The thing that makes heroin masquerading as cocaine dangerous is that typical heroin doses are quite small (~10 mg) vs cocaine (~100 mg). If you get heroin instead of cocaine and snort your regular dose, it can easily be a fatal dose of heroin for a naive user.
This suggests that there is some motivation to pass heroine off as cocaine, rather than this being a supply-chain mixup. But then why sell heroine as the substitute? It seems like the street value of heroine would still be higher than other substances (say, talc with the local anesthetic). If you're dealing, why not just try and pass that off, increase your profit margin, and not invite criminal investigation into the deaths of your customers?
Or is the presumption here that some people are dealing with the purpose of causing harm?
Moments later, some very intoxicated tourists dive into what they think is cocaine. They do a line each, don't get the cocaine feeling that perhaps one or two of them vaguely remember, but they assume that they just got badly cut drugs, so they dive in and do more.
Snorting heroin (especially if you think it is cocaine) is a surefire recipe to die because it tends to take a little longer to really kick in. And, because of its toxicity, there isn't a lot of room between getting high and dying.
I'd be surprised if that didn't happen all the time with heroin too, though if heroin doesn't provide a numbing feeling then there's no motivation to specifically add a cheap numbing drug.. but numbing could well be an accidental side-affect of something that was added to dilute the % of heroin in each gram sold?
Could be. As [boefs mentions on Reddit](http://www.reddit.com/r/thenetherlands/comments/2npjx5/just_...), selling Heroin in the Netherlands is really hard.
The two most likely scenario's at this moment is that either someone got his hands on cheap Heroin and wanted to make a quick sell or that someone was ripped and sold a large quantity of Heroin and now wants to make some money off that. Either way, in the Netherlands you apparently hardly get rid of heroin, whereas coke is sold for much higher prices much easier.
"Test it by placing a pinch of the powder on your tongue. If, within a few minutes, this does not have a numbing effect, it is not cocaine. It could be heroin instead."
http://www.ggd.amsterdam.nl/english/drugsalert/more-informat...
In South Korea they can and do arrest and prosecute people for photographic / recorded evidence of them doing drugs even while overseas.
Even if they catch you with drugs on you, as much as possession (non-dealing) charges have high maximums - for class A drugs I think the maximum is 7 years prison + fine for possession or life in prison for dealing - realistically you're unlikely to get in much trouble for a small quantity. Weed unless you're a serious repeat offender, or a cop decides he hates you, you'll either get an on-the-spot official "caution" and fine up to £90, or more likely a non-recorded verbal warning and confiscation. For harder drugs police aren't meant to do that, but stories I've heard you're still more likely to get confiscation and possibly a caution.
I've even known weed dealers (low level) who've been caught and only had to give up the cash and weed they had on them.
As a slightly related anecdote, a friend of a friend got caught with 11 grams of cocaine (supplying for a party, I think) and by the time he got to court he was being charged with possession of 4 grams, which reduced his "years in prison" with "a few months probation and a fine". No mention of where the 7 grams went in the months between.
As such, if I witnessed a drug-caused medical issue, I'd get rid of whatever drugs were around (frankly I imagine if you put them in your pocket you'd be fine - doctors aren't allowed to inform the police about it unless they have a reason to believe you're a threat to the safety of yourself or others, and being a drug addict, short of being really close to killing yourself, isn't what that mean) and have no worries whatsoever about calling an ambulance.
edit: side-question, is there anyone on here who a.) knows what coke and white heroin are like and b.) would be willing to comment (with a throwaway if preferred) on: is it hard to tell them apart? I've never seen any form of heroin in my life, but find it hard to believe I could sniff it without knowing.. so wonder is it an easy mistake, or were these victims people who didn't know what to expect cocaine to be like in the first place?
edit 2: For anyone who hasn't been to Amsterdam, or at least the red light district... I've never taken them up on their offers, but the number of street dealers there... last time I was over there for work went out in the evening for a few drinks and some smoking, must've been offered coke over 10 times just while walking along streets. (And MDMA a couple of times, but not as frequently.) Never known anywhere easier to get coke if you wanted it, never known anywhere that I'd trust the quality of drugs on the street less if I had wanted it.