Misuse of Nitrous Oxide

Debate between Rosie Duffield and Steve Baker

Tuesday 21st July 2020 Commons Chamber

[Rosie Duffield]

It is a massive honour to be intervened on by the hon. Gentleman—I have arrived! A recent report by the British Compressed Gases Association—something I never thought I would say in this Chamber—said that continued medical use will be easy, as it always has been, if we impose a restriction on sales to individuals. I have borne that in mind when doing my research, and I thank the hon. Gentleman for raising that.

The canisters are manufactured as charger bulbs for use in catering, to whip cream, among other things, and we just heard about their medical use. If someone wants to buy cream chargers, there are currently no age restrictions. A quick look online this morning showed me that I could have 24 canisters delivered to my office tomorrow for just £9.19. Teenagers tell me that boxes sell for as little as £5 locally, or I could just walk into one of the 25% of corner shops estimated to sell these chargers. If I bought some canisters for the purpose of indulging in a quick lockdown high, I would not have broken the law. Despite a few websites having small print telling me that the nitrous oxide they were selling was for professional purposes only, no one would have asked me for ID or for the items to be sent to a registered catering, medical or dental premises. That is clearly the problem here—it is far too easy to purchase nitrous oxide for use as a recreational drug, and every day up and down the country, thousands of young people are doing just that.

It is clear to me and to many of the experts I have spoken to that recreational use has become much more prevalent during lockdown. This is not in any way meant as an attack on teenagers or young people. They are not the villains of the piece. The toll on the mental wellbeing of young people forced to be apart from their friends has been really difficult. Let us be honest: every generation has experimented with and will continue to use recreational drugs and alcohol of some kind. This rise in the use of nitrous oxide is partially caused by covid-19-related shortages of other recreational drugs, which has led to a rise in their prices and a decline in their purity. Big cylinders of nitrous oxide have been stolen from hospitals and, since they have reopened, from coffee shops. That is quite unlikely to be the work of a few bored teenagers on the beach. Users, and therefore suppliers, have looked elsewhere, often to nitrous oxide, which, when combined with other quasi-legal highs, can replicate some of the effects of harder illegal substances.

Of course, there was already an uphill trend in the use of nitrous oxide. The 2018-19 national drugs survey suggested that nearly 9% of those aged 16 to 24 had tried the drug, compared with 6% five years earlier, and that for one in 25 users it had caused some kind of accident—staggering into traffic, falling off balconies or drowning in swimming pools, to name but a few. It is now second in use only to cannabis.

From consulting experts from the Royal Pharmaceutical Society, including its chief scientist, Professor Gino Martini, it is clear that use of nitrous oxide carries significant health risks. It can cause hallucinations and nausea, deep vein thrombosis and skin hyperpigmentation. Some people have been left with spinal cord damage and paralysis. For young people, the vitamin B12 deficiency that can be caused can also affect brain development and rewiring of the prefrontal cortex.

Even after the initial high and the immediate consequences of that high, nitrous oxide can have long-term effects. Users report lasting numbness on their face, around their mouths and in their hands and feet, caused by often irreversible nerve damage. Ambulance workers have recently expressed concern about the number of call-outs they are attending in recent months linked to the drug.

It is clear that there is currently not enough education and outreach being done to draw people’s attention to the early signs of irreversible nerve damage—tingling in their tongue and fingers, for example. I therefore call on the Government to further support local services in disseminating harm reduction and educational materials on nitrous oxide. The Royal College of Nursing has said that there is a lack of understanding about the health consequences: well, today is the day that the Government can begin to change that. I want this debate to be the start of a national conversation on the use of nitrous oxide and the harms that it can possibly cause.

Driving while on drugs is an offence, obviously, and police forces can test for impairment and prosecute accordingly. Inhaling nitrous oxide and then driving is putting oneself, other road users and pedestrians at great risk.

[Mr Steve Baker (Wycombe) (Con)]

The hon. Lady is making a really powerful speech. I cannot help noticing that in Wycombe we see piles of these canisters at the roadside. As a motorcyclist, I have often been conscious when looking at little steel rollers, in effect, that they could cause a major fatal accident on a bicycle or a motorcycle, or possibly in a car. I really appreciate the opportunity to put that on the record, because I hope that the Government will think about some of the wider harms that users might cause.

[Rosie Duffield]

I thank the hon. Gentleman for raising that point. Kent police’s road policing unit has recently made a video highlighting the dangers. That is one of the things that they are really concerned about.

The data on those driving under the influence of nitrous oxide in fatal accidents is unclear, but anecdotally enforcement officers up and down the country will say that it is a big problem. Whitstable residents report to me that night after night young people are driving dangerously around the town. It is becoming a blight on our area and putting a strain on our excellent local police services. Come to Canterbury or Whitstable on a Friday or Saturday night, and you will see the drug being used everywhere.

When the users have gone home, they leave behind the consequences. They do not see the toddlers picking up the shiny thing from the beach the next day to play with. They do not see the dog trying to eat one in a park—including my own daft dog, I am afraid. They do not see the volunteers who put in hours picking up litter that otherwise would be swept out to sea, casually discarded after a few moments of fun.