How To Use Heroin Guide in NYC

[under-dreaming]

This seems to be stirring up some controversy in the mainstream.

http://www.cnn.com/2010/CRIME/01/04/ny.heroin.pamphlet/index.html

New York (CNN) -- A pamphlet designed to help heroin users with advice has come under fire, with some now questioning whether the public health brochure can actually be used as a how-to guide on drug use.

While concerns over the 16-page pamphlet have arisen in recent days, the New York City Department of Health and Mental Hygiene created its "Take Charge, Take Care: 10 Tips for Safer Use" brochure in 2007. Its purpose, according to a statement from the department, is "to help people who are injecting drugs reduce the harm associated with this type of drug use until they are able to get into treatment and recover."

According to the Health Department, "accidental overdose is the fourth leading cause of early adult death in New York City, claiming more than 600 lives each year." The agency says about 70,000 pamphlets have been produced at a cost to city taxpayers of slightly more than $32,000.

"The pamphlet provides potentially life saving advice" reads a health department statement.

But critics such as New York City Councilman Peter F. Vallone Jr., chairman of the council's Public Safety Committee, believes the pamphlet is "an indefensible waste of taxpayer money" and is effectively spreading a lie that there is a safe way to inject drugs.

"Heroin use is at epidemic levels in New York, and we should be spending money to address that, not teach first-timers how to use," says Vallone.

Information in the publication takes the form of "ten critical tips for reducing the harm that illicit drug use, and especially injection drug use can cause." Tip topics include "how to prevent overdose," "prepare drugs carefully," "take care of your veins" and "ask for help to stop using."

Within each of the 10 broad tips, the brochure presents several "simple but valuable" related ideas for users about how to lessen potential problems when injecting drugs.

One suggestion reads, "Use with someone else. If you're alone and something goes wrong, no one can help."

Another says, "Use a new syringe, cooker, cotton, tie, and other supplies every time." Plus, "Warm your body (jump up and down) to show your veins." Along with, "Find the vein before you try to inject."

There is also information regarding HIV and hepatitis-C testing, depression and contact information for emergencies and for finding help to quit.

New York City Mayor Michael R. Bloomberg addressed the pamphlet controversy on Monday, explaining how "the health department does have an interest in -- if you're going to do certain things -- to get you to do it as healthily as you possibly can."

Don Des Jarlais, research director for the Chemical Dependency Institute, said the principle behind the pamphlet has always been to emphasize treatment and to reduce the spread of disease like HIV/AIDS. However, if people still engage in risky behavior, the "Take Charge, Take Care" information is meant to mitigate risks associated with intravenous drug use and present guidance for people to partake in the safest manner possible.

But Vallone believes the pamphlet goes "well beyond clean needles" advice, providing anyone who wants to experiment with information about how to prepare drugs and find veins -- information that an already-using addict would find useless.

New York state's top Drug Enforcement Administration official, John P. Gilbride, echoes Vallone, saying the pamphlet is essentially a "how-to guide" for drug use. Gilbride expressed his concern that the pamphlet could send a message that leads individuals to believe they can use heroin in some safe manner.

"Using heroin can never be safe. It's akin to playing Russian roulette with a loaded gun" Gilbride told CNN.

Indeed, "there is no safe way to inject" agreed Des Jarlais, in response to criticism that the pamphlet presents heroin use as harmless. "I think the word 'safely' is wrong," he said, but if people do inject drugs, he hopes large information campaigns can help lessen risks.

"Using hard drugs is just not a smart thing to do," Bloomberg said Monday. "But we have an obligation no matter what the people do in this city to make sure they do it as safe as they can."

Vallone, meanwhile rhetorically asks, "What's next, a kids' guide for playing safely in traffic?"

Vallone said he sent a letter to the city's health commissioner Monday to immediately cease circulation and funding for the pamphlet, and he plans to "hold his feet to the fire during upcoming budget meetings" unless the health department admits its mistake.

The pamphlet is just one component of a larger municipal effort, explained Des Jarlais. Along with the informational brochure, there are also face-to-face community outreach initiatives, expansion of drug abuse treatment facilities and 47 state-authorized syringe exchange program throughout New York City's five boroughs.

Des Jarlais points to an 80 percent reduction of HIV reported among new drug users in New York City as proof that programs such as needle exchanges are working. The health department reports that overdose deaths have declined by 25 percent from 2006 to 2008, representing at least 200 fewer deaths.

"I don't think there is a healthy way [to use heroin[, but there may be less dangerous ways to do certain things," Bloomberg said.

[aussiephil]

Legalise it, make it easier to access & control it. Take the criminality away.

Provide injecting rooms & appropriate counselling. Whats the problem, with a damn brochure?

[Kiwiology]

...is effectively spreading a lie that there is a safe way to inject drugs...

