------------------------------------------------------------------- Suspect In Fatal Shootout With Police Pleads Innocent ('Associated Press' Update On Portland Marijuana Task Force Shootout Says Attorney Andrew Bates Will Represent Suspect) Associated Press Sat, Feb. 7, 1998 Suspect in fatal shootout with police pleads innocent PORTLAND, Ore. (AP) - With the gurgling sound of chest tubes in the background, Steven Douglas Dons pleaded innocent from his hospital bed to all 13 charges in a fatal shootout with police last week. Dons, 37, was arraigned Friday at Adventist Medical Center, where he is recovering from a gunshot wound to the chest suffered during the Jan. 27 marijuana raid that left Officer Colleen Waibel dead. Waibel, Sgt. Jim Hudson and Officer Kim Keist were shot soon after entering Dons' rented home in the belief that Dons was destroying evidence by burning marijuana plants. Multnomah County Circuit Judge Joseph Ceniceros read Dons the 13-count indictment, which includes charges of aggravated murder, attempted aggravated murder and assault. Dons, appearing pale but alert, nodded as Ceniceros detailed the charges while his attorney, Andrew Bates, entered innocent pleas to each count. Before the hearing started in his hospital room, Dons saw a television camera and asked his lawyers for a comb. He used a brush to straighten his hair. Also Friday, new details surrounding the shootout were released: The final search warrant affidavit shows that the officers smelled marijuana smoke at Dons' home and, when no one answered, decided to go in. Hudson grabbed a cement block and forced open the front door of the house. Before entering, they yelled several times that they were police officers and that someone needed to come to the front door. Hudson held open the door for Officer Kim Keist, who went in first. Officers Colleen Waibel and Steve Morrow followed her. Inside the house, officers saw a partially open door in front of them. Suddenly, they heard gunfire from inside the house, and the door in front of them splintered. Keist and Waibel were hit. Morrow carried the mortally wounded Waibel outside. Keist, critically injured, pulled herself outside and hid behind a parked car as Hudson provided cover fire, the affidavit said. The document said police had been to the house four or five times before the final confrontation. Each time they had knocked on the door, there had been no answer. Portland police spokesman Lt. Cliff Madison could not give dates the visits occurred. The affidavit included a neighbor's statements to police that Dons had talked about killing people on several occasions, particularly killing police officers. Dons' roommate Jeffrey H. Moore told a detective that Dons talked about killing a police officer and that Dons had a problem with a police officer while he was in the U.S. Air Force. Moore said Dons memorized the officer's name and said he always intended to get even with the officer, the affidavit said.
------------------------------------------------------------------- Dons Arraigned On Murder Charges ('The Oregonian' Notes Alleged Marijuana Grower Who Shot Police After Warrantless Break-In By Portland Marijuana Task Force Has Book Thrown At Him) found at: oregonlive.com February 7, 1998 email@example.com Dons arraigned on murder charges Portland police officers decided to enter his house because they suspected evidence was being destroyed, court records show By David R. Anderson of The Oregonian staff Officers knocked on the front door for two minutes. They had smelled the marijuana smoke and decided it was time to go in. When no one answered, Portland police Sgt. Jim Hudson grabbed a concrete block and forced open the front door at 2612 S.E. 111th Ave. Before entering, they again yelled that they were police officers. They yelled that someone needed to come to the front door. And they yelled that they were concerned that evidence was being destroyed. Hudson held open the door for Officer Kim Keist, who went in first. Officers Colleen Waibel and Steve Morrow followed her. About 3 feet into a mudroom, a refrigerator on one side, officers saw a partially open door in front of them. Suddenly, they heard gunfire from inside the house, and the door in front of them splintered. Keist and Waibel were hit. Morrow carried the mortally wounded Waibel outside. Keist, critically injured, pulled herself outside and hid behind a parked car as Hudson provided cover fire. Those new details of a tragic police raid Jan. 27 emerged Friday as court officials released a final search warrant affidavit. Police continued to refuse comment on other details of the investigation. The document said police had been to the house four or five times before the final confrontation that Tuesday morning. Each time they had knocked on the door, there had been no answer. Portland police spokesman Lt. Cliff Madison could not give dates the visits occurred. The suspect in the shootings, Steven Douglas Dons, 37, was arraigned Friday as he lay in his hospital bed at Adventist Medical Center. With the gurgling sound of chest tubes in the background, Multnomah County Circuit Judge Joseph Ceniceros summarized the 13-count indictment, which includes charges of aggravated murder, attempted aggravated murder and assault. Dons, appearing pale but alert, nodded as Ceniceros detailed the charges. "We enter pleas of not guilty to each and every count," his attorney Andrew Bates, said. Dons' spoke clearly only once during the four-minute hearing, saying, "Yes, sir," when Ceniceros asked him whether his name was Steven Douglas Dons. Before the hearing started. Dons saw a television camera and asked his lawyers for a comb. He used a brush to straighten his hair. The search warrant affidavit sworn by homicide Detective Sgt. Dave Rubey after the shooting, did not say why police initially suspected marijuana was in the house. On the morning of Jan. 27, four members of the Portland police Marijuana Task Force and an Oregon State Police detective arrived at the house. Three left to get a search warrant leaving Hudson and Keist. When they saw smoke coming from a chimney that smelled like marijuana smoke, they called for uniform officers because they feared evidence was being destroyed. Waibel and Morrow, along with Offficers Jeffrey Parker and Wayne Gwilliam arrived. Parker went to the back door, and Gwilliam went to the side of the house. Officers knocked and said they had a search warrant, the affidavit said, even though a judge apparently had not yet signed the warrant. After two minutes with no response, Hudson decided it was time to go in, the document said. The affidavit included a neighbor's statements to police that Dons had talked about killing people on several occasions, particularly killing police officers. Dons' roommate Jeffrey H. Moore told a detective that Dons talked about killing a police officer and that Dons had a problem with a police officer while he was in the U.S. Air Force. Moore said Dons memorized the officer's name and said he always intended to get even with the officer, the affidavit said.
