Needle Exchange

Voices of Community Advocates and Leaders (VOCAL) | Drug Policy Alliance For Immediate Release: June 29, 2010 Contact: Sean Barry at (646) 373-3344 or Gabriel Sayegh at (646) 335-2264 Life-saving Legislation to Increase Access to Effective Public Health Programs Passes Legislature with Bi-partisan Support Bill Clarifies Confusion, States Clearly that People can Possess Syringes; New Law Should End Harassment by Police, Save Lives by Ensuring Clean Syringe Access and Safe Disposal Advocates Applaud Legislature, Await Governor Paterson’s Signature ALBANY -- Today, the New York State Legislature passed legislation clarifying conflict between the Penal Law and the Public Health Law. Senate Bill 5620-A (Duane) and it’s companion, Assembly Bill 8396-A (Gottfried) builds on 20 years of New York’s commitment to innovative and effective programs that have dramatically reduced the rates of HIV/AIDS and Viral Hepatitis transmission rates among people who inject drugs and their families. New York’s Public Health Law allows people that participate in Syringe Exchange Programs (SEP) and the Expanded Syringe Access Program (ESAP) – a law passed in 2000 that allowed for syringe sales for those over 18 at pharmacies without a prescription -- to possess clean syringes. However, the provision that allows for participants to possess syringes was never put into the Penal Code, which resulted in police harassment of participants, leading to a chilling effect that decreased access to clean syringes and prevented proper disposal of used ones. Since the police carry the Penal Law, and not the Public Health law, they often did not know that possession of syringes in New York was entirely legal. Thus cops would often arrest program participants, leading to a chilling effect around a syringe exchange and reducing participation. The evidence on syringe exchange programs is clear: In New York City, syringe exchange programs (SEPs) have expanded access to clean syringes, leading to a dramatic health benefits: HIV/AIDS transmissions amongst intravenous drug users dropped by 75% between 1990 and 2001. Along with access to clean syringes and safe disposal of used ones, exchanges offer HIV/AIDS and Hepatitis C testing, condoms, counseling, and referrals to drug treatment. The clarification of the law—bringing the Penal Law into accordance with the Public Health law – will lead to increased access of these life-saving programs. Hiawatha Collins, a Leader of VOCAL NY-Users Union, a membership-led union of current and former drug users who create and advocate for policies that directly impact them, knows first hand how the police harassment has decreased access to clean syringes and proper disposal of used ones. “I want to thank Assemblymember Gottfried, Senator Duane and Governor Paterson for their leadership in passing this legislation,” Collins said. “They proved their commitment to under-served and diverse communities throughout New York City and State, and relied on the clear evidence that these programs save lives and enhance the health and safety of all New Yorkers. They looked into their hearts and chose to make a commitment to saving lives.” Governor Paterson submitted the same program bill last year that would place the Public Health Law language that allowed for syringe possession into the Penal Code, permit program participants to possess syringes for proper disposal, and create oversight by the Department of Criminal Justice Services to ensure that participants stop getting harassed. The bill passed the Assembly last year and was scheduled for a Senate vote before it was stalled by Senate coup last June. Last week, the Senate passed the legislation with strong bi-partisan support. The Governor’s signature is expected shortly. “This legislation is good for communities, good for cops, and good for New York,” said Evan Goldstein, policy associate at the Drug Policy Alliance. “By clarifying the law on syringe possession, there will be less confusion by cops and communities alike about accessing syringe exchanges, which save New Yorkers tens millions of dollars in health care costs each year while increasing the health of communities. We thank Assemblyman Gottfried, Senator Duane, and Governor Paterson for their leadership on this issue, and we thank the Legislature for their continued effort to address drugs as an issue of public health and safety.”

