June 20, 2011 -- CHICHEVO, Russia (Time.com) -- The new arrivals at the drug rehab center in Chichevo, a tiny village that is a two hours' drive east of Moscow, are usually given two weeks without chores to recover from the nausea, pain and sleeplessness of withdrawal.
After that, between Bible study and prayer (the center is run by Pentecostals), they have to start chopping firewood, hauling water from the village well or otherwise helping around the old wooden house. But a lot more leeway was allowed in the case of Irina Pavlova, the only resident at the center who is addicted to krokodil, or crocodile, Russia's deadliest new designer drug.
There is no good medical explanation for why Pavlova survived her addiction. The average user of krokodil, a dirty cousin of morphine that is spreading like a virus among Russian youth, does not live longer than two or three years, and the few who manage to quit usually come away disfigured. But Pavlova says she injected the drug nearly every day for six years, having learned to cook it in her brother's kitchen. "God must have protected me," she says.
But the addiction still left some of its trademark scars. She developed a speech impediment, and her pale blue eyes have something of a lobotomy patient's vacant gaze. "Her motor skills are shot from the brain damage," says Andrei Yatsenko, the house manager, who was addicted to heroin for seven years. "She'll try to walk forward and instead jolts back into something. So we try to be gentle with her." (See why Russia raids Afghanistan for drugs.)
As typically happens in Russia, Pavlova began her drug use as a teenager shooting a substance called khanka, a tarlike opiate cooked from poppy bulbs, then graduated to heroin and finally, at the age of 27, switched to krokodil, because it has roughly the same effect as heroin but is at least three times cheaper and extremely easy to make. The active component is codeine, a widely sold over-the-counter painkiller that is not toxic on its own.
But to produce krokodil, whose medical name is desomorphine, addicts mix it with ingredients including gasoline, paint thinner, hydrochloric acid, iodine and red phosphorous, which they scrape from the striking pads on matchboxes. In 2010, between a few hundred thousand and a million people, according to various official estimates, were injecting the resulting substance into their veins in Russia, so far the only country in the world to see the drug grow into an epidemic.
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