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- Newsgroups: talk.politics.drugs,alt.politics.clinton,alt.politics.libertarian,talk.politics.misc,alt.society.resistance
- From: borden@netcom.com (David Borden)
- Subject: NEEDLE EXCHANGE ALERT from the Drug Policy Foundation
- Message-ID: <bordenD93022.6tI@netcom.com>
- Date: Wed, 24 May 1995 12:01:14 GMT
-
- The following announcement comes to you courtesy of the Foundation for
- Drug Policy Awareness / Drug Reform Coordination Network (DRCNet). For
- more information, e-mail "drcinfo@drcnet.org", or contact: DRCNet, P.O.
- Box 381813, Cambridge, MA 02238-1813; phone: (617) 648-2655; fax: 648-2713.
-
- ******************************************************************************
-
- Please copy and distribute.
-
- ==============================
- A L E R T
- ==============================
- from the Drug Policy Foundation
- Washington, D.C. * New York
-
- To our online friends and supporters:
-
- Below is the full text of a new DPF "Alert" sent to all 20,000 members as
- well as the media and other key contacts. We encourage you to become
- informed and get active in reaction to this "Alert" also. For your
- convenience, the sections are as follows:
-
- 1. Letter to Members
- 2. DPF Actions So Far
- 3. Useful Information on the Issue
- 4. Where/Whom to Write
- 5. Other News from DPF
-
- == Dave Fratello/Rob Stewart
-
- 1. LETTER TO MEMBERS
- ========================
-
- Dear Friend:
-
- Needle exchange programs have been controversial for years. But now,
- scientific evidence weighs solidly in favor of needle exchanges as a
- method for reducing the spread of HIV/AIDS and other needle-borne
- diseases. Moreover, the data do not indicate that the programs increase
- drug use.
-
- The development of solid science supporting needle exchanges coincides
- with an increased need for the programs. New HIV/AIDS data show that
- needle-sharing is becoming the most significant route for the epidemic's
- spread, including the spread of HIV, the virus that causes AIDS, among
- the general population.
-
- Taken together, these facts lead to an important conclusion: It is time
- for science to reign in the debate on needle exchange programs. The
- programs must be expanded dramatically to curtail the spread of HIV/AIDS.
- Federal leadership on this issue is needed, including direct funding of
- existing needle exchange programs and seed money for new programs.
-
- It won't be easy to make that happen. But DPF is taking on the challenge.
- The issue here is saving lives.
-
- The face of the HIV/AIDS epidemic has changed dramatically in the last
- year. Drug users, their sexual partners and their children have replaced
- homosexual men as the majority of new HIV/AIDS cases. Research by the
- Centers for Disease Control concludes that 30,000 of the 40,000 new HIV
- infections last year in the United States were related to drug use. More
- than 20,000 of those infections were traceable to the sharing of infected
- needles.
-
- Though the demographics of HIV/AIDS have changed, federal policy has not.
- Each year since 1988, Congress has banned the use of federal funds for
- needle exchanges, unless the Surgeon General formally finds them to be
- effective. The Surgeon General must conclude that needle exchanges: 1)
- reduce the spread of HIV and 2) do not increase drug use.
-
- The Clinton administration has the evidence it needs to begin saving
- lives by funding needle exchanges, but it refuses to act. Congress stands
- ready to attack, rather than welcome, efforts to check the HIV/AIDS
- epidemic with needle exchanges, even though the disease threatens every
- American.
-
- The current silence on this issue has deadly consequences in the real
- world. Yet it's no secret why the government seems paralyzed on needle
- exchanges. Politicians do not want to appear "soft" on drug use. That
- political concern seems to prevent leaders from taking a step that
- science says will save lives. It's a classic case of bad policy flowing
- from the perverse politics of drugs in America.
-
- These days in Washington, all sorts of programs are being cut, and the
- proper role of the federal government in local affairs is being debated.