------------------------------------------------------------------- Shooting Raises Issues On Police Procedure (Letter To Editor Of Salem 'Statesman Journal' Regarding Fatality Precipitated By Warrantless Break-In By Portland Marijuana Task Force Faults Paper's Call For More Gun Control) Date: Mon, 09 Feb 1998 02:33:55 -0800 From: Paul Freedom
Organization: Oregon State Patriots To: Cannabis Patriots , "firstname.lastname@example.org" Subject: CanPat> 2-Letters-MARIJUANA SHOOTING! Sender: email@example.com Letter to the editor The Statesman Journal Salem, Oregon February 7, 1998 SHOOTING RAISES ISSUES ON POLICE PROCEDURE Once again we have experienced tragedy with the killing of a police officer in Portland, and once again the Statesman Journal has suggested additional government gun control. You have questioned the effectiveness of existing gun controls but want the Legislature to pass stricter measures for law abiding citizens who are either current or potential gun owners. Instead of increased legal restrictions, why not question what is happening and answer some questions. When is a marijuana plant more important than a human life? Why is it OK to have a " Knock-and-Talk " policy when the legal system has search warrant procedures? How can one surprised homeowner shoot three trained police officers? Why was the passage of the National Firearms Act of 1934 and the Gun Control Act of 1968 touted by politicians to end all criminal gun activity? And finally why is the Second Amendment to the Constitution ( the right to keep and bear arms ) the only constitutional right that has been legislated into a privilege? Bob Jensen Newport, Oregon
------------------------------------------------------------------- Medicinal Marijuana Initiatives Will Go To Voters Again ('Associated Press' Says Two Competing Washington State Initiatives On Tap - The Ralph Seeley Medical Marijuana Initiative Filed Friday By JoAnna McKee Of Green+Cross Patient Co-op, And Another Being Drafted By Dr. Rob Killian, Modeled After Jeanne Kohl's SB 6721, Which Died Friday In State Senate) From: WWonders@aol.com Date: Sat, 7 Feb 1998 23:03:06 EST To: firstname.lastname@example.org Subject: HT: ART: Medicinal marijuana initiatives will go to voters again Sender: email@example.com Medicinal marijuana initiatives will go to voters again February 07,1998 Hunter T. George The Associated Press http://search.tribnet.com/archive/0298.2/0207b31.htm Measures - 1 filed, 1 being drafted - are simplified (Pierce, Thurston County edition) OLYMPIA - The head of a Seattle-based group that distributes marijuana to the sick filed an initiative Friday that asks Washington voters for a second chance. JoAnna McKee, co-founder of the Green Cross Patient Co-op, said she designed her one-page marijuana initiative to appeal to compassionate voters who rejected a sweeping ballot measure last year that included the potential legalization of heroin and LSD. But hers won't be the only marijuana initiative seeking a place on the November ballot. Dr. Rob Killian, the Tacoma physician who sponsored last year's Initiative 685, is drafting a new version that will be modeled after legislation that died Friday in the Senate. McKee and Killian expressed regret that bitter disagreements between them could lead to competing proposals on the fall ballot. He called her a liar; she said he's "tactless." Both accused each other of being driven by ego. Each measure needs the signatures of 179,248 voters by July 2 to earn a place on the November ballot. The secretary of state's office recommends collecting more than 200,000 signatures to protect against duplication and fraud. McKee named her proposal the "Ralph Seeley Medical Marijuana Initiative" in memory of a Tacoma attorney who suffered from cancer and took his case all the way to the state Supreme Court, which ruled against him last year. Seeley, who received marijuana from the co-op, died last month after a painful decade battling the disease. McKee's proposal, which has not yet been assigned a number by the state, would legalize the use of marijuana if it's recommended by a physician for the treatment of cancer, HIV and AIDS, multiple sclerosis, chronic pain, migraines "or other specific medical conditions or illness." It would offer legal protection for patients, physicians and anyone designated by a patient to grow marijuana. McKee, who runs her patient co-op out of a West Seattle house with little or no problems from police, said her proposal is short and simple, unlike Killian's initiative last year that covered a variety of illegal drugs and liberalized criminal drug policies to encourage treatment over prison. Voters rejected the initiative 60 percent to 40 percent. "I'm trying to get everybody down to one page so voters know it's down to patients, doctors and protected growers," said McKee, who supported I-685 but had nothing to do with writing it. "I felt if it got bigger, voters were going to be suspicious." Killian, who received generous financial support last year from a New York billionaire and millionaires from Ohio and Arizona who support legalizing marijuana, said his new initiative will be modeled after Senate Bill 6271, filed by Sen. Jeanne Kohl (D-Seattle). The bill, which would have legalized the medical use of marijuana if a patient gets a written recommendation from a physician, essentially died Friday when it failed to make it out of a Senate committee. Killian hopes to file the initiative next week. Comments via e-mail to firstname.lastname@example.org Mailing Address: The News Tribune P.O. Box 11000 1950 S. State St. Tacoma, Wa. 98411 Phone: (253)-597-8742
------------------------------------------------------------------- Medicinal Marijuana Backer Files Initiative ('Associated Press' Story In 'The Olympian' On Washington State Ballot Measure Filed By JoAnna McKee Of Green Cross Patient Co-op Notes Dr. Rob Killian Hopes To File Second Initiative Next Week) From: "W.H.E.N."
