Case study on causes, manifestation and effects of drugs and substance abuse in Kenya NAME: DORCAS GATHONI NGUGI UNIT CODE: TFD 301 UNIT: SOCIOLOGY OF EDUCATION REG. NO. : E35/38539/2013 SUBMITTED TO: MUTINDA MUTISYA DATE: APRIL 2014
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
NAME: DORCAS GATHONI NGUGI
UNIT CODE: TFD 301
UNIT: SOCIOLOGY OF EDUCATION
REG. NO. : E35/38539/2013
SUBMITTED TO: MUTINDA MUTISYA
DATE: APRIL 2014
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Definition of some terms.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
In Kenya, drugs and substance abuse has become a real menace. The
vice has devastating effects on individuals and the country at
large. In the following case study some of these terms will be
used quite often:
Drug abuse-also called substance abuse or chemical abuse, is a
disorder that is characterized by a destructive pattern of using
a substance that leads to significant problems or distress.
Drug addiction-also called substance dependence or chemical
dependency, is a disease that is characterized by a destructive
pattern of drug abuse that leads to significant problems
involving tolerance to or withdrawal from the substance, as well
as other problems that use of the substance can cause for the
sufferer, either socially, physically or even psychologically.
CAUSES OF DRUG ABUSE.
As we have already seen drugs are essentially poisons. As we look
at the causes of drug abuse it is vital to keep an open mind
because people across all walks of life have abused drugs for
varied reasons. Some might seem are ‘acceptable’ or rather
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
comprehendible to some of us depending on the societies which one
has been brought up from. However, the most important thing is to
offer support, love and care to these people.
People especially young one has abused drugs so as to fit in.
This is commonly among peers because the person wants to feel
part of the group. The fear of stigma makes these groups of
person want to be associated with that group and the only way to
do that is by doing what their fellow mates are doing. It may
also appear in the form that the drug abuser wants to seem grown
up or rather mature by their fellows. Research in many
rehabilitation centers in Kenya for drug addicts have shown that
peer pressure and the need to fit in is among the top leading
causes for drug and substance abuse in the country.
The family has been described as the single most influential
child hood factor in buffering the child and in shaping later
adaptation. The influences of the family on adolescent drug abuse
are fundamentally important, but complex. Factors about the
quality and consistency of family management, family
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
communication, family relationships and parental role-modeling
have been consistently identified as predictive of drug misuse.
Specific family factors include:
Ineffective parental family management techniques; for
example, lack of discipline.
Negative communication patterns such as blaming and
criticism.
Poor family relationships, as indicated by negative family
relationships, a lack of sharing of affection and
communication with children or parental interest in the
children’s activities and child abuse.
parental role-modeling :
– Parental criminality or anti-social behavior.
– Parental drug use.
– Perceived adult drug use.
– Positive attitudes towards drugs by parents.
– Parental modeling of drug use as a coping strategy.
Drugs work in various different ways. A small amount acts as a
stimulant while a greater amount acts as a sedative. Only the
amount needed to achieve the effect differs. As a result many
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
persons have used drugs to relax themselves while for others to
relieve boredom. About any of abused drugs in Kenya can be used
for any of the above reasons stated because what matters most is
the amount to achieve the desired effects.
Generally reasons for drugs abuse differ considerably by drug.
(Johnson, 1998) . Youngsters who are in the beginning stages of
drug use, will say “to experiment, to see what it is like.” After
that comes “to have a good time with my friends”—a social reason,
as well as “to get high.” Those in the heavier user groups
increasingly mention psychological coping as the underlying
reasons for their use—“to get through the day,” “to relieve
boredom,” “to deal with anger and frustration.” It can thus be
noted that causes for drug abuse among Kenyans vary from parental
influences, psychological reasons and even peer influence. These
three make up the bulk of the causes for drug and substance abuse
in Kenya especially in the major towns and cities around the
country. Other reasons cited may be:
Get more energy.
Seek insight.
Get through the day.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Increase other drugs effect.
Signs and symptoms of substance and drug abuse.