FOR IMMEDIATE RELEASE: July 22, 2009 CONTACT: Bill Piper at 202-669-6430 or Tony Newman at 646-335-5384 Congress and Obama Administration Embrace Major Drug Policy Reform Crack/Powder Disparity, Syringe Exchange Funding, Medical Marijuana, HEA Reform All Advancing Decades of Harsh and Ineffective Federal Laws Likely to be Dismantled this Year At least four of the worst excesses of the federal war on drugs appear likely to be rolled back this year – the crack/powder cocaine sentencing disparity, the federal ban on the funding of syringe exchange programs, the all-out federal war on medical marijuana, and the HEA AID Elimination Penalty. All four reforms are advancing quickly in Congress. “Policymakers from the President of the United States on down are calling for a paradigm shift so drug use is treated as a health issue instead of a criminal justice issue” said Bill Piper, director of national affairs for the Drug Policy Alliance. “Eliminating the crack/powder cocaine sentencing disparity, repealing the ban on federal funding for syringe exchange programs to reduce HIV/AIDS, allowing the District of Columbia to move forward with medical marijuana, and reforming the HEA Aid Elimination Penalty are all examples of pairing action with rhetoric.” The House Crime Subcommittee is expected to pass legislation today eliminating the crack/powder cocaine sentencing disparity that punishes crack cocaine offenses one hundred times more severely than powder cocaine offenses. Both President Obama and Vice-President Biden have spoken in support of eliminating the disparity. In numerous statements this year, Justice Department officials have called on Congress to eliminate the disparity this year. Last week, the U.S. House Appropriations Committee repealed the 20-year ban prohibiting states from spending their share of HIV/AIDS prevention money on syringe exchanges program to reduce the spread of HIV/AIDS, hepatitis C, and other blood-borne diseases. The full U.S. House takes up the underlying bill later this week. The ban is responsible for the deaths of tens of thousands of Americans. If the ban is not repealed, as many as 300,000 Americans could contract HIV/AIDS or hepatitis C over the next decade. President Obama called for elimination of the ban on the campaign trail. In legislation last week, the U.S. House repealed a provision of federal law that overturned a medical marijuana law approved by Washington, DC voters, setting the stage for the nation’s capital to make marijuana available to cancer, AIDS, and other patients, possibly as soon as next year. Earlier this year Attorney General Eric Holder declared that the Justice Department would no longer arrest medical marijuana patients, caregivers and providers, even if they violated federal law, as long as they were following the laws of their states. 13 states have legalized marijuana for medical use, but the Bush Administration raided medical marijuana dispensaries and made numerous arrests and prosecutions. In a vote yesterday, the House Education and Labor Committee reformed the HEA AID Elimination Penalty that denies loans and other financial assistance to students convicted of drug law offenses, including simple marijuana possession. Since 1998, more than 180,000 students have lost aid and many, no doubt, have been forced to drop out of college. Although the Obama Administration has not stated where it stands on the underlying law, it has said it wants to remove a question from financial aid applications that ask students if they have ever been convicted of a drug crime. In other drug policy news, Rep. Barney Frank (D-Mass.), chairman of the House Financial Services Committee, and Rep. Ron Paul (R- Texas) have introduced bi-partisan legislation to decriminalize possession of marijuana for personal use. Sen. Jim Webb, D-VA, President Reagan’s Secretary of the Navy, has introduced bipartisan legislation to create a national commission to study the U.S. criminal justice system and make recommendations on how to reduce the number of Americans behind bars, with a particular emphasis on reforming drug laws. Almost a third of U.S. Senators are cosponsors of the bipartisan bill and it is expected to pass the Senate sometime this year. “The ice is starting to crack,” said Bill Piper, director of national affairs for the Drug Policy Alliance. “The decades of harsh and ineffective laws that have led to overstuffed prisons and a growing HIV epidemic are starting to be challenged and hopefully soon dismantled.” ###

