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'an assembly of leaders of London boroughs'.
The Chairman Ways and Means: With this, it will be convenient to discuss the following amendments: No. 16, page 1, line 10, leave out 'separately' and insert 'directly'. No. 17, in schedule, page 6, line 4, leave out 'an' and insert 'a directly'. No. 28, in schedule, page 6, line 4, leave out 'a separately elected assembly' and insert
'an assembly of leaders of London boroughs'.
Mr. Ottaway: Anybody who listened to the speeches on Second Reading and tonight would feel that some Labour Members wished to bring back the GLC. They expressed a nostalgic feeling that the good old days of the GLC should be allowed to return. I remind Labour Members of what the Green Paper says--I presume that the Minister endorses it--in paragraph 1.09:
To report progress and ask leave to sit again.--[Mr. Betts.]
Committee report progress; to sit again tomorrow.
Mr. Deputy Speaker (Sir Alan Haselhurst):
With the permission of the House, I shall put together the motions relating to delegated legislation.
Motion made, and Question put forthwith, pursuant to Standing Order No. 118(6) (Standing Committees on Delegated Legislation),
Motion made, and Question proposed, That this House do now adjourn.--[Mr. Jamieson.]
Ms Gisela Stuart (Birmingham, Edgbaston):
I am glad to have the opportunity to talk about illegal drugs, and especially their long-term harmful effects. Those drugs are deemed to be illegal substances because they damage the individual to such an extent that what seems to be a private choice to begin with becomes a public choice. That happens when their use leads either to anti-social behaviour or long-term damage to the individual, so that society as a whole deems such use to be unacceptable.
There is a continued increase in the incidence of drug taking. The evidence shows that between 1989 to 1995 nationwide drug usage increased by two and a half times, but in Birmingham it increased ninefold. We find also that young people take drugs in increased numbers and that such young people are getting younger and younger. Drug incidents in primary schools are by no means unknown.
The debate was sparked by yet another piece of research on the permanent brain damage that is caused by Ecstasy, which is often referred to as a recreational drug. I find that terminology extremely misleading and dangerous, and that is not merely a matter of semantics.
I refer my hon. Friend the Minister to several press reports. The most recent one appeared in the New Scientist. It tells us that the brain scans of drug users reveal the first direct evidence that Ecstasy or MDMA can trigger long-lasting changes in the human brain, which cause memory impairment and depression.
The year before the article to which I have referred appeared, an article--again in the New Scientist--in June reported, following a study among students, that a weekend dose of Ecstasy can lead to forgetfulness, poor concentration and midweek blues that are severe enough to qualify the sufferer for clinical treatment.
The Parliamentary Office of Science and Technology made an important observation in March when it told us that, in contrast to such drugs as cannabis, on which there is research literature stretching back 25 years or more, the relatively recent emergence of Ecstasy means that there is much less research on its potential psychological and health effects.
We have information on long-term drug damage that is fairly generic. Prolonged exposure to most drugs can lead to tolerance where the user develops a form of immunity and needs higher doses to produce a given effect. Most drugs cause some dependence if taken for prolonged periods. I am particularly concerned about their psychological effects, because those are much more difficult to measure. If drug use leads to long-term psychiatric effects, we as a society should be extremely concerned. Long-term use of Ecstasy causes a massive release of the neuro-transmitter serotonin by causing the stored neuro-transmitter to be released and inhibiting its re-uptake, so that its effect is increased and prolonged.
I shall make a point that we often tend to forget. Young people, who are most at danger, make very rational decisions. They make much more sophisticated risk assessments. We have a problem because, as parents, we encourage our children as they grow up to take risks,
to try things. When a child will not eat spinach, we say, "How do you know that you don't like spinach if you've never tried it?" Five or six years later, we say, "Here's something that you mustn't try." We need very good evidence and facts to convince our children when we warn them about the long-term danger.
I talked to DASH--the drugs and sexual health project in Birmingham--and asked for its experience of Ecstasy. In the first two years it recorded face-to-face contact with 3,400 drug users, particularly in clubs. Thirty-one per cent. of inquiries came from Ecstasy users wanting more information about the drug. The standard profile of an Ecstasy user is likely to be male, but we should not underestimate the number of young women who take Ecstasy; they simply seem to use it less.
