HomeMy WebLinkAboutMINUTES - 03211989 - IO.5 TO: BOARD OF SUPERVISORS I. 0. 5
Contra
FROM: INTERNAL OPERATIONS COMMITTEE COSta
March 13 , 1989 �. r County
DATE: �SrA c6uK�i
STATUS REPORT ON AIDS
SUBJECT: THREE-YEAR RESPONSE PLAN
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. Request the Health Services Director to determine whether it
is feasible to utilize some of the individuals in the
homeless shelters to assist with community education on the
AIDS epidemic by providing them a small stipend until they
are able to get a full-time job and use them to contact
individuals most at risk of AIDS and provide educational
materials. Request the Health Services Director to report
his findings and recommendations back to our Committee when
he makes his next quarterly report on the AIDS program to
our Committee.
. 2 . Request the Health Services Director to attempt to do more
in the way of education that is culturally appropriate with
those in the community who are intravenous drug users.
3 . Request the Health Services Director to determine what needs
to be done in the way of ordering AIDS testing for persons
who are convicted of various sexual and drug abuse offenses
and determine what additional resources the Health Services
Department would need, and report his recommendations back
to our Committee on Monday, April 10, 1989, at 11 : 15 A.M.
4. Request the County Administrator to ask the District
Attorney and County Probation Officer to meet with our
Committee on April 10 at 11: 15 A.M. and share with our
Committee their suggestions for ways in which the Courts can
be encouraged to order AIDS tests on persons convicted of
various sexual and drug-related offenses.
5 . Leave this matter on referral to our Committee.
CONTINUED ON ATTACHMENT: X_YES SIGNATURE:
RECOMMENDATION OF CO Y ADMINISTRATOR X RECOMMENDATIO OF BOARD COMMITTEE _
X APPROV O ER
SIGNATURE(S): Tom
Po s ` Sunne Wright McPeaOk
ACTION OF BOARD ON March 21 , 1989 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
County Administrator
CC: Health Services Director
ATTESTED
Public Health Director PHIL BATCHELOR,CLERK OF THE BOARD OF
District Attorney SUPERVISORS AND COUNTY ADMINISTRATOR
County Probation Officer
BY dwaIJ_'DEPUTY
M382 (10/88)
' f
Page 2
BACKGROUND:
On November 29, 1988, the Board of Supervisors referred to our
Committee the Health Services Director ' s Three-Year AIDS Response
Plan for continuing oversight. On March 13 , 1989, the Health
Services Director and members of his staff met with our Committee
and reviewed the attached report. Mr. Finucane noted that one of
the greatest problems with which the department is dealing
currently is the volume of legislation on the subject of AIDS
testing, some of which is overlapping and some of which
contradicts other legislation. Either the Legislature or the
Courts will have to resolve these discrepancies.
Supervisor Powers expressed his concern about the spread of
sexually transmitted diseases, including AIDS, through the use of
dirty needles by drug abusers. Mr. Powers asked whether the
Health Services Department would have the capacity to do
additional testing if the Courts were to make such testing a
condition of probation. Dr. Brunner noted. that the Department
receives $39 . 00 for each case where they do counseling and
testing on the condition that such testing is anonymous. If.
testing were to be done under conditions where the results would
be made known, the Department would receive no State funds and
presently does not have sufficient funds to finance such a
testing program.
Our Committee would like to know what it would take for the
Health Services Department to be in a position to do more AIDS
testing on those convicted of various sexual and drug-related
offenses. We would also like to know what advice the District
Attorney and County Probation Officer can offer in terms of how
we can get more AIDS testing ordered by the Courts.
Supervisor McPeak suggested the possibility of making better use
of the residents of our homeless shelters to help provide
community education to the at-risk population by distributing
materials which are designed to attract the interest of
individuals who are intravenous drug users.
Mr. Finucane also noted that he wants to start doing drug testing
at Merrithew Memorial Hospital for all OB patients in an effort
to gather statistics on how widespread the drug problem is among
pregnant women.
