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More than twice as many New Mexicans die of drug overdoses as the national average (per capita).
Dear Readers: Ive been watching drugs kill people for as long as Ive been a reporter in New Mexico. In the 1970s, it was heroin. Then, it was speed, methamphetamine produced by bikers called crankster gangsters. In the 1980s, it was cocaine. Later in the decade and into the 1990s, it was crack cocaine. Then, heroin made a comeback. Then, methamphetamine again, this time made by Mexican cartels and called ICE. Then, oxycodone and hydrocodone. And now, were back to heroin again, with plenty of prescription drugs mixed in. Interspersed were drugs like PCP, MDMA and so many others I cant even remember all of them. Over the next four days, Im going to lay out some ugly statistics and ugly stories about drugs in New Mexico. Maybe we can start a discussion about what to do. Various events in New Mexicos drug saga have triggered press conferences, police raids, headlines and trials. But there has been one constant: People died. They died of overdoses. They died of AIDS from sharing needles. They died of stab wounds and gunshots in arguments over drug debts. Infants died from neglect. Drug-addled teens died in car crashes. And men in their 50s died from bodies riddled with hepatitis. I dont have a lot of answers, but I do know this: Things arent getting better. They are getting worse. Its time for a real conversation about how to break New Mexicos deadly addiction. Mike Gallagher
This isnt Detroit. It isnt Compton, Calif. We dont have overcrowded and crumbling inner cities. But when the Centers for Disease Control last November announced that death rates for prescription drugs had reached epidemic proportions nationally, New Mexico was at the top of the list. About Our death rate from the series prescription drug TODAY: New Mexicos overdoses surpassed even Deadly Addiction our traditionally tops-inMONDAY: Heroin the-nation death rate from More Lethal Than Ever heroin overdoses. TUESDAY: Painkillers This is the time to Turn Deadly bring a sense of urgency WEDNESDAY: What to parents, schools, Can Be Done? coaches, physicians The complete series and pharmacists, U.S. will be posted on Attorney Ken Gonzales ABQjournal.com said in an interview. Rio Arriba, Taos, About the author (Bernalillo Countys) South Mike Gallagher has Valley, the problem is been an investigative ingrained in the lifeblood reporter for the of the community, Albuquerque Journal Gonzales said. Its more since 1986. He has than a toehold, more than been a reporter in New a foothold. Mexico since 1975, And Gonzales said covering everything communities like from Mexican drug cartels to political Albuquerques Northeast corruption. Heights are in danger. In communities like the Heights, as devastating as the overdoses have been, it hasnt taken hold in that community, but we have to act with urgency, he said. Or were going to lose it if we dont. Why New Mexico? Is it our border with Mexico? Is it the states high rate of poverty and the associated social problems? See PRICE on PAGE A4
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By Kasie Hunt
The Associated Press
NORFOLK, Va. Republican Mitt Romney anointed Wisconsin Rep. Paul Ryan, an ardent conservative and devoted budget cutter, as his vice presidential running mate on Saturday, and the two men immediately embarked on a tour of campaign battleground states vowing to defeat President Barack Obama and repair the long-ailing U.S. economy.
America is a nation facing debt, doubt and despair, and a transformative change in leadership is vital, Ryan declared to a flag-waving crowd in the first moments after Romney introduced him as his partner for RYAN: Nation the fall campaign. Regrettably, Presi- facing debt, d e n t O b a m a h a s doubt become part of the problem ... and Mitt Romney is the solution, said the seven-term lawSee ROMNEY on PAGE A6
s I write this, I hold in my hand a warm, fat breakfast burrito wrapped in foil and brimming with cheese and red chile. So, excuse any sloppy typos as we talk about the New Mexico crisis de jour: The Albuquerque International Balloon Fiestass food fight. The war that has been bubbling like hot grated cheddar for weeks now pits the board that runs our annual gathering of gliding gondolas against the men and women who wrap scrambled eggs, spuds, cheese and chile in
Leslie Linthicum
UpFront
warm tortillas and hand over the bulging bundles of bliss to hungry balloon watchers for a week or so each October. If you havent been following this particular Balloon Fiesta fiasco, allow me to catch you up. The Balloon
See A REAL on PAGE A2
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Is it the criminal justice system? While they may all play a role, the phrase used over and over again in response to Journal questions over the past eight months was a perfect storm that is leaving a trail of death in its path. It turns out that in addition to all of New Mexicos social problems, the states deadly love affair with drugs is fueled by three factors price, purity and availability. Just how cheap and pure was illustrated last year during a quick and dirty federal task force undercover operation that arrested 11 user/dealers in the area around Eldorado High School in Albuquerques Northeast Heights. n Undercover agents bought grams of heroin for $100 the same price as in 1977. n The purity of the heroin agents purchased was three to four times the purity level of heroin sold just 10 years ago. n The heroin was cheaper than prescription opiate painkillers on the street, which average $1 per milligram. Thats $10 for a 10-milligram hydrocodone pill. Federal drug agents say the purity of the heroin and availability of prescription painkillers allow it to be smoked or snorted. Kids think theyre not a heroin addict if theyre not using a needle, one federal task force agent said. And those kids can buy heroin or prescription drugs near their high schools, as federal agents proved in last years roundup around Eldorado High School several of those arrested were former students supporting their own addiction by selling to youngsters. Attorney Joseph Riggs has represented criminal defendants for more than 30 years, including many drug addicts. What is shocking today is the frightening availability of heroin and painkillers, Riggs said. It is a communitywide problem, no longer confined to specific neighborhoods. Dr. George Davis oversees psychiatric services at the state Children, Youth and Families Departments secure lockups in Albuquerque. The opiate overdose, call it suicide, rate is just an indicator of neglect, child abuse and broad social problems, Davis said. Abuse by parents using drugs drives our numbers of residents. And by any measure, New Mexicos drug problem is widespread. Among those measures: n Teen drug use in New Mexico heroin, methamphetamine and cocaine is double and triple the national average, depending on the drug. n The Department of Health estimates there are 25,000 needle-using addicts in the state. n Department of Justice statistics show that more than half of the New Mexico inmates in state prisons and local jails are arrested for drug-related crimes.
