It was the dead of winter in February 2022 when I first met Marwa, a 38-year-old opium addict, sitting huddled under a blanket in the women’s drug rehabilitation center in Kabul with two of her children. Mina, age 2, had just woken up and was writhing in pain, lifting her small head to see her new visitors.
Marwa’s other daughter, Zahra, age 15, was sitting by the edge of the bed. I first mistook her for a boy as she was dressed in boys’ clothing. Her mother said dressing as a boy made it easier for her to buy drugs. Zahra had been wearing the outfit when she was picked up by the hospital’s field team from under Pul-e-Sukhta, a bridge in western Kabul that has transformed into a gathering place for drug users and sellers.
Dr. Shaista Hakeem, director of the 150-bed National Center for the Treatment of Addiction for Women and Children in Kabul, introduced me to her patients that day, telling me the family had been at the hospital for more than a week. They were seeking treatment for opium addiction, which consisted of 15 days of medication and 15 days of counseling, awareness, and skill training. It was an ordeal, especially for the children, who suffered withdrawal symptoms despite regular doses of medication. The effectiveness of treatment varies from patient to patient, Hakeem added.
Marwa had been taking opium and heroin, a more refined opioid, for 10 years, and had passed on her addiction to her youngest child, Mina, through breast milk.
'The % of women reporting drug addiction rose to 9.5% in 2015 from 3% in 2009. Furthermore, 9.2% of children up to 14 years old tested positive for drugs and were likely to be engaged in active drug use' '#Afghanistan's #opium tragedy' https://t.co/fvRJYb7pAX via @NikkeiAsia
— Kenneth Maxwell (@Kenny_Maxwell) June 21, 2023