March 11, 1998 #037 |
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A DrugSense publication
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http://www.drugsense.org/
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- * Breaking News (11/23/24)
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- * Feature Article
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Harm Reduction and Hepatitis C: (Part 3)
What must we do, to change what we do...?
Joey Tranchina, M.A. and Tom O'Connell, M.D.
- * Weekly News In Review
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Marijuana-
UK: Lords To Study Cannabis Risks
Tobacco-
Reinventing American Tobacco Policy: Sounding the Medical
Community's Voice
Law Enforcement-
No Charges In Candy Bar Shooting
Day of Humiliation
Drug Testing-
Oral Drug Test Screens For Use Of Marijuana
Court Clears Drug Tests To Protect PresidencyMarkG
Corrections-
Planned Intake Center Reshapes Prisons
State Prisons Spin Out Of Control
Forfeiture-
Seizure of hotel sets precedent
Brokers Put on Notice Over Laundering
International News -
Prisons Plan To Sterilise Needles For Drug Users
UK: Drugs Tsar Targets Jails And Schools
Colombian Army Suffers One Of Worst Defeats In Combat With
Rebels
- * Hot Off The 'Net
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Suppressed World Health Organization Report Posted
Electronic Law Library
- * DrugSense Tip Of The Week
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&
- * Quote of the Week
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William F. Buckley
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FEATURE ARTICLE (Top)
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Harm Reduction and Hepatitis C:
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What must we do, to change what we do...?
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Joey Tranchina, M.A. and Tom O'Connell, M.D.
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Our collective first reaction to HCV, has been to do what we did for HIV,
only more. Just as in Sinclair's novel, "The Jungle," -- the more plant
management pushed the slaughterhouse assembly line, the more workers
pushed themselves, with the mantra "I will work harder." More work fails
to address the epidemic for the same reasons the meat packers failed --
an inappropriate plan for a significantly different situation.
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We must, of course, continue exchanging syringes, counseling and
referring our clients to ever more threadbare services, but we must also
realize that those activities alone won't halt progression of the HCV
epidemic.
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How do we know that measures taken to contain HIV will fail to prevent
the spread of HCV? If what we've been doing for ten years, which has
demonstrably reduced spread of AIDS, did the same for HCV- 80 to 90% of
NEP clients wouldn't be infected. This is not to say that participation
in a syringe exchange doesn't reduce the chance of HCV infection-
excellent studies in Washington state demonstrate significant reductions
in new HBV & HCV. Yet, even with participation in exchange we are
speaking about a population that is overwhelmingly HCV positive and one
that continues to become infected at an alarming rate.
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We know that syringe exchange offers access to a hard-to-reach and hidden
community of men and women living at great risk of blood borne disease
and other maladies. Most of them are isolated and stigmatized; well
beyond reach of conventional medical interventions. Targeted outreach
remains essential, and syringe exchange is the most efficient contact
point for the simple reason it offers something drug injectors want and
need.
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How can we use this access to slow the epidemic of HCV infections?
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We must examine the reasons standard syringe exchange practice has failed
to have a similarly dramatic effect on spread of HCV:
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1) Injection is inherently high risk behavior- there is no evolutionary
precedent for parental drug administration- and humans have limited
native defense against blood borne pathogens.
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2) HCV is a different virus, more persistent in the environment and orders
of magnitude more abundant in the blood of infected individuals.
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3) Most IDUs have already been infected with HCV before reaching a NEP.
This virus is routinely acquired early in an injector's career. A Seattle
study suggests that 30% people who inject become infected from their
first experience. What possible intervention would protect such young
people, who have never even heard of a syringe exchange?
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One of us (JT) has discussed this issue, for over a year, with many
experienced outreach workers, most significantly Dave Burrows in
Australia. To the questions: "What could be done to enable uninfected
injectors to protect themselves from HCV infection? What can we do to
effectively prevent regular injectors from infecting novice partners who
begin injecting with them?" Our unfortunate answer is PROBABLY NOTHING.
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Among people, who continue to inject, a significant percentage will
become HCV infected no matter what we say, teach, or do. HCV is
problematic even in hospitals where up to 30% of kidney dialysis patients
are HCV positive, along with an high percentage of dialysis nurses;
therefore, it's easy to understand why adequately sterile injection
conditions can't be achieved by needle exchange customers. As always,
social class and economic status will affect the conditions under which
one injects, but HCV will spread even given the relatively sanitary
injection practices of more privileged IDUs. The best answer seems to be
that there is no safe way to inject drugs. After many lengthy discussions
with many thoughtful and experienced workers, these are our
recommendations:
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o Discourage injection, by encouraging any other means of drug use.