Users are likely to be in their early twenties and use Ecstasy in addition to a range of other drugs, notably alcohol, cannabis and amphetamines. They make choices about the substance on which to get high on a particular night. They will consume one or two Es one or two nights per week, almost every week, for much of the year. Usage may continue for between two and four years. It is a social group activity which they grow out of. However, if it results in long-term or permanent brain damage, we cannot take it as something that is part of the club scene and just tolerate it.
Young people express concern about the long-term effects of drug usage, but when they assess the risk they have difficulty in finding the facts. I sent my researcher to a library yesterday to find some facts about the various long-term effects, and asked her to pretend to be a member of the public. She came back very surprised and said, "I found some very old medical text books with information on LSD, but I knew that it was not telling me the whole picture." We tend to overlook how difficult it is for youngsters and parents to find the facts, unless they are already in certain schemes.
We also face the difficulty that we want to spell out the realities very starkly to youngsters while not frightening the parents too much, so that they can handle the situation. Parents face the double problem of a teenager who is difficult at the best of times and a teenager who is taking drugs.
There are some very good organisations. One in particular that I have come across in Birmingham is Parents for Prevention. It is extremely useful. It is mainly for parents who are concerned about drugs or who face problems with their children: they either suspect that they are drug abusers or know that they are. Parents for Prevention educates parents about the drug culture and the effect of drugs, but in particular it enables them to cope with the situation so that it does not escalate. In the first 12 months of operation, its helpline had contact with some 2,600 parents and professionals. Most callers were mothers, and their main concerns related to cannabis, amphetamines, LSD, solvents and heroin.
The organisation provides continuing support for parents, visiting and befriending them. The system involves parents helping other parents. It also organises courses that all of us with teenage children should welcome--the "living with teenagers" programme. It recognises that a joint approach is essential.
What I welcome particularly about the Parents for Prevention campaign is that its funding is currently also a joint effort. The campaign is financed by the Home Office
and the drug prevention initiative, but also by the local authority action trust and Birmingham health authority, which recognises that dealing with drugs must be a cross-institutional initiative. The ultimate aim is to set up groups across the city that help parents to help other parents.
Once people's children are taking drugs, we have embarked on the dangerous debate about harm reduction and minimisation. We must recognise that once we have implemented harm reduction measures such as licensing requirements for drugs, it is, in a sense, too late: the young people have already started taking drugs. Although such measures are essential, they should not be the sole aim; we should not accept that we have to live with the problem.
My main purpose is to plead for much more research and much more evidence-based information. Youngsters respond to that. The more hard facts we have, the more they will follow those facts. The approach to the heart does not work, as we saw in the Leah Betts case: that did not, in a sense, reduce the attraction of Ecstasy.
A report produced by the Parliamentary Office of Science and Technology in May 1996 gave a good summary of the position. It stated;
I am often concerned when I hear the argument that the only kids who suffer from long-term exposure to drugs such as Ecstasy were already prone to some other addiction. That is simply a recognition that some groups are more vulnerable; it should not be used as an excuse for not emphasising the dangers of Ecstasy.
We need to recognise the existence of drug dependency, and accept that some groups of people have dependent or addictive natures. Again, that is no excuse for taking no action: it simply means that a different way of tackling the problem may be needed. I remember talking to a mother who said, "I have two kids. One is not a risk-taker, but the other is." The messages not to take drugs would be very different for those two children. Both messages must recognise their separate psychological dispositions, but both must be based on fact.
The most dangerous thing is conflicting information: young people in particular pick up inconsistencies, and the illogical arguments of adults, much faster than anyone else. If the case that we advance is not credible, they will not listen to us.
We need better information about patterns of use and about the mixture of various drugs. It is very unhelpful, for example, to say that only so many cases are related purely to Ecstasy. That does not help if we know that a mixture of drugs is causing the problem. Since 1972, the United States drug abuse warning network has provided the US Government with consistent sets of statistics on the harmful effects of drugs gathered from hospital accident and emergency departments and drug-related deaths.
That the draft Deregulation (Northern Ireland) Order 1997, which was laid before this House on 28th October, be approved.
That the draft Shops (Sunday Trading &c.) (Northern Ireland) Order 1997, which was laid before this House on 28th October, be approved.--[Mr. Betts.]
19 Nov 1997 : Column 427
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"Given the inherently psychoactive nature of these drugs, the major potential problem area is the definition of psychology/psychiatry. Here there are many research targets. At the basic level, the natural function of the cannabis receptor is not yet known, even though it is one of the more common types in the brain. Secondly, there are differences of view over the extent to which current psychiatric problem derive from illegal drugs."
The report asks for more information that influences behaviour.
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