[Courtesy of Harm Reduction Coalition] TAKE ACTION: National Call-In to Repeal the Federal Ban on Syringe Exchange In an important triumph for health advocates, Congress recently lifted the ban on the use of local tax dollars for syringe exchange in Washington DC. Now is the time to end the overall federal ban on funding syringe exchange, and we need everyone's help this week. Please join a national call-in to your Representative, asking them to demonstrate their support by signing onto a letter to House leadership. This is the first action in Congress in a decade to lift the ban, and we need to make a strong showing. One third of HIV infections in the United States are related to injection drug use. The 20-year federal funding ban curtails local communities from using their prevention dollars as they see fit to support this effective intervention. What you can do: Go to www.house.gov to find out who represents you. Find out how they voted on allowing Washington DC to lift the ban on using local tax dollars to support their syringe exchange programs. A 'nay' vote is good. It means they support the District using its own funds to conduct needle exchange. Now we need them to authorize the use of federal funding for all states. An 'aye' vote means they need extra education on the issue. http://www.govtrack.us/congress/vote.xpd?vote=h2007-589 Call up your US Representative's DC office (U.S. Congress switchboard at 1-800-828-0498, or 202-224-3121) and ask to speak to their Health staffer. Ask them to sign the bipartisan 'Dear Colleague' letter circulating by Reps Cummings (D-MD) and Castle (R-DE). If they already have, thank them! For a copy to send them go to www.harmreduction.org/article.php?id=766 Suggested message: Local communities should decide how best to fight the spread of HIV. Syringe exchanges are proven to help reduce HIV infection and also provide important links to drug treatment. It's time to lift the federal ban on syringe exchange funding. Will [xx member] sign the Cummings/Castle letter? Other key talking points: INJECTION-RELATED HIV One third of people with HIV in the United States were infected through injection drug use. Every year, another 8,000 people are newly infected with HIV through sharing contaminated syringes. THESE INFECTIONS ARE PREVENTABLE In communities where access to sterile syringes is supported, transmission of HIV in injecting drug users has declined as a proportion of all cases by mode of transmission. Decreases have also been documented among the sex partners and children of injection drug users. SYRINGE EXCHANGE PROGRAMS ARE HIGHLY COST-EFFECTIVE The lifetime cost of medical care for each new HIV infection is $385,200; the equivalent amount of money spent on syringe exchange programs would prevent at least 30 new HIV infections. SYRINGE EXCHANGE PROGRAMS INCREASE ACCESS TO DRUG TREATMENT & MEDICAL CARE In addition to the reduced risks for disease, sterile syringe access programs facilitate greater access to drug treatment. These programs also provide a crucial entry point into medical care, detox and rehabilitation, and mental health treatment. NEARLY 200 SYRINGE EXCHANGE PROGRAMS currently operate in 38 states, Puerto Rico, Washington DC, and Indian Lands. Most operate on a shoestring, surviving on dwindling private donations and severe restrictions of public funding. THE MEDICAL AND SCIENTIFIC COMMUNITY SUPPORT SYRINGE EXCHANGE Studies by the Centers for Disease Control and the National Academy of Sciences show that syringe exchange programs are effective. Programs have the support of the medical community, including the American Medical Association, the American Public Health Association and the American Nurses Association SYRINGE EXCHANGES GET DIRTY NEEDLES OFF THE STREETS Research demonstrates that the presence of a syringe exchange program results in fewer used syringes improperly discarded. . In Baltimore, after an SEP was implemented, the number of inappropriately discarded syringes decreased by almost 50%. . In Portland, the number of discarded syringes decreased by almost two-thirds after the NEP opened. . In 1992, Connecticut repealed a law forbidding the sale of syringes without a prescription. As a result, reports show a reduction in needle sharing by 50 percent and a decrease in HIV infections by over 30 percent. In addition, law enforcement officials experienced two-thirds fewer needle stick injuries. Email [email protected] and let us know what you hear back! Hilary McQuie Western Director Harm Reduction Coalition 1440 Broadway, Suite 510 Oakland, CA 94612 Tel: 510-444-6969 Fax: 510-444-6977 www.harmreduction.org [email protected]

Media Advisory: February 29, 2008 CONTACT: Bill Piper, Drug Policy Alliance at 202-669-6430 or Charles Thomas, Interfaith Drug Policy Initiative at 301-938-1577 Religious Leaders to Urge Congress to Expand Access to Clean Needles for Drug Users Preserving Life is a Moral Imperative; Congress Should Allow States to Use Federal Funding for Needle Exchange Programs WHEN: Monday, March 3, at 2:00 p.m. WHERE: U.S. Capitol Building, room HC-6 Capitol (House side), Washington, D.C. WHAT: Recently Congress lifted a ban on local funding for needle exchange in the District of Columbia. Now scholars and spokespersons from a variety of denominations will converge in the nation’s capital to urge Congress to help save lives by repealing the national ban that prohibits states