In the country districts 5 to 10 per cent. of the population are believed to be opium smokers.
In many of the Western States of America the practice has become so notoriously common that in 1872 the legislature of Kentucky passed a bill by which any person who, through the excessive use of opium, is incapacitated from managing himself or his affairs, may, upon the affidavit of two citizens, be confined in an asylum, and subjected to the same restraint as lunatics or habitual drunkards.[77]
[77] Blythe.
Of late years opium-eating and laudanum-taking have, unfortunately, been greatly on the increase in this country, and the employment of this drug as a soporific for infants and young children has become so general amongst the poor and dissipated as to call for the interference of the legislature.
Of the 250,000 lbs. of opium which, as shown by the recent returns made by the Custom House, are imported into this country, it has been computed that not more than a third of this quantity is used for medicinal purposes.
According to Dr Chevers the practices of opium-eating and opium-smoking are very common among the natives of India. The same authority also states that in that country a large number of female infants are purposely poisoned by it, by introducing the drug into the child’s mouth, and in various other ways.
The first effect of opium as a stimulant is to excite the mental powers and to elevate those faculties proper to man; but its habitual use impairs the digestive organs, induces constipation, and gradually lessens the energy of both the mind and body. In excessive quantities it destroys the memory, induces fatuity and a state of wretchedness and misery, which after a few years is mostly cut short by a premature death. In this respect the effects of the excessive use of opium closely resemble those of fermented liquors.
Opium is somewhat uncertain in its action; some persons being able, sometimes from idiosyncrasy, but more frequently from previous indulgence in it, to take a much larger dose than others. The smallest quantity which is said to have proved fatal with an adult is 4 grains of the crude opium. In contrast with this may be quoted the statement of Dr Garrod, of a young man who not only swallowed 60 gr. of Smyrna opium night and morning, but very frequently, in addition to this, 1 oz. to 11⁄2 oz. of laudanum during the day.
Dr Chapman also cites the case of a patient
to whom a wineglass of laudanum had to be administered several times in 24 hours.