Pubdate: Fri, 24 Jun 2005 Source: Herald News (NJ) Section: Pg B11 Copyright: 2005 North Jersey Media Group Inc. Contact: http://www.northjersey.com/ Details: http://www.mapinc.org/media/2911 N.J. NEEDS A NEEDLE-EXCHANGE PROGRAM New Jersey needs a needle-exchange law. First, Paterson missed a deadline to apply for a pilot needle-exchange program established by an executive order of former Gov. James E. McGreevey. Then, just two weeks before the program was about to start in Atlantic City and Camden, a Mercer County Superior Court issued an injunction in response to a challenge of McGreevey's order by seven lawmakers. For now, the fate of the pilot program is uncertain. The Attorney General's Office may appeal to have the injunction lifted, but regardless, the challenge will be decided by the courts. Instead of relying on stopgap measures and being dependent on court rulings, New Jersey needs to enact a permanent solution to its high rate of HIV/AIDS transmission through intravenous drug use. It is one of just two states - the other being Delaware - that ban the distribution of syringes without a prescription. The scientific consensus is clear: Needle-exchange programs reduce the rate of HIV transmission. Opponents argue that they condone bad behavior. But with the fifth-highest rate of HIV infection in the country, New Jersey should be more concerned with taking preventive action than with the message it might be sending. In addition to being legally vulnerable, McGreevey's pilot program - which he justified by declaring a public health emergency - is narrow in scope, applying to just three cities. And it depends on cities being responsible enough to apply for it. Paterson failed that test - despite the fact that sharing needles is the No. 1 cause of the city's HIV transmission. Paterson also has the third-highest number of HIV patients in the state, 35 percent of whom contracted the disease from sharing needles. But Mayor Jose "Joey" Torres made a unilateral decision not to apply for the pilot program, which he personally opposes. He said he couldn't go ahead without first getting input from the city's residents, yet made no effort to do so before the May 6 application deadline passed. Last October, the state Assembly passed a needle-exchange bill. Since then, the bill has languished in a Senate committee, thanks to the opposition of four Republicans and one Democrat. Meanwhile, at least two New Jerseyans a day are becoming infected from sharing needles, according to the Drug Policy Alliance of New Jersey. More than half of the state's HIV cases originated from addicts using contaminated needles. The state's rate of transmission as a result of intravenous drug use is twice the national average. The drug users spread the disease to their sexual partners and their children - one of the main reasons New Jersey has the highest rate of HIV infection among women in the country and the third-highest among children. Most of those infected are minorities. One out of 50 blacks is HIV-positive. Statewide, 75 percent of those with HIV/AIDS are minorities. To those people, it is certainly a public-health emergency. Opponents of needle-exchange programs argue that they increase dependency on drugs, but science says otherwise. They argue that the focus should be on treatment and counseling, but needle-exchange programs can be effective vehicles for steering people to treatment. It is time to stop the excuses and start saving lives. - --- MAP posted-by: Beth