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If you have issues viewing or accessing this file contact us at NCJRS.gov. " - ~"'~ t . ~.J-" .. HEROIN AND COCAINE 1'RAFFICKING AND RELATIONSHIP BETWEEN INTRAVENOUS USE AND ~IDS (NEW YORK) = HEARING BEFORE THE SELEOT OOI\fMITTEE ON NAROOTIOS ABUSE AND OONTROL HOUSE OF REPRESENTATIVES NINETY-NINTH CONGRESS FIRST SESSION NOVEMBER 26, 1985 Printed for the use of the Select Committee on Narcotics Abuse and Control ~ SCNAC-99-1-6 • < ~ ~ , .' ,.~ .. ~ , ~ , ~ U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1986 ........ r sale by the Superintendent of Documents, Congressional Sales Office • U.S. Government Printing Office, Washington, DC 20402 ~--------~------------------- , , SELECT COMMITTEE ON NARCOTICS ABUSE AND CONTROL (99th Congress) CHARLES B. RANGEL, New York, Chairman PETER W. RODINO, JR., New Jersey BENJAMIN A. GILMAN, New York FORTNEY H. (PETE) STARK, California LAWRENCE COUGHLIN, Pennsylvania JAMES H. SCHEUER, New York E. CLAY SHAW, JR., Florida CARDISS COLLINS, Illinois MICHAEL G. OXLEY, Ohio DANIEL K. AKAKA, Hawaii STAN PARRIS, Virginia FRANK J. GUARINI, New Jersey GENE CHAPPlE, California ROBERT T. MATSm, California DUNCAN HUNTER, California DANTE B. FASCELL, Florida JOSEPH J. DIOGUARDI, New York WALTER E. FAUNTROY, District of MICHAEL L. STRANG, Colorado Columbia JOHN G. ROWLAND, C<lnnecticut WILLIAM J. HUGHES, New Jersey MEL LEVINE, California SOLOMON P. ORTIZ, Texas LAWRENCE J. SMITH, Florida EDOLPHUS "ED" TOWNS, New York COMMITl'EE STAFF .JOHN T, CUSAC.K, Chief of Staff Ewo'IT A. BROWN, Minority Staff Director (II) 105318 U.S. Department of Justice National Institute of Justice This document has been reproduced exactly as received from the person or organization originating it. Points of view or opinions stat?d in this document are those of the authors and do not necessarily represent the official position or policies of the Nalional Institute of Justice. Permission to reproduce this ~ material has been granted by • Public Darnam u.s. House of Representatives to the National Criminal Justice Reference Service (NCJRS). Further reproduction outside of the NCJRS system requires permis sion of the ~t owner. / 053 J g CONTENTS Statement of: Page Congressman Benjamin A. Gilman, a Representative in Congress from New York .............................................................................................................. 2 Senator Alfonse D'Amato, junior Senator, State of New york ...................... 3 Congressman Edolphus "Ed" Towns, a Representative in Congress from New york ....................................................................................................... ,...... 5 Congressman Michael L. Strang, a Representative in Congress from Colo- rado ........................................................................................................................ 6 Testimony of: . Dr. David Axelrod, New York State Health Commissioner ............................ 6 Benjamin Ward, police commissioner, city of New York ................................ 27 Sterling Johnson, Jr., special narcotics prosecutor, city of New York ......... 29 Rudolph Giuliani, U.S. attorney, Southern District of New york ................ .. 31 Robert Stutman, Special Agent-in-Charge, Drug Enforcement Administra- tion, New York Division .................................................................................... .. 34 Jerome Jaffe, Acting Director, National Institute on Drug Abuse ............... 54 Dr. Harold Jaffe, Chief, Epidemiology Branch, AIDS Program, Centers for Disease Control .................................................................................................... 56 Dennis Whalen, Division of Substance Abuse Services, State of New York 56 Dr. Beny Primm, executive director, Addiction Research and Treatment Corp., New York City ......................................................................................... 59 Dr. David Sencer, commissioner, New York City Health Department.. ...... .. 60 Dr. Michael Willie, director, Division of Pupil Health and Sickness, New York State Department of Education ............................................................. .. 66 Leola H. Hageman, Exodus House, New York City; David Harris, Com- munity Planning Board No.9 .......................................................................... .. 80 David Harris, community board, Manhattan .................................................... 82 Prepared statement of: Congressman Charles B. Rangel.. ............. ;........................................................... 86 Congressman Benjamin A. Gilman ..................................................................... .. 92 Senator Alfonse D' Amato ...................................................................................... 