WORKSHOP ON NEEDLE EXCHANGE AND BLEACH DISTRIBUTION PROGRAMS
September 27-28, 1993, Baltimore, Maryland
LOCATION: LIBERTY BALLROOM A, MAIN LEVEL, Omni Inner Harbor Hotel 101 West Fayette St., Baltimore, MD 21201; telephone: 410/752-1100 and fax: 410/625-3805
AGENDA
September 27, 1993 |
|
8:30 a.m. |
Light breakfast buffet in foyer outside meeting room |
9:00 a.m. |
Welcome and introduction of participants; Description and purpose of the workshop |
PLENARY I: U.S. Needle Exchange Data
FOCUS: |
impact of needle exchange on HIV and drug use behaviors |
9:15 a.m. |
Data from Four Programs |
|
New York City, New York (DENISE PAONE) |
|
Portland, Oregon (KATHY OLIVER) |
|
Tacoma, Washington (HOLLY HAGAN) |
|
San Francisco, California (JOHN WATTERS) |
10:15 a.m. |
Refreshment break in foyer |
10:30 a.m. |
University of California Study: Description of Methods and Impact on HIV (PETER LURIE) |
11:00 a.m. |
University of California Study: Community Issues (BENJAMIN BOWSER) |
11:30 a.m. |
University of California Study: Cost-Effectiveness and Behavior Changes (JAMES KAHN) |
12:00 p.m. |
DISCUSSANT: ANDREW MOSS |
1:00 p.m. |
Lunch buffet in foyer |
PLENARY II: International Evaluations of Needle Exchange Programs
FOCI: |
needle exchange programs in Canada, the Netherlands, and Australia; impact of such programs on the spread of HIV and drug use behavior |
2:00 p.m. |
Netherlands (ANNEKE VAN DEN HOEK) |
3:00 p.m. |
Canadian Data (CATHERINE HANKINS AND MARGARET MILLSON) |
3:45 p.m. |
Snack and refreshment break in foyer |
4:00 p.m. |
Australia (ALEX WODAK) |
4:45 p.m. |
GAO Study (ROSE MARTINEZ) |
5:15 p.m. |
DISCUSSANT: PETER SELWYN |
6:15 p.m. |
Adjournment |
September 28, 1993 |
|
8:30 a.m. |
Light breakfast buffet in foyer outside meeting room |
9:00 a.m. |
Summary of Day 1 (LINCOLN MOSES, PANEL CHAIR) |
PLENARY III: Legal Issues and Drug Paraphernalia Laws
FOCUS: |
legal perspective of needle exchange programs |
9:30 a.m. |
Legal Climate: Prescription and Possession Laws (LARRY GOSTIN) |
10:00 a.m. |
Legislative Changes: The Connecticut Experience |
|
Pharmacies (LINDA VALLEROY) |
|
Survey of Injecting Drug Users (SAM GROSECLOSE) |
10:45 a.m. |
Refreshment break in foyer |
11:00 a.m. |
Canadian Pharmacist Survey (TED MYERS) |
11:30 a.m. |
DISCUSSANT: LANE PORTER |
12:00 p.m. |
Lunch buffet in foyer |
|
LUNCH SPEAKER: PETER LURIE |
PLENARY IV: Evaluation Methods
FOCI: |
research methods and design; measurement issues associated with the evaluation of needle exchange and bleach programs |
1:00 p.m. |
Needle Exchange Evaluation Strategies (NOREEN HARRIS AND SHEIGLA MURPHY) |
2:00 p.m. |
Bleach Distribution Programs Evaluation Strategies (JOHN WATTERS) |
2:30 p.m. |
Math Modeling (EDWARD KAPLAN) |
3:30 p.m. |
DISCUSSANT: ROBERT BOOTH |
4:00 p.m. |
Snack and refreshment break in foyer |
PLENARY V: Bleach Distribution Programs
FOCI: |
inactivation of HIV and use of bleach by IDUs |
4:15 p.m. |
Inactivation Issue and New Data (CLYDE McCOY AND PAUL SHAPSHAK) |
5:00 p.m. |
Inactivation/Disinfection (LINDA MARTIN) |
5:30 p.m. |
IDU Use of Bleach (ALICE GLEGHORN) |
6:00 p.m. |
DISCUSSANT: T. STEPHEN JONES |
6:30 p.m. |
Adjournment |
WORKSHOP ON NEEDLE EXCHANGE AND BLEACH DISTRIBUTION PROGRAMS
September 27-28, 1993
DISCUSSANTS, PRESENTERS, AND PARTICIPANTS
DISCUSSANTS
Robert BOOTH, Assistant Professor of Psychiatry
Project Safe
University of Colorado Health Sciences Center
1643 Boulder Street, Suite 101
Denver, CO 80211
T. Stephen JONES, Assistant Director for Substance Abuse and HIV Prevention
Office of HIV/AIDS (OHA)
Centers for Disease Control and Prevention (CDC)
Mail Stop D-21, 1600 Clifton Road, N.E.
