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conclusions: crack-cocaine use was associated with a range of health outcomes, although it was unclear if there was direct causal impact, interactions between risk factors, or external drivers of both crack-cocaine use and outcomes. rigorous epidemiological studies are needed to systematically assess health outcomes of crack-cocaine use and underlying pathways, also to inform evidence-based interventions.

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smoking crack causes these effects to take hold more quickly and intensely than cocaine because crack is absorbed through the membranes of the lungs, entering the bloodstream and the brain within 10-15 seconds. as such, the risk of overdosing is extremely high, leading to convulsions, coma, and death. symptoms of crack overdose are rapid heart rate and hyperventilation.

findings: overall, crack-cocaine use was associated with an increased risk of several health outcomes, including a range of physical health conditions, including diseases of the respiratory, cardiovascular, digestive, endocrine, nervous, and urogenital systems, as well as drug use and abuse-related issues. there was evidence for a positive association between crack-cocaine use and adverse outcomes including suicidal attempts, criminal activity, mental illness, and sexually transmitted infections. the available evidence for drug overdose was inconclusive. pre-existing substance use disorders did not appear to impact the association between crack-cocaine use and health outcomes. interactions between risk factors, such as crack-cocaine use and sex, were not consistently assessed.

The prisons in which the majority of crack users are sent are located in very low-income and very minority communities. In fact, over 70% of prisoners in the US are black or Hispanic. Other disadvantaged and marginalized members of society, many of them white, find themselves in prison because of their involvement with the drug trade. It is important to note that these crimes are not a choice, but a consequence of drug use.
Illegal drug sales and use should be legalized. There would be no legal way of consuming marijuana, LSD or ecstasy as we know them today. If people are able to safely consume these drugs, they will not be charged with crimes like cocaine or crack use. By decriminalizing all of these drugs, there would be less of a chance for this to happen. There would also be much less chance of people becoming embroiled in the underground drug trade that the police and military units that are active in these markets. People are not charged with crimes and are not put in jail just for using marijuana; they are charged with crimes like heroin possession when they are caught with the drug in their home or body. Legally, they can also be charged with child pornography for selling pornographic pictures of themselves.
According to Dr. Palamar, this disparity in sentencing is a significant problem. In fact, a survey he conducted found that it takes at least 2 years for a prisoner on crack to be eligible for parole, but a prisoner serving time for cocaine offenses can be recommended for parole in about 6 months. This is just one of the many fact-filled pieces of information on this topic. A quick Google search will give you links to more information and the statistics that Dr. Palamar provides.
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