Sadly, Opium: A History is actually kind of boring. I added this one to the “to-read” list a few years ago when I first heard about the opioid crisis in the United States. This book covers some useful information but in general suffers from the same problems as other “history of a commodity” type books (like Salt: A World History by Mark Kurlansky)...namely, once you’ve explained how it was used (or abused) in one place and time, explaining how it was used in other places and times just feels really repetitive. The book was published in 1999, so if you’re looking for information on the current developments in the United States I would recommend Dreamland: The True Tale of America’s Opiate Epidemic by Sam Quinones.
What follows are some abbreviated notes on the book.
The author briefly covers the chemistry of alkaloids and the numerous derivative narcotics that can be produced from Opium: Morphine, Heroin, Codeine, Oxycodone, Hydrocodone, Noscapine, and about a dozen other common varieties. Related to this, he discusses the chemical mechanisms and effects of chemical dependency as a result of opiate use/abuse. The author covers the locations where poppies are grown (basically everywhere: Europe, India, China, Turkey, Afghanistan, Pakistan, Thailand, Vietnam, Egypt, Mexico, multiple South American countries, etc, etc, etc).
Opium and its derivatives have been used as medicine, pain killer, and recreationally for centuries (prostitutes and their clientele with venereal disease and those wounded in war being some of the most common usages). The author describes in detail the numerous way opiates are used: smoking, ingestion, snorting through the nostrils, topically, suppository, intravenously, injecting direct into the muscle, etc.
Multiple times the author explains why it was (and is) so difficult to combat the opium trade. Namely, poppies are grown or refined in multiple countries so trying to enforce laws across international borders is extremely difficult. The crops are often grown in lawless or remote areas where law enforcement is scarce. Where law enforcement does exist, they are often complicit in the trade or are paid off to turn a blind eye. Opium is up to ten times more profitable for poor farmers as a cash crop than growing food. This creates a powerful incentive for those struggling to provide for their family to switch to poppies. Often opium wasn’t simply a cash crop for farmers but for governments. The Opium Wars were in large art such a big deal because had the opium trade been shut down it would have been extremely painful to the economy of British India. At various times in history, opium was a major source of income in Egypt, India, Turkey, Afghanistan, and the “Golden Triangle” countries of Laos, Thailand, and Myanmar. Even as the British public became conscientious of their role in the opium wars, it was difficult to cease the trade because the Chinese were growing their own opium so ceasing activity would just enable other countries to continue to profit. Opium was a major factor in the founding and success of several uber-successful Asian ports (like Hong Kong and Macau).
Geopolitical concerns also helped facilitate the trade. The Kuomintang (KMT) were heavily involved in the drug trade during and after the Chinese Civil War against the communists. The CIA often turned a blind eye or tacitly supported drug dealers as long as they were useful in the global struggle against Soviet communism. When international efforts to control the opium trade did make progress (like in in the 1910s), the outbreak of World Wars drove up demand for opiate pain killers and undermined any progress.
Organized crime has an intimate history with opium on just about every continent. China (Triads), Japan (Yakuza), American, Russian, French, Italian and Latin American mafia or organized crime organizations have all had a hand in the trade. French and American soldiers in Vietnam had extremely high levels of use and brought their habits back to their home countries. Likewise, many Asian peoples who smoked opium brought their habit to other countries like the US when they emigrated. The author covers some aspects of the war on drugs and successes in the 1980s to combat the trade (though for the large dollar figures of confiscated drugs, it is mind boggling how much more must have slipped through their fingers).
At various points both the US (early 1900s and 1980s) and Communists governments at various times waged the most aggressive anti-drug efforts.
The book ends with speculation on how the introduction of poppies to South America agriculture will impact the drug trade as well as how the upcoming return of Hong Kong and other British possessions will impact the illicit trade in Asia.