Q
CONTRA COSTA COUNTY
HEALTH SERVICES DEPARTMENT
AIDS PROGRAM
Progress Report
November 1988 - February 1989
PREVENTION EDUCATION ACTIVITIES
• Coordination For all agencies in the county providing AIDS
educational programs in the county; including
AIDS Task Force, Familias Unidas, Planned
Parenthood, Martin Luther King Jr. Family Health
Center, and Labor Occupational Health Project at
U.C. Berkeley
s Technical Provided resources and assistance to community based
Assistance organizations in development of AIDS services and
proposals for funding; including Metta Vihara
(funded by the State as an AIDS residential
shelter), Familias Unidas, Martin Luther King Jr.
Family Health Center and East Bay Perinatal Council
• Minority Community Recruiting Black and Latino health educators to
Outreach build the capacity of the ethnic minority
communities to conduct AIDS prevention and
education activities in West, East and Central
County
Grant awarded by Northern California Grantmakers to
support this activity with the Latino communities
in East and Central County
• Organized WeCAN Provided ongoing staff support to the West County
AIDS Network (WeCAN) which includes 18 community
based organizations in West County mobilizing in
response to the AIDS epidemic
Street Outreach Distributed lifesaver kits and information to those
at high risk of HIV infection due to drug use and
unsafe sex. Three Community Health Outreach
Workers. who are recovering addict/alcoholics have
contact 180-200 individuals and distribute 2,500
kits each month.
• Work Alternative Inmates with the Sheriff's Work Alternative Program
Program assemble "Lifesaver Kits" for distribution
throughout the county by outreach workers, the
Sheriff's Department "Health Kits" available upon
release from the detention facilities, and "Love
Kits" distributed to WIC clients. These kits
contain bleach, condoms and health education
materials.
AIDS Program Page 2
Progress Report
• Training School Training provided in conjunction with the County
District Personnel Office of Education in districts that have adopted
AIDS curricula:
Richmond Unified School District- Jr.and Sr. High
School teachers (25) received training; staff
support to elementary curriculum advisory committee
Multi district training for Mt. Diablo, Martinez,
John Swett, Pittsburg and Antioch (150 teachers)
County Special Education resource specialists (15)
• Training at Drug &- In conjunction with Drug and Alcohol Program
Alcohol Programs Administration, present education for staff and
clients
Coordination of the AIDS Resource Network which meets
quarterly to provide resources and support for drug
and alcohol staff in programs throughout the county
• Information Resource library including videos, brochures and
Clearinghouse training materials; materials are available for
distribution or loan to organizations and.
individuals; complete listings of available
resource materials have been distributed at all
trainings to staff of county and community agencies
Produced brochure on county AIDS Program and. services
to increase visibility and promote awareness
AIDS Prevention Trainings provided to:
Probation Department: staff and clients
Sheltered and incarcerated youth
Sheriff's Department:.
detention facility staff
inmate education at Marsh Creek and MDF
- , Social Services Department staff
- Conservatorship/Guardianship Program staff
- WIC staff and clients
- Employers, churches and community organizations
- Community College staff and. students
AIDS Education and Training for Health Care Professionals:
An interdisciplinary faculty team including a physician, nurse,
dentist, and mental health specialist have been hired and are
developing trainings and resource materials for health care providers
in this county. The goal is to increase the number of providers
willing to care for HIV infected individuals as well as to train and
support them in patient care issues.
Trainings for county medical services staff (Residency Program,
hospital and clinic nurses, public health nurses) , community providers,
and community leaders/policy makers are currently being provided.
AIDS Program Page 3
Progress Report
COUNSELING and TESTING SERVICES
The county does HIV testing for three different reasons. First, we
test for diagnostic purposes. This is done at Merrithew and at county
clinics by physicians who want to test patients with symptoms of AIDS.
Second, we test to screen and educate those who might be at risk for HIV
infection. We are able to counsel those people one-on-one about ways to
reduce their risk. We do this kind of testing at all Sexually Transmitted
Disease (STD) Clinics and at Alternative Test Sites. Third, 'we test as a
surveillance function: to determine the rate of infection among certain
populations in the county and to see how the rate changes over time.
At three Alternative Test Sites - in East, Central and West -County - in
1988, we tested 3,100 people; of whom 3.9% were infected. Of the gay men
who came in to be tested, 23% were found to be antibody positive. We have a
Spanish-speaking counselor at each of these sites.
