Pubdate: Sun, 23 May 2004 Source: Star-Ledger (NJ) Copyright: 2004 Newark Morning Ledger Co Contact: http://www.nj.com/starledger/ Details: http://www.mapinc.org/media/424 Related: http://actioncenter.drugpolicy.org/action/display/wacmoreinfo.asp?item=17757 Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) AN ACT OF DEFIANCE The chief health officer in Atlantic City is fed up. He has watched too many drug addicts contract AIDS from using dirty syringes, and he has seen too many of them die slow and horrifying deaths. So he has decided to break the law by passing out clean needles. His name is Ron Cash, and he says he will probably begin in a few months, even if the state backs up its threats to put him in jail. The mayor of Atlantic City, Lorenzo Langford, is solidly behind him, as is the city council. Our hope is that this civil disobedience in Atlantic City causes a crisis that forces the leaders of this state to re-examine their medieval attitude toward needle exchange programs. If Cash goes through with this, count him as a modern hero. New Jersey has lost roughly 30,000 people to the AIDS epidemic. Most of them were drug addicts or their sex partners, along with some of their children. It is a tragedy of epic proportions, and it's going on quietly, under our noses. Even now, with effective drugs available to all, more than 1,000 people a year are dying of AIDS in this state. If any other infectious disease were causing this kind of havoc, the state would take drastic measures to halt its spread. Yet in New Jersey today, it is illegal to get a needle without a prescription from a doctor. That creates a predictable shortage on the street, leading addicts to share. New Jersey is among the last states to cling to this policy. Some states allow pharmacies to sell needles over the counter; others have established programs that provide clean needles for free and use that lure to direct addicts into treatment, an approach that is far more humane and constructive. By now, both types of programs have been studied to death. The evidence is overwhelming that they save lives. Former Gov. Christie Whitman fended off pressure to establish a clean-needle program by establishing a commission of prominent experts to give her advice. Its conclusion was the same as the others: Needle exchange programs save lives and do not encourage wider drug use. Still, Whitman did nothing, saying she didn't want to send a message that the government tolerates drug abuse. Candidate James E. McGreevey came along and promised that things would change. But he's done nothing either. Meanwhile, the bodies keep piling up, and the infections keep spreading. Cash sees this up close every day. He wonders what message the politicians in Trenton are trying to send. So do we. To break the law is an extreme measure. But this is an extreme situation. "I'm going ahead with this one way or another," Cash says. "I've seen it devastate this community. I've seen it even with family and friends. Hopefully, reasonable minds will prevail." There was a glimpse of that last week. Sens. Nia Gill and Joe Vitale, both Democrats, drafted a bill that would allow municipalities to establish needle exchange programs. That would at least remove the state roadblock, potentially saving many lives in the hardest-hit cities like Atlantic City, Jersey City, Newark and Camden. The governor hasn't taken a position on the bill yet. But the sponsors are going to need his help because even this modest measure faces a steep climb. Our hope is that the governor throws himself into this and uses the opportunity to redeem himself on this critical public health issue. - --- MAP posted-by: Richard Lake