Executive Park, Building 26
Atlanta, GA 30333
Andrew MOSS, Professor in Residence
Department of Epidemiology and Biostatistics
University of California, Box 1347
San Francisco, CA 94143-1347
Lane PORTER, Consultant
4007 Connecticut Avenue, N.W., Suite 403
Washington, DC 20008
Peter SELWYN, AIDS Program
Section of Infectious Diseases
Department of Internal Medicine
Yale University School of Medicine
135 College Street, Suite 323
New Haven, CT 06510
U.S. PRESENTERS
Benjamin BOWSER
Sociology Department
California State University
25800 Carlos Bee Boulevard
Hayward, CA 94542-3000
Alice GLEGHORN
School of Hygiene and Health
Department of Health Policy and Management
The Johns Hopkins University
733 Hampton House, 624 North Broadway
Baltimore, MD 21205
Larry GOSTIN, Visiting Professor of Law
Georgetown University Law Center
600 New Jersey Avenue, N.W.
Washington, DC 20001
Sam GROSECLOSE
Division of STD/HIV Prevention
Centers for Disease Control and Prevention (CDC)
Mail Stop E-63
1600 Clifton Road, N.E.
Atlanta, GA 30333
Holly HAGAN
Tacoma Pierce Country Health Department
3701 Pacific Avenue
Tacoma, WA 98408
Noreen HARRIS (deceased)
Senior Epidemiologist and Principal Investigator HIV Epidemiology Unit
Seattle King Country Department of Public Health
3rd Floor Yesler Building, 400 Yesler Way
Seattle, WA 98104
and
Clinical Assistant Professor
Department of Epidemiology, Mail Stop SC-26
University of Washington
Seattle, WA 98195
James G. KAHN, MD, MPH
Assistant Professor of Epidemiology and Health Policy
Institute for Health Policy Studies, Box 0856
University of California, San Francisco
San Francisco, CA 94143
Edward H. KAPLAN, Professor of Management
Sciences and Professor of Medicine
Yale School of Management
Box 208200
New Haven, CT 06520-8200
Peter LURIE
University of California at San Francisco
74 New Montgomery, 6th Floor
San Francisco, CA 94105
Linda S. MARTIN, Director
National Institute for Occupational Safety and Health (NIOSH) HIV Activity
Centers for Disease Control and Prevention (CDC)
1600 Clifton Road, N.E., Mail Stop F-40
Atlanta, GA 30333
Rose MARTINEZ
NGB/Health Financing and Policy
441 G Street, N.W.
Washington, DC 20548
Clyde McCOY, Director
Comprehensive Drug Research Center (CDRC)
Dominion Tower, 2nd Floor
University of Miami School of Medicine
1400 Northwest 10th Avenue, Room 210 (D-93)
Miami, FL 33136
Sheigla MURPHY, Principal Investigator
Institute for Scientific Analysis
2595 Mission Street, Suite 300
San Francisco, CA 94110
Kathy OLIVER, Executive Director
OUTSIDE IN
1236 Southwest Salmon
Portland, OR 97205
Denise PAONE, Senior Research Associate
Chemical Dependency Institute
Beth Israel Medical Center
16th Street at First Avenue
New York, NY 10003
Paul SHAPSHAK
Department of Psychiatry-D-28
University of Miami School of Medicine
Elliott Building, Room 2006
1800 Northwest 10th Avenue
Miami, FL 33136
Linda VALLEROY, Epidemiologist/Anthropologist
NCID/DHA, Mail Stop E-46
Centers for Disease Control and Prevention (CDC)
