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In the United States, the Federal Food, Drug, and Cosmetic Act defined the word "drug" as an "article intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals" and those "(other than food) intended to affect the structure or any function of the body of man or other animals." Consistent with that definition, the U.S. separately defines narcotic drugs and controlled substances, which may include non-drugs, and explicitly excludes tobacco, caffeine and alcoholic beverages.

Federal drug policy

• History of United States drug prohibition
• Office of National Drug Control Policy
• Drug Enforcement Administration

War on drugs

The War on drugs is a campaign of prohibition and foreign military aid and military intervention undertaken by the United States government, with the assistance of participating countries, and the stated aim to define and reduce the illegal drug trade. This initiative includes a set of drug policies of the United States that are intended to discourage the production, distribution, and consumption of illegal psychoactive drugs. The term "War on Drugs" was first used by President Richard Nixon in 1971.

Drug courts

The first Drug court in the United States took shape in Miami-Dade County, Florida in 1989 as a response to the growing crack-cocaine usage in the city. Chief Judge Gerald Wetherington, Judge Herbert Klein, then State Attorney Janet Reno and Public Defender Bennett Brummer designed the court for nonviolent offenders to receive treatment. This model of court system quickly became a popular method for dealing with an ever-increasing number of drug offenders. Between 1984 and 1999, the number of defendants charged with a drug offense in the Federal courts increased 3% annually, from 11,854 to 29,306. By 1999 there were 472 Drug Courts in the nation and by 2005 that number had increased to 1262 with another 575 Drug Courts in the planning stages; currently, all 50 states have working Drug Courts. There are currently about 120,000 people treated annually in Drug Courts, though an estimated 1.5 million eligible people are currently before the courts. There are currently more than 2,400 Drug Courts operating throughout the United States.

Smuggling

Drug smuggling across US borders may be done by several means. Packages may be carried by people, or by cars, trucks and Railcar, hidden in Compartment. Boats and submarines penetrate sea borders. Drones pass above and tunnels pass below the usual routes of smuggling.

Pharmacological drugs

• Pharmacies in the United States
• Prescription drug prices in the United States
• National Drug Code

Doping in sports

Doping is the taking of performance-enhancing drugs, generally for sporting activities. Doping has been detected in many sporting codes, especially baseball and football.

Major League Baseball

The Mitchell Report

In December 2007 US Senator George Mitchell released Report to the Commissioner of Baseball of an Independent Investigation into the Illegal Use of Steroids and Other Performance Enhancing Substances by Players in Major League Baseball. Major League Baseball asked Mitchell to conduct an independent investigation to see how bad steroid use was in baseball. In the report, Mitchell covers many topics and he interviewed over 700 witnesses. He covers the effects of steroids on the human body. He also touches on human growth hormone effects. He reports on baseball's drug testing policies before 2002 and the newer policies after 2002. Mitchell also named 86 players in the report that had some kind of connection to steroids. Among those named were: Andy Pettitte, Roger Clemens, Barry Bonds, and Eric Gagne. To finish his report, Mitchell made suggestions to the Commissioner of Baseball about drug testing and violations of the drug testing policies. Mitchell also reported that he would provide evidence to support the allegations made against such players and would give them the opportunity to meet with him and give them a fair chance to defend themselves against the allegations. The report also includes a paper trail of evidence that states, "Former Mets club house attendant, Kirk Randomski sent performing enhancement drugs to the players mentioned in the report." Quinn, T.J. and Thompson, Teri Daily News Sports Writers CT. (2007):66

Recreational drugs by type

Alcohol

Alcohol access

A survey of over 6000 teenagers revealed:

• Teenagers and young adults typically get their alcohol from persons 21 or older. The second most common source for high school students is someone else under age 21, and the third most common source for 18- to 20-year-old adults is buying it from a store, bar or restaurant (despite the fact that such sales are against the law).
• In the 12th grade, boys were more likely than girls to buy alcohol from a store, bar or restaurant.
• Teenagers with higher weekly incomes are more likely to buy alcohol from a store, bar or restaurant.
• It is easy to get alcohol at a party and from siblings or others 21 or older.