To: "Hemp Talk" Subject: HT: ART: JoAnna files Med mj initiative Date: Sun, 8 Feb 1998 21:02:52 -0800 Sender: email@example.com Medicinal marijuana backer files initiative The Olympian 2/7/98 The Associated Press * ONE-PAGE PLEA: The co-founder of Green Cross files a pared-down initiative to legalize some uses of marijuana. The head of a Seattle-based group that distributes marijuana to the sick filed an initiative Friday that asks Washington voters for a second chance. JoAnna McKee, co-founder of the Green Cross Patient Co-op, said she designed her one-page marijuana initiative to appeal to compassionate voters who rejected a sweeping ballot measure last year that included the potential legalization of heroin and LSD. But hers won't be the only marijuana initiative seeking a place on the November ballot. Dr. Rob Killian, the Tacoma physician who sponsored last year's initiative 685, is drafting a new version that will be modeled after legislation that died Friday in the Senate. McKee and Killian expressed regret that bitter disagreements between them could lead to competing proposals on the fall ballot. He calls her a liar; she said he's "tactless." Both accused each other of being driven by ego. Each measure needs the signatures of 179,248 voters by July 2 to earn a place on the November ballot. The Secretary of State's Office ,recommends. collecting more than 200,000 signatures to protect against duplication and fraud. McKee named her proposal the "Ralph Seeley Medical Marijuana Initiative" in memory of a Tacoma attorney who suffered from cancer and took his case all the way to the state Supreme Court, which ruled against him last year. Seeley, who received marijuana from the co-op, died last month after a painful decade battling the disease. McKee's proposal, which has not yet been assigned a number by the state, would legalize the use of marijuana if it is recommended by a physician for the treatment of cancer, HIV and AIDS, multiple sclerosis, chronic pain, migraines "or' other specific medical conditions or illness." It would offer legal protection for patients, physicians and anyone designated by a patient to grow marijuana. McKee, who runs her patient coop out of a West Seattle house with little or no problems from police, said her proposal is short and simple, unlike Killian's initiative last year that covered a variety of illegal drugs and liberalized criminal drug policies to encourage treatment over prison. Voters rejected the initiative 60 percent to 40 percent. " I'm trying to get everybody down to one page so voters know it's down to patients, doctors and protected growers,". said McKee, who supported 1-685 but had nothing to do with writing it. "I felt if it got bigger, voters were going to be suspicious." Killian, who received generous financial support last year from a York billionaire and million from Ohio and Arizona who support legalizing marijuana, said his new initiative will be modeled after Senate Bill 6271, filed by Sen. Jeanne Kohl, D-Seattle. The bill, which would have legalized the medical use of marijuana if a patient recommendation essentially died Friday to make it out of a Senate committee. Killian hopes to file the initiative next week.
------------------------------------------------------------------- JoAnna McKee's Press Statement (Co-Founder Of Puget Sound's Green+Cross Patient Co-Op Comments On Medical Marijuana Ballot Initiative She Has Filed) Date: Sat, 7 Feb 1998 18:03:35 EST Originator: firstname.lastname@example.org Sender: email@example.com From: Randy Chase
To: Multiple recipients of list Subject: Joanne Mckee's Press statement (fwd) ---------- Forwarded message ---------- Date: Sat, 7 Feb 1998 14:55:16 -0800 (PST) From: Randy Chase To: firstname.lastname@example.org Subject: Joanne Mckee's Press statement Joanna McKee released a statement to the press today about the initiative that she has filed I quote it in full: The Ralph Seeley Medical Marijuana Initiative is a work in progress. Some Revision and re-writing is expected to occur as part of the process to final draft. It was filed at this time to focus the citizens of Washington State on the fact that the legislature is unwilling to act to help our patients who are suffering from terminal and debilitating disease. The 1998 Legislature, in particular has refused to enact State Sen. Jeanne Kohl's (D-36-Seattle) Medical Marijuana Act, desperately needed legislation. Research overwhelmingly supports the fact: Marijuana is Medicine. As Director of Green+Cross Patient Co-Op. I have a great responsibility to more than two hundred patients, seventy percent of whom have AIDS. Also, Doctors across Washington are supportive of Green+Cross Patient Co-Op by patient referrals. We filed the initiative early to let people know that although the legislature failed these suffering patients. Green+Cross Patient Co-Op was not going to fail them and we believe that the people of Washington will support our humanitarian efforts. We want this initiative to be only about medical Marijuana and rights of the doctor patient relationship to use this therapy in the treatment of terminal and chronic debilitating diseases." Randy Comments: The above statement was made by Joanna, I do not support the initiative as currently drafted, but continue to work within the group process agreed to by all just seven days ago at the Community Meeting in Seattle. The process will continue as planned with a meeting on Sunday Feb. 8, 1998. We anticipate having a draft to circulate after that meeting and will set the next steps in the drafting process. We are on target to file the final revisions to the initiative in late February or early March. For further information call George Bakan, Chair, MEdical Marijuana NOW! 206-322-2333 Randy Chase
------------------------------------------------------------------- Yelm Man Turned In By Daughter Faces Pot Charge ('The Olympian' Says 11-Year-Old Girl In DARE Class In Yelm, Washington, Turns In Dad For Growing Cannabis - Doesn't Even Get A Bumper Sticker) From: "W.H.E.N."
