Pubdate: Fri, 10 Sep 2004 Source: Star-Ledger (NJ) Copyright: 2004 Newark Morning Ledger Co Contact: http://www.nj.com/starledger/ Details: http://www.mapinc.org/media/424 Author: Tom Moran Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) THE TIME IS NOW FOR NEEDLE EXCHANGES Ron Cash, the health director in Atlantic City, was working in his City Hall office one recent afternoon when his secretary screamed for help. A heroin addict was rummaging through her pocketbook. Cash jumped from his chair, chased him to the street and dragged him back to the office. The addict, it turned out, had a dirty needle in his pocket. And, as Cash expected, he had the AIDs virus in his bloodstream. A time bomb waiting to kill him. "We have AIDs numbers down here like sub-Saharan Africa," Cash says. "It's just sad." New Jersey has lost more than 31,000 people to the AIDs epidemic, making us one of the hardest-hit states in the nation. From the start, the epidemic here has been driven by addicts like the one in Cash's office, not by homosexuals. That dirty needle in his pocket, multiplied thousands of times, is the tool that allows the virus to spread so easily in the state's poorest cities. New Jersey could save a great many lives by allowing addicts to legally obtain clean needles. We know that because there is a track record now. Nearly ever other state in the country is already doing it. Even Mississippi. "There's an overwhelming stack of evidence now that says you're foolish not to do this," says physician Robert Johnson, chairman of the governor's advisory council on AIDs. "Every bit of research shows that it reduces the spread of HIV, and doesn't encourage drug use." The coalition that has blocked needle exchanges stretches from right to left. Former Gov. Christie Whitman, a moderate on most issues, says needle exchanges "send the wrong message." Sen. Ron Rice, an African-American Democrat from Newark, calls these programs "anti-black" and claims they encourage drug use. "I don't have a study on that," he says. "But that's my opinion." If you wonder how these arguments can carry the day, think of it from the point of view of a timid politician: Why risk being called a racist? Why risk appearing soft on drugs? Why not work on some other cause instead? Now, though, the stars may be aligning to change this. For one, Gov. James E. McGreevey announced that he will finally support a needle exchange program, as he promised he would back in the 2001 campaign. His decision to resign has freed him to act on his convictions, which sounds inspiring until you realize he has failed to act on those convictions for the last three years. Maybe as important, Assemblyman Joe Roberts, the majority leader, has taken on this cause and been working nearly full time on it for months. The Assembly has trailed behind the Senate on this issue for years, but Roberts' awakening means passage is likely. "I'm not going to be bullied by Ron Rice," he says. "When he says I'm a white guy from the suburbs who wants to do this, I say I've lived in Camden since 1987, and if they want to put a trailer on my street to distribute needles, I'm fine with that." The challenge will be in the Senate, where Sens. Nia Gill and Joe Vitale have work to do to reach 21 votes. In that fight, the key player could be Senate President Richard Codey, soon to be the acting governor. Codey supported a 1998 bill establishing a needle exchange. But he said this week that he's undecided on the issue. Add the revolt at the grassroots, especially in Atlantic City and Camden, where the city councils have threatened to create their own programs in defiance of state law. They are forcing the discussion. Cash, for his part, vows that he will get needles to addicts in his city -- even if he has to break the law to do it. He's ready to go to jail if the politicians don't act soon. He says he's waited too long already. "I have family members who have been infected and died, and personal friends I grew up with who have died," he says. "We're hoping and praying that it's time for a change." - --- MAP posted-by: Richard Lake