हमें कुछ ऐसा ज़रूर करना चाहिए जिससे इस देश के लोगों को यह पता चल सके कि नशे की लत एक ऐसी बीमारी है जिसका इलाज मुमकिन है और डॉक्टर के परचे पर मिलने वाली इन दर्द निवारक दवाओं (ओपिऑइड्स) की महामारी से हम निपट सकते हैं।
We must do something to let people in this country know that addiction is something that can be treated and this epidemic of prescribed opioids is something that we can fix.
We must do something to let people in this country know that addiction is something that can be treated and this epidemic of prescribed opioids is something that we can fix.
हम ज़्यादा लोगों को इसकी लत का शिकार होने से रोक सकते हैं—यह हमारी सबसे पहली प्राथमिकता है—इसके लिए प्रिस्क्रिप्शन से जुड़े कड़े नियम बनाने होंगे और यह सुनिश्चित करना होगा कि लोगों को शुरुआत में ही ज़रूरत से ज़्यादा ओपिऑइड्स न मिल सकें। दूसरी बात यह है कि हमें यह सुनिश्चित करना होगा कि लाखों लोग जो पहले से ही इसके आदी हो चुके हैं, उन्हें अच्छा और असरदार इलाज मिल सके। और आख़िरकार, यह बहुत ज़रूरी है कि हम इस लत से जुड़े सामाजिक कलंक को खत्म करें और इसीलिए हमने यह फिल्म बनाई है, ताकि यह दिखाया जा सके कि ऐसा किसी के भी साथ हो सकता है।
We can prevent more people from becoming more addicted - that's number one - with prescribing laws and making sure that people can't get too many of these opioids when they are initially prescribed them. Number two is, we have to make sure the millions of people who are already addicted have access to good and effective treatment. Finally, it's critical that we remove stigma and that's why we've made a film, to show that this can happen to anyone.
We can prevent more people from becoming more addicted - that's number one - with prescribing laws and making sure that people can't get too many of these opioids when they are initially prescribed them. Number two is, we have to make sure the millions of people who are already addicted have access to good and effective treatment. Finally, it's critical that we remove stigma and that's why we've made a film, to show that this can happen to anyone.
मध्य आयु वाली गोरी महिलाओं की औसत जीवन प्रत्याशा (लाइफ एक्सपेक्टेंसी) पिछले एक दशक में काफ़ी तेज़ी से गिरी है। शोधकर्ताओं को समझ नहीं आ रहा था कि आखिर चल क्या रहा है, इसलिए वे इस पर अध्ययन कर रहे थे और फिर हाल ही में उन्हें समझ आया कि इसकी मुख्य वजह ओपिऑइड्स (दर्द निवारक दवाएं) हैं। ऐसा क्यों है? अब उनका कहना है कि इसकी वजह यह है कि महिलाएं दर्द के सिलसिले में डॉक्टर के पास जाने की ज़्यादा संभावना रखती हैं।
Life expectancy for middle-aged white women has dropped dramatically over the past decade. Researchers didn't understand what was going on and so they were studying it and then very recently they realized it is driven by opioids. Why is that? They say now that it is because women are more likely to see a doctor for pain.
Life expectancy for middle-aged white women has dropped dramatically over the past decade. Researchers didn't understand what was going on and so they were studying it and then very recently they realized it is driven by opioids. Why is that? They say now that it is because women are more likely to see a doctor for pain.
यह बिल्कुल अस्वीकार्य है कि अतीत में हमने उन लोगों के साथ कैसा बर्ताव किया जो नशे की लत का शिकार हो गए थे—हमने उन्हें बस जेल में डाल दिया। अब हम उन लोगों को वह इलाज दिलाने की कोशिश करके सही कदम उठा रहे हैं जिसकी उन्हें इतनी शिद्दत से ज़रूरत है। यहाँ नस्लीय भेदभाव बिल्कुल अस्वीकार्य है, और हमें नशे की लत से जूझ रहे हर इंसान के लिए बेहतर काम करना होगा—चाहे वे गोरे हों, काले हों, भूरे हों या किसी भी नस्ल के हों। नशे की लत से निपटने का मानवीय तरीका यही है कि सार्वजनिक स्वास्थ्य (पब्लिक हेल्थ) को ध्यान में रखते हुए लोगों को वह मदद पहुंचाई जाए जिसकी उन्हें ज़रूरत है।
It is unacceptable that the way we have treated people who have become addicted in the past is by throwing them in prison. It's appropriate that we're responding now by trying to get people the treatment they so desperately need. The racial divide here is absolutely unacceptable, and we have to do much better for all people who are addicted whether they are white, black, brown, any race - the humane way to respond to addiction is in a public health fashion and by getting people the help they need.