Anything that lowers the number of injectors or reduces frequency of
injection reduces opportunity for spread.
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o Demand that all NEP clients have access to anonymous HCV testing , with
appropriate and competent pre & post test counseling. Ideally, this would
be accompanied with an offer of vaccination for Hepatitis A & B and
combined with referral to treatment, as indicated.
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o Teach the truth: there is no safe use of alcohol by HCV positive
patients.
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o Teach clients the risk they pose to their partners if they help them to
inject --- the risk from the overwhelmingly HCV positive cohort of
established IDUs to newbies, who have never injected is extreme.
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o Begin outreach to snorters, to alert them to HCV risk in sharing straws.
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o "Wash your hands." Cleanliness offers a significant --- and often
difficult to achieve --- barrier to infection, but the standard is VERY
high.
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o Advocate for inclusion of drug users, former users and substitute drug
users at all levels of HCV treatment, including liver transplants and
clinical trials. The standard for retention should not be drug status, but
compliance with protocol.
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o Recognition of the intimate connection between HCV and autoimmune
disorders will provide better medical care for needle exchange clients.
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o Recognize the critical impact of nutrition on the health of HCV positive
people
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o Expand the mission of existing HIV Organizations to incorporate the
needs of Hepatitis C patients.
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o Demand an adequate funding stream for HCV treatment, prevention,
research and care.
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o Help develop an activist core of HCV positive patients,to become experts
in their disease. Our experience with HIV and AIDS demonstrates that
knowledgeable patients and advocates receive more appropriate treatment.
This unfunded epidemic requires informed advocates for their own health
care.
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WEEKLY NEWS IN REVIEW (Top) |
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Marijuana
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UK: Lords To Study Cannabis Risks
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COMMENT: (Top) |
This is far more hopeful than the studies proposed on this side of the
Atlantic. Given the history of such commissions always recommending that
cannabis laws be softened, if not repealed, the probability that this
one will come to similar conclusions is high. The presure generated by
such a report would be enormous in the present political climate.
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LORDS TO STUDY CANNABIS RISKS
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THE scientific risks of taking cannabis for medical and recreational
purposes are to be examined by a Lords investigation, it was announced
yesterday.
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[snip]
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The inquiry by the Lords Committee on Science and Technology, half of
whose members are medically qualified, will be advised by Leslie Iverson,
visiting Professor of Pharmacology at Oxford University, who specialises
in the effects of drugs on the brain. The two key questions to be
addressed are:"How strong is the scientific evidence in favour of
permitting medical use?" and "How strong is the scientific evidence in
favour of maintaining prohibition of recreational use?"
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[snip]
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Pubdate: | Friday, 6 March 1998 |
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Author: | Anthony Bevins, Political Editor |
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Tobacco-
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Reinventing American Tobacco Policy: Sounding the Medical
Community's Voice
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COMMENT: (Top) |
In this exercise in futility, three medical luminaries attempt to
discuss tobacco policy without any reference to drug prohibition. The
result is an unfocused vilification of cigarette makers devoid of a
single coherent policy recommendation, despite the ambitious title.
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REINVENTING AMERICAN TOBACCO POLICY
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1998 may be the most important moment in the history of the tobaccowars,
a moment when America chooses between a path toward social repair or one
toward irrevocable public loss.
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[snip]
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The extent that the tobacco industry has gone to secure special privilege
and protect itself, individually andcollectively, from liability from
past and future health effects from tobacco use has raised a red fag in
the public health community. With such a glaring difference between what
is right and wrong for the public, Congress should have little difficulty
in choosing a course that contains no deals and no trades. We support
tobacco legislation by Congress, but are opposed to granting any
concessions to the tobacco industry
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Source: | JAMA Vol. 279, No 7 |
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Koop EC, Kessler DC, Lundberg, GN.
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Law Enforcment-
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Day of Humiliation
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No Charges In Candy Bar Shooting
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COMMENT: (Top) |
Two more cases of trigger-happy cops on drug cases shooting at innocent
(black) citizens. As usual, the shootings were given official OKs and
both victims were lucky to have escaped with their lives.
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DAY OF HUMILIATION
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Ellis Elliott was awakened suddenly by an insane pounding on the metal
door of his Bronx apartment. It was clear that someone was trying to
break the door down.