94 Congressman James H. Scheuer .......................................................................... 99 Congressman Bill Green ........................................................................................ 105 Commissioner David Axelrod, M.D ...................................................................... 106 Commissioner Benjamin Ward ............................................................................. 114 Sterling Johnson ...................................................................................................... 119 Robert M. Stutman ................................................................................................ .. 126 Jerome H. Jaffe, M.D ............................................................................................. 141 Julio A. Martinez ................................................................................................... .. 155 Beny J. Primm, M.D ............................................................................................... 163 Leola Hageman ........................................................................................................ 171 (m) '" ~I- t f, ~ ~ ft ~ ( HEARING ON HEROIN AND COCAINE TRAFFICK ING AND THE RELATIONSHIP BETWEEN IN TRAVENOUS DRUG USE AND AIDS NOVEMBER 26, 1985 HOUSE OF REPRESE:N"TATIVES, SELECT COMMITTEE O:N" NARCOTICS ABUSE A:N"D CO:N"TROL, New York, NY. The committee met, pursuant to call, at 9:40 a.m., at Ceremonial Courtroom, Court of International Trade, 1 Federal Plaza, New York, NY. Present: Chairman Charles B. Rangel, presiding; Representatives Benjamin A. Gilman, Edolphus "Ed" Towns, Michael L. Strang, James H. Scheuer, Bill Green, Thomas J. Manton, Ted Weiss, and Senator Alfonse D' Amato. Staff present: John T. Cusack, chief of staff; Elliott A. Brown, mi nority staff director; and Edward Jurith, counsel. Chairman RA:N"GEL. The Select Committee on Narcotics Abuse and Control will come to order. I say good morning to all the dis tinguished witnesses and ladies and gentlemen who are here this morning that are concerned about drug trafficking and the awe some problem that faces our Nation. Today we will be studying the problem as it affects those here in New York City in the metropolitan area, and the relationship be tween the intravenous drug use and AIDS [acquired immune defi ciency syndrome], a complex medical condition which is spreading throughout the country and is having devastating effects on our population. Weare also alarmed about the increase in heroin and cocaine that is available in our cities and the sharp increase in the purity of the amounts of drug5 that have been confiscated in this area. We have found a sharp increase and the need for admission, while we have a decrease in the availability of treatment here in the city and the State of New York. We have also seen the use of cocaine now emerging not only in our sports arenas and theatrical, but in all of the professions where we have not seen this type of abuse. New York City has long been a major drug-marketing area with intravenous drug users and now we see there is a very close and shocking relationship with this and AIDS. There are estimated 200,000 intravenous drug users in New York City. Medical research and records indicate that they are the second at-risk group for AIDS, acceded only by the homosexual and bisexual men. We have some sobering statistics that will be revealed today, showing that an estimated number of heterosexual IV drug users (1) (".,,,.,.. ,, ....... ,',.... , ..... ,, .., ... ,,,. ~ 2 in New York, 50 to 60 percent have been exposed to the AIDS virus and approximately 10 percent will eventually contract this deadly disease. In New York City heterosexual drug users represent 26 percent of the over 1,200 cases and 6 percent were drug users who were also homosexual or bisexual. Thus, close to 34 percent of all AIDS cases in our city involves IV drug users. I would like to state that again, that 34 percent of all of the AIDS cases in the city of I New York involved intravenous drug users, by comparison to the national level of the IV drug users that represent approximately 25 1 percent of the AIDS cases. New York and New Jersey account for approximately 80 percent of the drug abusing AIDS cases. More than 95 percent of the IV drug users regularly share their needles and needle sharing is the 1 suspected cause of AIDS among IV users. We also expect to show today the disproportionate share of mi norities that have been touched by this plague in the city of New York; 50 percent of the AIDS victims in New York are black or Hispanic; 66 percent of all IV drug users with AIDS are black and Hispanic; and 66 percent of the children with AIDS in New York are children with