In STD. clinics, in 1988, we tested 825 STD clients. Of those nine were
found to be HIV infected. Three of those were women of childbearing age.
At Merrithew and county primary care clinics, in 1988, 977 HIV tests
were done. Of these 79 (8%) were found to be HIV infected.
Our testing for the purpose of determining seroprevalence is a part of
a nationwide CDC-designed and funded study. Since July 1988 we have tested
approximately 2,000 serum samples from selectedclinics sites. Results of
these tests are not yet available.
EPIDEMIOLOGY
AIDS case statistics:
Cumulative through February 1989 - 285 diagnosed cases
Total new cases in 1988 - 86
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AIDS Program Page 4
. Progress Report
PATIENT SERVICES
AIDS/ARC Case Management: The AIDS Program with funding from the State
Department of Health. Services is developing a comprehensive service
system for persons with AIDS and AIDS-Related Conditions including
in-home skilled nursing care, attendant care, hospice care,
psychosocial services, assistance' * in applying for financial aid or for
social services, referral for medical and mental health services,
subsidies for housing and food, and assistance in obtaining appropriate
living accommodations and volunteer services. The case management team
includes a Public Health Nurse Case Manager, Social Worker, Clerk and
the support of a Program Specialist.
In the current contract year the project has provided nurse case
management and home care services to 60 persons with AIDS or ARC.
The following are characteristics of the current caseload:
Payment sources:
42% Medi-Cal recipients
8% Medicare
42% Private insurance
8% Other
Ethnicity: Total 32% ethnic minorities
3% Asian
20% Black
8% Latino
1% Native American
Support groups:
Provided for patients, families, friends, and grief support
Coordination by AIDS Program staff volunteer group facilitators,
AIDS Program Page 5
Progress Report
DEVELOPING ISSUES
• Court Ordered Testing
New legislation in California, including Proposition 96, for the
first time requires HIV testing of certain people without their
_ consent. Because the laws are overlapping, sometimes contradictory
and require the creation of new policies and procedures for the
D.A. 's office, the courts, and the Health Services Department, a
great deal of time and manpower have already been spent on these
issues.
The legislation requires the Health Services Department to provide:
- counseling to crime victims on AIDS risks and legal rights;
- testing of individuals charged with crimes;
- counseling of defendants and victims when given test results;
- new clerical procedures assuring that test results are sent to the
correct places depending on the new law under which the test was
mandated;
- long-term storage of serum samples; and
- educational programs for those convicted of certain crimes.
• Day Care Center
The AIDS Community Network, a community-based- organization, is
developing a day care program for individuals with HIV disease unable
to be at home without support. This center would. provide much needed
respite care. The availability of space at Brookside Hospital is being
investigated. This project needs county funding and program support
for start-up with decreasing need for funding in subsequent years.
• Block Granting AIDS Funds
There is a move at the State level to block grant funds for AIDS
services to the counties. Funding would be used for all AIDS services
in the county provided by health services departments and
community-based programs. Planning and dispersal of the funds would be
the responsibility of the AIDS Program with involvement of an advisory
board. This is being proposed without provision for the increased
administrative costs for the county programs. The work involved in
program development and monitoring of funding and services will as
currently put an impossible burden on the current resources of
the AIDS Program.
AIDS Program Page 6
Progress Report
• AIDS Prevention and Follow-up Center
In conjunction with Solano County the AIDS Program applied for State
funding for an AIDS Prevention and Follow-up Center to provide case
management with an emphasis on long-term behavior change for HIV
infected individuals who are asymptomatic. We were not funded at this
time. Funding was based on the caseload in each area with 6 centers
funded; we were 7th in numbers of cases.
This vital link in services between a positive test and symptomatic
disease would allow support for behavior change as well as
coordination of services for HIV infected individuals and their
families. We plan to reapply when new funding for this program
becomes available.
Diminishing Resources for AIDS/ARC Case Management
There is an overall cut in direct patient service anticipated by the
State Office of AIDS for fiscal year 1989-90. This year we have
received an augmentation for case management and have been able to
expand the caseload and provide needed assistance with food, housing
transportation and home care services. This capacity will be reduced
by at least $60,000 in the next year (from $216,00 to $155,000) .