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Terrified, Mr. Elliott leaped naked from his bed and grabbed the
unlicensed .25-caliber pistol he kept in a night stand.
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[snip]
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Panicked, Mr. Elliott fired a warning shot over the top of the door.That
shot was answered by a fearful barrage of gunfire. Mr. Elliott dived
behind a table and squatted there, trembling.
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[snip]
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Somehow they invaded the wrong apartment. Mr. Elliott, 44, had never been
in trouble with the law and is due to serve on a Bronx grand jury in the
spring.
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It was an honest mistake, the police would later say.
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[snip]
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Pubdate: | Sunday, 8 Mar 1998 |
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Column: | In America, Bob Herbert |
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NO CHARGES IN CANDY BAR SHOOTING
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NEW YORK, March 4 (UPI) -- A grand jury has decided not to file charges
against a white U.S marshal on a drug stakeout who shot a black New York
City teenager who was carrying a silver-wrapped Three Musketeers candy
bar.
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Queens District Attorney Richard Brown says William Cannon and his
partner did nothing criminal when they mistook the candy bar for a semi-
automatic pistol and shot high school student Andre Burgessin the leg on
Nov. 6, 1997,
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[snip]
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Source: | United Press International |
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Drug Testing-
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Oral Drug Test Screens For Use Of Marijuana
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COMMENT: (Top) |
Greater emphasis on routine testing in prisons has been touted by the
prohibition establishment, notably Kleiman and Califano. A compliant
Supreme Court has allowed the door of the schoolhouse to be widely
opened. Now we have a method which removes much of the embarrassment of
urine testing. Look for wider use of testing in the coming months.
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ORAL DRUG TEST SCREENS FOR USE OF MARIJUANA
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Beaverton's Epitope and its partner have added to the sophisticated
methods available
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Drug testing for marijuana just became as simple as sucking a lollipop.
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Thanks to a Beaverton biotech company and its Pennsylvania partner, the
nation's first high-tech marijuana test using oral fluid is moving closer
to reality. The U.S. Food and Drug Administration this month approved the
new test, which uses a lollipop-like collection device made by Epitope
Inc.
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[snip]
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Pubdate: | Sat, 28 Feb 1998 |
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Author: | Steve Woodward of The Oregonian staff |
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Court Clears Drug Tests To Protect Presidency
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COMMENT: (Top) |
The theory that routine drug testing of certain White House employees
would "protect" the Prez and Al Gore proves that Reefer Madness is alive
and well in Washington sixty-one years after passage of the MTA. It
wasn't announced if the rules would be changed to include interns.
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COURT CLEARS DRUG TESTS TO PROTECT PRESIDENCY
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WASHINGTON - The Supreme Court allowed random drug testing yesterday of
certain federal employees, to protect the safety of the president and
vice president.
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[snip]
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The suit was brought by Arthur Stigile and Ellen Balis, economists with
the OMB..(who).... said that hundreds of interns and visitors had access
to the Old Executive Office Building who were not required to go through
the "humiliating" experience.
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[snip]
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The government responded that the search was justified as a means of
protecting the safety of the president and vice president.
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Source: | Boston Globe (Reuters) |
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Corrections-
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Planned Intake Center Reshapes Prisons
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COMMENT: (Top) |
From their famed "prison blues" (prisoner manufactured denim fashions),
to a shiny new intake center, Oregon- also a major participant in
Unicor, has become a veritable laboratory for testing new ways to
exploit prisoner-generated revenue. Given projections on prison growth
in the near future, one can see why.
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PLANNED INTAKE CENTER RESHAPES PRISONS
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OREGON CITY - Two guards in gun-metal gray jump suits and polished black
boots get the word first.
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The Blue Bird is on its way in.
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[snip]
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A blue-and-white bus, with the manufacturer's "Blue Bird" emblazoned in
silver letters across the front, quickly disgorges the two dozen newest
initiates to the state's burgeoning prison population.
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[snip]
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Oregon prison administrators have hustled furiously for four years to
comply with ballot measures calling for longer prison sentence sand
requirements that inmates log the same 40-hour work weeks that most
voters do. Taken together, the initiatives have swelled testate's inmate
population to record numbers and created a morediverse, and therefore
more difficult to manage, mix of prisoners.
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[snip]
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The department forecasts that Oregon's prison population will top15,000
within a decade. Accommodating those inmates will mean building as many
as seven new prisons by 2007.