How easy is it for youth to buy alcohol?

• When young females attempted to buy beer without an ID at liquor, grocery or convenience stores, 47–52% of the attempts, beer was sold (1, 2) and nearly 80% of all the stores sold beer to the buyers at least once in three attempts; nearly 25% sold beer all three times.(1)
• When young females attempted to buy beer without an ID at bars or restaurants, 50% of the attempts resulted in a sale to the buyer.(2)
• When young males and females attempted to buy beer without an ID at community festivals, 50% of the attempts resulted in a sale to the buyer.(3)

Of note:

• Prohibition in the United States
• Alcohol consumption by youth in the United States
• Alcohol-related traffic crashes in the United States

Cannabis

The use, sale, and possession of cannabis containing over 0.3% THC by dry weight in the United States, despite laws in many states permitting it under various circumstances, is illegal under federal law. As a Schedule I drug under the federal Controlled Substances Act (CSA) of 1970, cannabis containing over 0.3% THC by dry weight (legal term marijuana) is considered to have "no accepted medical use" and a high potential for abuse and physical or psychological dependence.

• Legality of cannabis by U.S. jurisdiction
• Legalization of non-medical cannabis in the United States
• Legal history of cannabis in the United States
• Medical cannabis in the United States
• Removal of cannabis from Schedule I of the Controlled Substances Act

Cocaine

Cocaine is the second most popular illegal recreational drug in the United States behind cannabis, and the U.S. is the world's largest consumer of cocaine.

In 2020, the state of Oregon became the first U.S. state to decriminalize cocaine. This new law prevents people with small amounts of cocaine from facing jail time. In 2020, the U.S. state of Oregon would also become the first state to decriminalize the use of heroin. This measure will allow people with small amounts to avoid arrest.

Methamphetamine

Psilocybin

In January 2019, the Oregon Psilocybin Society and research firm DHM Research found that 47 percent of Oregon voters supported the legalization of medical psilocybin, while 46 percent opposed it. The percentage of voters in favor increased to 64 percent after key elements of the ballot were clarified to the poll's participants.

An October 2019 online poll conducted by research firm Green Horizons found that 38 percent of U.S. adults supported legalizing psilocybin "under at least some circumstances."

In November 2020, a ballot measure to legalize medical psilocybin passed with 55.8% of voters in favor.

Tobacco

• History of commercial tobacco in the United States
• Cigarette taxes in the United States

Statistics in 2018 estimated that about 14.9% of adults (18 and over) had ever used e-cigarettes, and around 3.2% of all adults in the United States were current e-cigarette users. These same stats also noted that 34 million U.S. adults were current smokers, with E-cigarette usage being highest among current smokers and former smokers who are attempting or have recently quit cigarettes.

Overall, it is estimated that 5.66 million adults in the US population reported current vaping 2.3%. From those users in the population, more than 2.21 million were current cigarette smokers (39.1%), more than 2.14 million were former smokers (37.9%), and more than 1.30 million were never smokers (23.1%).

A significant concern for public health safety in the United States arises also from Mexico, where illicit opium poppy cultivation is on the rise. The Mexican government reported eradicating 21,425 hectares of opium poppy fields in 2014, up from 14,419 hectares in 2013. From 2010 to 2015, the number of heroin seizures along the U.S.-Mexico border more than doubled. According to the DEA, Mexican drug trafficking organizations are not only major suppliers of heroin but also the largest international sources of cocaine, marijuana, and methamphetamine that enter the United States.

Costs

443,000 Americans die of smoking or exposure to secondhand smoke each year. For every smoking-related death, another 20 people suffer with a smoking-related disease. (2011)

California's adult smoking rate has dropped nearly 50% since the state began the nation's longest-running tobacco control program in 1988. California saved $86 billion in health care costs by spending $1.8 billion on tobacco control, a 50:1 return on investment over its first 15 years of funding its tobacco control program.

Critics

An estimated half a million children worked in the fields of America picking food as of 2012, although the precise number working in tobacco fields is unknown. In eastern North Carolina, children have been interviewed as young as fourteen who worked harvesting tobacco, and recent news reports describe children as young as nine and ten doing such work. Federal law provides no minimum age for work on small farms with parental permission, and children ages twelve and up may work for hire on any size farm for unlimited periods outside school hours. According to Human Rights Watch, farm-work is the most hazardous occupation open to children.

