Many people throughout Worcester were knocked over by news of the lastest salvo against poor people and people with addictions from City Councilor Haller and Billy Breault "Anti-OD grant triggers alarm - Adopting Narcan plan feared" which appeared in Saturday's T&G.
An EMT, Buck Paxton, has already responded with a harsh response, "William Breault: Stupidest man in Worcester, part 2"

Unsuccessful at getting a copy of the original letter from Councilor Haller, I was able to secure a copy from one of the recipients. Here's the letter in full.

letter.jpg

June 11, 2008
To: Distribution List
From: Barbara Haller, Worcester District 4 City Councilor
William Breault, Chair, Main South Alliance for Public Safety
Subject: Massachusetts Collaborative for Action Leadership 2 Grant

This letter is written to expose a disturbing trend in public health regarding drug addiction and to reaffirm the public's right to know how their tax dollars are being spent.

The so-called "harm reduction" policies of our public health leadership serve to camouflage their aggressive actions for acceptance and normalization of illegal drug use. These policies continue to politically validate anti-social behavior at the taxpayers' expense and all the while the death toll keeps mounting. "Harm-reduction" is a failed policy - responsible addiction is an oxymoron - the figures show that addiction harm has not been reduced, but rather increased. It is important for communities to understand that the battle against drugs must include a battle against those that wish to normalize/legalize them.

Boston/Cambridge despite their years of needle exchanges, the legalization of over-the-counter needles sales, and their current van distribution of NARCAN (naloxone) continue to report ever increasing drug use and overdoses. Central Cape Cod and Lowell have joined in a pilot NARCAN distribution to addicts, supported with public dollars.

Here in Worcester the legalization of over-the-counter-sales has resulted in the increased distribution of free needles by harm reductionists. The legalization-creep movement continues as we hear that AIDS Project Worcester is preparing for one-stop shopping by establishing its own pharmacy - a de facto needle-exchange, despite three bone fide city council votes against needle-exchange.

Please note that, for more than a decade, requests to the City Administration for information regarding overdoses have either been ignored or reported as not being available. In light of the tact that in 2001 City Clerk Rushford provided Council with a 5-year report on overdoses, it is apparent that the Administration does not want the public to have this information. This is an insult to the public and smacks of underhanded public policy.

The Massachusetts Collaborative for Action Leadership 2 grant, recently awarded to Worcester, has a stated mission to improve drug abuse "prevention." In light of "harm reduction" trends and a history of secret data, the grant results threaten to be abuse "enabling" at its worse. Consider the following: preliminary meetings on the grant design include AIDS Project Worcester, Henry Lee Willis Center, Spectrum Health Systems, and Community Healthlink - all easily recognized advocates of "harm reduction" policies. Anti-normalization stakeholders continue to have to fight to get a seat at a table that has already been set. This is neither good government nor good public policy.

The harm reduction focus is solely on the drug addicts and not on the quality of life for those that do no harm - our neighborhoods. Drug addiction continues to be the greatest source of neighborhood degradation and real harm reduction policies would focus on quality of life for all. Instead current harm reduction policies do nothing for the taxpayer except to empty their pockets.

Drug policy leadership should take note that Worcester has a long history fighting against paternalistic State efforts to dilute local control. Our own Lt. Governor Timothy Murray, Chair of the Governor's Council on Substance Abuse, must certainly know that wide¬spread distribution of NARCAN to addicts as part of harm reductionism is well supported by Commissioner of Public Health, John Auerbach. We caution Mr. Murray to remember his Worcester roots and important council votes on related topics, including a 2006 vote against the Commonwealth's effort to remove local control on needle exchange.

NARCAN is a prescription drug intended to be administered by health professionals. Addicts who are revived via NARCAN need to be monitored for serious and life-threatening side-effects for some time after delivery. How did Boston/Cambridge circumvent sound prescription laws and give this drug to addicts, their friends and associates? Common sense tells us that NARCAN for addicts gives addicts a sense of confidence that they can take their "high" to the point of overdose and live to tell the tale.

We continue to believe that the best policy for reducing drug abuse and drug overdose is to focus our dollars and expertise on getting people off drugs and in recovery - treatment on demand with aggressive outreach and follow through. If we spend as much time, energy, and money on getting people off drugs as we have on addiction accommodation, we most certainly would see a significant drop in drug use and overdose deaths.

We thank you for your consideration.

Sincerely,

Barbara G. Haller
Worcester City Councilor, District 4
[phone # removed]

William T. Breault
Main South Alliance for Public Safety
[phone # removed]

Distribution List:
To:
Mayor Konstantina Lukes
Councilor Paul Clancy
Councilor William Eddy
Councilor Michael Germain
Councilor Philip Palmieri
Councilor Joseph Petty
Councilor Gary Rosen
Councilor Frederick Rushton
Councilor Joffery Smith
Councilor Kathleen Toomey
Worcester City Manager Michael O'Brien
Acting Commissioner of Health & Human Service James Gardner
Acting Director of Public Health Derek Brindisi
Project Administrator Karyn Card
Chief of Police Gary Gemme
Fire Chief Gerard Dio
UMass Emergency Services Officer Steve Haynes

Cc:
Congressman James McGovern
State Senator Harriette Chandler
State Senator Edward Augustus
State Representative John Binienda
State Representative John Fresolo
State Representative John O'Day
State Representative Vincent Pedone
State Representative Robert Spellane
Governor Deval Patrick
Lt. Governor Timothy Murray
Commissioner of Public Health John Auerbach

AttachmentSize
Narcan Letter.pdf1.03 MB

buck, emt

OK Mr BLS EMT: Tell me all you know about the "half-life" of narcan and how safe it is.

hmm.. what's that? Didn't think so. Did you know that narcan can actually cause seizures? Hmm.. What is next, pass out needles, narcan and valium? (in case you are not sure, valium is a medication used to treat a seziure).