To: "Hemp Talk" Subject: HT: ART: DARE kid's parent faces pot charge Date: Sun, 8 Feb 1998 21:06:20 -0800 Sender: email@example.com Yelm man turned in by daughter faces pot charge * D.A.R.E.: The man says officers at his daughter's school were just doing their jobs. The Olympian February 7, 1998 By Elise Gee A Yelm man whose 11-yearold daughter turned him in for growing marijuana in December will be prosecuted. George Phillips, 33, and his roommate, Donald Chapman, 39, were charged Jan. 30 with unlawful manufacture of a controlled substance, said Phil Harju, Thurston County senior deputy prosecuting attorney. Phillips' daughter was in the Drug Abuse Resistance Education program at Mill Pond Intermediate School. She talked to her D.A.R.E. officer, Todd Stancil, about the situation and had pleaded with her parents to stop their behavior before acting, Yelm Police Chief Glenn Dunnam has said. The girl and her sister were initially turned over to their grandmother but were returned to the home shortly after the incident and have remained there since. The mother has not been charged, Harju said. Police visited the home after the girl talked to a teacher at the school. A marijuana, growing operation and 20 starter plants were discovered in an underground room, a Thurston County sheriff deputy's report said. Stancil had said the girl probably didn't anticipate the consequences of turning her parents in. "She wishes it would have never happened," Phillips said Friday. "We've all just gotten over it and gone on with our lives." Phillips and Chapman will appear in Thurston County Superior Court at 9 a.m. Wednesday. Neither has a defense attorney yet. Although critics of the D.A.R.E. program have argued that police are grooming children to become informants, Phillips said he has no animosity toward the police. "They were doing their jobs," Phillips said. "I was doing something wrong." Elise Gee covers law enforcement for The Olympian. She can be reached at 754-4226.
------------------------------------------------------------------- US-Mexico Announce Joint Drug-Fighting Plan (Although Constitutionally, Only Congress Can Sign Treaties With Foreign Countries, 'Orange County Register' Says Clinton And Zedillo Administrations On Friday Jointly Announced New 'Strategy' That Promises Closer Cooperation On Firearms Trafficking, Extradition Of Druglords, Intelligence Gathering) Date: Sun, 8 Feb 1998 18:31:45 -0800 To: firstname.lastname@example.org From: email@example.com (Joel W. Johnson) Subject: MN: US: Mexico Announce Joint Drug-Fighting Plan Sender: firstname.lastname@example.org Newshawk: John W.Black Source: Orange County Register Contact: email@example.com Pubdate: Sat, 7 Feb 1998 Author: Jim O'Connell-Scripps Howard News Service US-MEXICO ANNOUNCE JOINT DRUG-FIGHTING PLAN WASHINGTON - The U.S. and Mexico on Friday unveiled a comprehensive drug fighting strategy that promises closer cooperation on firearms trafficking, extradition of druglords and intelligence gathering. It was released less than a month before the Clinton administration is scheduled to decide whether to renew Mexico's certification as a cooperative partner in the anti-drug war. The strategy is aimed at reducing the $50 billion flood of illegal drugs purchased in the united States each year, much arriving across the 2,000-mile-long U.S.-Mexico border. White House drug-policy director Barry McCaffrey said the next goal is for the two governments to agree on performance standards to assess the success of drug-fighting efforts. The new cooperation outlined Friday will range from sharing gun-tracing techniques and intelligence to holding a first-ever joint conference on drug addiction and treatment in El Paso, Texas, in March. The two countries also agreed to negotiate a pact to allow druglords wanted in both countries to be tried in each country before completing their sentence in either country. The United States agreed to reduce the length of export gun licenses from four years to one year. The change would give law-enforcement officials more opportunities to challenge licensees who are linked to drug trafficking, a government spokesman for McCaffrey said. The 41 page strategy is based on 16 goals that President Clinton and Mexican President Ernesto Zedillo agreed on in May. The agreement would result in real improvement in law-enforcement operations, McCaffrey said. "If we see something in Mexican airspace,we ought to let Mexico know about it. That's the kind of thing we're going to do," he said. Mexican authorities simultaneously announced the agreement in Mexico City.
