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Federal Officials May Shut Down Overdose Prevention Centers in Manhattan

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Federal Officials May Shut Down Overdose Prevention Centers in Manhattan

As street drugs have become ever more powerful and deadly, a small nonprofit in Manhattan dedicated to preventing overdoses has drawn politicians and health officials from around the country searching for possible solutions to the opioid epidemic.

But now, Manhattan’s top federal prosecutor is warning that the group’s methods are illegal, and is suggesting that his office could crack down — and perhaps even end the effort.

The group’s strategy — known as supervised consumption — is simple, but radical: Let people use illicit drugs at special centers, under the watchful eye of nonprofit workers who can intervene if something goes wrong. The group, OnPoint NYC, said on Tuesday that its two overdose prevention centers have reversed 1,000 overdoses since they opened more than a year and a half ago, at a time when the drug supply contains the dangerous opioid fentanyl in growing concentrations.

The centers, in East Harlem and Washington Heights, were authorized by City Hall in 2021, and are the only such sites operating openly in the nation. Research on more than 100 such sites in other countries, where some have operated for decades, has found they reduce public drug use and lower mortality rates.

But on Monday night, in response to a request for comment, the U.S. attorney responsible for Manhattan issued an apparent warning that came in stark contrast to the more tolerant approach the Biden administration had been signaling toward the centers.

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“I have repeatedly said that the opioid epidemic is a law enforcement crisis and a public health crisis,” Damian Williams, the U.S. attorney for the Southern District of New York, said in a statement to The New York Times. “But I am an enforcer, not a policymaker.” Until New York policymakers take action to authorize the supervised consumption sites, he said, they are operating in violation of federal, state and local law.

“That is unacceptable,” he added. “My office is prepared to exercise all options — including enforcement — if this situation does not change in short order.”

The centers are considered illegal because the fentanyl, crack and other drugs consumed there are controlled substances, and because a federal law known as the “crack house statute” bars individuals from maintaining property where controlled substances are consumed.

In 2019, the Trump administration took legal action to block a similar center in Philadelphia from opening. The case remains in litigation. But OnPoint’s supervised consumption sites have functioned for 21 months without disruption by law enforcement and with the knowledge of local, state and federal authorities.

The U.S. attorney’s office did not immediately clarify what options it was considering, including whether it might move to shutter the centers if lawmakers did not act. A spokeswoman for the Department of Justice in Washington said that supervised consumption sites were being evaluated on a district by district basis, in discussion with local leaders, to determine “appropriate regulatory guardrails.”

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There is visible drug activity on the block around OnPoint’s East 126th Street site, and detractors have criticized such centers generally, suggesting that they condone rather than deter drug use, potentially making the problem worse.

Sam Rivera, the executive director of OnPoint NYC, rejects those arguments. The area has been a “hot block” for drug dealing for years, he said, not because he brought it there, but because it made sense to open where drug users already are.

“It is really frustrating that a health issue has become a political issue,” he said in an interview at the center. “What we know is no one ever has to die again of an overdose, ever. They’re preventable.”

In response to the U.S. attorney’s comments, Mr. Rivera said he welcomed a conversation with officials and pointed to his organization’s relationship with the city police, which he said “highlights the effectiveness of responding to this crisis with love and care, rather than enforcement.”

The main cause of the current overdose crisis is fentanyl — an opioid 50 to 100 times stronger than morphine — which has been detected in more than 80 percent of accidental drug overdose deaths in New York City. The city had 2,668 fatal drug overdoses in 2021, and 2022 is expected to be even worse once the official numbers are tallied. Statewide in 2021, 5,841 people died.

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Gov. Kathy Hochul has declared the situation a public health emergency. The state has won $2.6 billion in settlements from opioid makers and distributors, and last fall, an advisory board recommended that she use some of the money to fund supervised consumption centers like OnPoint.

She declined, citing the legal barriers. Instead, this summer she announced plans to channel the funds into other harm reduction efforts, including fentanyl test-strip distribution, syringe exchange programs, drug treatment programs and an educational podcast about drug abuse called “Addiction: The Next Step.”