Preliminary data indicate that the case management program
is effectively decreasing the average length of hospital stays for
county AIDS/ARC patients by as much as half. This will be studied
closely in the next quarter to determine the extent of these effects
on county services and what appears to be the cost effectiveness of
developing this case management model for all HIV infected
individuals.
Contra Costa County
AIDS Program S TPORT (GIRDUS
These sVport groups now available:
--GRIEF GROUP (for anyone whose love one(s) has died from
AIDS or ARC)
--PEOPLE WITH AIDS/ARC
--SPOUSES/LOVERS OF PEOPLE WITH AIDS/ARC/HIV+
--PARENTS OF PEOPLE WITH AIDS/ARC/HIV+
--FRIENDS OF PEOPLE WITH AIDS/ARC/HIV+
--HIV+ MEN
--HIV+ WOMEN
bbr information about these groups or other groups now forming,
contact:
THE CONTRA COSTA COUNTY AIDS PROGRAM
(415) 646-1240
FREE
ANTI BODY TESTI NG
ANONYMOUS
The AIDS Antibody Test will tell you whether you have been
infected with the virus that causes AIDS.
No appointment is necessary. Counseling is included. 12 years
and older.
CONCORD: RICHMOND:
Tuesdays, 1-9 p.m. Wednesdays, 6-8:30 p.m.
2355 Stanwell Circle 39th & Bissell
PITTSBURG:
Thursdays, 5:30-8:30 p.m.
340 Black Diamond
Contra Costa County, Health Services Dept., AIDS Program
Call us if you have questions about AIDS or testing:
646-1240
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Contra Costa Times, Friday, January 22, 1988, Page 3A
Ex-drug p is dealing
`lifesaving' anti-AIDS - kits
By Rachele Kanigei
Staff writer
CLAYTON — When Dan Rose says distributing Contra Costa County offers anonymous free
bleach and condoms to drug abusers will help stem AIDS testing at:
the spread of AIDS, he knows what he's talking CONCORD: 1 to 9 p.m. Tuesdays, 2355
about. Stanwell Circle
Rose, a recovering alcoholic at the Diablo Valley RICHMOND: 6 to 8:30 p.m. Wednesdays,
Ranch,-a-residential-substance abuse program here, 39th and Bissell streets
has dealt and used drugs up and down California. P TTSBURG: 5:30 to 8:30 p.m. Thursdays,
Now, after five months at the recovery ranch nes- Marina Community Center, 340 Black Dia-
tled in the Clayton hills, Rose is assembling pack- mond Street
ages of condoms, bleach and AIDS information for
public health workers to pass out at the County Jail,
in detoxification centers and on the streets of East "Sometimes they `harrumph' you, but most peo-
and West County. pie I talked to were very open and accepting."
"They should get a million of these and drop ,as he gets to be better known among drug-users
them out of a plane over large cities," Rose says. in East and West County, two areas where drug use
"This kind of information will help people save their is high,Jamerson will start passing out kits in parks,
own lives." in front of liquor stores, in streetwalkers' territories.
County officials hope the kits will deter people "I have to be accepted. I have to be seen enough
from engaging in unprotected sex and sharing nee- to be trusted."
dles for intravenous drugs — two activities blamed If anyone questions his credibility, Jamerson can
for the spread of acquired immune deficiency syn- prove he knows his stuff.
drome. A set of railroad tracks is tattooed on the inside of
As of the end of last year, 173 Contra Costans had. his right arm—a testament to the drug life he gave
been diagnosed with AIDS. Of those, 131 are gay or up 81h years ago.
bisexual men, nine are intravenous drug users and. Jamerson encourages drug users to clean their
another nine are gay or bisexual men who use intra- "outfits" or"works" —the street lingo for syringes
venous drugs. The rest are hemophiliacs, blood —with bleach after they shoot up.
transfusion recipients and sex partners of people in "'Phis way they'll be ready for the next time."
the high risk groups for AIDS. Jamerson and the other public health outreach
The AIDS prevention kits,sealed in zip-lock plas- workers encourage drug users to seek treatment,but
tic bags, include a condom, a 1=ounce bottle of they don't try to force people into giving up their ad-
bleach with instructions on cleaning needles, hand- diction.
outs on AIDS and using condoms and a roll of Life- "We realize the ideal is that people don't use
savers candy. drugs,".says Fmncie Wise, director of communicable
disease control for the county health department.