Drug use and deaths per state

State	Population (2010)	Drug Users (2010)	Drug Deaths (Total 2010)	Drug Deaths (per 100,000)	Federal Grants (2010)	Grant/Drug User
Alabama	4,779,736	06.73%	554	12	$80,040,503	$248.82
Alaska	710,231	11.79%	75	11	$30,760,934	$367.36
Arizona	6,392,017	08.95%	981	15.5	$138,524,069	$242.36
Arkansas	2,915,918	07.96%	326	11.5	$47,138,163	$203.09
California	37,253,956	09.07%	4178	11.4	$832,107,905	$246.26
Colorado	5,029,196	11.72%	747	15.4	$111,188,470	$188.64
Connecticut	3,574,097	08.23%	444	12.7	$103,493,029	$351.84
Delaware	897,934	09.14%	102	11.8	$24,161,839	$294.40
Florida	18,801,310	07.80%	2936	16.1	$338,129,029	$230.57
Georgia (U.S. state)	9,687,653	07.32%	1043	10.6	$321,114,660	$452.83
Hawaii	1,360,301	09.92%	142	11.1	$37,176,146	$275.50
Idaho	1,567,582	08.00%	133	8.9	$21,076,027	$168.06
Illinois	12,830,632	07.17%	1239	9.6	$234,968,808	$255.41
Indiana	6,483,802	08.79%	827	13.0	$91,020,232	$159.71
Iowa	3,046,355	04.08%	211	7.1	$58,962,185	$474.39
Kansas	2,853,118	06.77%	294	10.6	$40,234,098	$208.30
Kentucky	4,339,367	08.41%	722	17	$100,547,625	$275.52
Louisiana	4,533,372	07.16%	862	20.1	$80,230,847	$247.18
Maine	1,328,361	09.09%	161	12.2	$36,320,286	$300.79
Maryland	5,773,552	07.29%	807	12.7	$192,136,722	$456.50
Massachusetts	6,547,629	08.87%	1003	15.6	$245,061,344	$421.96
Michigan	9,883,640	08.95%	1524	15.3	$243,556,706	$275.33
Minnesota	5,303,925	08.24%	359	6.9	$95,867,509	$219.35
Mississippi	2,967,297	06.39%	334	11.4	$50,554,343	$266.62
Missouri	5,988,927	07.38%	730	12.4	$123,020,244	$278.34
Montana	989,415	10.02%	132	13.8	$28,332,837	$285.79
Nebraska	1,826,341	06.43%	92	5.2	$34,675,170	$295.27
Nevada	2,700,551	09.35%	515	20.1	$46,367,799	$183.63
New Hampshire	1,316,470	12.15%	172	13.0	$55,388,743	$346.29
New Jersey	8,791,894	06.42%	797	9.2	$113,795,702	$201.61
New Mexico	2,059,179	10.07%	447	12.8	$150,896,974	$727.71
New York	19,378,102	09.82%	1797	9.2	$1,875,136,099	$985.39
North Carolina	9,535,483	08.88%	1223	13.0	$403,912,656	$477.01
North Dakota	672,591	05.3%	28	4.3	$36,344,108	$1,019.55
Ohio	11,536,504	07.61%	1691	14.7	$207,925,242	$236.84
Oklahoma	3,751,351	08.09%	687	19	$67,359,062	$221.95
Oregon	3,831,074	12.80%	564	15.1	$104,298,167	$212.69
Pennsylvania	12,702,379	06.57%	1812	14.6	$283,229,043	$339.38
Rhode Island	1,052,567	13.34%	142	13.4	$43,604,718	$310.55
South Carolina	4,625,364	06.70%	584	13.2	$77,790,340	$251.02
South Dakota	814,180	06.28%	34	4.3	$31,840,106	$622.72
Tennessee	6,346,105	08.22%	1035	16.8	$107,211,391	$205.52
Texas	25,145,561	06.26%	2343	9.8	$384,444,836	$244.23
Utah	2,763,885	06.24%	546	20.6	$47,059,651	$272.86
Vermont	625,741	13.73%	57	9.2	$58,913,913	$685.73
Virginia	8,001,024	07.33%	713	9.2	$173,221,243	$295.36
Washington	6,724,540	09.59%	1003	15.5	$130,527,165	$202.40
West Virginia	1,852,994	06.79%	405	22.4	$45,059,469	$358.13
Wisconsin	5,686,986	08.67%	639	11.4	$107,259,369	$217.54
Wyoming	563,626	06.82%	68	13	$12,483,581	$324.76
United States	308,143,815	08.11%	38260	12.4	$8,304,469,106	$332.19

