Misuse of Nitrous Oxide Debate

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Department: Home Office

Misuse of Nitrous Oxide

Rosie Duffield Excerpts
Tuesday 21st July 2020

(3 years, 8 months ago)

Commons Chamber
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Rosie Duffield Portrait Rosie Duffield (Canterbury) (Lab)
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We have all seen the tell-tale bullet- shaped silver canisters and their balloon companions littering our beaches and parks this summer. On Saturday morning, I saw yet another little pile of littered canisters at every 10 paces or so along Whitstable beach in my constituency.

Tulip Siddiq Portrait Tulip Siddiq (Hampstead and Kilburn) (Lab)
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I commend my hon. Friend for her powerful campaign on this issue. As a former councillor in Camden, I am aware of the pressures on councils during this pandemic. Is she aware of the significant cost to councils of removing these discarded containers, and will she raise that in her speech?

Rosie Duffield Portrait Rosie Duffield
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Yes, I am going to mention that. I know that my council has had so many extra rubbish collections during covid due to people gathering on beaches, which is a significant problem. I thank my hon. Friend for raising that.

Many people pass by these canisters without knowing what they are. Some will have picked them up, examined them and speculated imaginatively about their use. Among young people, the use of nitrous oxide is endemic. Every single sixth-former and university or college student in Britain will know what those silver canisters are. Nitrous oxide—also known as laughing gas, NOS, NOx, whippits, balloons or chargers—is a psychoactive drug covered by the Psychoactive Substances Act 2016. It can be taken legally, but it cannot by law be sold or given away to others for the purpose of inhalation in a recreational capacity.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I congratulate the hon. Lady on securing the debate. Many of us are aware of this issue, and I thank her for bringing it forward. The media has been full of stories, and so-called laughing gas is not a laughing matter. Does she agree that, while it is necessary in the medical field and must continue to be available in that field, we need to educate our young people about the dangers attached to its use outside the medical field?

Rosie Duffield Portrait Rosie Duffield
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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.

Steve Baker Portrait Mr Steve Baker (Wycombe) (Con)
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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 Portrait Rosie Duffield
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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.

Alison Thewliss Portrait Alison Thewliss (Glasgow Central) (SNP)
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The point that the hon. Lady is making about items being discarded at the roadside is true of Pollokshields in my constituency as well. The local environmental group has been going out and finding that this is an increasing problem in the community. I thank her very much for raising it, because it is a growing issue and the Government should be alive to the problems that it is causing in our communities.

Rosie Duffield Portrait Rosie Duffield
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I thank the hon. Lady. I will be mentioning the environment in a little while.

According to last month’s guest blog in the British Medical Journal written by three eminent voices from the pharmaceutical sector, despite the scarcity of information on the economic and health burden, a number of unsafe practices in nitrous oxide use have been reported, including inhaling it from the nozzle of a whipped cream dispenser, from plastic bags, or directly from a tank. Reported deaths have been caused by sudden cardiac arrhythmias and/or asphyxiation. Between 2010 and 2017, more than 30 people died in England and Wales from nitrous oxide use. The latest figures show an average of five people per year, but data on these deaths is not currently routinely gathered by hospitals. The number of patients presenting to healthcare services with neurological damage due to nitrous oxide consumption is expected to rise. It can cause hypoxia and brain damage, and in some cases can be highly and instantly addictive. Symptoms such as personality changes, emotional disorders, impulsive and aggressive behaviours, hallucinations, illusions and other psychotic symptoms can all be the result of nitrous oxide abuse. Despite the name, it really is no laughing matter.

Let us not forget another really important factor, as mentioned by the hon. Member for Glasgow Central (Alison Thewliss): nitrous oxide is a powerful greenhouse gas. It can stay in the atmosphere for up to 150 years, absorbing radiation and trapping heat, so not only is its misuse a blight on our society and a danger to people’s health, but it has an environmental impact too. These canisters will sit in landfills for ever.

It is clear that tighter regulations around the sale of nitrous oxide are now needed. My hon. Friend the Member for Portsmouth South (Stephen Morgan) has written to Amazon about this recently, and it is a growing concern in his constituency. I agree with the British Compressed Gases Association, which is also calling on the Government to use their consumer protection powers for much tighter regulations on sales, and which says that legitimate users, such as those using it as medical pain-relieving gas, would not be adversely affected by tighter controls. I agree also with Professor Gino Martini and his expert colleagues, who are calling for provision of identification for the purchase of nitrous oxide, raising the age of sales to people over 25 and restricting quantities per purchase.

Anna McMorrin Portrait Anna McMorrin (Cardiff North) (Lab)
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My hon. Friend is making an excellent speech on a really important matter that has a huge impact on my constituents. Does she agree that it is important to look at the penalty for possession because, as it stands, there is none?

Rosie Duffield Portrait Rosie Duffield
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My hon. Friend raises a really good point, but this is particularly about restricting the buying of nitrous oxide and what it is used for, rather than punishing the young people. However, I thank her for raising that.

One retailer of catering supplies last week had an order for 38,000 chargers from one person, and I do not think it was from a coffee shop reopening after lockdown. Quite rightly, he refused this questionable sale. Tighter regulations on sale and better education on the risks rather than overly criminalising the often young users of this drug is, in my opinion, the right way to go. We cannot stand by and simply say, “Let’s leave this. After all, it is less toxic than alcohol, cannabis or ecstasy.” That attitude just is not acceptable, as nitrous oxide has plenty of risks in its own right.

I am calling on the Government to introduce essential tighter restrictions on the sale of nitrous oxide, backing up our hard-working paramedics, nurses, doctors and scientists, who are all calling for more to be done so that this year’s zeitgeist for nitrous oxide does not turn into a national disgrace.