- Still, the case for funding needle exchanges remains strong in this
- political climate, for two reasons. First, this is a matter of national
- public health requiring urgent action. Second, needle exchanges are a
- fiscally conservative way to attack the HIV/AIDS epidemic -- each
- infection prevented saves over $100,000 in health care costs. Just this
- year's 20,000 new needle-borne HIV infections will cost at least $2
- billion!
-
- Diseases like HIV/AIDS do not care which party controls Congress. They
- continue their deadly spread regardless. A non-partisan, rational
- response to the problem is needed, not more bickering.
-
- The good news is that the public is smarter than most elected officials
- might think: In a 1994 public opinion poll by Peter Hart Research
- Associates, 55 percent of respondents said they favored using needle
- exchanges to reduce the spread of HIV/AIDS. That's one of the clearest
- indications yet that it is time for the bi-partisan stalling to end.
-
- In last fall's Alert on our new government affairs program, we promised
- you that DPF would act on this issue, as well as several others. The
- reason is that needle exchange programs are a cornerstone of harm
- reduction policies. As you will see from the news enclosed, DPF has
- already been working hard. Our talented staff deserves a lot of credit.
- We intend to keep up the pressure, and for that we need your
- participation and your support.
-
- Get involved today! Write to the officials listed on the back. Talk about
- this issue in your community. And please support DPF with a contribution
- to keep us moving forward.
-
- Sincerely,
-
- David C. Condliffe Arnold S. Trebach
- Executive Director President
-
- 2. DPF ACTIONS
- ================
-
- DPF RELEASES SECRET GOVERNMENT DOCUMENTS
- SUPPORTING NEEDLE EXCHANGE PROGRAMS
-
- On December 10, 1993, the Centers for Disease Control and Prevention --
- and other federal health agencies - recommended federal funding of needle
- exchange programs. The basis: A comprehensive report submitted three
- months earlier by researchers from the University of California's San
- Francisco and Berkeley campuses, conducted with CDC funds. But the CDC's
- recommendation was never acted upon; it wasn't even made public. A
- congressional committee requested the health agencies' reviews of the UC
- research in the summer of 1994, but only got copies six months later,
- after promising not to release the information. A Freedom of Information
- Act request for the reviews by the San Francisco Chronicle was denied in
- late 1994.
-
- The information blackout ended March 7, 1995, when the Drug Policy
- Foundation made the reviews public. (They had been leaked to DPF.)
- National news stories featured the documents' release, including stories
- on the Associated Press national wire, National Public Radio and the CBS
- Morning News. The Foundation also made the documents available to needle
- exchange program directors, advocates, and health departments of state
- and local governments. For a copy of the 48-page document, along with
- press clips, for $5 to cover copying and postage (address below).
-
- DPF BRINGS TOP RESEARCHERS TO CAPITOL HILL FORUM
-
- After releasing the Clinton administration's reviews of the needle
- exchange issue, DPF brought top researchers to Washington to explain the
- case for federal funding of the programs. The March 10 event in the
- Rayburn House Office Building was the third DPF congressional forum on
- needle exchanges.
-
- One of the featured experts was Dr. Peter Lurie of the University of
- California at San Francisco, who directed the UC study of needle
- exchanges around the world. Dr. Lurie presented his report's key findings
- and noted that the research meets a two-point test set up by Congress to
- permit funding of needle exchange programs. The Clinton administration's
- claims that the research is insufficient to lift the ban, Dr. Lurie said,
- represent "a legalistic fig leaf" used to justify inaction.
-
- The forum also featured Prof. Edward Kaplan of Yale University, who
- designed ground-breaking research of the New Haven needle exchange. DPF
- advisory board member Ernest Drucker, from New York's Montefiore Medical
- Center, put the needle exchange issue into the broader context of drug
- policy. Among those attending the forum were congressional staffers, AIDS
- workers, needle exchange coordinators and members of the media.
-
- Also featured at the forum was the premiere of a new video, "Fire in Our
- House," produced by Rory Kennedy and Vanessa Vadim of MayDay Media. This
- gripping, 10-minute film shows the promise of needle exchanges for
- combating HIV/AIDS among injecting drug users, their sexual partners and,
- especially, their children. (For a copy, call MayDay Media at (202) 338-
- 1094.)