Why the Lifesavers? "But we live in the real world and people do use
"They take the stigma away from handing out the kgs It's the same as when we say to teen-agers
bleach and the condoms," says Dale Jensen, a pub- that abstinence is a choice, but we give them infor-
lic health worker. "They're kind of an ice breaker." mation on contraception if they choose not to ab-
Recovering drug and alcohol abusers at three stain."
substance abuse centers in the county are assem- Recovering addicts at the Diablo Valley Ranch say
bling 6,000 of the "lifesaver" kits this month. drug users are beginning to get the message about
"It makes people feel like they are giving back AIDS
something to the community and it reinforces the
AIDS education we've been doing," Jensen says. Dave Sylvia,a 41-year-old Roseville man who quit
"They were once at risk and some of heir friends using.drugs a couple of months ago, says he started
are still at risk." cleaning his needles in the last year on the advice of
County workers started passing out the kits this an AIDS testing clinic counselor.
But even after I knew, I sometimes used needles
week:
without cleaning them. When people are on drugs,
Dave Jamerson, a public health worker, says hedon
was posting sign for the county's new AIDS testing he then needle, alla you wane the t isdanthe�When you're using
clinic in Antioch on Monday when several people ap Rose says he wishes he had known about flushing
proached him. needles with bleach back when he was shooting up..
"People asked me what I was doing, so I started "If I had known, I would have cleaned my nee-
in on my safe sex education.line and presented them dies," he said. "Not putting this information out is
with kits. It was the perfect opportunity. like letting people commit suicide."
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8—SUNDAY Daily Eedger - Post Dispatch. January 22, 1989
.CIAIIDS
From page 1 n ss cards '
e , along with brochures mg to pay for heroin, diapers for
and a small roll of Lifesavers can- her infant daughter, and food for
always uses a condom with her dy. theother children and her boy-
customers, and never shares nee- Peters, 32, says that on some friend.
dles, not even with her friends. days, he hands out 75 to 125 of the "I don't work without a Gonda
According to county health de- packets in a single 90-minute stop and I stay drug free when I m
partment statistics, 163 people in in Pittsburg, and his co-workers pregnant, because I love my chil- {
Contra Costa had died by the end say 300 packets per week is aver- dren," she says. { Anyone whero resved a.blc
of 1988 of diseases associated with age. In Antioch, the population of About 150 heroin addicts working C
the AIDS virus,including cancers, addicts is not as concentrated, so to get off the drug with methadone Women who reserved,artlt
pneumonia and other fatal condi- they are difficult to find, he says. treatment are counseled monthly
tions. A total of 263 cases have "It takes a while to get the peo- on AIDS prevention at a Pittsbrug Women who are contemp
been diagnosed, and of these, at pie's trust," says Soberal, 29. clinic, according to Robin
least 40 are in East.County. "You're just out there,givin'them Kuypers-Witte, clinic director for Ariyono who suspects the
In response to the caseload and bleach and condoms and urging Bay Area Addiction Research and intravenously or through
the need for public education about them to get tested.There's a lot of Treatment, Inc.
the disease,Contra Costa-County's fear out there." The clinic has a county contract :Men who have had sexua
Health Services Department has The free condoms and bleach are to help its clients get off .heroin protection srncre 1.979.:
split its communicable disease di- a big help,Julie says,and so is the with cont<olled doses of meths-
vision to form a separate AIDS free advice given out by the out- done.Since they were needle users :Women who have hail se
Program with 25 staff members. reach workers, in the past,Kuypers-Witte says her
The program's coordinator, "We listen to them, and we use clients are at high risk for the vi- -Recent rnimigrants frpm l
Rusty Keilch,says a library of bro- the bleach. I could go into my rus.
chures and videotapes about the house right now and find five emp- "That's going to be the next pop- • Intravenous crug users,
disease are just part of the pro- ty bleach bottles," she says. The ulation that's hit with it, I think.
gram. Keeping statistics on the kits are limited to two per person Then it'll hit the heterosexual com- -Men or:women who have
number of people in the county per day, she says, so she and her munity. But if it doesn't, then that the tast.t;O years
who have been diagnosed with the boyfriend bring home four each means we've done a good job at
disease and operating three cen- day from the street counselors who prevention," she says.
ters for free, anonymous testing work the streetcorners and soup Still,no one can force someone to r...
are also under the AIDS Program kitchen lines in Pittsburg. take an AIDS test,and people who
umbrella. Soberal says that besides distrib- are unaware they carry the virus .