Then what have I been helping Intensive Care Paramedics do? You mean to tell me that I've been lied to? OMG WTF! /sarcasm

I don't see the harm, anybody who thinks this is a bad idea needs to get thier head out thier arse and spend over twenty years being raised by smack addicts like I was.

Edited January 11, 2010 by kiwimedic

[under-dreaming]

I agree with both comments.

[tskstorm]

This brochure is causing a huge push for our EMT's to be given Narcan to administer under the premise if a heroin junkie can be given an auto injector with narcan, why cant a trained medical professional do the same.

Here in NYC EMT's are not responsible for any injections except auto injectors. So if they were given Narcan in auto injectors the training needed would be minimal, the other thing that has been mentioned is nasal atomizers, so the EMT's wont even have to deal with sharps, as EMT's don't regularly use any sharps.

Brochure over all good idea. Can't hurt anyone ... People who are going to do these things will do them anyway.

[ambodriver]

I don't see why B's shouldn't be able to give narcan in an auto injector. But really, those B's pushing for that and wanting to give drugs should continue their education and become paramedics.

I don't give 2 shits about this brochure. I can't believe they'll make a political mess out of it. Well I guess I can. If we can stop one call @ 3 AM when I'm sound asleep for an OD this brochure is OK in my book. I am so sick of pumping narcan in all these idiots.

[TK]

This seems to be stirring up some controversy in the mainstream.

http://www.cnn.com/2010/CRIME/01/04/ny.heroin.pamphlet/index.html

New York (CNN) -- A pamphlet designed to help heroin users with advice has come under fire, with some now questioning whether the public health brochure can actually be used as a how-to guide on drug use.

While concerns over the 16-page pamphlet have arisen in recent days, the New York City Department of Health and Mental Hygiene created its "Take Charge, Take Care: 10 Tips for Safer Use" brochure in 2007. Its purpose, according to a statement from the department, is "to help people who are injecting drugs reduce the harm associated with this type of drug use until they are able to get into treatment and recover."

According to the Health Department, "accidental overdose is the fourth leading cause of early adult death in New York City, claiming more than 600 lives each year." The agency says about 70,000 pamphlets have been produced at a cost to city taxpayers of slightly more than $32,000.

"The pamphlet provides potentially life saving advice" reads a health department statement.

But critics such as New York City Councilman Peter F. Vallone Jr., chairman of the council's Public Safety Committee, believes the pamphlet is "an indefensible waste of taxpayer money" and is effectively spreading a lie that there is a safe way to inject drugs.

"Heroin use is at epidemic levels in New York, and we should be spending money to address that, not teach first-timers how to use," says Vallone.

Information in the publication takes the form of "ten critical tips for reducing the harm that illicit drug use, and especially injection drug use can cause." Tip topics include "how to prevent overdose," "prepare drugs carefully," "take care of your veins" and "ask for help to stop using."

Within each of the 10 broad tips, the brochure presents several "simple but valuable" related ideas for users about how to lessen potential problems when injecting drugs.

One suggestion reads, "Use with someone else. If you're alone and something goes wrong, no one can help."

Another says, "Use a new syringe, cooker, cotton, tie, and other supplies every time." Plus, "Warm your body (jump up and down) to show your veins." Along with, "Find the vein before you try to inject."

There is also information regarding HIV and hepatitis-C testing, depression and contact information for emergencies and for finding help to quit.

New York City Mayor Michael R. Bloomberg addressed the pamphlet controversy on Monday, explaining how "the health department does have an interest in -- if you're going to do certain things -- to get you to do it as healthily as you possibly can."

Don Des Jarlais, research director for the Chemical Dependency Institute, said the principle behind the pamphlet has always been to emphasize treatment and to reduce the spread of disease like HIV/AIDS. However, if people still engage in risky behavior, the "Take Charge, Take Care" information is meant to mitigate risks associated with intravenous drug use and present guidance for people to partake in the safest manner possible.

But Vallone believes the pamphlet goes "well beyond clean needles" advice, providing anyone who wants to experiment with information about how to prepare drugs and find veins -- information that an already-using addict would find useless.

New York state's top Drug Enforcement Administration official, John P. Gilbride, echoes Vallone, saying the pamphlet is essentially a "how-to guide" for drug use. Gilbride expressed his concern that the pamphlet could send a message that leads individuals to believe they can use heroin in some safe manner.

"Using heroin can never be safe. It's akin to playing Russian roulette with a loaded gun" Gilbride told CNN.

Indeed, "there is no safe way to inject" agreed Des Jarlais, in response to criticism that the pamphlet presents heroin use as harmless. "I think the word 'safely' is wrong," he said, but if people do inject drugs, he hopes large information campaigns can help lessen risks.