1600 Clifton Road, N.E.
Atlanta, GA 30030
John K. WATTERS, Associate Professor
Urban Health Study
School of Medicine, Box 1304
University of California
San Francisco, CA 94143-1304
PRESENTERS FROM OUTSIDE OF THE UNITED STATES
Catherine HANKINS, Public Health Epidemiologist
Centre for AIDS Studies, Public Health Unit
Montréal General Hospital
1616 René Lévesque West, 4th Floor
Montréal, Québec, CANADA H3H 1P8
Margaret MILLSON, Assistant Professor
Department of Preventive Medicine and Biostatistics
Faculty of Medicine
University of Toronto, 12 Queen's Park
Crescent West, 4th Floor, McMurrich Building
Toronto, Ontario, CANADA M5S 1A8
Ted MYERS, Associate Professor
National Health Research Scholar-AIDS
Department of Health Administration
2nd Floor, McMurrich Building
12 Queens Park Crescent West
University of Toronto
Toronto, Ontario MSS1A8, CANADA
Anneke VAN DEN HOEK, Coordinator
AIDS Research Projects
Municipal Health Service Amsterdam
Department of Public Health and Environment
Nieuwe Achtergracht 100
1018 WT Amsterdam, NETHERLANDS
Alex WODAK, Director
Alcohol and Drug Service
St. Vincent's Hospital
366 Victoria Street, Darlinghurst NSW
2010 AUSTRALIA
PARTICIPANTS
Robert BATTJES, Deputy Director
Division of Clinical Research
National Institute on Drug Abuse (NIDA)
5600 Fishers Lane, Room 10A-38
Rockville, MD 20857
Peter BEILENSON, Health Commissioner
Baltimore City Department of Health
303 E. Fayette Street, 8th Floor
Baltimore, MD 21202
Michael BETHEA, Director of Outreach
Association for Drug Abuse Prevention
and Treatment (ADAPT)
552 Southern Boulevard
Bronx, NY 10455
Nancy H. CORBY, Co-Director
CSULB Community Research & Services
1407 E. Fourth Street
Long Beach, CA 90802
and
Principal Investigator
CDC AIDS Community Demonstration Project
Long Beach, CA
Susan COYLE, Health Scientist Administrator
DCR/CRB, National Institute on Drug Abuse (NIDA)
Parklawn Building, 5600 Fishers Lane
Rockville, MD 20857
Patsy FLEMING, Special Assistant to the Secretary
Department of Health and Human Services
200 Independence Avenue, N.W.
Washington, DC 20201
Ripley FORBES, Senior Staff Associate
Subcommittee on Health and Environment
House Annex 1, Room 512
Washington, DC 20515
Samuel R. FRIEDMAN
National Development and Research Institutes, Inc. (NDRI)
Beth Israel Medical Center
11 Beach Street
New York, NY 10013
Sander GENSER, Branch Chief of Clinical Medicine Branch
National Institute on Drug Abuse (NIDA)
Parklawn Building, Room 11A-33
5600 Fishers Lane
Rockville, MD 20857
Peter HARTSOCK
Division of Epidemiology and Prevention Research
National Institute on Drug Abuse (NIDA)
Parklawn Building, Room 9A53
5600 Fishers Lane
Rockville, MD 20857
Bernard MERRILL, Special Assistant to the Coordinator
Office of the National AIDS Policy Coordinator
Executive Office of the President
750 17th Street, N.W., Suite 1060
Washington, DC 20503
Richard NEEDLE, Chief of Community Research Branch
National Institute on Drug Abuse (NIDA)
Parklawn Building, 5600 Fishers Lane
Rockville, MD 20857
Beny J. PRIMM, Executive Director
Addiction Research and Treatment Corporation
22 Chapel Street
Brooklyn, NY 11201
Lourdes QUINONES, Registered Nurse
Substance Abuse Program
Saint Luke's Roosevelt Hospital, Simms Building
428 West 59th Street
New York, NY 10019
Margaret R. REINFELD, Director
Education and International Program
American Foundation for AIDS Research (AMFAR)
733 3rd Avenue, 12th Floor
New York, NY 10017-3204
Harvey SIEGAL, Professor and Director
Substance Abuse Intervention Programs
School of Medicine
Wright State University
Dayton, OH 45435
Ronald O. VALDISERRI, Deputy Director
Division of STD/HIV Prevention
Centers for Disease Control and Prevention (CDC)
1600 Clifton Road, N.E., Mail Stop E-02
Atlanta, GA 30333
Timothy WESTMORELAND, Counsel
Subcommittee on Health and the Environment
2415 Rayburn House Office Building
Washington, DC 20515
Linda WRIGHT-DeAGUERO
Division of STD/HIV Prevention
Centers for Disease Control and Prevention (CDC)
Mail Stop E-44, 1600 Clifton Road, N.E.