------------------------------------------------------------------- US, Mexico Reach Agreement On Drug Fight ('Dallas Morning News' Says Pact, Coming After Nearly Year Of Negotiation, Lacks Specific Commitments) Date: Sat, 7 Feb 1998 21:52:56 -0800 To: firstname.lastname@example.org From: email@example.com (Joel W. Johnson) Subject: MN: U.S., Mexico Reach Agreement On Drug Fight (in two papers) Sender: firstname.lastname@example.org Newshawk: David.Hadorn@vuw.ac.nz (David Hadorn) and Zosimos
and Marcus-Mermelstein Family Source: (1) Dallas Morning News; (2) San Jose Mercury News Title: (1) U.S., MEXICO REACH AGREEMENT ON DRUG FIGHT Contact: (1) email@example.com Website: (1) http://www.dallasnews.com Title: (2) U.S., MEXICO MAKE PACT ON EFFORTS TO FIGHT DRUGS Contact: (2) firstname.lastname@example.org Website: (2) http://www.sjmercury.com/ Pubdate: Sat, 7 Feb 1998 Author: David Lagesse of the Dallas Morning News WASHINGTON -- The United States and Mexico announced an agreement Friday that administration officials and outside analysts said would help to ensure continued U.S. certification of the Mexican anti-drug effort. Coming after nearly a year of negotiation, the pact outlines broad areas of cooperation between the governments. But it lacks specific commitments and is unlikely to silence the sharp congressional criticism of Mexico's commitment, one skeptic said Friday. ``It's fine ... we should have bilateral agreements,'' said Rep. John Mica, R-Fla. ``But it's funny that their little agreement is coming as we are looking at the certification process again.'' By the end of the month, President Clinton must rate the effort of U.S. allies in the fight against drug trafficking. Congress then has 30 days to overturn the administration's assessments, a process that has led in recent years to fractious debates over the efforts of Mexico and Colombia. Colombia ranks as the largest producer of cocaine that makes its way to the United States, while Mexico serves as the leading transportation pipeline, according to U.S. analysts. The Clinton administration has given Colombia a failing grade the past two years, which cost the country some U.S. financial aid. The administration, however, approved Mexico's efforts despite widespread reports of corruption among top-ranking Mexican officials. Lawmakers concede it is nearly impossible to decertify Mexico, which shares a 2,000-mile border and is the United States' third-largest trading partner. But an embarrassing incident last year, plus continuing criticism of Mexico's efforts from the Drug Enforcement Administration, has fed a lively debate in recent years within the Clinton administration. A year ago, Mexico arrested its top drug fighter -- Jesus Gutierrez Rebollo -- on charges of taking trafficker bribes, sharpening congressional criticism of its counterdrug efforts. That incident chagrined U.S. drug czar Barry McCaffrey, who had previously embraced Gutierrez Rebollo as a champion in the fight against narcotics. McCaffrey on Friday endorsed another Mexican official who was accused of associating with traffickers. ``The Washington Times'' this week said a CIA report fingered Mexico's new interior minister, Francisco Labastida Ochoa, with ``long-standing ties'' to drug dealers when he was governor of the Mexican state of Sinaloa. ``I personally have no evidence of allegations of this nature that I would find compelling, and we have no intention of going to the Mexican government about allegations of this nature on this gentleman,'' McCaffrey said. ``We intend to work with him.'' The allegation surprised many policymakers within the administration. Several agreed with McCaffrey and said Mexico is expected to again win full certification, a finding they said was helped by Friday's agreement. Leaks of allegations against Mexico's government are becoming a regular part of the certification debate, analysts said. But John Bailey, an expert on Latin American affairs at Georgetown University, said the two countries should be applauded for their effort to work more closely together, even if Friday's agreement lacks specifics. Friday's agreement is the product of a senior-level group of officials from both countries that has met regularly over the past year. ``They've created a forum that didn't exist before for law-enforcement issues,'' Bailey said. ``Police worry about making arrests -- but the senior group is now worrying about the long-term political and strategic consequences.'' The bilateral agreement itself gives the U.S. government stronger justification for certifying Mexico as cooperating, said Peter Smith, director of Latin American Studies at the University of San Diego. ``Mexico is guaranteed certification, certainly this year and probably next,'' he said.
------------------------------------------------------------------- Mortality From Overdose Among Injecting Drug Users Recently Released From Prison ('British Medical Journal' Report Suggests Putting Addicts In Prison For Their Own Good Actually Increases Their Risk Of Death) Date: Mon, 09 Feb 1998 18:45:46 -0500 From: "R. Lake"
Subject: MN: UK: BMJ: Mortality from overdose among injecting drug users recently released from prison To: DrugSense News Service Sender: email@example.com Reply-To: firstname.lastname@example.org Newshawk: Zosimos Source: British Medical Journal Contact: email@example.com Pubdate: Sat, 07 Feb 1998 Edition: BMJ No 7129 Volume 316 Papers - Abstracts Mortality from overdose among injecting drug users recently released from prison: database linkage study S R Seaman, R P Brettle, S M Gore Abstract Objective: To assess whether injecting drug users have a higher than usual risk of death from overdose in the 2 weeks after release from prison. Design: Soundex coding of surnames and information on date of birth were used to link entry and release dates from the local prison between 1983 and 1994 with clinical data from Edinburgh City Hospital's cohort of male injecting drug users who are infected with HIV. Setting: Edinburgh City Hospital and Edinburgh Prison. Subjects: 316/332 male injecting drug users infected with HIV in the City Hospital HIV cohort; 16 were excluded because they were enrolled after developing AIDS or because their precise date of death was not available. Main outcome measure: Relative risk of dying from overdose before developing AIDS and relative risk of dying of all causes before developing AIDS during the 2 weeks after release from prison; this was compared with relative risks of death during other time at liberty. Results: 238/316 (75%) injecting drug users served time in the prison between 1983 and 1994. 33 out of 316 injecting drug users who were infected with HIV died before developing AIDS during 517 177 days at risk. 20 of these men died of an overdose; 6 of these deaths occurred within 2 weeks of release during 5903 days at risk. Death rates from overdose before the development of AIDS were 1.02/1000 days during the 2 weeks after release (recently released) and 0.029/1000 days during other times of liberty. The relative risk of death from overdose became 7.7 (1.5 to 39.1) after temporal matching (when the comparison was limited to the first 2 weeks after release versus the next 10 weeks). The crude relative risk in an analysis combining stratified prison term and the 2 weeks after release was 4.5 (1.7 to 11.7) for death from overdose. After temporal matching these risks became 1.8 (0.4 to 9.2). Conclusion: Prisons should evaluate interventions to reduce the risk of death from overdose after release. Medical Research Council Biostatistics Unit, Institute of Public Health, Cambridge CB2 2SR S R Seaman, PhD student S M Gore, senior statistician Regional Infectious Diseases Unit, City Hospital, Edinburgh EH11 3XA R P Brettle, consultant Correspondence to: Dr Gore: email: firstname.lastname@example.org
