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COMMITTEE ON GOVERNMENT OPERATIONS
JOHN CONYERS, JR., Michigan, Chairman CARDISS COLLINS, Illinois
FRANK HORTON, New York GLENN ENGLISH, Oklahoma
ROBERT S. WALKER, Pennsylvania HENRY A. WAXMAN, California
WILLIAM F. CLINGER, JR., Pennsylvania TED WEISS, New York
AL MCCANDLESS, California MIKE SYNAR, Oklahoma
HOWARD C. NIELSON, Utah STEPHEN L. NEAL, North Carolina
DONALD E. "BUZ” LUKENS, Ohio DOUG BARNARD, JR., Georgia
J. DENNIS HASTERT, Illinois BARNEY FRANK, Massachusetts
JON L. KYL, Arizona TOM LANTOS, California
CHRISTOPHER SHAYS, Connecticut ROBERT E. WISE, JR., West Virginia PETER SMITH, Vermont BARBARA BOXER, California
STEVEN SCHIFF, New Mexico MAJOR R. OWENS, New York
CHUCK DOUGLAS, New Hampshire
LARKIN I. SMITH, Mississippi
JULIAN EPSTEIN, Staff Director
HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE
TED WEISS, New York, Chairman HENRY A. WAXMAN, California
LARKIN I. SMITH, Mississippi NANCY PELOSI, California
PETER SMITH, Vermont DONALD M. PAYNE, New Jersey
FRANK HORTON, New York
PAMELA H. WELCH, Clerk
Page Talley, Rick, director, drug treatment program, city of Detroit Neighborhood Services Department ..
191 Tucker, Donald, councilman at large, Newark, NJ.
47 Weiss, Hon. Ted, a Representative in Congress from the State of New
York, and chairman, Human Resources and Intergovernmental Rela-
1, 135 Winans, Derek T., chairperson, Newark Community Project for People With AIDS
85 Letters, statements, etc., submitted for the record by:
Allen, Theodore J., M.S.W., central region regional administrator, Divi
sion of Youth and Family Services, New Jersey Department of Human
28-34 Cheaney, Darlene Cox, associate administrator for nursing services, Uni
versity of Medicine and Dentistry of New Jersey-University Hospital:
.111-118 Coye, Molly Joel, M.D., commissioner, New Jersey Department of Health: Prepared statement...
13-23 Crane, Lawrence R., M.D., FACP, associate professor of medicine, division
of infectious diseases, Wayne State University School of Medicine: Pre-
234-235 Duncan, Ted W., Ph.D, executive director, Wellness House of Michigan: Prepared statement....
.297-299 Ellis, Lewis E., assistant superintendent, department of student services,
Detroit public schools: Policies and guidelines regarding prevention and
...147-150 Givens, Donna L., assistant director, Community Health Awareness Group (C-HAG): Prepared statement....
282-285 Kerr, Diana L., M.S., program director, Coordinated Community AIDS
Program for Southeastern Michigan, Greater Detroit Area Health
312-314 Prepared statement..
273-275 King, Ruth E.G., project officer, AIDS Information and Education Pro
gram, Association of Black Psychologists: Prepared statement 243-261 Lampl, Jeffrey, C.S.W., executive director, Hyacinth Foundation: Prepared statement
..122-124 Lipshutz, Judith A., coordinator, AIDS-related Communication Coalition
and AIDS Services Coalition, United Community Services: Prepared
290-294 Mesa, Virginia, M.D., M.P.H., medical director, Detroit Health Department: Prepared statement.
...164-166 Noble, Gary R., M.D., Deputy Director (HIV), Centers for Disease Control,
Public Health Service, U.S. Department of Health and Human Serv-
.221-229 Involvement of Federal coordinating committee..
209 Prepared statement...
.170-175 Pope, Randall, chief, Special Office on AIDS Prevention, Center for
Health Promotion, Michigan Department of Public Health: Prepared
..181-190 Scherer, Carol L., senior analyst, Michigan Insurance Bureau: Prepared statement.
302-304 Struggs, Callie Foster, director, Department of Health and Human Services, Newark NJ: Prepared statement.....
54-73 Talley, Rick, director, drug treatment program, city of Detroit Neighborhood Services Department: Prepared Statement
.194-201 Winans, Derek T., chairperson, Newark Community Project for People With AIDS: Prepared statement
Material submitted for the hearing record ......