Drug abuse affects people from all walks of life and all
socioeconomic statuses. Whether a person starts taking drugs
because of peer pressure or stress relief, or whether he or she
abuses prescription drugs, it can be easy to become addicted.
Some drugs take longer to become addicted to than others, but all
drugs are to some degree capable of making the user dependent.
Breaking free of a drug addiction often requires outside help.
Drug abuse wreaks havoc on the body and mind and can eventually
kill. Drug and substance abuse is not always obvious. Many people
are ashamed of it and will deny it if confronted, or they may
genuinely not know they are addicted.
Drug abuse negatively affects a person’s behavior and habits as
he or she becomes more dependent on the drug. The drug itself can
alter the brain’s ability to focus and form coherent thoughts,
depending on the substance. Changes in behavior, such as
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
increased aggression, lethargy, depression or sudden changes in a
social network can indicate a problem with drug abuse. Alcohol,
for example, can make a person more aggressive and prone to
getting into fights or making impulsive decisions. As the
compulsion for using drugs overtakes a person’s life, performance
at school or work will suffer because of a lack of focus and
shifting priorities.
Research has revealed students especially teens in Kenya involved
in drug and substance abuse have gone to an extent of selling
valuable personal possessions. Drug abuse also can lead to
criminal behaviors, such as home robbery and mugging. It is
believed that the infamous Mungiki terror squad which terrorized
many Kenyan lives for years were used to smoking marijuana. Many
terror gangs in Nairobi estates such as Kayole, Dagoreti and
Kibera are believed to recruit their followers through use of
drugs as they provide them for addicts who intern are used to
commit criminal activities around the county.
Looking at some of the most abused drugs in Kenya and their
effects:
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Alcohol
Alcohol is one of the most widely abused legal substances in the
Kenya. Because of its legality, it is hard to control access to
those of legal age. Symptoms of alcohol abuse include frequent
hangovers, irresponsible drinking, such as before driving, and
excessive binge drinking. People who abuse alcohol will
frequently have the scent of it on their clothes or breathe.
Others include:
Repeatedly neglecting your responsibilities at home, work,
or school because of your drinking. For example, performing
poorly at work, skipping classes, neglecting your kids, or
skipping out on commitments because you’re hung over.
Using alcohol in situations where it’s physically
dangerous, such as drinking and driving, operating machinery
while intoxicated, or mixing alcohol with prescription
medication against doctor’s orders.
Experiencing repeated legal problems on account of your
drinking. For example, getting arrested for driving under
the influence or for drunk and disorderly conduct.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Continuing to drink even though your alcohol use is causing
problems in your relationships. Getting drunk with your
buddies, for example, even though you know your wife will be
very upset, or fighting with your family because they
dislike how you act when you drink.
Drinking as a way to relax or de-stress. Many drinking
problems start when people use alcohol to self-soothe and
relieve stress. Getting drunk after every stressful day, for
example, or reaching for a bottle every time you have an
argument with your spouse or boss.
Marijuana
Marijuana is considered one of the “softer” illegal drugs, but it
is still prone to abuse. It is also one of the most popular drugs
among many demographics. People often use marijuana for
relaxation because of its euphoric effects. Some signs of
marijuana abuse include dilated pupils or bloodshot eyes. In
addition, effects of Marijuana use include short-term memory and
decreases overall motivation. People who use marijuana often try
to hide the smell in their rooms by covering it up with incense.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Small burns on the ends of the thumb and forefinger can be a sign
of frequently smoking a marijuana joint to the very end.
Heroin
Heroin is one of the most addictive and dangerous drugs a person
can abuse. It is a powerful narcotic and can cause addiction upon
its first use. Most often, heroin is administered through
injection into a vein. If you see needle marks on someone’s arms,
it is a sign of possible heroin use. The needles can be inserted
anywhere that a vein is located, but the arms are the most common
location. In the long run, heroin use can cause side effects such
as weight loss and collapsed veins, as well as inflamed tissue
around the needle sites.
Prescription drugs
Prescription drugs are often overlooked as substances of abuse
because of their legitimate medical purpose. Antidepressants and
painkillers are the most commonly abused types of prescription
drugs. The physical signs will vary, but if you notice a trend of
someone frequently visiting different doctors to seek a diagnosis
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
of chronic pain, it is one sign of prescription abuse. Another
sign is taking higher dosages than prescribed or frequently
losing prescriptions.