See also

• Crime in the United States
• Drug prohibition
• Federal drug policy of the United States
• Harm reduction in the United States
• Illegal drug trade in the United States
• National Institute on Drug Abuse
• Opioid epidemic in the United States
• Women in the drug economy in the United States

References

1. Overdose Death Rates. By National Institute on Drug Abuse (NIDA).
2. "Federal Food, Drug, and Cosmetic Act" U.S. Food and Drug Administration. Retrieved on 24 September 2007.
3. "21 USC Sec. 802." New York City has seen a significant amount of drug use, coupled with an immigration crisis and a new law where bail is no longer necessary for drug offenders, putting them right back on the street further increasing drug consumption. Archived 2009-08-31 at the Wayback Machine U.S. Department of Justice. Retrieved on 24 September 2007.
4. Cockburn and St. Clair, 1998: Chapter 14
5. Bullington, Bruce; Alan A. Block (March 1990). "A Trojan horse: Anti-communism and the war on drugs". Crime, Law and Social Change. 14 (1). Springer Netherlands: 39–55. doi:10.1007/BF00728225. ISSN 1573-0751.
6. ^ Brown, Theresa (2017). "Drug Smugglers Have Already Beaten Trump's Wall". Reason.
7. Reardon, Claudia (2014). "Drug Abuse in Athletes". Substance Abuse and Rehabilitation. 5: 95–105. doi:10.2147/SAR.S53784. PMC 4140700. PMID 25187752.
8. "Files.mlb.com" (PDF). Archived (PDF) from the original on 2021-12-21. Retrieved 2012-08-27.
9. "ESPN". Archived from the original on 2012-10-21. Retrieved 2012-08-27.
10. ^ "Youth Alcohol Access". Archived from the original on 21 June 2013.
11. Total Annual Arrests in the US by Year and Type of Offense Archived April 26, 2018, at the Wayback Machine. Drug War Facts. Page lists FBI Uniform Crime Reports sources. Page links to data table Archived December 7, 2020, at the Wayback Machine:
12. Data table: Total Number of Arrests in the US by Year and Type of Offense Archived December 7, 2020, at the Wayback Machine. Drug War Facts.
13. Drugs and Crime Facts: Drug law violations and enforcement Archived December 25, 2020, at the Wayback Machine. From the United States Bureau of Justice Statistics (BJS). Source: FBI Uniform Crime Reports. Click on the charts to view the data.
14. Marijuana Research: Uniform Crime Reports - Marijuana Arrest Statistics Archived December 21, 2018, at the Wayback Machine. Has data table for earlier years. Source: FBI Uniform Crime Reports.
15. Clarke, Robert; Merlin, Mark (2013). Cannabis: Evolution and Ethnobotany. University of California Press. p. 185. ISBN 978-0-520-95457-1. Archived from the original on August 13, 2021. Retrieved July 28, 2016.
16. DEA (2013). "The DEA Position on Marijuana" (PDF). Dea.gov. Archived from the original (PDF) on December 21, 2016. Retrieved May 15, 2016.
17. "erowid.org". Archived from the original on October 6, 2007. Retrieved 2007-07-10.
18. "Field Listing – Illicit drugs (by country)". Cia.gov. Archived from the original on 2010-12-29. Retrieved 2011-01-15.
19. "Oregon becomes first state to decriminalize hard drugs like heroin and cocaine". Fox News. 3 November 2020.
20. "Oregon becomes the first state to decriminalize hard drugs like cocaine and heroin". CBS News. 4 November 2020.
21. Cleve R. Wootson Jr.; Jaclyn Peiser (2020-11-04). "Oregon decriminalizes possession of hard drugs, as four other states legalize recreational marijuana". The Washington Post. Washington, D.C. ISSN 0190-8286. OCLC 1330888409.