Atlanta, GA 30333
EDITOR
Jean SHIRHALL
Center for Substance Abuse Research (CESAR)
University of Maryland
4321 Hartwick Road, Suite 501
College Park, MD 20740
TRANSCRIPTIONIST
Romelle MILLION
Million Reporting
P.O. Box 2419
Alexandria, VA 22301
PANEL ON NEEDLE EXCHANGE AND BLEACH DISTRIBUTION PROGRAMS
Lincoln E. MOSES (CHAIR), Professor
Department of Statistics
Stanford University, Sequoia Hall
Stanford, CA 94305
Ronald S. BROOKMEYER, Professor
Department of Biostatistics
School of Hygiene & Public Health
The Johns Hopkins University
615 North Wolfe Street
Baltimore, MD 21205-3179
Lawrence S. BROWN, Jr. [unable to attend]
Assistant Clinical Professor of Medicine
Department of Medicine, Harlem Hospital
College of Physicians and Surgeons, Columbia University
New York, NY 10035
and
Senior Vice President
Division of Medical Services Evaluation and Research
Addiction Research and Treatment Corporation
22 Chapel Street
Brooklyn, NY 11201
Richard F. CATALANO, Jr., Associate Director
Social Development Research Group
University of Washington
146 North Canal Street, Suite 211
Seattle, WA 98103
David S. CORDRAY [unable to attend]
Vanderbilt Institute for Public Policy Studies (VIPPS)
120718th Avenue South
Nashville, TN 37212
and
Chair, Department of Human Resources
Peabody College, Room 110 Jesup Building
Vanderbilt University, 18th Avenue South
Nashville, TN 37203
Don C. DES JARLAIS, Director of Research
Chemical Dependency Institute
National Development & Research Institutes, Inc.
Beth Israel Medical Center, 11 Beach Street
New York, NY 10013
Caswell A. EVANS, Jr., Director
Public Health Programs & Services
Assistant Director of Health Services
Country of Los Angeles Department of Health Services
313 North Figueroa Street, Suite 909
Los Angeles, CA 90012
Mark B. FEINBERG, Assistant Investigator
Gladstone Institute of Virology & Immunology
P.O. Box 419100
San Francisco, CA 94141-9100
Herbert D. KLEBER, Professor
Department of Psychiatry
College of Physicians and Surgeons
Columbia University
and
Executive Vice President & Medical Director
Center on Addiction and Substance Abuse
Columbia University
722 West 168th Street
New York, NY 10032
Patrick M. O'MALLEY, Research Scientist
Institute for Social Research
University of Michigan, Box 1248
426 Thompson Street
Ann Arbor, MI 48106-1248
Nancy S. PADIAN, Assistant Adjunct Professor
Department of Obstetrics, Gynecology, and Reproductive
Sciences, University of California
San Francisco General Hospital
1001 Potrero Avenue, Ward 6D, Room 14
San Francisco, CA 94110
Marian Gray SECUNDY, Professor
College of Medicine
Department of Community Health & Family Practice
Howard University
520 W Street, Room 2400
Washington, DC 20060
David VLAHOV, Associate Professor of Epidemiology
School of Hygiene and Public Health
The Johns Hopkins University
Hampton House, Room 894
624 North Broadway
Baltimore, MD 21205
W. Wayne WIEBEL, Principal Investigator
AIDS Outreach Intervention Project (M/C 925)
and
Professor, School of Public Health
University of Illinois at Chicago
Epidemiology-Biostatistics Program
2121 West Taylor Street, Room 556
Chicago, IL 60612-7260
David R. WILLIAMS, Associate Research Scientist and
Associate Professor of Sociology
Institute for Social Research
University of Michigan
426 Thompson Street
Ann Arbor, MI 48106
NRC PANEL STAFF
COMMISSION ON BEHAVIORAL AND SOCIAL SCIENCES AND EDUCATION
Jacques L. NORMAND, Study Director
National Academy of Sciences
2101 Constitution Avenue, HA 178
Washington, DC 20418
Susanne A. STOIBER, Director
Division on Social and Economic Studies
National Academy of Sciences
2101 Constitution Avenue, HA 172
Washington, DC 20418
Sahr J. KPUNDEH, Staff Officer
National Academy of Sciences
2101 Constitution Avenue, HA 166E
Washington, DC 20418
M. Elaine McGARRAUGH, Research Associate
National Academy of Sciences
2101 Constitution Avenue, HA 156M
Washington, DC 20418
Susan R. McCutchen, Senior Project Assistant
National Academy of Sciences
2101 Constitution Avenue, HA 178
Washington, DC 20418
INSTITUTE OF MEDICINE
Michael STOTO, Director
Division of Health Promotion and Disease Prevention
National Academy of Sciences
2101 Constitution Avenue, FO 3026
Washington, DC 20418
Leslie HARDY, Program Officer
National Academy of Sciences
2101 Constitution Avenue, FO 3032
Washington, DC 20418