Let's stop pretendeing this is about public safety. If you really want the public safe, let's use the money to put more police officers on the street and FIGHT the easy accessability of the heroin in the first place. [Also, please recall that heroin is ILLEGAL].

I just can't take anymore.

Dear Anonymous

Not sure what you're asking for here, a definition of half life? OK, its the time necessary for half a drugs plasma concentration to reach 'half' it's original concentration. The half-life for Naloxone is approximately 1.5 hrs. Will that do?

You kind of sound like you could use some Diazepam, Anonymous. Adverse effects from Naloxone are reported in fewer than 3% of post operative cases, less in emergency medicine. If you've seen other results, maybe you're doing it wrong.

Anonymous, the reality is opium has ben used and abused for over 5000 years. To think that the WPD, or any municipal body, could ever possess the tools necessary to eliminate substance abuse is the ultimate ignorance. Your war on drugs failed before it began. Enjoy your fantasy world!

-Brendan Melican
(some people still call me Buck)
www.radioball.net

Self declared idiot.

That should say "the time necessary for a drugs plasma concentration to reach 'half' it's original concentration."

"Tell me all you know about

"Tell me all you know about the "half-life" of narcan"

Asking a technical question can be a great "gotcha" tactic in a real-world debate. Online, when someone can find the answer on Google or Wikipedia in seconds, not so much.

This mysterious letter

There are many strange statements here. My favorite:
"Common sense tells us that NARCAN for addicts gives addicts a sense of confidence that they can take their "high" to the point of overdose and live to tell the tale."

Common sense tells us that the last thing a junkie wants is to go through withdrawal. Common sense tells us that "a sense of confidence" plays little role in the choices of an addict.

Dianne Williamson joins in

Here's a link to Dianne Williamson column:

http://telegram.com/article/20080622/COLUMN01/806220404/-1/COLUMN

What I find interesting is that Williamson focuses nearly 100% on Breault, much like Brendan Melican pretty much focused on Breault. Haller seems to get a free ride on a lot of this stuff. When something really goes off the deep end Breault gets blamed, and when something resonates positively Haller gets the credit. Each deserves equal derision in this case.

Glad to see another useless list

Haller loves large lists of people to get her useless diatribes. This letter is so hastily written, so poorly conceived, and so hyberbolic as to be laughable. Her overarching assumptions about the war on drugs and EMT life revival procedures are silly. You are silly Barbara! I am sure the Governor took due note of the district councilor's opinion on an anti-overdose drug. Its probably in his "urgent" pile on his desk. I am sure he and Congressman McGovern are meeting about it right now, at the urgent request of the Lieutent Governor, who was also privy to the letter. I love it, LOVE IT, that Haller warns Murray to remember his council and Worcester roots. hahahahahahaha. He couldn;t be happier to have the likes of her in the rearview mirror. I am sure "UMass Emergency Services Officer Steve Haynes" is banging his head on his desk screaming, "I'm soooo stupid to make such a grievous error!!!!!!!!!!"

If nothing else, Barb and Billy are the masters of the grandiose empty gesture, the stupid letter sent to large lists, the invocation of conspiracy and government inaction to justify said stupdity, and to quote Faulkner, "the sound and the fury, signifying nothing."

when have they have won one of these quixotic battles??

additional analysis

People often talk about the Piedmont vs. Main South styles of activism, and this is a good example. While Piedmont efforts focus on responding to community voices and building community support, Main South tends to focus on spreading fear. Too often this is done by misrepresenting the truth.

This extensive list of letter recipients isn't about informing alot of people, it's about scaring mid-level folks and up not to do anything. Bureaucracies get afraid real easy.

Unable to get a copy of the letter from Councilor Haller, I started calling multiple people I expected would have gotten a copy. No one had it. Turns out this letter was provided to the T&G BEFORE being distributed to the recipients! This was such a hatchet job; it was just about scaring everyone.

Here's one of the "boogey man" lines, "preliminary meetings on the grant design include AIDS Project Worcester, Henry Lee Willis Center, Spectrum Health Systems, and Community Healthlink - all easily recognized advocates of "harm reduction" policies".

I got a copy of the City's grant application and the truth is the letter leaves out the participation of the Worcester District Court/Probation, Worcester Public Schools, Worcester Police Department/Vice Squad, the District Attorney’s Office, and the Worcester County Sheriff’s Office!

A noted absence from the who's who recipient list is Dr. Leonard Morse, MD, Worcester's Commissioner of Public Health. Leaving him off the list, when he's the go to guy on this really highlights the animosity being directed against him for his work on the Yellow Box initiative.
Clearly he's on the Main South black list.

There's also the misrepresentation of Aids Project Worcester, labled a de facto needle exchange for wanting to open a pharmacy for clients.

This all smells the more you ask questions.