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 From the Director
 Although heroin abuse has trended downward during the past 
          couple of years, its prevalence is still higher than in the early 1990s. 
         These relatively high rates of abuse, together with the 
          significant heroin abuse we are now seeing among school-age youth, the 
          glamorization of heroin in music and films, changing patterns of drug 
          use, and heroin's increased purity and decreased prices, make it imperative 
          that the public have the latest scientific information on this topic. 
         The National Institute on Drug Abuse (NIDA) has developed 
          this publication to provide an overview of the latest research findings 
          on heroin abuse and addiction.  Heroin is a highly addictive drug, and its abuse has repercussions 
          that extend far beyond the individual user. The health and social consequences 
          of drug abuse - HIV/AIDS, violence, tuberculosis, fetal effects, crime, 
          and disruptions in family, workplace, and educational environments - 
          have a devastating impact on society and cost billions of dollars each 
          year.  Fortunately, the availability of treatments to manage opiate 
          addiction and the promise of new treatments from research provide hope 
          for individuals who suffer from addiction and for those around them. 
        We hope this compilation of scientific information on heroin will help 
        to inform readers about the harmful effects of heroin abuse and addiction 
        and will assist in prevention and treatment efforts. Alan I. Leshner, Ph.D.Director
 National Institute on Drug Abuse
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