from using their share of federal HIV/AIDS prevention money on needle exchange programs. They will explain their position and be available for questions from the media. WHY: The scientific evidence is irrefutable that needle exchange saves lives without increasing drug use. But many politicians say that it’s still “just wrong” to provide clean needles to drug users. It’s time for moral clarification. WHO: * Mary Jo Iozzio, Ph.D., serves on the executive board of the Society of Christian Ethics -- comprised of nearly 1,000 ethics professors -- which adopted a resolution in 2000 to "encourage the development of needle exchange programs.” Dr. Iozzio is a professor of Moral Theology at Barry University in Florida and an active member of the Catholic Theological Society of America. * William Martin, M.Div., Ph.D., is a senior fellow for Religion and Public Policy at the James Baker Institute at Rice University and a member of the Covenant Baptist Church in Houston. Dr. Martin wrote the authoritative biography of the Rev. Billy Graham. * John B. Johnson represents the Episcopal Church as a Domestic Policy Analyst in the denomination’s Office of Government Relations in Washington, D.C. * Rev. Michael T. Bell, D.Min., is an African-American minister serving as the senior pastor at Peace Baptist Church in Washington, D.C. *Charles Thomas is the executive director of the Interfaith Drug Policy Initiative (IDPI), a national organization of clergy and other people of faith advocating for compassionate policies to reduce the problems associated with drugs. Thomas will provide details about the positions of other denominations supporting needle exchange, including the Union for Reform Judaism; Presbyterian Church USA; United Church of Christ; and Unitarian Universalist Association. * Naomi Long represents the Drug Policy Alliance, the nation's largest organization advocating for drug policies grounded in reason, compassion and justice, and is a member of the executive board of Prevention Works, Washington, D.C.’s local needle exchange program. All of the speakers will also be available for subsequent phone interviews, which can be arranged by e-mailing [email protected] or calling 301-938-1577.

[Courtesy of PreventionWorks!] NEWS RELEASE: November 20, 2007 CONTACT: Beth Beck: [email protected], (202) 253-0397 PreventionWorks! Selects New Executive Director To Advance Agency As A HIV Continuum Of Care Service Provider November 20, 2007 – Washington, DC – PreventionWorks!, a non-profit community-based organization committed to addressing HIV/AIDS and related health issues among drug users, their families, friends and partners, announced today the appointment of its new Executive Director. Ken Vail, MPH, MA, has been selected to lead the agency, as it prepares to expand and enhance service delivery to the District’s most vulnerable populations. The appointment of Mr. Vail is the result of an official search that began after Paola Barahona, Founding Executive Director, announced her departure in August of this year. "After an exhaustive and detailed search, that included the efforts of an executive search firm, it became clear to the Board of Directors that we already had the best candidate for the job", said Beth Beck, Board President, Prevention Works!. “As the search moved forward, it was evident to the Board that Mr. Vail’s knowledge, skills, experience, and vision were directly in line with the growth the agency is experiencing in response to the continually shifting HIV/AIDS epidemic and we are very excited to have him aboard.” Mr. Vail was most recently the Interim Executive Director for PreventionWorks! and took over the operations of the agency in August. Before coming to PreventionWorks! he was the Director of Prevention for Community Health Action of Staten Island. Mr. Vail has more than 17 years of experience in the fields of public health, medical anthropology and direct service provision. He has a strong background in non-profit program planning and management, staff development, grant writing and program evaluation. Mr. Vail also has extensive experience as an HIV prevention educator and is an expert in the theory and practice of harm reduction. “I am very excited and humbled to become the next Executive Director for PreventionWorks!” said Vail. “I have worked my whole life to serve populations most impacted by HIV disease and illness and I look forward to working with staff, volunteers, clients, and the Board of Directors to move the agency forward.” “As Executive Director, my initial focus will be to strengthen the organizational infrastructure to effectively position the agency as a comprehensive continuum of care service provider to best improve the health of DC’s drug using populations and most vulnerable residents.” Transition Guides, an executive firm specializing in non-profit agencies, and the Board of Directors at PreventionWorks, conducted the search for the executive director position.