“Governor Hochul is committed to aggressively tackling the opioid crisis and has invested a historic $2.8 billion in addiction services since taking office,” said Avi Small, her spokesman.

Former Mayor Bill de Blasio authorized the supervised drug use centers through an executive action shortly before leaving office, and Mayor Eric Adams has continued to indicate his support and called for more centers to be established. But the supervised consumption component of their work is funded by private donors, often people who lost a loved one to an overdose, and not public funds, Mr. Rivera said.

Far from being in the shadows, the center hosts a steady stream of officials from other states and communities that are considering establishing their own sites. Four of the five local district attorneys in New York City — all but Staten Island’s — have said they back the centers.

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The centers have street teams that clean up needles and encourage users to come inside, where they are also offered medical care, food, acupuncture, and case workers who can arrange for detox upon request. They would like to be would be open 24 hours a day, instead of roughly 12 hours a day on weekdays, Mr. Rivera said.

Other organizations that work to help drug users are seeking to open similar centers in the Bronx and other boroughs.

The National Institute on Drug Abuse, a federal entity, announced in May that it is funding a five-year study to assess the impact of OnPoint on drug users and the communities in which it operates. Rhode Island is the only state to have authorized such centers through legislative action, though none have yet opened there.

Among those who have had their overdoses reversed at OnPoint is Eddie M., 69, a former typesetter who travels almost every day to East Harlem from Brooklyn so he can inject his drugs under supervision. Because he uses illegal drugs, he asked that only the first initial of his last name be used.

Last Tuesday afternoon, he sat in a mirrored booth, so that staff members could monitor him, and prepared a speedball — a mixture of crack cocaine and street opioids — before loading it into a needle. A staff member tied off his upper arm with a blue tourniquet to help him find a vein.

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Before discovering OnPoint, Eddie would use in hallways or parks. At OnPoint, there is a crash cart filled with equipment ready to go if he loses consciousness, which has happened to him there at least three times.

It’s been months since he overdosed, though, and he said the staff at the center have taught him to be more careful about how he uses. “The people are just wonderful,” he said. “I mean, I have never experienced anything like it.”

The centers have been used about 84,000 times by about 3,700 registered participants since opening, OnPoint said.

Participants bring in their own drugs, sign in and write down what they will be using, and can smoke or inject. Outside the supervised injection area, they can relax and watch television, or get other services.

It is impossible to know how many of the 1,000 overdoses OnPoint says it has reversed would have been fatal without intervention. Because they intervene so quickly, staff members are able to handle most overdoses simply by administering oxygen. When they do use naloxone, a drug that reverses the effect of opioids, they typically inject a small dose. They have called for an ambulance only about 20 times, said Rayce Samuelson, an OnPoint overdose prevention specialist.

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In Albany, legislation has been introduced to more explicitly permit the centers and grant some legal immunity to those who operate them, but it has not passed. The City Council has also not passed legislation authorizing the centers.

Gustavo Rivera, a state senator from the Bronx who sponsored the Senate bill, has argued that Governor Hochul could expand state support to the centers through executive action alone. There are precedents, he said, such as her creation of a state agency to regulate marijuana despite its being illegal under federal law.

Ms. Hochul’s office noted that marijuana was legalized in the state before she funded that agency. In March, she said it was the city’s “prerogative” to experiment with the centers and even expand them, “but as far as a statewide policy, it’s something that we are exploring.”

“I would encourage us to be brave about this,” Senator Rivera said. He has been taking other lawmakers to tour the centers to try to convince them to vote yes. “As we do nothing, more and more people die in every corner of our state.”

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When Carter Went to the Bronx

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When Carter Went to the Bronx

Good morning. It’s Thursday. Today, on a national day of mourning for former President Jimmy Carter, we’ll look at Carter’s relationship to New York. We’ll also get details on the decision by the city’s Board of Elections not to fire its executive director after investigators found that he had harassed two female employees.

