Living Clean

The Minnesota AIDS Project tries to shoot a clean-syringes provision through the Legislature.

"I've been thinking about this for a couple of days," she says, her dilated pupils floating without focus; a half-bottle of Contac cold medicine slurring her speech; a late-day trip to the methadone clinic stilling the smoke-filled air with pregnant pauses.

"Call me Greta. No one will ever guess it's me. Not my boss. Not my boyfriend. No one." Unveiling her alias momentarily jerks Greta awake. A devious smirk creeps across the 27-year-old's aged face. She rubs her tear-swollen eyes, shakes the cobwebs from her head and hunts for another cigarette.

Thirty seconds later she nods off to sleep, her head jerking in feeble resistance.

A junkie since 1993, Greta has been struggling to escape her $100-a-day habit since Thanksgiving. A month short of May Day, she's shooting heroin "once or twice" a week. When morning coffee isn't enough to get her up for the 9-to-5 grind, she sniffs coke. Her chances of kicking for good are minimal. But she says she wants to. She says she's trying.

Until May of 1995--when the Minnesota AIDS Project (MAP) instituted its then-controversial needle exchange program--Greta had to buy her own needles; in a state where, under current drug paraphernalia laws, no one can sell syringes if they know, or have reason to believe, the product will be used for illicit purposes. A prescription isn't required at the local pharmacy. But chances are high that customers who are poor or black or strung out (or all of the above) will be turned away--especially if they're shopping in the inner city.

To aid those who don't know about, or won't use, its self-funded program, MAP has made increased access to clean syringes a key provision in the 1997 HIV Awareness and Prevention Act. Specifically, as part of the Crime Prevention Omnibus Bill (which has taken its first pass through the State House and Senate), a provision was introduced to lift restrictions on the sale of needles. If the legislation passes intact, pharmacists will be allowed to sell up to 10 syringes to anyone, regardless of how the needles might be used.

"Those motherfuckers (at the Legislature) could actually make a difference on the street this summer," Greta says. "People wouldn't have to die because they don't look like Mr. and Mrs. Edina."

Before hooking up with MAP, she had tried everything: She studied the symptoms of diabetes; removed her nose ring, donned a second-hand business suit and bused to the suburbs in search of trusting pharmacists; she even recruited her boyfriend's clean-cut buddies as buyers. Too often, though, her Jones bum-rushed her patience and she would share a syringe or sharpen one of her own dulled, dirty needles on a matchbook. Last year, Greta's boyfriend was diagnosed as HIV-positive. Today, he's living with AIDS.

"Look at these," Greta says, rolling her sleeves up over two separate, 3-inch strips of purplish scar tissue; red on the edges, black in the center. "I've lost more veins than I can count because I used bad needles."

Currently, MAP's exchange program--run out of a renovated ambulance that roams the metro--serves Greta and more than 200 fellow addicts. When they exchange their dirty needles for an equal number of clean syringes, users can pick up needle-cleaning kits, free condoms and, if they choose, get access to counseling. According to MAP's Executive Director, Lorraine Teel, 65 percent of those who use the service are men. The clientele is predominantly white and somewhere between the ages of 25 and 30. Frank Guzman, who has manned MAP's van since the program's inception, says many of his clients drive in from the suburbs. Others come to exchange needles for entire inner-city neighborhoods.

Whether African American, Native American, and female users are uncomfortable with, or unaware of, MAP's self-funded exchange program is unclear. What has been established by the National Institute of Health, in a study completed in February, is that women are at a higher risk for HIV infection through injection drug use (IDU) than men, while people of color are at a higher risk than whites. In Minnesota, MAP's Public Policy Director, Bob Tracy, reports that twice as many women as men who've tested positive for HIV listed IDU as a contributing factor. When infected people of color were polled, 20 percent were injection drug users, as opposed to 8 percent of HIV-infected whites. And, according to Tracy, 72 percent of Minnesota's newborns infected with HIV were born to mothers who had been injecting illicit drugs.

Despite these daunting numbers, Minnesota is still ahead of the national curve: IDU accounts for 7 percent of MAP's AIDS cases, as opposed to 36 percent nationwide. According to a 2-year-old international study, in five smaller metro areas with rates of infection similar to the Twin Cities, increased access to clean needles has prevented a "cascading effect" of HIV infections among people of color, women and children. All of which should make a clean-needle law politically feasible.

But on Friday, April 25, Rich Stanek (R-Maple Grove) introduced an amendment in the Minnesota House of Representatives to strike the clean-syringe provision from the Crime Prevention Omnibus Bill. Bob Tracy, who routinely works the State Capitol for MAP's constituents, wasn't surprised by the move. While the Omnibus Bill was making its way through the Senate a week earlier, he was already lobbying House representatives on both sides of the aisle with hard data designed specifically to counter Stanek's unsubstantiated objection: that by making it legal for pharmacists to sell needles, the state was sanctioning drug abuse.

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