The Taliban cleared the parks and bridges of Kabul \u2013 but behind the barred windows of rehab centers, another battle rages on<\/p>\n
\u201cYou forgot to photograph this,\u201d says\u00a0a young man in a green patient gown as he proudly points to his neck decorated with three five-point stars. He has a knife tattooed on the back of his hand and the letters PJR on his fingers \u2013 for his home province of Panjshir. All the tattoos were\u00a0done in prison, where he ended up after a street fight. But this conversation we are having at the Jangalak drug treatment center in the south of Kabul.
\nIn\u00a0a room with barred windows, there are five recovering addicts. They represent a statistical sample of what is found in UN reports on drug use in Afghanistan. Two of them started to\u00a0use when they were about 15 years old. Two were arrested for low-level crimes. The oldest one is 35, the youngest 19. The longest period of addiction is\u00a017 years; the shortest, just three.
\nAsk them how\u00a0it began and you will hear stories of unemployment and depression, broken romances and wrong crowds, lack of education, uncertain futures, and uneventful village life. Ask them what kind of drugs they were taking, and they will name hashish, crystal meth, heroin, opium, cocaine, pregabalin and tablet k,\u00a0a substance that contains both opioids and methamphetamine and comes to Afghanistan from the Karkhano market area in Peshawar just across the border in Pakistan.<\/p>\n
\u00a9\u00a0 RT \/ Alexandra Kovalskaya <\/p>\n
Outside the room, hundreds of men in green and navy blue garments walk up the stairs (stairwells and the spaces above the railings also have bars to prevent suicide attempts), have therapy sessions, sit on the floor burying their heads in their knees or just staring blankly at the wall. They might have come here from Sarai Shamoli Hill, from under Pole-Sokhta Bridge \u2013 the most notorious hangout spots, where\u00a0addicts lie unconscious among street dogs, used syringes, waste, and the dead bodies of those who never woke up from their high. The men who come here still have a chance \u2013 a chance to get off drugs and to restore their health and self-respect.
\nDealing with a difficult legacy
\nOpiate use in Afghanistan\u00a0has roots dating back at least to the Middle Ages. Babur, the founder of the Mughal Empire, indulged in opium; a couple of centuries later, the same drug was used to boost morale on the battlefield: one history textbook says that the Afghans called off the war with the Marathas because of a poppy crop failure. In modern Afghan history, in remote villages with little or no access to public healthcare, opium became\u00a0used\u00a0for anything from a toothache to cancer-related pain, and was occasionally given to restless babies as a soporific. However, it was not until the 2000s that Afghanistan\u00a0encountered the problem of large-scale drug addiction.
\nYears of civil war and failed attempts at nation-building resulted in the unstoppable growth of illicit poppy cultivation, which accounted for up to 11% of the country\u2019s\u00a0GDP in 2020, according to a\u00a0joint report by the UNODC and Afghanistan\u2019s Ministry of the Interior. In 2023, the WHO estimated that 10% of the country\u2019s population had drug-abuse-related disorders, and Al Jazeera called the situation a\u00a0\u201cdrug epidemic.\u201d<\/p>\n
\u00a9\u00a0 RT \/ Alexandra Kovalskaya <\/p>\n
Addiction typically develops in stages: first hashish and cannabis, then opium, then heroin and cocaine, then methamphetamine and any other\u00a0substances because by this point they all feel the same. Opium\u00a0typically causes personal degradation \u2013 the addict\u00a0often begins stealing from their family and leaves home. Methamphetamine destroys a user’s body and alters their appearance, causing their skin to boil and fester and teeth to crumble.
\nSeveral years ago, dozens of emaciated men could be seen in Shahr-e-Naw Park in central Kabul smoking methamphetamine powder, lighting it on a piece of foil and inhaling the smoke through a plastic pen barrel. Some of them still managed to force a smile with their toothless mouths. Few locals would venture inside the park even in the daytime.
\nAfter returning to power in August 2021, the Taliban launched a massive anti-drug campaign. The first step was to round the addicts up from the streets and take them to hospitals for forced treatment. I visited one such hospital in the fall of 2021. With a capacity of only 1,000 beds, it admitted 3,000 patients and suffered from a shortage of medical staff and medicine.
\n\u201cWe have nothing to eat, too,\u201d\u00a0a former meth smoker complained to me as pulled a handful of grass from his pocket and started chewing it.
\nThe harsh measures paid off \u2013 drug addicts almost vanished from the city, and children are now playing in Shahr-e-Naw Park. But the strong-arm tactics the Taliban police applied were not enough to solve the problem.<\/p>\n
\u00a9\u00a0 RT \/ Alexandra Kovalskaya <\/p>\n
\u201cThey are not alone\u201d
\n\u201cNot all the people under Pole-Sokhta Bridge are hopeless,\u201d\u00a0says Fawad Hamidi, the head psychologist of the Jangalak treatment center.\u00a0\u201cThose who have been there once or twice are just confused. They need guidance and information. They need to know there is a place where they can seek help.\u201d
\nI ask if the patients come here willingly and was told they do \u2013 or, in the worst-case scenario, their relatives bring them when they hear about\u00a0the\u00a0treatment being free.