President Jimmy Carter flew to New York in October 1977 to tell the United Nations General Assembly that he was “willing” to shrink the United States’ nuclear arsenal if the Soviet Union matched the reductions. The next day, he did something unannounced, unexpected and unrelated to foreign policy.

He went to the South Bronx.

It was a symbolic side trip to show that he was willing to face urban problems. Leaders like Vernon Jordan of the National Urban League had already begun to talk about dashed expectations: “We expected Carter to be working as hard to meet the needs of the poor as he did to get our votes,” Jordan had said a couple of months earlier. “But so far, we have been disappointed.”

Carter, a Democrat, wasn’t satisfied with driving through neighborhoods dominated by desolation and despair. “Let me walk about a block,” he told the Secret Service agents accompanying him, and he got out of the limousine.

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That morning in the South Bronx became an enduring memory of his presidency. But there are other New York memories to remember today, a national day of mourning for Carter, who died on Dec. 29.

There was the high of his nomination in 1976, at the first national political convention held in Manhattan since the Roaring Twenties.

There was also the not-so-high of his nomination in the same place four years later, when haplessness seemed to reign: The teleprompter malfunctioned during his acceptance speech. He flubbed a line about former Vice President Hubert Horatio Humphrey, calling him “Hubert Horatio Hornblower.” The balloons didn’t tumble from the ceiling when they were supposed to. And his long feud with Senator Edward Kennedy simmered on.

Another New York memory now seems as improbable as Carter’s candidacy had once been: a high-kicking photo op with the Radio City Rockettes in 1973. Carter, then a Georgia governor who had taught Sunday school, hammed it up with dancers who showed a lot of leg. (The governor, joining the kick line in his crisp suit, did not.)

Carter was an ambitious Navy lieutenant turned peanut farmer turned politician, and he understood what New York could do for him. The Carter biographer Jonathan Alter wrote that the publicity stunt with the Rockettes helped bring him name recognition, as did a full-page ad in Variety that showed him in a director’s chair. The ad, and that trip to New York, promoted a push to lure filmmaking to Georgia.

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By the time Carter went to the South Bronx, 10 months into his presidency, New York was struggling to pull out of its “Ford to City: Drop Dead” abyss. But whatever hope Carter seemed to bring soon faded: A week later, during a World Series game at Yankee Stadium, the sportscaster Howard Cosell supposedly said, “Ladies and gentlemen, the Bronx is burning.”

“Somehow that sentence entered the language, though he never said that, or exactly that,” Ian Frazier explained in his book “Paradise Bronx.” “In any case, it’s what people remember.”

People yelled “Give us money!” and “We want jobs!” as Carter went by. On one ruined block, “he stood looking around, his expression blank and dazed,” Frazier wrote. “For a president to allow himself to be seen when he appears so overwhelmed required self-sacrifice and moral fortitude.”

With him was Mayor Abraham Beame, a lame duck — but not Representative Ed Koch, who had defeated Beame in the Democratic primary and would be elected mayor in November. The president and the mayor-in-waiting were feuding over Middle East policy.

Back at his hotel, Carter called it “a very sobering trip.” And as Frazier noted, the drive-by made America look at “this place that most had been looking away from.”

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Politicians stopped looking away: The stretch of Charlotte Street that he visited became a stop on campaign after campaign. “Reagan went there in 1980 to try to show up Carter,” Alter said. But the policy Carter pushed for in response to the poverty he saw — changes that effectively forced banks to provide home loans in low-income neighborhoods — worked, Alter said. “It just took a while.”

A few years later, there were more than 100 suburban-style houses in the neighborhood Carter walked through. Today the houses are worth roughly $750,000 apiece, according to the real estate website Trulia.

“He cared about people — he wanted to help people,” Alter said. “Jimmy Carter was a rural Georgian, but he had a lot of empathy for New Yorkers who needed a break.”


Weather

Today will be mostly sunny and breezy with a high near 34 degrees. Tonight, expect a mostly clear sky, strong winds and a low near 26.

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ALTERNATE-SIDE PARKING

In effect until Jan. 20 (Martin Luther King’s Birthday).