It is unacceptable that the way we have treated people who have become addicted in the past is by throwing them in prison. It's appropriate that we're responding now by trying to get people the treatment they so desperately need. The racial divide here is absolutely unacceptable, and we have to do much better for all people who are addicted whether they are white, black, brown, any race - the humane way to respond to addiction is in a public health fashion and by getting people the help they need.
प्रिस्क्रिप्शन वाली इन ओपिऑइड दवाओं की महामारी से निपटने के लिए हम एक पब्लिक हेल्थ अप्रोच अपना रहे हैं। हम इलाज के विकल्पों पर विचार कर रहे हैं, इलाज के लिए दवाइयां उपलब्ध कराई जा रही हैं, और हम लोगों को सिर्फ जेलों में नहीं ठूंस रहे हैं। इसलिए, अतीत की नशीली दवाओं की महामारियों के खिलाफ अपनाए गए पारंपरिक आपराधिक न्याय (क्रिमिनल जस्टिस) वाले रवैये की तुलना में यह तरीका बिल्कुल अलग है।
We are having a public health response to this epidemic of prescription opioids. We are looking at treatment options, there are drugs being made available for treatments, and we aren't just throwing people in prison. So this is a very different response than the traditional criminal justice response that we have had to past drug epidemics.
We are having a public health response to this epidemic of prescription opioids. We are looking at treatment options, there are drugs being made available for treatments, and we aren't just throwing people in prison. So this is a very different response than the traditional criminal justice response that we have had to past drug epidemics.
हालाँकि, मैं यह स्पष्ट कर देना चाहती हूँ कि मेरा यह मतलब बिल्कुल नहीं है कि ये खराब दवाइयां हैं। गंभीर दर्द के लिए थोड़े समय के लिए ली जाने वाली ओपिऑइड दवाइयां बेहद असरदार होती हैं। समस्या तब पैदा होती है जब इनका इस्तेमाल लंबे समय तक रहने वाले पुराने दर्द के लिए किया जाने लगता है। कोई भी यह नहीं चाहता कि कोई इंसान पीड़ित रहे और दर्द सहे। लेकिन यह बात समझें कि ये दवाइयां कितनी बुरी तरह लत लगा सकती हैं और जितनी जल्दी हो सके इनसे छुटकारा पाइए। इसलिए 'चेतावनी: यह दवा आपकी जान ले सकती है' (Warning: This Drug May Kill You) फिल्म का मकसद असल में इन दवाओं के बारे में लोगों को जागरूक करना है ताकि हर कोई अपने दर्द और इन दवाओं की लत डालने की प्रवृत्ति के बीच खुद फैसला ले सके।
I want to make it clear, though, that I am not trying to say these are bad drugs. Opioid medications in the short term for severe pain are very effective. The problem is when they are used for long-term chronic pain. No one wants anyone to suffer and be in pain. But realize how addictive these drugs are and get off of them as quickly as you can. So 'Warning: This Drug May Kill You' is really more about educating people about these drugs so that everyone can make their own decision about their pain versus the addictive nature of these drugs.
I want to make it clear, though, that I am not trying to say these are bad drugs. Opioid medications in the short term for severe pain are very effective. The problem is when they are used for long-term chronic pain. No one wants anyone to suffer and be in pain. But realize how addictive these drugs are and get off of them as quickly as you can. So 'Warning: This Drug May Kill You' is really more about educating people about these drugs so that everyone can make their own decision about their pain versus the addictive nature of these drugs.