\nBuilding awareness seems vital: one of the patients, a big-eyed 19-year-old, will later tell me he first tried drugs out of curiosity and underestimated the risks.
\nAbdul Qadir Danishmal, president of\u00a0the\u00a0hospital, explains that the Ministry of Public Health implements the anti-drug awareness program in tandem with the Ministry of Education: they give lectures, disseminate leaflets, and send their representatives to schools and universities.
\n\u201cWe also engage religious scholars in cooperation,\u201d\u00a0Danishmal adds.<\/p>\n
\u201cIn their preaching, they emphasize that the use of intoxicants doesn\u2019t agree with Islamic values. Mullah is a respected figure in Afghanistan. People will listen to what he says.\u201d<\/p>\n
Currently, five mullahs provide moral support to the patients of Jangalak along with psychologists and psychiatrists, and the Quran has a prominent position in the hospital library (next to the IELTS preparation course and, surprisingly enough, ‘Change Your Thinking, Change Your Life’ by Brian Tracy). Former addicts take turns praying\u00a0at the far end of the corridor.
\nThe total duration of the treatment course is 45 days: the first 15 days are detox (prolific drug users are asked to taper off the dose and return later), and the next 30 are rehabilitation.
\n\u201cThe detox phase is quite dangerous,\u201d\u00a0explains Hamidi.\u00a0\u201cThe level of dopamine plummets, which leads to depression, anxiety, and anger.\u201d\u00a0<\/p>\n
\u00a9\u00a0 RT \/ Alexandra Kovalskaya <\/p>\n
In the ward with oxygen tanks and peach-pink walls, intensive care specialists enumerate the cases they encounter: self-harm, fight-related injuries, and overdose.
\nThose who complete the treatment must come to the hospital for checkups, first twice a week and then later once a week. The regularity of visits is closely monitored. After each visit, the patient puts his signature in a thick paper volume \u2013 the hospital has electronic databases, but power cuts in Kabul still happen.
\n\u201cIf someone can\u2019t attend, he can contact us by phone,\u201d\u00a0sums up Hamidy.\u00a0\u201cThe key point is to make the patients understand they are not alone.\u201d<\/p>\n
Challenges, flowers and hopes
\n\u201cI had a very nice body before I hooked on heroine. I\u2019d like to start going to the gym again.\u201d
\n\u201cI\u2019d like to return to my family. I got married about a month ago.\u201d
\n\u201cI\u2019d like to buy a car.\u201d
\nIn the room with barred windows, three recovering addicts perk up when I ask them about their plans. The other two are less emotional \u2013 they are keen to find a job, any job, but there is nothing. Downstairs, in the president\u2019s office, I was told that unemployment and financial insecurity can be the main reasons for relapses.<\/p>\n
\u00a9\u00a0 RT \/ Alexandra Kovalskaya <\/p>\n
The hospital itself has been financially challenged for a few years, too. Being funded by the Ministry of Public Health, it receives just enough money to keep afloat, but barely anything for development.
\nOne of the doctors complains about the lack of medical consumables\u00a0such as gloves and sanitizers, especially soap. The sweetish, nauseating odor of unwashed bodies and sewage testifies that he is right. Another one says both he and his colleagues get their salaries regularly, but doubts if the sum of 10,000 afghanis (around $150) is adequate for the difficult and dangerous job they do.
\nThere are non-financial challenges as well. After the Taliban\u2019s ban on opium poppy cultivation in April 2022, synthetic drug use increased sharply. The hospital\u00a0staff haven\u2019t undergone any sort of international training for more than four years, and they find it hard to stay abreast of the latest treatment methods.
\nThe hospital has only one infectious disease ward, where men with tuberculosis and HIV are kept together. Drug dealers try to smuggle heroin into Jangalak, and some patients keep using and selling drugs within the hospital walls.
\nDespite the odds, late summer flowers are blooming in the yard \u2013 white, blue, orange. For the doctors, this small garden was an out-of-pocket expense, but they saw it as necessary \u201cfor pleasing the eye.\u201d
\n\u201cIt\u2019s amazing how much we can do when we have so little,\u201d\u00a0said the chief physician as he walked me to the hospital gate.<\/p>\n","protected":false},"excerpt":{"rendered":"
The Taliban cleared the parks and bridges of Kabul \u2013 but behind the barred windows of rehab centers, another battle rages on \u201cYou forgot to photograph this,\u201d says\u00a0a young man…<\/p>\n","protected":false},"author":1,"featured_media":20197,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":[],"rop_publish_now_history":[],"rop_publish_now_status":"pending","footnotes":""},"categories":[4,6,3],"tags":[],"class_list":["post-20196","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-economy","category-environment","category-politics"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t