The New York City Board of Elections — which is responsible for registering voters, repairing voting machines and tallying ballots — refused to dismiss its top official after he harassed two female employees, according to a report released by the city’s Department of Investigation.

Investigators found that the board’s executive director, Michael Ryan, had “created a hostile work environment for these two employees” in violation of the board’s own policies. The investigation department added that those policies had “serious deficiencies” that limited the board’s ability “to effectively prevent and address workplace misconduct and harassment.”

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The board released a statement defending its decision not to fire Ryan, who was suspended for three weeks without pay and ordered to attend sensitivity training. The board’s statement quoted Ryan as apologizing for his actions.

“While I dispute these allegations and disagree with the report’s conclusion,” he said, “I accept the determination of the commissioners” to suspend him as being “in the best interest of the agency.”

According to the report from the investigation department, Ryan made a series of sexual comments to one female employee over several months, some of which were accompanied by physical gestures such as puckering his lips at her or touching her face with his hand.

He also engaged in a conversation with Michael Corbett, the board’s administrative manager, in the presence of the woman about what the best age gap might be in a heterosexual relationship. The two men determined that the age difference between her and Ryan would not be a problem, investigators said.

Investigators said that Ryan’s conduct had caused the woman “significant anxiety and emotional distress,” which figured in her decision to leave her job.

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Investigators also found that Ryan had made “ethnicity- and gender-based comments toward” a second female employee, including some that trafficked in racial stereotypes.

Corbett was also suspended for one week, placed on probation for one year and ordered to attend sensitivity training.

Rodney Pepe-Souvenir, the president of the board of commissioners that oversees the agency, and Frederic Umane, its secretary, said in the statement released on Wednesday that they believed the penalties Ryan was given “sent a strong message that these types of unwelcomed and insensitive comments will not be tolerated by anyone” at the Board of Elections.


METROPOLITAN diary

Dear Diary:

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I was waiting in line to pick up a prescription at a crowded Duane Reade. An older woman who was clearly exhausted left the line to sit down in a nearby chair.

When it was her turn to get her prescription, she stood up, left her belongings on the chair and went to the counter.

While waiting for the pharmacist, she turned and looked at the man who was sitting next to where she had been.

“You know what’s in that bag?” she asked, motioning toward her stuff.

The man shook his head.

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“My husband,” she said. “He died last week, and I have his remains in there.”

— Brad Rothschild

Illustrated by Agnes Lee. Send submissions here and read more Metropolitan Diary here.


Glad we could get together here. See you tomorrow. — J.B.

P.S. Here’s today’s Mini Crossword and Spelling Bee. You can find all our puzzles here.

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Carole Wilbourn, Who Put Cats on the Couch, Dies at 84

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Carole Wilbourn, Who Put Cats on the Couch, Dies at 84

Carole Wilbourn, a self-described cat therapist, who was known for her skill in decoding the emotional life of cats, as confounding as that would seem to be, died on Dec. 23 at her home in Manhattan. She was 84.

Her death was confirmed by her sister Gail Mutrux.

Ms. Wilbourn’s patients shredded sofas, toilet paper and romantic partners. They soiled rugs and beds. They galloped over their sleeping humans in the wee hours. They hissed at babies, dogs and other cats. They chewed electrical wires. They sulked in closets, and went on hunger strikes.

They suffered from childhood trauma, low self-esteem, anxiety, depression, jealousy and just plain rage. And Ms. Wilbourn, who was self-taught — in college she had studied (human) psychology and majored in education — seemed particularly attuned to the inner workings of their furry minds. A minor Manhattan celebrity, she was often called the kitty Freud, or the mother of cat psychiatry.

Cats hate change, she often noted. Even a new slipcover on the sofa can undo them. Cats are selfish. Unlike dogs, who strive to please their master, a cat strives to please itself. To mangle a cliché, happy cat, happy (human) life.

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“A cat behaves badly when it’s trying to communicate,” she told The Los Angeles Daily News in 1990. “It’s sending an SOS. It’s saying, ‘Please help me.’”