मुझे सच में लगता है कि ज़्यादातर मामलों में डॉक्टरों को यह बिल्कुल नहीं लगा होगा कि वे कुछ गलत कर रहे हैं—वे वही कर रहे थे जिसकी उस समय सलाह दी जा रही थी, और कई बार लोग इन प्रिस्क्रिप्शन ओपिऑइड्स को ले पाते थे और उन्हें कोई समस्या नहीं होती थी। लेकिन हम यह अच्छी तरह जानते हैं कि अगर हम इन दवाओं का सेवन लंबे समय तक करते हैं, तो बहुत जल्दी, यानी महज एक हफ्ते के भीतर ही इसकी शारीरिक निर्भरता (डिपेंडेंसी) पैदा हो जाती है। हम सबको यह समझने की ज़रूरत है कि ये गोलियां हेरोइन की ही रासायनिक रिश्तेदार हैं—एक अवैध ओपिऑइड है और एक वैध, लेकिन दोनों आपस में जुड़े हुए हैं।
I really do think for the vast majority of cases, doctors didn't think they were doing anything wrong - they were doing what was being recommended at the time, and many times people were able to take these prescription opioids and not have a problem with it. But what we do know is that if we take these drugs long-term, dependency develops quickly, within as little as a week. What we all have to realize is that these pills are chemical cousins of heroin - one is an illegal opioid and one is legal, but they are relatives.
I really do think for the vast majority of cases, doctors didn't think they were doing anything wrong - they were doing what was being recommended at the time, and many times people were able to take these prescription opioids and not have a problem with it. But what we do know is that if we take these drugs long-term, dependency develops quickly, within as little as a week. What we all have to realize is that these pills are chemical cousins of heroin - one is an illegal opioid and one is legal, but they are relatives.
1999 में, ऑक्सीकॉन्टिन (OxyContin) बनाने वाली कंपनी पर्ड्यू फार्मा (Purdue Pharma) ने एक बहुत बड़ा मार्केटिंग अभियान चलाया था। उन दिनों, प्रिस्क्रिप्शन वाली ओपिऑइड दवाइयां सिर्फ बेहद गंभीर मामलों में ही दी जाती थीं—जैसे सर्जरी के बाद, जीवन के अंतिम चरण की देखभाल (एंड ऑफ़ लाइफ केयर) के दौरान, या कैंसर के दर्द में। हमने फिल्म में एक विज्ञापन का क्लिप इस्तेमाल किया है जिसमें एक डॉक्टर यह कहते हुए दिखाई देते हैं, "प्रिस्क्रिप्शन वाले ओपिऑइड का लंबे समय तक इस्तेमाल करने वाले 1 प्रतिशत से भी कम लोगों को इसकी लत लगती है"—इस बात ने देश भर के डॉक्टरों की सोच ही बदल दी।
In 1999, Purdue Pharma the maker of OxyContin went on a massive marketing campaign. Back then, prescription opioids were only used in extreme cases - post surgery, end of life care, cancer pain. We use a clip from an ad in the film where they had a doctor saying, "Less than 1 percent of people who use prescription opioid long-term will become addicted" - that changed the mindset of physicians across the country.
In 1999, Purdue Pharma the maker of OxyContin went on a massive marketing campaign. Back then, prescription opioids were only used in extreme cases - post surgery, end of life care, cancer pain. We use a clip from an ad in the film where they had a doctor saying, "Less than 1 percent of people who use prescription opioid long-term will become addicted" - that changed the mindset of physicians across the country.
हमने यह तय किया था कि हमारी इस फिल्म 'Warning: This Drug May Kill You' में दिखने वाला हर वह इंसान जो नशे का आदी है, वही होगा जिसकी शुरुआत डॉक्टर के पर्चे पर मिली किसी ओपिऑइड दवा से हुई थी। जो कहानी अब तक सामने नहीं आई थी, वह यह है कि आज के दौर के ज़्यादातर हेरोइन पीने वाले—करीब 80 प्रतिशत लोग—प्रिस्क्रिप्शन वाली ओपिऑइड दवाओं की लत से ही इस रास्ते पर आए हैं। इसलिए भले ही लोग इसे देखकर यह कहें, 'अरे, यह तो असल में हेरोइन की समस्या है,' तो हाँ, यह हेरोइन की समस्या है और इस बात से कोई इनकार नहीं कर रहा, लेकिन ज़्यादातर मामलों में इसकी शुरुआत डॉक्टर के पर्चे पर मिलने वाली दवा से ही होती है।
We did decide that every addict in this film, Warning: This Drug May Kill You, would be someone who started out with a prescription for an opioid from a doctor. The story that hadn't been told is that the vast majority - somewhere around 80 percent - of current heroin users began with an addiction to prescription opioids. So as much as people might want to look at this and say, 'Oh this is really a heroin problem,' yes, it is a heroin problem, and no one is saying differently, but it starts more often than not with a prescription.