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Author: | Dana Tims of The Oregonian staff |
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State Prisons Spin Out Of Control
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Corcoran Prison Guards Have Advantage,Experts Say
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COMMENT: (Top) |
The first piece, an Op-ed, written originally for the Sacramento Bee,
was republished in both the San Jose Mercury News, and the San Diego
Union-Tribune. It documents growing dissatisfaction with conditions in
California's sprawling prison system.
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The second, a more analytical piece in the Orange County Register is
probably more correct in suggesting that federal convictions will be hard
to come by.
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Look for prison issues to loom large in the coming race for governor.
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STATE PRISONS SPIN OUT OF CONTROL
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THE eight Corcoran State Prison guards indicted last week on federal
cruelty charges must, of course, be held personally responsible for their
own actions, whatever they were.
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But the semi-official line from the state Department of Correction sand
Gov. Pete Wilson's administration -- that if there was wrongdoing, it was
solely the misdeeds of rogue guards -- is notacceptable. There's
something more fundamentally amiss with the department.
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As any business executive knows, one of the most perilous circumstances
is unbridled, unmanaged growth, and the Department of Corrections has
been, by a wide margin, the state government's fastest-growing segment.
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[snip]
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Source: | San Diego Union Tribune (CA) |
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Author: | (Dan Walters (Sacramento Bee) |
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Source: | San Jose Mercury New (CA) |
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Corcoran Prison Guards Have Advantage, Experts Say
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Forfeiture-
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Seizure of hotel sets precedent
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Brokers Put on Notice Over Laundering
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COMMENT: (Top) |
Two articles portend further extension of the legalized extortion known
as forfeiture. In the first instance, the police seem to be penalizing
hotel owners for failing to do their (the cops) jobs.
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In the second, although brokers themselves seem to be the target of
prosecution, can confiscation of shares be far behind?
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SEIZURE OF HOTEL SETS PRECEDENT
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'Tacit consent' for drug deals alleged
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By STEVE BREWER
Copyright 1998 Houston Chronicle
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Keith English sells home theater systems, but most days he can catch a
real action show right next door.
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"It's like watching the TV show Cops," he said, "but it's live."
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English works next to the Red Carpet Inn, a hotel at 6868 Hornwood in
southwest Houston seized by federal agents Feb. 17. Houston police bust
dealers there regularly and there's no dispute the hotel has been used as
a drug market.
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[snip]
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Defense attorneys and legal experts say the seizure -- only the second of
its kind in the country -- sets a bad precedent, since there are no
allegations the hotel owners took part in any crimes.
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Using a broad interpretation of drug forfeiture laws, the U.S. attorney's
office seized the hotel and is attempting to obtain a forfeiture on the
grounds that its owners gave "tacit consent" to illegal activity by not
stopping it when notified by police and the city.
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[snip]
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Source: | Houston Chronicle, page 1 |
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BROKERS PUT ON NOTICE OVER LAUNDERING
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WASHINGTON --- The U.S. Treasury Department will propose rules requiring
securities brokers to report evidence of possible money laundering, as
banks now must do Treasury and Securities and Exchange Commission
officials said.
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The proposal, to be issued in the next three months, comes as criminal
prosecutors are stepping up their investigations of securities fraud. At
least two brokers were charged with money laundering following an FBI
sting in October 1996 that led to the arrest of 45 stock promoters,
company of ficers and brokers.
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[snip]
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Source: | International Herald-Tribune |
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Pubdate: | Tue, 03 Mar 1998 |
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International News
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Prisons Plan To Sterilise Needles For Drug Users
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COMMENT: (Top) |
This is one headline we'll never see in the US. The practical British,
acknowledging that drug use in prison occurs, are at least taking
measures to reduce AIDS. Our doctrinaire bureaucrats would fire any
warden who suggested such heresy.
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PRISONS PLAN TO STERILISE NEEDLES FOR DRUG USERS
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PRISONS are planning to introduce a "clean needle" scheme to prevent the
spread of hepatitis and HIV among drug-taking inmates.
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Joyce Quin, the Prisons Minister, is considering a pilot scheme in which
sterilizing equipment would be used on prison wings to cut the risk of
spreading disease. Doctors are already permitted to prescribe condoms to
inmates, to reduce the danger of infection among them.