Ms. Wilbourn developed her specialty over a half-century after founding The Cat Practice, billed as Manhattan’s first cats-only hospital, in 1973 with Paul Rowan, a veterinarian. She said she was the first feline therapist in the country, a claim that is not known to have been disputed.

She was the author of six books, including “Cats on the Couch” (first published in 1982), which offered case studies to help cat lovers better understand their furry friends. She treated patients as far away as Australia and Turkey (by phone), and made house calls as far away as Maui.

“Cats have emotions,” she said. “They get happy and sad and frustrated, and, since I understand emotions in people, I understand them in cats.”

She estimated that she had treated some 13,000 cats, and claimed a success rate of 75 to 80 percent. Take Snoopy, who didn’t like to be held and played rough when he was, and ran around in circles if he was over-excited. Sobriety, a 3-year-old tabby, scratched her own skin raw. Minina bit all visitors, and had to be locked away during dinner parties. Ms. Wilbourn’s diagnosis? Single cat syndrome. The treatment? Another cat, preferably a kitten; lots of attention, but not to the kitten; and, in Sobriety’s case, Valium.

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She once treated a cat with Reiki energy healing after it had accidentally been run through the dryer.

Ms. Wilbourn’s go-to prescriptions also included New Age and classical music, recordings of whale songs and an abundance of treats, like catnip (a natural antidepressant, she pointed out). She also suggested canny behavior modifications by the humans, like having a new romantic partner feed the cat. She often recommended, in the days of landlines and answering machines, that humans call their pets and leave them cheerful messages. Her services did not come cheap. House-visits in Manhattan hovered at $400.

“If I lived anywhere besides a big city like New York,” she told The New York Times in 2004, “I’d be on food stamps.”

Ms. Wilbourn was the author of six books, including “The Inner Cat: A New Approach to Cat Behavior.”Credit…Stein & Day Pub

Carole Cecile Engel was born on March 19, 1940, in the Flushing section of Queens, one of four children of Harriet (Greenwald) and Gustave Engel, a taxi driver. There were no cats in their Queens apartment, but the family did have a canary named Petey. Carole graduated from Bayside High School and attended Albany State University’s School of Education before transferring to New York University, where she studied psychology and earned a Bachelor of Science degree in business education in 1964.

Her first cat was a part-Siamese named Oliver, whom she adopted through an ad in The Village Voice. She was working as a substitute teacher and a Playboy bunny before opening The Cat Practice with Dr. Rowan, whom she later married.

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“She was very attuned to the animals, to their emotional states,” Dr. Rowan said in an interview. “It was very unusual for the time.” As a result, their business flourished.

An earlier marriage to David Wilbourn, a photographer, ended in divorce, as did her marriage to Dr. Rowan. In addition to Ms. Mutrux, her sister, she is survived by Orion 2, a Siamese.

Ms. Wilbourn was a dog lover too, and on occasion treated canines, though she never had a dog herself. But she had definite views about anti-cat people. In her experience, she said, some of those who claimed they were allergic to cats often just didn’t like them.

“A cat is a free spirit and will not be subservient,” she wrote in “The Inner Cat” (1978). “People who derive their gratification from giving commands that others must obey can be threatened by a cat. It’s hard to assert your sense of power over a cat.”

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Port Workers Could Strike Again if No Deal Is Reached on Automation

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Port Workers Could Strike Again if No Deal Is Reached on Automation

Ports on the East and Gulf Coasts could close next week if dockworkers and employers cannot overcome their big differences over the use of automated machines to move cargo.

The International Longshoremen’s Association, the union that represents dockworkers, and the United States Maritime Alliance, the employers’ negotiating group, on Tuesday resumed in-person talks aimed at forging a new labor contract.

After a short strike in October, the union and the alliance agreed on a 62 percent raise over six years for the longshoremen — and said they would try to work out other parts of the contract, including provisions governing automated technology, before Jan. 15.

If they don’t have a deal by that date, ports that account for three-fifths of U.S. container shipments could shut, harming businesses that rely on imports and exports and providing an early test for the new Trump administration.