Common warning signs of drug and substance abuse among teens in
Kenya are:
Having bloodshot eyes or dilated pupils; using eye drops to try
to mask these signs
Skipping class; declining grades; suddenly getting into trouble
at school
Missing money, valuables, or prescriptions
Acting uncharacteristically isolated, withdrawn, angry, or
depressed
Dropping one group of friends for another; being secretive about
the new peer group
Loss of interest in old hobbies; lying about new interests and
activities
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Demanding more privacy; locking doors; avoiding eye contact;
sneaking around.
Thus we can sum the manifestations of drug and substance abuse
into three major categories.
Physical signs.
Eyes that are bloodshot or pupils that are smaller or larger than
normal.
Frequent nosebleeds--could be related to snorted drugs (meth or
cocaine).
Changes in appetite or sleep patterns. Sudden weight loss or
weight gain.
Seizures without a history of epilepsy.
Deterioration in personal grooming or physical appearance.
Injuries/accidents and person won’t or can’t tell you how they
got hurt.
Unusual smells on breath, body, or clothing.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Shakes, tremors, incoherent or slurred speech, impaired or
unstable coordination.
Behavioral signs of drug abuse
Drop in attendance and performance at work or school; loss of
interest in extracurricular activities, hobbies, sports or
exercise; decreased motivation.
Complaints from co-workers, supervisors, teachers or classmates.
Unusual or unexplained need for money or financial problems;
borrowing or stealing; missing money or valuables.
Silent, withdrawn, engaging in secretive or suspicious behaviors.
Sudden change in relationships, friends, favorite hangouts, and
hobbies.
Frequently getting into trouble (arguments, fights, accidents,
illegal activities).
Psychological warning signs of drug abuse
Unexplained change in personality or attitude.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Sudden mood changes, irritability, angry outbursts or laughing at
nothing.
Periods of unusual hyperactivity or agitation.
Lack of motivation; inability to focus, appearing lethargic or
“spaced out.”
Appearing fearful, withdrawn, anxious, or paranoid, with no
apparent reason.
EFFECTS OF DRUG AND SUBSTANCE ABUSE
Effects of drug and substance abuse range from short term effects
to long term effects. While the specific physical and
psychological effects of drug abuse and addiction tend to vary
based on the particular substance involved, the general effects
of abuse or addiction to any drug can be devastating.
Psychologically, intoxication with or withdrawal from a substance
can cause everything from euphoria as with alcohol, inhalant
intoxication, to paranoia with marijuana or steroid intoxication,
to severe depression or suicidal thoughts with cocaine. In terms
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
of effects on the body, intoxication with a substance can cause
physical effects that range from marked sleepiness and slowed
breathing as with intoxication with heroin, to the rapid heart
rate of cocaine intoxication, or the tremors to seizures of
alcohol withdrawal.
The National Authority for the Campaign Against Alcohol and Drug
Abuse (NACADA) study shows that the following are some of the
effects of drugs and substance abuse in Kenya:
It promotes poor health amongst users, which also affects their
productivity at work, performance in school and responsibility at
home.
It is responsible for violence and criminality in our villages
and urban areas, as well as in learning institutions such as
violent strikes that disrupt the education system.
It depletes family finances leading to poverty and inability to
meet families’ obligations including payment of school fees,
purchase of food and other amenities, as well as investment in
income earning enterprises.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Alcohol and drug abuse is responsible for diminished perception
of risk thereby leading abusers into risky sexual behavior and
exposing themselves to HIV/AIDS and STIs.
It disrupts agricultural production thereby leading to decline in
food security;
It is responsible for accidents at home, at the workplaces, along
our roads, at school and other places resulting into injury or
even death.