-
- 3. USEFUL INFORMATION ABOUT THE CONTROVERSY:
- =====================================================
-
- AIDS STATISTICS
-
- * One in three U.S. AIDS cases, and one in two new HIV infections, is
- traceable to needle-sharing
- * More than 20,000 new HIV infections in 1994 involved infected needles
- * Needle-borne HIV is a factor in 71 percent of new HIV infections among
- women, and in 66 percent of the newborns who acquired HIV in the womb
-
- LANGUAGE OF THE FUNDING BAN
-
- Sec. 506 of the FY 1995 appropriations bill for the Dept. of Health and
- Human Services (PL 103-333) reads in part: "no funds appropriated under
- this act shall be used to carry out any program of distributing sterile
- needles for the hypodermic injection of any illegal drug unless the
- Surgeon General of the United States determines that such programs are
- effective in preventing the spread of HIV and do not encourage the use of
- illegal drugs."
-
- FINDINGS OF UC STUDY
-
- In September 1993, University of California re-searchers published the
- most comprehensive survey of needle exchange research to date, entitled
- "The Public Health Impact of Needle Exchange Programs in the United
- States and Abroad." The study was conducted with funding from the Centers
- for Disease Control and Prevention. Among the findings:
-
- * "available [data] provide no evidence that needle exchange programs
- increase the amount of drug use by ... clients or change overall
- community levels of non-injection and injection drug use."
-
- * "Multiple mathematical models ... suggest that needle exchange
- programs can prevent significant numbers of infections among clients
- of the progams, their drug and sex partners, and their offspring."
-
- CDC TO CLINTON: LIFT THE BAN
-
- The Clinton administration's health agencies reviewed the UC research in
- late 1993. The consensus was that the study was thorough and sound. Based
- on that fact, and the UC study's own recommendations, the CDC said:
-
- * "we believe that the benefits of [needle exchange programs (NEPs)] as
- a component of a comprehensive HIV prevention program for drug users
- exceed the theoretical risks."
-
- * "NEPs are likely to reduce HIV transmission, even though epidemiologic
- studies of NEPs do not definitively demonstrate decreases or increases
- in HIV transmission.... Several findings strongly support the
- conclusion that NEPs reduce HIV transmission."
-
- * "We conclude that the ban on federal funding of NEPs should be lifted
- to allow communities and states to use federal funds to support NEPs
- as components of comprehensive HIV prevention programs."
-
- * "We also recommend that states consider the repeal of laws requiring a
- physician's prescription to buy needles and syringes and the removal
- of criminal penalties for [their] possession."
-
- These CDC recommendations were kept from public view by the Clinton
- administration, which has failed to act on the health agency's words.
- Federal money could go to needle exchanges if the administration
- officially found that the programs reduce HIV's spread and do not
- encourage drug use.
-
- 4. WRITE TODAY!
- ==================
-
- You can make a difference by writing to the decision-makers in this
- controversy. Dr. Philip Lee is the top health official in the
- administration with responsibility to act. But you should also write to
- your representatives in Congress, along with your state and local
- governments, about the need for executive branch action on this issue.
-
- Key points for your letters:
-
- * AIDS is a public health crisis; needle-borne HIV is spreading
- unchecked
- * scientific evidence shows that needle exchanges can help reduce the
- spread of this disease
- * the CDC has recommended federal funding of needle exchanges and the
- repeal of state drug paraphernalia laws regarding needle possession
- * the 75 community-based needle exchanges operating today need financial
- support; many new programs are needed nationwide
- * saving lives is the issue; silence, inaction and partisanship only
- guarantee more preventable deaths
-
- Dr. Philip Lee
- Assistant Secretary for Health
- Public Health Service
- 200 Independence Ave. NW, Room 716-G
- Washington, DC 20201
- fax: (202) 690-6960
-
- The Honorable [name of your member of House of Representatives]
- U.S. House of Representatives
- Washington, DC 20515
-
- The Honorable [name of your Senator]
- U.S. Senate
- Washington, DC 20510
-
- 5. OTHER NEWS FROM DPF:
- ===========================
-
- US OBJECTS TO COLOMBIAN OFFICIAL'S SPEECH; DE GREIFF RELUCTANTLY RELENTS,
- STAYS AWAY
-
- The U.S. government can't handle debate on drug policy. Silence is
- preferred whenever possible. Hence the State Department's demand in
- February that the Colombian government justify a scheduled speaking
- engagement by Gustavo de Greiff, formerly the nation's prosecutor general
- and now Colombia's ambassador to Mexico. De Greiff planned to speak in
- Florence, Italy, to the Sixth International Conference on the Reduction
- of Drug-Related Harm March 27.
