Pubdate: Mon, 12 Jul 2004 Source: Express-Times, The (PA) Copyright: 2004 The Express-Times Contact: http://www.pennlive.com/expresstimes/ Details: http://www.mapinc.org/media/1489 Author: Susan K. Livio, Star-Ledger Staff Cited: Drug Policy Alliance of New Jersey http://www.drugpolicy.org/about/stateoffices/newjersey/ Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) CITIES STOKE DEBATE BY BUCKING N.J. LAW ON NEEDLE EXCHANGE Two-and-a-half years after Gov. James E. McGreevey took office and pledged to legalize needle exchanges to curb the spread of HIV and AIDS, frustrated activists and lawmakers are still waiting for a program to materialize. Last month, governing bodies in Atlantic City and Camden, two cities hard-hit by the virus, grew tired of waiting and passed ordinances creating local exchange programs. The Atlantic County prosecutor, with the support of state Attorney General Peter Harvey, immediately challenged the move. In Camden, the state-appointed chief operating officer, Randy Primas, has threatened to veto it. These are battles needle exchange advocates did not expect to fight on McGreevey's watch. "I am disappointed the state chose to challenge the ordinance," said Roseanne Scotti, director of the Drug Policy Alliance of New Jersey, an activist group that helped the cities draft the ordinances. "Municipalities have a right to protect their citizens from epidemics and diseases. We are talking about saving people's lives." Still, advocates of programs to exchange drug users' contaminated needles for clean ones are pleased the issue has been revived. The local skirmishes have lit a fire under legislators who promise to deliver a bill McGreevey will support. Assembly Majority Leader Joe Roberts (D-Camden) is the latest to take up the cause. Finding a solution will be his "summer project," he said, vowing to introduce a bill when the Legislature returns after its summer break. Roberts said he was troubled that the Camden and Atlantic City ordinances appear to run counter to state law, but understands why the councils acted. "They are trying to take matters into their own hands because they believe the state has not taken on a leadership role," Roberts said. "Our current policy has resulted in people losing their lives. It's intolerable." New Jersey has more than 45,000 AIDS cases, fifth-highest in the nation. Intravenous drug use is linked to 45 percent of the adult and teen HIV infections, much higher than the 25 percent national rate, according to state and federal data. Delaware and New Jersey are the only states without legal exchange programs or a law that allows non-prescription sale of needles. Opponents of these programs argue they condone illegal drug use. The New Jersey Catholic Conference, representing the state's bishops, said the Atlantic City and Camden ordinances would endanger the public. "Addicts will be able to walk around with needles, even in school zone areas," said Marlene Lao-Collins, the conference's associate director. "A better use of our tax dollars would be to establish adequate funding for education, drug treatment, as well as anti-retroviral therapy and essential community-based social services for recovering addicts" and their families. Atlantic County Prosecutor Jeffrey S. Blitz has sued Atlantic City, arguing that if the city distributes needles without prescriptions, individuals could face arrest for "unlawfully receiving that which another component of government has given to them." Paul Loriquet, a spokesman for the Attorney General's Office, said it supported Blitz because "currently, the law prohibits needle exchange programs in New Jersey and we will continue to enforce the law." Scotti, of the Drug Policy Alliance, said the cities will argue in court that the ordinances are valid because the state law banning drug paraphernalia does not apply to medical professionals or institutions, or to a state or government agency. The debate in New Jersey is at least a decade old, surfacing when volunteers who called themselves the Chai Project (Chai is Hebrew for "life") began running an underground exchange program in New Brunswick in 1994. After authorities arrested volunteers twice, they stopped distributing free needles in 1998. Then-Gov. Christie Whitman strongly objected to needle exchange, saying it sent the wrong message -- that government condones drug use. Since taking office in January 2002, McGreevey's position has not wavered, said his health commissioner, Clifton Lacy. McGreevey has said he would support a pilot program run from or by a hospital that can provide a bridge to treatment and counseling. "If a bill came to the governor to sign, he would sign it," Lacy said. "There's no question these programs are beneficial. The scientific evidence is there. And it's been shown it does not encourage drug use." Yet bills that would put clean needles in intravenous drug users' hands have gone nowhere. Some blame that on a lukewarm response from lawmakers and McGreevey's administration. "I'm not sure anyone believes there is enough votes," said Riki Jacobs, vice chairwoman of the Governor's Advisory Council on HIV/AIDS and Related Blood-Borne Pathogens, and one of the most vocal supporters of syringe exchange in New Jersey. "The way (legislators) think is they are not going to push something unless they are sure they can pass it," said Jacobs, who also is the executive director of the Hyacinth AIDS Foundation, an advocacy and service organization. Earlier this year, aides close to McGreevey told legislators that needle exchange is a controversy he cannot afford right now, according to two state sources familiar with the conversation, who spoke on condition of anonymity. Sen. Joseph Vitale (D-Middlesex), one of the syringe bill sponsors, acknowledged it's a thorny issue. "This will be one of the most difficult political lifts in my seven years in the Legislature. But it's well past time New Jersey supported exchange programs they should have had years ago." Sen. Ronald Rice (D-Essex), a former police officer, disagrees, saying a program that makes it easier to use illegal drugs raises public safety issues. "Residents are saying we care about AIDS, but please, our major concern is getting drug dealers away from our homes, our schools, our church steps, so we can feel safe again," Rice said. "The trickle-down of giving a free needle is (the user) still needs to go to street corners to get their substance. "The free needle assures people there will be a buyer." Councilman Ali Sloan-El Sr., who sponsored the ordinance in Camden, called Rice's viewpoint "old fashioned." "He doesn't recognize people are in desperate need of help," Sloan-El said. "He wants the drug dealers off the corner. It's easy to say law enforcement can do this, but that ain't working." - --- MAP posted-by: Richard Lake