FOR IMMEDIATE RELEASE: September 4, 2007 CONTACT: Ken Vail at 202-588-5580, www.PreventionWorksDC.org A Turning Point for Needle Exchange in D.C. With New Leadership and Influx of Public Funding PreventionWorks Prepares for Growth, Expansion Nine years after its founding in 1998, PreventionWorks, Washington D.C.'s only needle exchange program, has announced the departure of its long-time and respected Executive Director, Paola Barahona, the first and only person to hold the position. In her nine years of service, Barahona has raised more than $3.5 million in private funding to support and sustain the work of PreventionWorks which, until this year, was prohibited by an act of Congress from receiving or utilizing public funding for its needle exchange services. PreventionWorks provides access to sterile syringes, offers tools and information for leading healthier lives, and provides access and referrals to drug treatment, medical and social services. Its services are client-focused, culturally appropriate, and community supported. All services are provided without judgment. James Millner, a nationally known healthcare communications consultant who served on the board of directors of PreventionWorks, including a term as board president, says, The coinciding departures of both Paola and me truly mark the beginning of a new era for PreventionWorks. We leave behind a respected organization with a solid and stable foundation from which it can grow and expand to meet the significant challenges ahead. But we cannot move forward without properly acknowledging the tireless efforts of Paola Barahona, without whom PreventionWorks and needle exchange entirely would likely not exist in our nations capital. She deserves the thanks and appreciation of this entire city. Under the leadership of PreventionWorks President, Beth Beck, a Regional Director for the American Cancer Society, the board of directors has established a Transition Committee to oversee a national search for a new Executive Director. Chaired by PreventionWorks board of directors member Naomi Long (Director of the Washington Metro office for the Drug Policy Alliance), the Committee includes Barbara Chinn of Whitman-Walker Clinic, Channing Wickham of the Washington AIDS Partnership, James Millner (Past President, PreventionWorks board of directors), Patsy Fleming (Whitman Walker Clinics National AIDS Policy Director) and Scott Sanders of High Noon Communications. The board of directors is working with Transition Guides, a consulting firm dedicated to sustaining and strengthening nonprofits through better managed leadership transitions, to ensure the stability of the unique services provided by PreventionWorks during and after the leadership transition. Mr. Kenneth Vail, MPH, MA, has been hired as Interim Executive Director to manage PreventionWorks during its search for permanent staff leadership. Mr. Vail has 17 years of experience establishing and leading syringe access programs in Santa Cruz, California, Cleveland, Ohio, San Francisco, California, and Staten Island, New York, and has worked in HIV outreach, prevention and education in Boston, Massachusetts, San Jose, California, and Temirtau, Kazakhstan. For nearly a decade, PreventionWorks has grown and strengthened into an organization that is today a critical part of the District of Columbias HIV prevention strategy. No longer a stop-gap or temporary solution to provide clean needles to drug users, PreventionWorks is transitioning into a full service HIV prevention and health advocacy group for drug users, their families, friends and partners. For further information about the transition or PreventionWorks, please contact Ken Vail at 202-588-5580.