Physicans and clinics are re- uting condoms and bleach,he and may be spreading it unknowingly. i
quired by law to report cases of his colleagues answer questions "You have a group here of peo- ; Free,and anonymous AIDS
AIDS to the county,but do not have about how the disease is trans- ple that are scared to death," and ' open to anyone 12 years
to report cases of people who are ferred, its warning signs, and may not want to get the test, she
carrying the virus, Keilch says. where free testing is available. says. "They're thinking, `Why In Pittsburg Thursdays f
But for the nearly 3,000 tests re- The simplest advice is safe sex,So- have another thing to worry Manna Ge.
corded at the three county-run test beral says. about?' Our clients have denial In�oqcb� Tuese3ays frc
sites in 1988,23 of the positive diag- "It's up to us to make condoms about many things, and AIDS is
noses were from people who identi- popular out there.Condoms can be one of them. Our main goal is to In fiichmorrd Wednesda
fled themselves as East County fun," says. counsel around that denial," she r
39tt.St ane
residents. Bell,38, says one of the hardest says.
A testing center at the Marina things he's had to do is tell a Pitts- Less than two blocks away from r
Community Center in Pittsburg burg man about a positive test re- the clinic, the East County Rape
operates one day a week, but salt,and explain what it meant."I Crisis Center on Railroad Avenue
Keilch says some East County peo- wanted to fix it for him, but I also distributes free condoms and
ple may be traveling the extra dis- couldn't. It was real sad, and by bleach,according to Executive Di-
tance to the Concord test center to that time, there wasn't anything I rector Victoria Porter. I Tlie::AlE3S program Cants:
avoid being spotted by neighbors. could do for him." "There is a lot of call for it. I'm Department:646 14t3
Still,the numbers in East County Julie knows she is at risk, but real surprised that so many of r
are increasing with other areas, claims she must work to supple- them have the information. Thei Contra Costa Ccr,nty AID
she says. Because homosexuals ment her welfare check and sup- main thing they ask for is the r
were counted among the first port her three children. bleach," she says, since many of ` SmemDintraQostaArpsiasktome
cases of AIDS,they generally have "There are a lot of girls out there the prostitutes who get help from
more information on how AIDS is working that have AIDS, and they the center also use intravenous
spread.But that information is dif- do drugs," she says. "They just drugs. streets need that immedi
ficult to come by on the streets. don't care anymore." Porter says that contrary to
So for the past year, three men Used needles are readily avail- what many people might think, "They could just set up
have been visiting crack houses able downtown for $1 or $2, and many of East County's prostitutes on Sixth Street,for a coup-
and soup kitchens primarily in many are so dull from over-use are conscientious about using con- They would get a lot of pc-
Pittsburg
ePittsburg and Richmond to distrib- that addicts sharpen them on the doms with their customers. there," she says.
ute condoms and bleach. Julie is matchbook covers, she says. "I think there's a lot of concern, Both warn that AIDS ir:
just one of hundreds of people who Julie says a Valium habit while particularly on the part of the moved from one group to
depend on them for AIDS preven- she worked as a bartender led her women," she says. but without a cure, the
tion. to prostitution to pay for the pills, For the future, Bell says treat- may seem endless.