------------------------------------------------------------------- Police Frustrated By Rejection Of Money-Laundering Evidence ('Victoria Times-Colonist' Follows Up On Yesterday's News About British Columbia Judge's Dismissal Of Illegal-Drug Cases) Date: Sun, 8 Feb 1998 08:04:00 -0800 (PST) To: email@example.com From: firstname.lastname@example.org (Alan Randell) Newshawk: Alan Randell Pubdate: February 7, 1998 Source: Victoria Times-Colonist Contact: email@example.com Police frustrated by rejection of money-laundering evidence. "It gets harder and harder to get (drug cases) to court." Staff Sgt. Pat Convey. By Sandra McCulloch, Times-Colonist Staff Police have one less weapon at their disposal to fight against Victoria's growing drug problem. A B.C. Supreme Court justice has ruled the RCMP didn't comply with the Proceeds of Crime (Money Laundering) Act because they encouraged, aided and abetted the people who used a police-run currency exchange in Vancouver. Project I Spy resulted in more than 60 charges of drug sales through the Pacific Rim International Currency Exchange. The ruling jeopardizes money-laundering charges against 60 people nabbed in the sting. Victoria defence-lawyer Jeff Green applauds the court decision, saying, "It's perfectly legitimate for the police to enforce the law. But the question the judge addressed in this case is, is it legitimate for the police to go around posing as criminals to test the virtue of various citizens to find out which one of them will be willing to sin?" But local police are frustrated by the ruling, seeing one more tool snatched from their arsenal. "It's beyond frustrating," said Staff Sgt. Pat Convey of the Victoria RCMP drug section. "I haven't read the ruling or how the judgment was rendered but this appears to put us completely in limbo. "I've been doing this game for a long long time," Convey said, "and it's like 'There goes another one.' Once a drug case goes into the courts, God knows what's going to happen. There's a hell of a lot of cases being thrown out and that has pretty significant impact on law enforcement and society as a whole." Green says the police have to stop tempting people to commit crimes who otherwise wouldn't be tempted. "The police may, through their actions, actually persuade people to do something illegal that they might otherwise not have done without the intervention of the police. "We have to decide what kind of society we want to live in. I think (the judge) was entirely correct in finding that the police do not have a proper role in creating crime." Convey believes the effect of the ruling will be far- reaching. "The drugs on the street here haven't decreased - they've increased. It gets harder and harder to get (drug cases) to the courts. Then you get a decision thrown at you from out of the blue and you've no idea where it came from. "Frustrating? It's more than frustrating." Drug-trafficking isn't, as some people believe, a victimless crime, Convey said. "When you see a 14-year-old kid down there on the street and she's hooking so she can get another fix of heroin and cocaine, there's your victim. The victims are the users." Victoria may look clean and free of crime, but the crime is definitely there, he added. Victoria's drug problem "is as bad as that of any city in this country, population- wise. We've got some significant players here. The climate and everything entices them. "A lot of people we see in court are out on bail or on appeal. You just keep meeting the same kinds of people. It's a business, a sub-culture all of its own.
------------------------------------------------------------------- It's Time For Proper Debate On Marijuana (Op-Ed In 'Lethbridge Herald' Addresses Canadian Prohibitions On Both Medical And 'Recreational' Use) Date: Sat, 07 Feb 1998 09:44:36 To: Mattalk@islandnet.com From: Kathy galbraith
Subject: Art:Leth Herald:time for proper debate.. Feb.7,Sat. The Lethbridge Herald Contact: firstname.lastname@example.org Column on today's editorial page by Marlene Dean, Community Comment: It's time for Proper Debate on Marijuana There is a growing movement in Britain to decriminalize the use of cannabis for medical purposes and for personal use. The London Independent recently stated that the new Labour govt. would like to legalize the drug, but fears a backlash from the middle class. Many people still carry the "reefer madness" stereotype when it comes to marijuana, failing to distinguish this soft drug from harmful, addictive drugs such as heroin and opium. Proponents of decriminalization say the old idea of cannabis as a "gateway" drug which leads to the use of hard drugs is based only on prejudice and fear. They point to the Dutch experience. In Holland, where the use of cannabis is now legal, licensed "coffee houses" serve marijuana in edible form or for smoking to anyone over 16. A recent Dutch report shows that very few young people in Holland who use cannabis go on to take hard drugs. In fact, the use of hard drugs has actually fallen since cannabis was legalized. Also, solvent abuse and glue sniffing among teenagers is now unheard of. An editorial in a leading British medical journal, the Lancet, goes so far as to say, Cannabis per se is not a hazard to society, but driving it further underground may well be." Many advocates of decriminalization, in our own country as well as Britain, point out that the law has not proved any more effective in trying to stop the use of cannabis than prohibition was in trying to stamp out the use of alcohol. The so called "war on drugs" has simply resulted in an expanded illegal drug empire and the enrichment of criminals. The biggest irony in this whole situation is the fact that patients who need marijuana for medical purposes are unable to get the drug legally when it is so readily available on the black market. Last July, the British Medical Association voted overwhelmingly for cannabis to be made available for medical reasons. There is a large body of evidence that marijuana helps reduce tremors in MS patients and that it is useful in the treatment of glaucoma. Scientists are being frustrated in their research on the medical benefits of cannabis because its medical use is unlawful. Clearly, to deny the use of a drug which may be beneficial and have fewer side effects than those used for the same conditions seems a disservice to society. Furthermore, to block scientific research in this area is counter-productive. As the debate over the legalization of cannabis for recreational and medical purposes heats up in Britain, we can expect some ripple effects in North America, particularly in the event the movement for decriminalization succeeds. We will certainly see a growing interest here in reviving the debate over whether marijuana should be legalized. It is a debate long overdue, and it deserves good, honest argument which focuses on issues and facts rather than emotion. Marlene Dean
