“Cocaine-Related” Deaths: Media Coverage in the War on Drugs

A 1989 newspaper story describing twenty-nine cocaine-related deaths in British Columbia is used to illustrate the lands of unwarranted inferences that are propagated by the news media during the current War on Drugs. The newspaper story conveys the impression that most of the deaths involved well-integrated, moderate drug users, that all twenty-nine deaths were caused by cocaine, and that these deaths provided evidence of an epidemic of dangerous cocaine use sweeping the province. However, the coroner's files on which the story was based, and related research, provide strong evidence that all three frightening inferences are wrong. A more careful analysis of these deaths as a consequence of chronic deterioration in a fringe population can contribute to the development of realistic drug policy.

[1]  M. Winniford,et al.  Simultaneous acute thrombosis of two major coronary arteries following intravenous cocaine use. , 1989, Archives of pathology & laboratory medicine.

[2]  R. Weiss,et al.  Protracted elimination of cocaine metabolites in long-term high-dose cocaine abusers. , 1988, The American journal of medicine.

[3]  S. Belknap,et al.  Urinary excretion of cocaine, benzoylecgonine, and ecgonine methyl ester in humans. , 1988, Journal of analytical toxicology.

[4]  M. Goldberg,et al.  Neurologic complications of cocaine abuse , 1988, Neurology.

[5]  M. McDonough,et al.  Cocaine abuse and endocarditis. , 1988, Annals of internal medicine.

[6]  C. Bates Medical risks of cocaine use. , 1988, The Western journal of medicine.

[7]  P. Jatlow,et al.  Cocaine: analysis, pharmacokinetics, and metabolic disposition. , 1988, The Yale journal of biology and medicine.

[8]  P. Haller Infections in intravenous drug abusers. What makes them different. , 1988, Postgraduate medicine.

[9]  T. Kosten,et al.  Rapid death during cocaine abuse: a variant of the neuroleptic malignant syndrome? , 1988, The American journal of drug and alcohol abuse.

[10]  M. Rowbotham,et al.  Acute neurologic and psychiatric complications associated with cocaine abuse. , 1987, The American journal of medicine.

[11]  J. Haines,et al.  Acute myocardial infarction associated with cocaine abuse. , 1987, Southern medical journal.

[12]  D. Flaherty,et al.  Cocaine and sudden death. , 1987, American family physician.

[13]  E. Flamm,et al.  Intracranial hemorrhage and cocaine use. , 1987, Stroke.

[14]  P. Zalzal,et al.  Intracranial hemorrhage after cocaine abuse. , 1987, JAMA.

[15]  R. Smart,et al.  Do we know the lethal dose of cocaine? , 1987, Journal of Forensic Sciences.

[16]  B. Gordon Topical cocaine nasal anesthesia. , 1987, Archives of otolaryngology--head & neck surgery.

[17]  C. Wetli,et al.  Cocaine and sudden "natural" death. , 1987, Journal of forensic sciences.

[18]  L. Golbe,et al.  Cerebral infarction in a user of free‐base cocaine (“crack”) , 1986, Neurology.

[19]  G. Moore,et al.  Cocaine: current clinical use and potential abuse. , 1986, The Nebraska medical journal.

[20]  Ingold Fr Study of deaths related to drug abuse in France and Europe. , 1986 .

[21]  C V Wetli,et al.  Cocaine-induced psychosis and sudden death in recreational cocaine users. , 1985, Journal of forensic sciences.

[22]  R. Baselt,et al.  Stability of cocaine in biological fluids. , 1983, Journal of chromatography.

[23]  R. Budd,et al.  Study of the stability of cocaine and benzoylecgonine, its major metabolite, in blood samples. , 1982, Journal of chromatography.

[24]  P. Jatlow,et al.  Plasma cocaine concentrations during cocaine paste smoking. , 1982, Life sciences.

[25]  R. Hawks,et al.  Cocaine pharmacokinetics in humans. , 1981, Journal of ethnopharmacology.

[26]  C. Schuster,et al.  Cocaine plasma concentration: relation to physiological and subjective effects in humans. , 1978, Science.

[27]  P. Jatlow,et al.  Oral cocaine: plasma concentrations and central effects. , 1978, Science.

[28]  B. Finkle,et al.  The forensic toxicology of cocaine (1971-1976). , 1978, Journal of forensic sciences.

[29]  Hubert F. Feehan,et al.  THE USE OF COCAINE AS A TOPICAL ANESTHETIC IN NASAL SURGERY , 1976, Plastic and reconstructive surgery.