Jose Peters. Gilbert Soberal and and heroin followed later. To sup-- ment on demand for drug addicts "It's not something tha
Vince Bell are recovering drug ad- port her drug use, she decided to will get many off the streets and to go away.It's going to g
diets themselves, and work full take men up on their offers of mon- decrease their danger of_contract- This is the new plague. T
time for the county to give accu- ey in exchange for sex. ing AIDS. A less-expensive but says a plague is going to c
rate information about the disease She wants a fourth child, and controversial idea is=exchanging wipe us out. This is it,-"Ji
ta. people at risk. says she will kick her latest heroin clean needles for dirty ones now 0ur babies are being.bor
lear plastic packets with the habit so the child won't be born used by the addicts, ramous people who n�
endoras and Lleach are their bust- addicted. She needs to keep work- Julie sass the.people on the dr-gs are dying Froin it. 1
i
Police take -
k N 7:i:xdacwMe k.h .i: -k cs .r+a+ h -
t '
precautions
s �o� c against AIDS
is
I Jill Haynes
b st
5
rcff wntar
A
............�Jis,i4h
-s4
r
Atiy - ---------
wv3an rec+e r a Ea o iransiusu�n bstvaeen 197y and mid 1985 ..Pr1TSBURG. — Police officers
4 and�paramedics are often the first-
pow.
Feaenred arhfrai tnsemrnattoct t�etweerr tgar►d mx 1985 on the scene of accidents or violent•
WAY
a...r. �::::;:::':::::;::::::
-:7::;;:.::: ..:.::tea:.,.:= a:=........ .....:..:.......:.; crimes;and the also run the risk
``'ttllnrnan yytra are......... Iseegt n orwho ares.current{y pregrtar r of conacting communicable dis=
es, includin AIDS.
Anyarre ........
ecs#he} have been eaepased t�AIDS disease moves from the
As the
f
tntravenatlsly or;tttrouh sex, homosexual population to drug ad-
diets and.prostitutes, police in ev
h ivlerswho gave had sexual contactvyfi another rnan withaul ery city run a greater risk of
proteetrcrri:sErtee 1:979 contracting.the virus from crime
Ursmen wtio
'h
victims
sexual contact w�ti� bEsexual rnen since 'suspects.
1975 t1m3Pittsburg,..poli carry pro-
tective gear to shield them from
Recent tmcrr�grants;from Hartle or centtat Atnca and their sexual partners disease the same:way they wear
G lnttavenous dru users bulletproof.veststo protect them-
g: selves from gunfire.
Men or women was have taad sexually transmitted diseases w�utirn Lt.William Hendricks said each
I ttxs last itZ years glove compartment trol car has.lagloves trunk.along
with a protective-plastic mask for
i; officers to:,perfocardiopulmo-
.
` — nary resuscitahonccident or .
. k ( crime victims use both,
for,their saf ENUA of others,
T r-•.. c.-- - �214n"
.... ,.T'`x^ ., =m_.:--...'ii1:r':�Q _^..E��lt � '
rsnse � h@..Said_ _
_ Althth
ere; wntten,
otlgb_ Po-
y
„ ,_::::..�. -:,-�.__ _ ,-t_ OII What;. s�'ould d:to-
1i
. ,::::rr:,:=�'r.=,--.>•c"—�-•a+.-__"--tip........:•....-.=.�_.....
cY
` rtg�lrss�tranxS protect:theaiseles endric�s
a = 1 said the.city~ ot;the pro-
atm
Kr .,�
m tWO.
years:as a po measiu�e- .
moi' , S• -Y�3—..�7� �f':y. 2 :' a .-n ` _w 54;
regularlywhelYi
---.�.=•. :.- who:have and�to.
pi-_
-
ro e
f t e OxIC:::.
.L:
- sta .d "ties�arrest nce's
-'•�::`:''':'iia:�:.=.'g'="`l: '
• � __.__. .:,__............� .::", _ But office •no�•alway&_
Jhave time to put- oa the.gloves
f � « ,, s _ when they arriveWNW ,
scene of an
mg7 arrt�f:ontrn Gastn ....... >i s acadent;. soj most have�ztakea to-
...............
o'. .
ffepaorhaiI � a wearing and mthick leswmte>»,;,, isr
x ti a., M.-
Oarrtra CasfahF�A1DS`Tass thicker so.protect'`
sarc�c+sruraCase�rsto,e� } s► nra�aa„ ew�,»
them m the occasional bite,
scratch, or needle stick1hat may
transfer blood to the officer from
someone carrying the virus.
streets need that immediately. thing that can kill anybody" If officers fear they have been-
"They could just set up a booth "The virus does not discrimi- exposed to the virus,free tests are
on Sixth Street,for a couple hours. nate. You can be Arnold Schwar- available through the department,
They would get a lot of people out zenegger and stilt get it it," says and the results are kept confiden-
there," she says. Bell tial between the physician and-the=
Bothwarn that AIDS may have Realizing thatanyone is suscep- officer; Hendricks said.-
moved from one group to another, tible to the disease is. often the County health department-staff'
but without a cure, the suffering hardest step to take, according to members specializing in AIW
may seem endless. Keilch. education have-trained police ani
"It's not something that's going `We're the people who work with firefighters on how to protect'
to go away.It's going to get worse- this every day. But I grew a lot themselves from the deadly virus:.