We did decide that every addict in this film, Warning: This Drug May Kill You, would be someone who started out with a prescription for an opioid from a doctor. The story that hadn't been told is that the vast majority - somewhere around 80 percent - of current heroin users began with an addiction to prescription opioids. So as much as people might want to look at this and say, 'Oh this is really a heroin problem,' yes, it is a heroin problem, and no one is saying differently, but it starts more often than not with a prescription.
ऐसा प्रतीत होता है कि यह मुख्य रूप से गोरे लोगों के बीच नशीली दवाओं की लत की महामारी है, और यही वजह है कि आप हमारी फिल्म 'Warning: This Drug May Kill You' में गोरे लोगों को ही देखते हैं।
There seems is predominantly a white person's drug addiction epidemic, so that's why you see white people in our film, Warning: This Drug May Kill You.
There seems is predominantly a white person's drug addiction epidemic, so that's why you see white people in our film, Warning: This Drug May Kill You.
मुझे उम्मीद है कि डॉक्यूमेंट्री 'Warning: This Drug May Kill You' उन लोगों की इंसानियत को सामने लाने में मदद करेगी जो नशे की लत जैसी दिमागी बीमारी से जूझ रहे हैं, क्योंकि असल में यह यही है—यह बुरे लोगों की कहानी नहीं है, यह अच्छे लोगों की कहानी है जो अक्सर दर्द के लिए दवाइयां लिखे जाने के दौरान इस लत का शिकार हो गए।
I hope 'Warning: This Drug May Kill You' documentary helps to show the humanity of the people who are struggling with the brain disease of addiction because that is what this is - this isn't about bad people, this is about good people who became addiction oftentimes in the process of being prescribed medication for pain.
I hope 'Warning: This Drug May Kill You' documentary helps to show the humanity of the people who are struggling with the brain disease of addiction because that is what this is - this isn't about bad people, this is about good people who became addiction oftentimes in the process of being prescribed medication for pain.
लत मस्तिष्क की एक बीमारी है—यह कोई नैतिक विफलता नहीं है—और हमें इस रूप में इसे देखना बंद करना होगा।
Addiction is a brain disease - this isn't a moral failing - and we have got to stop looking at it that way.
Addiction is a brain disease - this isn't a moral failing - and we have got to stop looking at it that way.
ऐसा प्रतीत होता था कि अमेरिकियों द्वारा नशीली दवाओं की लत के कारण ओवरडोज़ होने और मरने की समस्या को ऐसे रूप में देखा जा रहा था मानो कुछ बुरे लोग, विशेषकर बच्चे, अच्छी दवाओं का गलत इस्तेमाल कर रहे हों। लेकिन एचबीओ डॉक्यूमेंट्री फिल्म्स की अध्यक्ष शीला नेविंस और मैं विशेष रूप से उन लोगों और परिवारों की कहानियों का पता लगाने के लिए उत्सुक थे, जो लत की इस बीमारी से तबाह हो चुके थे और यह समझना चाहते थे कि वास्तव में क्या हो रहा था। हमने जो पाया वह यह था, और इसमें कोई दो राय नहीं होनी चाहिए, कि यह लत की एक महामारी है।
It seemed that the problem of Americans overdosing and dying from drug addiction was being described as bad people, particularly kids, who were abusing good drugs. But Sheila Nevins, the president of HBO Documentary Films, and I were particularly interested in finding out the stories of people and families who had been ravaged by this disease of addiction and understanding what really was happening. What we found was that, and let's not make any mistake about it, this is an epidemic of addiction.
It seemed that the problem of Americans overdosing and dying from drug addiction was being described as bad people, particularly kids, who were abusing good drugs. But Sheila Nevins, the president of HBO Documentary Films, and I were particularly interested in finding out the stories of people and families who had been ravaged by this disease of addiction and understanding what really was happening. What we found was that, and let's not make any mistake about it, this is an epidemic of addiction.