The effects of drug and substance abuse can be categorized in
three broad areas:
On the Individual
People who use drugs experience a wide array of physical effects
other than those expected. The excitement of cocaine high, for
instance, is followed by a "crash": a period of anxiety, fatigue,
depression, and an acute desire for more cocaine to alleviate the
feelings of the crash. Marijuana and alcohol interfere with motor
control and are factors in many automobile accidents. Users of
marijuana and hallucinogenic drugs may experience flashbacks,
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
unwanted recurrences of the drug's effects weeks or months after
use. Sudden abstinence from certain drugs results in withdrawal
symptoms. For example, heroin withdrawal can cause vomiting,
muscle cramps, convulsions, and delirium. With the continued use
of a physically addictive drug, tolerance develops; i.e.,
constantly increasing amounts of the drug are needed to duplicate
the initial effect. Sharing hypodermic needles used to inject
some drugs dramatically increases the risk of contracting AIDS.
In addition, increased sexual activity among drug users, both in
prostitution and from the effect of some drugs, also puts them at
a higher risk of AIDS and other sexually transmitted diseases.
There are over 4,000 deaths directly attributable to drug use in
the Kenya every year; the substances most frequently involved are
cocaine, heroin, and marijuana, often combined with alcohol or
other drugs. Many drug users engage in criminal activity, such as
burglary and prostitution, to raise the money to buy drugs, and
some drugs, especially alcohol, are associated with violent
behavior.
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Effects on the Family
The user's preoccupation with the substance, plus its effects on
mood and performance, can lead to marital problems and poor work
performance or dismissal. Drug use can disrupt family life and
create destructive patterns of codependency, that is, the spouse
or whole family, out of love or fear of consequences,
inadvertently enables the user to continue using drugs by
covering up, supplying money, or denying there is a problem.
Pregnant drug users, because of the drugs themselves or poor
self-care in general, bear a much higher rate of low birth-weight
babies than the average. Pregnant women who acquire the AIDS
virus through intravenous drug use pass the virus to their
infant.
Effects on Society
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Drug abuse affects society in many ways. In the workplace it is
costly in terms of lost work time and inefficiency. Drug users
are more likely than nonusers to have occupational accidents,
endangering themselves and those around them. Over half of the
highway deaths in the Kenya involve alcohol. Drug-related crime
can disrupt neighborhoods due to violence among drug dealers,
threats to residents, and the crimes of the addicts themselves.
In some neighborhoods, younger children are recruited as lookouts
and helpers because of the lighter sentences given to juvenile
offenders, and guns have become commonplace among children and
adolescents. The great majority of homeless people have either a
drug or alcohol problem or a mental illness—many have all three.
A number of different prevention approaches have been found to be
effective in decreasing the risk of drug abuse and addiction.
Simple lifestyle changes, like increased physical activity and
using other stress reduction techniques, are thought to help
prevent drug abuse and dependence in teens. More formal programs
have also been found to be helpful. For example, the Raising
Case study on causes, manifestation and effects of drugs and substanceabuse in Kenya
Healthy Children program, which includes interventions for
teachers, parents, and students, has been found to help prevent
substance abuse and addiction in elementary school children when
the program goes on for 18 months or more. The prevalence of
easier access to technology has led to the development of
computer-based prevention programs. Such programs have been found
to be very promising in how they compare to more traditional
prevention programs, as well as how many more people can be
reached through technology.
REFERENCES:
1. http://www.nacada.go.ke/effects-of-drugs-on-your-health2.http://www.infoplease.com/encyclopedia/science/drug-addiction-drug-abuse-effects-substance-abuse.html3. http://drugabuse.com/library/symptoms-and-signs-of-drug-abuse/4.http://www.helpguide.org/mental/drug_substance_abuse_addiction_signs_effects_treatment.htm5. http://www.ncadd.org/index.php/learn-about-drugs/signs-and-symptoms6 .http://www.childhelp.org/pages/symptoms-of-abusehttp://www.medicalnewstoday.com/info/addiction/7. http://www.webmd.com/mental-health/drug-abuse-addiction8. http://www.drugfreeworld.org/drugfacts/drugs/why-do-people-take-drugs.html9.http://chealth.canoe.ca/channel_condition_info_details.asp?disease_id=45&channel_id=11&relation_id=5459110. (Johnson, 1998) Reasons for use, Abstention and Quitting.