Pubdate: Wed, 18 May 2005 Source: Herald News (NJ) Copyright: 2005 North Jersey Media Group Inc. Contact: http://www.northjersey.com/ Details: http://www.mapinc.org/media/2911 Author: Tom Meagher Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) NO NEEDLE EXCHANGE IN PATERSON PATERSON - Mayor Joey Torres has chosen not to apply to set up a needle-exchange program aimed at curbing the spread of HIV by offering drug addicts sterile syringes. Paterson, the state's third-largest city, also counts the third-largest number of HIV and AIDS cases, more than a third of which were caused by intravenous drug users sharing dirty syringes, according to state Health Department statistics. Torres claimed Tuesday that, although the city's health officer and the county's HIV planning council have favored needle exchanges, he decided not to apply for a state pilot program permitting needle exchanges, because he did not have the input of his constituents. "As a policy maker, I do understand the argument that was made by our health-care professionals," Torres said. "I will not do it without taking it to the public." Torres also said he personally opposes the controversial needle exchanges that critics argue enable drug abuse by putting syringes in the hands of abusers. As one of his last acts in office, Gov. James E. McGreevey signed an executive order permitting the state Department of Health and Senior Services to set up needle exchanges in three municipalities. State law bars the distribution of needles without a doctor's prescription. Last week, the department chose Camden and Atlantic City to host the exchange programs. Paterson, whose 1,668 HIV-infected adults outnumber those in Camden and Atlantic City combined, was one of nine cities invited to apply for the program. In order to qualify, in addition to submitting an application, the city would have had to adopt an ordinance permitting a needle exchange. Last fall, City Councilman Ken Morris crafted a resolution endorsing McGreevey's order and asking that Paterson be allowed to play host to one of the exchanges. Because the resolution was non-binding, it did not qualify for the state's application. Morris said Tuesday that he did not know the city needed to apply for the program. He thought the state would simply choose the cities it wanted to participate. He said no one in Paterson government informed him of the need to apply. "I would have liked to have seen a needle exchange piloted here," Morris said. "If it needed an ordinance, I don't think that it would have been a problem." State Epidemiologist Eddy Bresnitz said Tuesday he hopes the needle exchanges in Atlantic City and Camden could begin operating within weeks. He hopes that the pilot exchanges will show how such programs work. As it was written, McGreevey's order expires at the end of December. Unless the governor issues another order, or the Legislature passes a long-stalled needle-exchange bill, the programs will end then. By missing the deadline and failing to apply, Paterson may have lost its chance to secure a legal needle-exchange program in the future. Jerry Dillard, the executive director of the Council on AIDS at the Passaic County Resource Center, said he was surprised to learn Paterson did not apply. Intravenous drug use continues to be the primary form of transmission of HIV in the city and the county. He said he has also seen more young suburban adults injecting drugs lately. "This definitely reaches beyond the borders of Paterson and Passaic," Dillard said. "I think it's really unfortunate that this area will not have access to that type of program." Torres said he still intends to talk to city residents about needle-exchange programs in an open forum or town hall meeting, although none on needle exchanges has been scheduled. "It has to be, from my perspective, a decision that is not done because I am the chief executive officer of the city or my health officer says its done in another town. It has to be embraced by the community," Torres said. "I'm not so sure if all the residents of the city of Paterson are clearly up to par on the educational side, so they can make an educated decision." - --- MAP posted-by: Elizabeth Wehrman