin flora or by exogenous bacteria, and often occurs where the skin has previously been broken: cracks in
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MeSH D018805 Sepsis is a serious medical condition characterized by a whole-body inflammatory state caused by infection.

Traditionally the term sepsis has been used interchangeably with septicaemia and septicemia ("blood poisoning").
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Botulism
Classification & external resources

ICD-10 A 05.1
ICD-9 005.1

DiseasesDB 2811
MedlinePlus 000598
eMedicine med/238   emerg/64

MeSH C01.252.410.222.
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Botulism
Classification & external resources

ICD-10 A 05.1
ICD-9 005.1

DiseasesDB 2811
MedlinePlus 000598
eMedicine med/238   emerg/64

MeSH C01.252.410.222.
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IMDb profile

Black Tar Heroin: The Dark End of the Street is a 1999 documentary directed by Steven Okazaki. Filmed from 1995 to 1998 in the Tenderloin, San Francisco, California, the documentary offers the viewer a sobering dose of reality about the lives of
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The Centers for Disease Control and Prevention (or CDC) is an agency of the United States Department of Health and Human Services based in unincorporated DeKalb County, Georgia adjacent to the campus of Emory University and east of the city of Atlanta.
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