------------------------------------------------------------------- Missed Problems And Missed Opportunities For Addicted Doctors ('British Medical Journal' Editorial Says Britain's Current Lack Of Rehab Services Designed For Doctors Leaves Many Addicted Physicians Unchallenged, Untreated, And Abandoned) Date: Mon, 09 Feb 1998 19:02:38 -0500 From: "R. Lake"
Subject: MN: UK: BMJ Editorial: Missed problems and missed opportunities for addicted doctors To: DrugSense News Service Sender: email@example.com Reply-To: firstname.lastname@example.org Newshawk: Zosimos Source: British Medical Journal Authors: John Strang, Michael Wilks, Brian Wells, Jane Marshall Contact: email@example.com Pubdate: Sat, 07 Feb 1998 Edition: BMJ No 7129 Volume 316 Editorial MISSED PROBLEMS AND MISSED OPPORTUNITIES FOR ADDICTED DOCTORS We need a special service for doctors addicted to drugs or alcohol Every few days another addicted doctor comes to light in Britain. A report from an alliance of health professional bodies, led by the British Medical Association and published last month,(1) highlights the risk posed by such doctors to the general public and calls for better preventive education and awareness. It fails, however, to prioritise the need for improved treatment for addicted doctors.(2) This need arises from the special problems facing addicted doctors compared with other addicts and their special treatment needs, which ordinary addiction services do not serve well. Doctors are at special risk of developing addiction problems,(3-5) owing to the strain of medical practice, erosion of the taboo against injecting and opiates, and, particularly, access to supplies.(6) Once addicted, they pose a particular risk to the general public, forcing consideration of whether they need urgent removal from their work. Ordinarily, many patients with drug or alcohol problems receive outpatient treatment while continuing to work, but the same level of disability may be incompatible with medical practice. In addition, since most doctors who become addicted to drugs misappropriate them from work, removing the doctor from his or her work environment may be necessary to protect both the doctor and the public. Membership of the medical profession normally enhances access to treatment, through knowledge of providers and the old boy network, but addicted doctors face major problems in accessing effective treatment. Addiction fosters isolation and denial: when present in a medical culture that prizes self reliance and has deficient mechanisms for intervention and treatment, the paradoxical consequence is impaired access to health care. Doctors find it particularly difficult to access help for stigma bound problems, fearing breaches of confidentiality and jeopardy to their reputation, professional accreditation, and employment. The NHS reforms have further aggravated the problem with their requirement for identifying patients referred outside normal contracts. The identification of addiction problems is often characterised by crisis - perhaps following removal from the operating theatre or surgery after being deemed intoxicated, complaints from patients, or discovery stealing drugs from the workplace. The problem may be chronic, but the circumstances around public exposure give the condition an acute on chronic character. Internal investigations are often inefficient, protracted, and inhumane for a doctor who essentially has a health problem. It is easy to see why addicted doctors feel they cannot seek treatment. Nevertheless, such crises provide excellent opportunities for healthcare intervention. Providing treatment to the addict-doctor also poses challenges. Doctors have difficulty accepting the role of patient. Clinical staff may deal with addicted doctors differently - for example, treating them more as colleagues and holding higher expectations for recovery, compliance, and participation in treatment. Nevertheless, despite these complications, when addicted doctors are comprehensively treated the outcome is good.(3)(5)(7) Thus addicted doctors are deflected from obtaining help by numerous obstacles and eventually come to light through distorted routes of referral - via distraught colleagues, friends, or family seeking secret consultations or informal opinions. Existing provision, as listed in the BMA report,(1) falls far short of an accessible and appropriate and adequate service. A dedicated service for addicted doctors is now long overdue. Three distinct components of care are essential. Firstly, entry routes into treatment should be simple and well publicised and must include crisis intervention. Responding to a crisis such as police proceedings or exposure at work with a distant appointment is manifestly inadequate. Not only is it compassionate to offer urgent admission; it is also valuable to capitalise on the motivation generated by the crisis. Secondly, though immediate admission for assessment and detoxification is desirable, existing addiction units often have major difficulties in providing this care. Doctors who have committed crimes and other acts shameful to their professional standing may have difficulty sharing these episodes with a non-medical peer group. Other patients may express outrage at a fellow patient who is a doctor. The addict-doctor may therefore need treatment in a dedicated unit - probably alongside other addicted healthcare professionals. Thirdly, special arrangements for supervision and post-treatment monitoring are essential, especially if the recovering addict-doctor returns to work. Progress may need to be "policed" by a supervising consultant in liaison with the recovering doctor's employer or senior colleagues. Support systems such as peer groups(8) and counselling are pivotal factors in maintaining recovery.