THE AIDS EPIDEMIC IN NEWARK AND DETROIT
MONDAY, MARCH 27, 1989
HOUSE OF REPRESENTATIVES,
HUMAN RESOURCES AND
Newark, NJ. The subcommittee met, pursuant to notice, at 10 a.m., in Lecture Hall 2131, Essex County College, 303 University Avenue, Newark, NJ, Hon. Ted Weiss (chairman of the subcommittee) presiding.
Present: Representatives Ted Weiss and Donald M. Payne.
OPENING STATEMENT OF CHAIRMAN WEISS Mr. WEISS. The Human Resources and Intergovernmental Relations Subcommittee of the Government Operations Committee of the U.S. House of Representatives is now in session.
We are pleased to ask Dr. Yamba to give us a word of welcome to this beautiful facility. Dr. Yamba.
Dr. YAMBA. Thank you very much. Let me welcome all of you on behalf of the entire Essex County community to our facilities today for this most important hearing. Certainly the topic at hand is something that has concerned all of us for a very long time and we are very pleased that the Congress of the United States has taken it upon itself, through our own Congressman Donald Payne, to come to Newark to hear firsthand from people who have been living with this situation for quite some time.
So, on behalf of the entire Essex County College community, I say once again, welcome. We hope that this hearing will not only be enlightening to all of us but certainly help dramatize the concerns that have plagued all of us for quite some time.
Thank you very much and have a productive hearing.
Mr. Weiss. Thank you, Dr. Yamba. We are grateful to you and to the other staff and professionals here at Essex County Community College.
Let me, at the outset, express my appreciation to my distmguished colleague, Congressman Donald Payne, who is a new member of the subcommittee in the Congress, for requesting that this hearing on AIDS be held in his district in Newark and for helping to organize a stellar group of witnesses. Mr. Payne, has already made his mark in Congress on the issues under the subcommittee's jurisdiction. He also has longstanding concerns about the AIDS crisis, which have brought us to Newark today.
I am also happy to welcome our distinguished chairman of the Government Operations Committee, Mr. John Conyers.
This subcommittee first looked into the AIDS epidemic in August 1983, when fewer than 2,000 cases and 730 deaths had been recorded by the Centers for Disease Control. At the end of February, of this year, our worst projections had come true. The CDC reported over 88,000 AIDS cases and 50,000 deaths.
Today, 40,000 Americans with AIDS require medical care. By 1992, a total of 365,000 persons are expected to have suffered from AIDS. Of those, close to 200,000 persons will need medical care during that year. This is five times the number that we are caring for today.
Each death from AIDS represents a wasted human life, a man, a woman, a child. As the number of persons stricken increases, so does the need for better therapies, better health and social services, and better prevention strategies.
Last month, this subcommittee held 2 days of hearings on HIV infection and AIDS in children. We heard from a group of outstanding care providers, who presented startling information. These witnesses represent some of the best pediatric AIDS programs in the country, two of them from New Jersey, and yet they spoke with despair in their voices. They spoke of limited resources stretched thin; they spoke of temporary funding for their programs, and of writing proposals weekend after weekend, trying to get funding to hold on to the programs that they run.
They testified that they do not know how they will care for the increased number of patients anticipated in the next few years and beyond. Their problems are echoed in the looming crisis in the care for adults with AIDS. Here in Newark, you are facing a maelstrom of disease which could take the lives of more than 100,000 people in a few short years.
We will hear testimony today from some of the leaders in the war against this disease at the State, city, and community level. No one knows better than you on the front lines what must be done to provide compassionate, comprehensive care and effective education in prevention strategies. No one knows better what resources are needed to accomplish these objectives.
We are here to listen to you and to learn more about alternatives that seem to be working and resources that must be supplied. We will carry your ideas and requests for assistance back to Washington with us and try once again to convince the administration to provide you with the means to continue your programs that are working and begin new ones that show promise.
Before I call on our first witness, let me recognize our very distinguished host and colleague, Congressman Donald Payne. Congressman Payne.
Mr. PAYNE. Thank you, very much, Mr. Chairman. Let me express my deep appreciation to you for agreeing to hold this hearing in Newark today so that the voice of our community will be heard in Washington. Your leadership in the battle against AIDS has been outstanding. We thank you for your concern for people with AIDS, their families and those who provide them with care.
We are also very fortunate to have with us today, the distinguished chairman of the Government Operations Committee and a