This is the new plague. The Bible when I noticed a case where some- AIDS Program Coordinator
says a plague is going to come and one similar to me was diagnosed Rusty Keilch said schools and busi-
wipe us out.This is it," Julie says. with the virus. They were not in a nesses can also request training
"Our babies are being born with it. risk group at all- You realize then seminars,videotapes or brochures
famous people who never did that no one stands outside it,"says on-how to prevent and understand
.irugs are dying from it. It's some- Keilch. the disease.
�,
MMI. - 5 � :alp
a ,
-Minor o�fenders w
orkosentence
-by participatmgIn AIDS campaign
became. a community service sentence — and
W'Joan Rlgdon distribution doubled to 4,000 a month.
Spud
to The 7Yburr
. Depending on who's been sentenced,the faces
MARTMEZ — When Al was arrested for on the crew change all the time. But they work
drunken driving, he was sentenced to a year of much faster than Jenssen expected.
traffic school and a few days of community sere- "They're really dedicated,"she said."They're
ice.He thought community service would probably really working."
mean picking trash up off the sides of the freeway. The assembly line meets in a small house
But because he has special medical needs, he owned by a drug program. While Al and his co-
got a "light duty" community service sentence: workers bottle and label bleach in the kitchen,the
four days of working for the Contra Costa County rest of the workers sit in the living room, patting
Department of Public Health, putting together . the kits together.
"AIDS packets" containing bleach and condoms. The living-room floor and coffee table are
Al, which is not his real name,is the"bleach covered with bleach bottles,condoms,Life Savers
man' on an assembly line made up of people- candies,.and cards printed with information about-
charged with misdemeanors such as driving with a . AIDS.Everything winds.up In a ztpvlock sandwich
suspended license. bag the Life Savers reinforce the idea that using
Wearing rubber gloves and-old sweats condoms and cleaning n saves lives..
=blotched with.white stains, Al bottles bleach in While they work,they preview and.comment
two-ounce containers. Other people label the bot- on AIDS videos that.the county is. considering
tles with instructions on how to use bleach to clean showing to schoolchildren.
drug syringes Then the bottles are put in sandwich - "I don't mind doing it," said another,of the
bags with condoms and. information on. AIDS. workers,the man.in charge of the mss._He is
Working once a week from.8:30 a .to 5 pm.,the- sitting on a tattered sofa,counting out condoms in.
crew assembles about 1,000 kits. . threes and putting them into kits. "As Iong as it's.
The sentence came as surprise to AL going to help people keep from getting it, I thinY.
"Pm glad I got this,"he said,"because first of. it's swell"
all, I learned about AIDS." While Jensen is In charge of the county's
Pointing to a pile of-filled.bottles,he said he AIDS outresch.program,she doesn't actually man-
fills close to 1,500 bottles of bleach each day. • age the assembly line. That's one of the jobs of
"If I can just save three lives by doing that— Catalano Scotto,a county AIDS educator.When the
or just one life then I'm contributing,,"he said assembly line meets,Scotto chats with the workers
"Pig up paper on the freeway is for beauty,but and gives a demonstration of the durability of
this is for saving lives." condoms.
Contra Costa County has been distributing "Now you see I have nails," Scotto said,
AIDS packets for the past year at the rate of 2,000 stretching her hand inside the condom and moving
a month, according to Dale Jenssen, an outreach it around to show the condom isn't breaking.
specialist for the department's AIDS program. Scotto blows the condom up while Its still over her
When it first began, the program was ran by hand, so her hand can move around inside it
volunteers.But last July,assembling AIDS packets_ without touching the walls