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[SNIP]
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Pubdate: | Wed, 04 Mar 1998 |
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Author: | Richard Ford, Home Correspondent |
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UK: Drugs Tsar Targets Jails And Schools
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COMMENT: (Top) |
This seems meant to prove that despite some softness at the margins, the
drug war still survives in England.It also shows that Tony Blair and
Bill Clinton have come up with very similar drug policies which are
heavy on the testing of vulnerable populations- schoolchildren and
prisoners. Bob DuPont must be ecstatic.
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DRUGS TSAR TARGETS JAILS AND SCHOOLS
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THE government is preparing its biggest assault on drugs with a plan to
take the anti-drug message to children as young as six and to segregate
addicted prisoners in Britain's jails.
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The strategy will be unveiled in the spring by Keith Hellawell, the
former chief constable of West Yorkshire, who was appointed "drugs tsar"
by Tony Blair last October.
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[snip]
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Other measures include compulsory drug testing and treatment for burglars
and others who steal to feed their drug habit, and streamlining of
government initiatives to cut duplication of effort.
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One of Hellawell's priorities is to target children before they fall
under the influence of youth drug culture.
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[snip]
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Source: | Sunday Times (UK) |
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Author: | Nicholas Rufford - Home Affairs Editor |
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Pubdate: | Sun, 08 Mar 1998 |
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Colombian Army Suffers One Of Worst Defeats In Combat With
Rebels
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COMMENT: (Top) |
The badly overmatched Colombian Army suffered a major defeat last week.
This is sure to put pressure on McC & Co. to "do something." Military
options are limited by the incompetence of Colombia's army and,
hopefully, no one wants a Viet Nam style operation involving GIs in Soth
America.
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COLOMBIAN ARMY SUFFERS ONE OF WORST DEFEATS IN COMBAT WITH
REBELS
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FLORENCIA, Colombia -- Low on rations, their radios dead, and pinned down
by 400 guerrillas, members of an elite Colombian army counterinsurgency
battalion were picked off..
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[snip]
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The guerrillas also earn millions of dollars annually by taxing coca leaf
farmers and providing protection for drug traffickers.
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"The reason (for the attack) was obvious. That is the largest center for
the production of coca leaves and coca paste in the world," Echeverri,
the defense minister, said Saturday.
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Last month, concerns about the rebel threat prompted the Clinton
administration to lift U.S. economic sanctions against the Colombian
government.
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[snip]
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Source: | Houston Chronicle |
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Pubdate: | Sun, 08 Mar 1998 |
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HOT OFF THE 'NET (Top)
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Suppressed World Health Organization Report Posted
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Suppression of a WHO document by US agencies created considerable fuss
when alleged in a recent issue of New Scientist. The document (WHO
Project on Health Implications of Cannabis Use: A Comparative Appraisal
of the Health and Psychological Consequences of Alcohol, Cannabis,
Nicotine and Opiate Use)can now be read in its entirety at Chris Clay's
website:
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http://www.hempnation.com/library/recreational/who-index.html
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You may also wish to review the evidence supporting Chris Clay's
Constitutional Challenge, which will eventually reach the Supreme Court
of Canada. It consists of affidavits and other documents by an impressive
group of Canadian and American experts: Senator Sharon Carstairs, P.
James Giffen, Marie Andree Bertrand, Eugene Oscapella, Hans-Jorg
Albrecht, Patricia Erickson, Diane M. Riley, Neil Boyd, Bruce Alexander,
Eric Single, Dr. Lester Grinspoon, Robert Randall, Neev Tapiero, Heinz
Lehmann, and John P. Morgan.
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http://www.hempnation.com/politics/challnge/motion.html
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Electronic Law Library
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Check out the sight below It is an electronic law library--mainly labor
law but They have a lot of drug war information. They claim to provide
both sides of the trenches but as you wander throughout their site, they
certainly seem more on our side of the fence. Especially check out their
"Periodical Reading Room" which has an entire section dedicated to the
war on drugs. It is exciting to find others outside the immediate reform
circle talking war on drugs. Check it out.
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http://www.lectlaw.com/rotu.html
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TIP OF THE WEEK
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Posting news articles to the DrugSense editor .
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Quote of the Week
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"Narcotics police are an enormous, corrupt international bureaucracy ...
and now fund a coterie of researchers who provide them with 'scientific
support' ... fanatics who distort the legitimate research of others. ...
The anti-marijuana campaign is a cancerous tissue of lies, undermining law
enforcement, aggravating the drug problem, depriving the sick of needed
help, and suckering well-intentioned conservatives and countless
frightened parents." -- William F. Buckley, 'Commentary' in The National
Review, p. 495, April 29, 1983.
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