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There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).
Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.
On average, the stomach produces 2 L of hydrochloric acid per day.
Most childhood vaccines are 90–99% effective in preventing disease. Side effects are rarely serious.
Vaccines prevent between 2.5 and 4 million deaths every year.