"Using hard drugs is just not a smart thing to do," Bloomberg said Monday. "But we have an obligation no matter what the people do in this city to make sure they do it as safe as they can."

Vallone, meanwhile rhetorically asks, "What's next, a kids' guide for playing safely in traffic?"

Vallone said he sent a letter to the city's health commissioner Monday to immediately cease circulation and funding for the pamphlet, and he plans to "hold his feet to the fire during upcoming budget meetings" unless the health department admits its mistake.

The pamphlet is just one component of a larger municipal effort, explained Des Jarlais. Along with the informational brochure, there are also face-to-face community outreach initiatives, expansion of drug abuse treatment facilities and 47 state-authorized syringe exchange program throughout New York City's five boroughs.

Des Jarlais points to an 80 percent reduction of HIV reported among new drug users in New York City as proof that programs such as needle exchanges are working. The health department reports that overdose deaths have declined by 25 percent from 2006 to 2008, representing at least 200 fewer deaths.

"I don't think there is a healthy way [to use heroin[, but there may be less dangerous ways to do certain things," Bloomberg said.

Why do we insist on sticking our head in the sand!!! We Have addict better teach them how to be safe&not spread diseases by sharing needles?

[HERBIE1]

This will be an unpopular view and I can't wait to see how many people give me a negative response to it. Don't care...

To me, this is like throwing up your hands and giving up on the problem.

This whole notion of things like handing out clean needles to addicts or putting out a how to inject heroin manual is insane. How does this really help the drug addict, or even society in general? Of all the friends, coworkers, and acquaintances I have, from all walks of life, I know of NOBODY that has become infected with HIV or even things like Hepatitis B from anything other than engaging in at risk behavior.

Treat the addict, come down HARD on the dealers, or decriminalize, which takes the motive out of the equation- profit.

If we are treating this idea- putting out a pamphlet- as a PSA and a public health initiative, then why don't we hand out info on ways to get free booze to alcoholics too? After all, people engage in all types of illegal activities to support that habit which results in injuries and health problems to them and to others, costs millions of dollars, so what's the real difference here?

We're OK with the notion of handing out free needles to drug addicts yet someone with a legitimate medical condition like diabetes needs to BUY their own needles.

Doesn't anyone else think this is crazy?

Let the flaming begin...

[aussiephil]

This will be an unpopular view and I can't wait to see how many people give me a negative response to it. Don't care...

To me, this is like throwing up your hands and giving up on the problem.

This whole notion of things like handing out clean needles to addicts or putting out a how to inject heroin manual is insane. How does this really help the drug addict, or even society in general? Of all the friends, coworkers, and acquaintances I have, from all walks of life, I know of NOBODY that has become infected with HIV or even things like Hepatitis B from anything other than engaging in at risk behavior.

Treat the addict, come down HARD on the dealers, or decriminalize, which takes the motive out of the equation- profit.

If we are treating this idea- putting out a pamphlet- as a PSA and a public health initiative, then why don't we hand out info on ways to get free booze to alcoholics too? After all, people engage in all types of illegal activities to support that habit which results in injuries and health problems to them and to others, costs millions of dollars, so what's the real difference here?

We're OK with the notion of handing out free needles to drug addicts yet someone with a legitimate medical condition like diabetes needs to BUY their own needles.

Doesn't anyone else think this is crazy?

Let the flaming begin...

Herbie,

I respect your opinions & most of the time I think you are right. We did have the same situation here with free/purchase needles, but now all get them free.

What concerns me is the attitude that all junkies (herioin/narcotic users) are street scum that dont deserve the same treatment as everybody else. There are just as many people addicted to narcotics that live in the suburbs. Lets not forget them.

Treat the addict, come down HARD on the dealers, or decriminalize, which takes the motive out of the equation- profit.

There is another solution that I alluded to earlier. Legalise it. This does a number of things & will actually over a relativley short period reduce the number of addicts. Legalisation will reduce crime, make the drug more available & able to be taxed. Lets supply it to registered users. Supply them with a safe place to inject. but then all the mystery of performing an illegal act will be gone. Criminality will be gone & if you go one step further & legalise cocaine as well, then all the money spent on detection, all those billions, could be redirected into providing a first rate FREE ems system to all US citizens!!!!!

[Richard B the EMT]

Money was spent to print these things. Will they be read by the group they are intended to target? Personally, I doubt it. That makes the money outlay for the printing too much.

But remember, we are trying to have healthier sick people, what with instructions on how to shoot up "H", clean needle exchange programs, and some medical facilities accepting used needles for disposal, as long as they put them into an empty gallon milk or water jug first.

Then, again, we have the contest, in discussion on another string, to design a New York City logo wrapper for condoms.

I don't want to say "What is going to be next?" as I will be told what is next!

"OMG"