“If there’s a strike, it will have a significant impact on the U.S. economy and the supply chain,” said Dennis Monts, chief operating officer of PayCargo, a freight payments company.

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The union is resisting automation because it fears the loss of jobs at the ports. President-elect Donald J. Trump lent his support to the union’s position last month. “I’ve studied automation, and know just about everything there is to know about it,” he said on his website Truth Social. “The amount of money saved is nowhere near the distress, hurt, and harm it causes for American Workers, in this case, our Longshoremen.”

But figures close to Mr. Trump, like Vivek Ramaswamy, who the president-elect says will co-head an agency that will advise his administration on slimming down the government, have been critical of the union. In October, Republicans in Congress called on President Biden to use the Taft-Hartley Act to force striking longshoremen back to work.

And while the maritime alliance has agreed to a hefty raise, it may not be as ready to compromise on technology. Employers say that the technology is needed to make the ports more efficient and that they want the new contract to give them more leeway to introduce the sort of machinery that the union opposes.

To prepare for the potential closing of East and Gulf Coast ports, businesses have accelerated some imports, delayed others and diverted some to West Coast ports, said Jess Dankert, vice president for supply chain at the Retail Industry Leaders Association, which represents many businesses that import goods.

“Contingency plans are pretty well developed,” she said, but added that a strike of more than a week would have significant ripple effects that could take a while to disentangle.

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The International Longshoremen’s Association declined to comment.

The cost of shipping a container has risen over 60 percent on average in the past year, in large part because attacks on shipping in the Red Sea have forced ocean carriers to travel a longer, more expensive route and use more vessels. And if the East and Gulf Coast ports close, some carriers recently said, they will add surcharges to shipping rates for containers destined for the ports.

In earlier negotiations, the union secured a deal that would increase wages to $63 an hour, from $39, by the end of a new six-year contract. With shift work and overtime, the pay of many longshoremen at some East Coast ports could rise to well over $200,000 a year. (At the Port of New York and New Jersey, nearly 60 percent of the longshoremen made $100,000 to $200,000 in the 12 months through June 2020, the latest figures available, according to data from an agency that helped oversee the port.)

But to get those raises, the union will have to reach a deal on the rest of the contract, including new provisions on automation.

The core of the technology dispute concerns “semi-automated” port machinery that does not always require the involvement of humans. At the Port of Virginia, humans operate cranes that load containers onto trucks, but the cranes can also arrange huge stacks of containers on their own.

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The last labor contract allowed for the introduction of semi-automated technology when both parties agreed to work-force protections and staffing levels. But in recent months, leaders of the International Longshoremen’s Association criticized port operators’ use of semi-automated technology, contending that it will lead to job losses.

“Now, employers are coming for the last remaining jobs under the shiny banner of semi-automation,” Dennis A. Daggett, the union’s executive vice president, wrote in a message to members last month.

The employers want the new contract to let them introduce more technology. In a statement to The New York Times last month, the maritime alliance said it was committed to keeping the job protections in place, but added, “Our focus now is how to also strengthen the ability to implement equipment that will improve safety, and increase efficiency, productivity and capacity.”

Even with automation, hiring of longshoremen has gone up at the Port of Virginia, according to union records. An increase in the number of containers the port handles is largely behind the increase in hiring.

“The Port of Virginia is thriving with automation,” said Ram Ganeshan, professor of operations and supply chain at William & Mary in Williamsburg, Va. “They’re not mutually exclusive.”

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Some labor experts said there was a model for compromise: The union could agree to more automation, and the employers would offer solid job guarantees.

The International Longshore and Warehouse Union, which represents dockworkers on the West Coast, agreed to a contract over a decade ago that “recognized that the introduction of new technologies, including fully mechanized and robotic-operated marine terminals, necessarily displaces traditional longshore work and workers.” The union got guarantees that its members would maintain and repair the machinery at the terminals.

Harry Katz, a professor at Cornell University’s School of Industrial and Labor Relations, said a deal on the East and Gulf Coasts was possible in part because the employers were profitable enough to offer job guarantees. “I do expect a compromise,” he said.

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