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“Teenagers and children in the age group of eight to 11 years are coming to our clinics as they do not generally report in the out-patient departments. It’s very difficult to quote an exact figure pertaining to the number of total cases, but substance abuse, mostly sniffing correction/white fluid and petroleum products like paint thinners and kerosene, in the younger population is increasing. In a slightly elder age group — above 14 years — children are usually addicted to smack, ganja and intravenous drugs,” says Dr B S Chavan of, head, Department of Psychiatry, GMCH, Sector 32.
At PGI’s Drug De Addiction Centre, which sees around 500 cases from the region annually, around 5 per cent of the patients are below 18 years of age. “Tobacco is a common addiction among children of all age groups whom we counsel at our clinic,” says Dr D Basu of the psychiatry department, PGI.
“We had an eight-year-old patient last year who was addicted to sniffing white fluid. Other substances that trap children include transparent eraser fluid and medicines such as proxyvon and spasmo-proxyvon, prescribed for stomach cramps. The dependence on cough syrups have, however, seen a decline,” adds Dr Basu. He says all these products adversely affect the brain of children and there is a possibility of sudden collapse in rare cases.
“While counselling a child from a slum, we realised that peer pressure was the most dominant factor that had made him an addict. He told us that he was not allowed to be a part of his group of friends till he started smoking,” adds a PGI doctor.
1978 to 2003
PGI’s 25 yrs with adolescent addicts
* Of the 85 cases studied during the period, 63.5% patients had come from nuclear families, 83.5% were from an urban background and 54.1% were school dropouts
* 14.8 years was found to be the mean age when children used a primary substance for the first time. The mean age vis-à-vis first presentation was 17 years
* The commonest used primary substance was opioids (76.2%) and the commonest used opioid was heroin (36.5%)
* More than half the subjects (54.2%) were nicotine dependent at the time of presentation
* Curiosity was the most common reason (78.8%) for taking to drugs
* The results suggest that the development of substance dependence in children and adolescents is a combination of familial and social vulnerability factors, including the drug culture of the social milieu


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