-
- It wasn't to be. After all, De Greiff is an outspoken advocate of
- changing the drug laws. In 1993, he came out and said of the drug war,
- "The profits are so large that it is a delusion to think that killing or
- jailing major traffickers" would make a dent in the drug trade. "In the
- end," De Greiff said, "the only solution is legalization, with
- regulations to control the market."
-
- De Greiff continued to speak out, and in 1994 DPF congratulated him with
- its top annual award. But his Florence speech fell victim to anti-drug
- politics between Colombia and the United States. The U.S. government says
- Colombia hasn't been fighting hard enough, and in March it took a special
- exception from President Clinton to prevent sanctions against the
- Colombians. In the middle of that fight, the State Department suggested
- that having De Greiff speak out in Florence would make Colombia look bad.
- And, of course, there was the implied threat of serious consequences if
- De Greiff spread his dangerous ideas. Ultimately, De Greiff agreed to
- stay home, to spare his country retribution from American
- prohibitionists.
-
- =========================================================================
-
- Please help the Drug Policy Foundation and its efforts to expand the
- reach of needle exchange programs. Because of DPF's matching grant from
- the Open Society Institute, each dollar you give counts for two dollars
- for the Foundation! Thank you. Your contribution is tax deductible.
- (Non-members: $25 gets you membership and a subscription to the quarterly
- Drug Policy Letter.)
-
- __ $50 __ $100 __ $250 __ $500 __ Other $____
-
- VISA/MasterCard/Amex #___________________________ exp. date ____________
-
- __ I am enclosing $5 extra for the CDC's review of needle exchanges made
- public by DPF.
-
- Contributors of $50 or more:
-
- __ Send me a videotape of DPF's Capitol Hill forum on needle exchanges.
-
- __ No, use all of my contribution for programs.
-
-
- Working on the needle exchange issue is DPF's first major government
- affairs project. What issues would you like to see addressed next?
-
-
- Drug Policy Foundation
- 4455 Connecticut Ave. NW, Suite B-500
- Washington, DC 20008-2302
- Phone: (202) 537-5005
- Fax: (202) 537-3007
- E-mail: 76546.215@compuserve.com
-
- ==============================================================================
-
- The Drug Reform Coordination network (DRCNet) is a non-profit entity
- dedicated to getting the word out to activists on what they can do to work
- for reform of the nation's drug laws and other related laws and policies.
- The Foundation for Drug Policy Awareness is an educational organization
- that aims to raise public awareness of issues surrounding drug policy.
- DRCNet solicits information from national and state level activist groups
- on how people can help them work for reform, and makes frequent announcements
- by e-mail, fax, mail and phone to its "rapid-response team". DRCNet also
- publishes "The Activist Guide" newsletter on a monthly basis. Full
- membership in the Drug Reform Coordination Network is $25, and includes
- The Activist Guide and membership in the rapid-response team. Newsletter
- alone is $18 for 12 issues, and rapid-response team alone is $10.
- (All material is available by e-mail for free.) For more information on our
- publications and educational outreach projects, contact:
-
- DRCNet, P.O. Box 381813, Cambridge, MA 02238-1813
- (617) 648-2655 / fax: 648-2713 / e-mail: drcinfo@drcnet.org
-
- ============================================================================
- Peace Justice Freedom Compassion Truth
- ============================================================================
-
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- END THE DRUG WAR
- ////////// \\\\\\\\\\
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