WORKSHOP AGENDA AND PARTICIPANTS



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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs WORKSHOP AGENDA AND PARTICIPANTS

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs This page in the original is blank.

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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

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Proceedings Workshop on Needle Exchange and Bleach Distribution Programs 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