(9) Monitoring should include random collection of supervised urine or hair samples for analysis(10) and should generally continue for some two years. The phenomenon of the addicted doctor may shock and offend. Nevertheless, it must be addressed by both the profession and employers as an important cause of impaired performance through ill health. In America, state level "impaired physician" schemes(7)(11,12) ensure that addicted doctors are confronted, receive adequate treatment, and return to work under supervision. Other countries may feel less comfortable with such interventions, but, as the BMA report illustrates,(1) greater professional awareness at all levels and visible dedicated services will enable many doctors to avoid the tragic consequences of drug and alcohol dependence that can so affect their patients, their family, and their careers. The current lack of a dedicated service leaves many addicted doctors unchallenged, untreated, and abandoned: the BMA report's failure to deal with comment on this point is an important shortcoming in an otherwise excellent document. With good outcomes from treatment of this group (on whose training so much has already been expended), there are compelling grounds for such a development. The addicted doctor, the profession, and the general public would all benefit. John Strang, Professor of the addictions National Addiction Centre, Institute of Psychiatry, London SE5 8AF Michael Wilks, Chairman Medical Ethics Committee, British Medical Association, London WC1H 9JP Brian Wells, Medical director Riverside Mental Health Trust, London W6 8DW. Jane Marshall, Consultant psychiatrist in the addictions National Addiction Centre, Institute of Psychiatry, London SE5 8AF References 1 Working Group on the Misuse of Alcohol and Other Drugs by Doctors. The misuse of alcohol and other drugs by doctors. London: British Medical Association, 1988. 2 British Medical Association. Chemical dependence in the medical profession. London: British Medical Association, 1995. 3 Vaillant G E, Brighton J R, McArthur C. Physicians' use of mood-altering drugs: a twenty-year follow-up report. N Engl J Med 1970;282:365-70. 4 McAuliffe W E. Nontherapeutic opiate addiction in health professionals: a new form of impairment. Am J Drug Alcohol Abuse 1984;10:1-22. 5 Brooke D, Edwards G, Andrews T. Doctors and substance misuse: types of doctor, types of problem. Addiction 1993;88:655-63. 6 Winick C. A theory of drug dependence based on role, access to, and attitudes towards drugs. In: Lettieri DJ, Sayers M, Pearson H, eds. Theories on drug abuse: selected contemporary perspectives. Rockville, Maryland: National Institute on Drug Abuse, 1980. 7 Talbott G D, Gallegos K V, Wilson P O, Porter T L. The Medical Association of Georgia's impaired physicians program: review of the first 1000 physicians, analysis of specialty. JAMA 1987;257:2927-30. 8 Chappel J N. (1991) The use of alcoholics anonymous and narcotics anonymous by the physician in treating drug and alcohol addiction. In: Miller NS, ed. Comprehensive handbook of drug and alcohol addiction. New York: Marcel Dekker, 1991:1079-88. 9 Coombs R H. Drug-impaired professionals. Cambridge, Mass.: Harvard University Press, 1997. 10 Strang J, Black J, Marsh A, Smith B. Hair analysis for drugs: technological breakthrough or ethical quagmire? Addiction 1993;88:165-8. 11 Shore J H. The Oregon experience with impaired physicians on probation: an 8-year follow-up. JAMA 1987;257:2931-4. 12 Pelton C, Ikeda R M. The California physicians diversion program's experience with recovering anesthesiologists. J Psychoactive Drugs 1991;23:427-31.
------------------------------------------------------------------- Boy, 10, Found Taking Cocaine (Actually, According To Britain's 'Guardian,' Leeds Boy's Use Was Discovered By Social Workers Using Urine Tests, And Director Of Leeds Social Services Suggests Boy Was Experimenting - No Suggestion Regulating Adult Use Might Work Better At Protecting Children) Date: Mon, 09 Feb 1998 18:50:04 -0500 From: "R. Lake"
Subject: MN: UK: Boy, 10, found taking Cocaine To: DrugSense News Service Sender: firstname.lastname@example.org Newshawk: Zosimos Pubdate: Sat, 07 Feb 1998 Source: The Guardian Author: Ruaridh Nicoll Contact: email@example.com BOY, 10, FOUND TAKING COCAINE A 10-year old boy has been taken into care after social workers found out he had a cocaine habit. The social workers were ordered to hand the boy over to foster parents after Leeds magistrates' court heard evidence last week of his "abysmal" attendance record at school and his drug abuse. "This case is extremely disturbing," said Keith Murray, Director of Leeds Social Services. "It is unusual to come across a boy on hard drugs at this age. "Courts do not allow us to remove children if there is not enough evidence to show the welfare and health of the young person is at risk." A urine sample from the boy revealed the presence of the drug. Care workers said they could not remember coming across a younger child in the county who had taken hard drugs. "As a father I find this extremely worrying," said Mr Murray. "If he were to experiment too often, he would become addicted." Officials in Leeds, struggling to control the city's drugs problem, are worried about the implications that the boy's case raises. "The really worrying fact is that a person of this age could get access to this drug," said Mr Murray. "It suggests there are unscrupulous pushers who couldn't care less whom they damage." The boy told social workers he had discovered the drugs at home, a claim police have not been able to prove. Detective Chief Inspector Gerry Dickinson, head of West Yorkshire drugs squad, said the boy could have died if the drug was pure. Last month Allan Harper, a 13-year-old from Glasgow, died from an suspected heroin overdose.
------------------------------------------------------------------- MP And MEP Mail (Addresses, Fax Numbers For Members Of British Parliament And Members Of European Parliament) To: firstname.lastname@example.org From: email@example.com (CLCIA) Subject: MP and MEP mail Date: Sat, 7 Feb 1998 14:28:31 +0000 I have put lists up at the following URL's UK MPs and UK MEPs including UK fax numbers http://www.paston.co.uk/users/webbooks/mp_email.html All MEPs http://www.paston.co.uk/users/webbooks/mpemail.html Alun *** Hundreds of books on cannabis, including Marijuana Myths, Marijuana Facts, now available for purchase on-line through the Campaigner's Guide below: *** Campaign to Legalise Cannabis International Association (CLCIA) 54C Peacock Street, Norwich, Norfolk, NR3 1TB, UK Campaigners' Guide : http://www.paston.co.uk/users/webbooks/index.html e-mail : firstname.lastname@example.org "The use of cannabis ought to be a matter of choice, not of law." *** The drugtext press list. News on substance use related issues, drugs and drug policy email@example.com -------------------------------------------------------------------
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