22. "Oregon becomes first US state to decriminalize possession of hard drugs". TheGuardian.com. 4 November 2020.
23. Andrew Whalen (July 3, 2019). "Magic Mushrooms Guide: Where Shrooms Are Legal and How To Take Psilocybin". Newsweek. Archived from the original on May 27, 2020. Retrieved May 28, 2020.
24. Kyle Jaeger (January 22, 2019). "Most Oregon Voters Favor Legalizing Psilocybin Mushrooms For Medical Use, Poll Finds". Marijuana Moment. Archived from the original on May 7, 2020. Retrieved May 28, 2020.
25. Edward Thomas (May 21, 2020). "Poll Indicates America's Growing Acceptance Of Psilocybin Mushrooms". High Times. Retrieved May 28, 2020.
26. "Oregon Measure 109 Election Results: Legalize Psilocybin". The New York Times. 3 November 2020.
27. "Products - Data Briefs - Number 365 - April 2020". www.cdc.gov. 2020-04-28. Retrieved 2022-04-26.
28. Mayer, Margaret; Reyes-Guzman, Carolyn; Grana, Rachel; Choi, Kelvin; Freedman, Neal D. (2020-10-13). "Demographic Characteristics, Cigarette Smoking, and e-Cigarette Use Among US Adults". JAMA Network Open. 3 (10): e2020694. doi:10.1001/jamanetworkopen.2020.20694. ISSN 2574-3805. PMC 8094416. PMID 33048127.
29. "Drug Trafficking Statistics In the United States". DrugAbuse.com. Retrieved 2024-06-23.
30. ^ Adult Smoking in the US CDC September 2011
31. The Hidden Victims of Tobacco HRW September 5, 2012
32. Children in the Fields: North Carolina Tobacco Farms NBC August 9, 2012
33. Alabama Drug Control Update
34. Alaska Drug Control Update
35. Arizona Drug Control Update
36. Arkansas Drug control Update
37. California Drug Control Update
38. Colorado Drug Control Update
39. Connecticut Drug Control Update
40. Delaware Drug Control Update
41. Florida Drug Control Update
42. Georgia Drug Control Update
43. Hawaii Drug Control Update
44. Idaho Drug Control Update
45. Illinois Drug Control Update
46. Indiana Drug Control Update
47. Iowa Drug Control Update
48. Kansas Drug Control Update
49. Kentucky Drug Control Update
50. Louisiana Drug Control Update
51. Maine Drug Control Update Archived September 22, 2014, at the Wayback Machine
52. Maryland Drug Control Update
53. Massachusetts Drug Control Update
54. Michigan Drug Control Update Archived January 27, 2016, at the Wayback Machine
55. Minnesota Drug Control Update
56. Mississippi Drug Control Update
57. Missouri Drug Control Update
58. Montana Drug Control Update
59. Nebraska Drug Control Update
60. Nevada Drug Control Update
61. New Hampshire Drug Control Update
62. New Jersey Drug Control Update
63. New Mexico Drug Control Update
64. New York Drug Control Update
65. North Carolina Drug Control Update
66. North Dakota Drug Control Update
67. Ohio Drug Control Update
68. Oklahoma Drug Control Update
69. Oregon Drug Control Update
70. Pennsylvania Drug Control Update
71. Rhode Island Drug Control Update
72. South Carolina Drug Control Update
73. South Dakota Drug Control Update
74. Tennessee Drug Control Update
75. Texas Drug Control Update
76. Utah Drug Control Update
77. Vermont Drug Control Update
78. Virginia Drug Control Update
79. Washington Drug Control Update
80. West Virginia Drug Control Update
81. Wisconsin Drug Control Update
82. Wyoming Drug Control Update

• Drugs in the United States
• Drug policy
• Drug policy of the United States