Drug Addicts with Dirty Needles; the AIDS Connection

By Schwartz, William A. | The Nation, June 20, 1987 | Go to article overview

Drug Addicts with Dirty Needles; the AIDS Connection


Schwartz, William A., The Nation


Drug Addicts With Dirty Needles

In the United States, AIDS first struck primarilyhomosexual men, but today the virus appears to be spreading most rapidly among intravenous drug users. In New York City, 34 percent of all people with AIDS have been heterosexual i.v. drug users, who presumably caught the disease by sharing needles and syringes with someone infected by the virus. Nationally, about one-fifth of the more than 36,000 AIDS cases have involved i.v. drugs. An accurate estimate is probably double that, since many addicts' deaths from tuberculosis, pneumonia and other illnesses are now being recognized as AIDS-related.

The figures on the extent of the AIDS crisis reflect patternsof transmission prevalent years ago, when the people who now have the disease were exposed to the virus. Then, sexual activity among gays, particularly anal intercourse, was the primary mode of transmission. Approximately 26,000 gay men have AIDS or have died of it, but as the gay community has become increasingly aggressive in promoting "safe sex,' it has to some extent contained the spread of the disease. No comparable preventive action has been taken among i.v. drug users. An estimated 50 to 60 percent of New York City's 200,000 to 250,000 needle-drug addicts have already been infected, and AIDS was their leading cause of death by 1985. Today, as an official at the Federal Centers for Disease Control told me, "Dirty needles are the way the virus is spreading.'

Infected addicts, in turn, transmit the virus to their sexualpartners, a process already responsible for the overwhelming majority of non-Haitian heterosexually transmitted AIDS cases. To an unknown extent, addicted prostitutes are spreading the virus to their clients as well. According to Dr. Harold Jaffe, chair of the AIDS epidemiology division at the Centers for Disease Control, "Infected drug users are the main portal of transmission to other parts of the heterosexual community, and their newborns.' Dr. Andre Nahmias of Emory University said that nearly all of the AIDS-infected infants born in the United States, estimated at between 2,000 and 4,000 a year, are the offspring of i.v. drug users.

One AIDS expert told me that if the disease becomesanother "black plauge,' shared injection equipment will "unquestionably' be the cause. Yet, as The New York Times has reported, "No effective attack has been mounted on the spread of AIDS by shared needles.' Worse, in eleven states, including New York, the government plays an active role in perpetuating the disease by maintaining laws against the sale of sterile hypodermic needles and syringes without a doctor's prescription. In Boston the street price of supposedly clean "works' (needle and syringe) has reportedly doubled since the AIDS epidemic began--"capitalism at its best,' in the words of one angry participant at an anti-aids meeting there. A woman attending the same meeting asked, logically: "Why don't they just hand out syringes? That's the simple solution.'

Indeed, the most straightforward government responsewould be, at minimum, to legalize the sale and possession of works in all states and, ideally, to distribute sterile works as widely as possible, with no involvement of law-enforcement officers, no questions asked and no strings attached. Much more tentatively, the National Academy of Sciences recommended "increased availability on an experimental basis of sterile needles and syringes to reduce sharing of injection equipment, a known mode of transmission.'

But such programs have not been implemented anywherein this country. The main reason appears to be politicians' reluctance to take any action that could be mistaken for tolerance of illegal drug use. In New York City, for example, former health commissioner Dr. David Sencer "periodically' proposed needle distribution to Mayor Edward Koch. He was rebuffed until August 1985, five years into the AIDS epidemic, when Koch told Sencer, "If you don't mind being the fall guy, why don't you write a memo, and I'll circulate it. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Drug Addicts with Dirty Needles; the AIDS Connection
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.