The 200 percent increase in cocaine addiction reported by the Health Research Board is only the "tip of the iceberg".
Ballygar's Dr. Martin Daly says cocaine isn't a new problem and its increasing prevelance has been flagged for over a decade.
He says it's become acceptable in every city, town, village and sports club, across all age groups and socio-economic barriers.
But he's warning our health services are just not equipped to deal with the deluge of people seeking help.
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Speaking to Galway Talks, Dr. Daly said it has a devastating effect on the whole community - and many young people are destroying their opportunities.