11.4 21.4
51.1 28.0 27.9 26.6 26.5 25.8 24.8 24.0 23.5 23.1 22.4 20.2 20.0 18.8 18.1 16.4 16.3 16.1 15.6 15.1 14.0 13.5 12.5 11.4 10.8
County not included due to the small number of deaths during reported period. Less than 21.4 21.4 - 32.1 Greater than 32.1
(Number of deaths; % of statewide deaths) Rio Arriba (112; 5.1%) Eddy (70; 3.2%) Torrance (26; 1.2%) Chaves (82; 3.7%) Bernalillo (882; 40.1%) Valencia (96; 4.4%) Taos (40; 1.8%) Grant (37; 1.7%) San Miguel (35; 1.6%) Sierra (16; 0.7%) Socorro (21; 1%) Quay (10; 0.5%) Colfax (15; 0.7%) Otero (63; 2.9%) Santa Fe (141; 6.4%) Lincoln (20; 0.9%) Lea (45; 2%) Dona Ana (155; 7.1%) Sandoval (93; 4.2%) Cibola (21; 1%) San Juan (90; 4.1%) McKinley (47; 2.1%) Roosevelt (11; 0.5%) Curry (26; 1.2%) Luna (13; 0.6%) drug series_high schools
San Juan
Rio Arriba
Taos
Colfax
Union
McKinley
Harding
Cibola
Valencia
Catron
painkillers in promoting their use for more than a decade, until sued by the Department of Justice. The lawsuits were settled for almost $1 billion. n State Medical Board rules around the country, including New Mexico, put doctors in a position in which undertreating pain by failing to prescribe pain medication constituted malpractice. As a result, doctors sometimes prescribed more opioid painkillers than necessary. n Patients, and for teen patients their parents, are unaware or uneducated about the dangers of prescription opioid painkillers. n Well over half of prescription pain medications used illegally come from family members, according to federal studies. We are too casual in the use of pain medication, Silver said. There are risks with every patient receiving a prescription, and those risks can be extreme.
Positive steps
The news isnt all bad. At the state and local level, some positive steps have been taken and are showing some results. Among them: n The number of drug overdose deaths were lower statewide in 2009 and 2010, down from a high of 500 in 2008 to 466 in 2009 and 477 in 2010. n The State Board of Pharmacy voted in June to increase monitoring of prescription opioid
Luna
* All rates are per 100,000, artist: cathryn cunningham age-adjusted to the 2000 U.S. standard population. size: 2 col x 33p date of proof: aug 9, 2012
Hidalgo
drug series_US overdose map archive x_maps_nm_drugs artist: cathryn cunningham size: 3 col x 19p date of proof: aug 9, 2012
ME MA RI CT NJ DE MD DC
7% 7% 8%
drug series_Overdose Deaths A Z archive x_charts_ Rate per 100,000 people 17% artist: cathryn cunningham (adjusted for age) size: 2 col x 18p 5.5 - 9.4 date of proof: aug 9, 2012 9.5 - 12.3 12.4 - 14.8 14.9 - 27.0
16%
NM
DRUG OVERDOSE DEATH RATES IN THE U.S. AND NEW MEXICO, 1999-2008
30 25 20 15 10 5 0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
New Mexico
United States
10%
SOURCE: New Mexico Youth Risk and Resiliency Survey, 2009; UNM Center for Education and Policy Research
Mexicans dying of drug overdoses are ages 25 to 64. Out of 2,200 drug-induced deaths from 2005 to 2009, just over 1,900 were men and women 25 years or older. The median age of those who died of drug overdoses was 43.7 years. Breaking the statistics down further shows that heroin addicts tend to die of overdoses in their mid-30s. Prescription drug overdoses kill more people in their mid-50s. That indicates to epidemiologists who study the problem that people become addicted to prescription drugs at an older age, probably because of health problems. Heroin addicts tend to start using the drug at a younger age, in their late teens and early 20s. The problem of widespread prescription or illegal drug use by teens is a long-term issue leading to the creation of another generation of addicts.
to user/dealers throughout the state. Painkillers are manufactured in the United States legally and distributed legally through a regulated system. Prescription drugs become illegal only when the drugs are diverted out of the system. We are, from an enforcement and prosecution viewpoint, designed to deal with drug trafficking organizations, U.S. Attorney Gonzales said. Prescription drugs present a different dynamic. Keith Brown, assistant special agent in charge of the U.S. Drug Enforcement office in Albuquerque, put it this way: There is no prescription drug cartel to target. But the two drug problems do overlap. People who become addicted to prescription opiates often find they can no longer get access to the drugs, or their habits have become too expensive. Heroin is often a cheaper and readily obtainable alternative. You dont have to look for heroin in New Mexico; it will find you, Mike Salinas, a heroin addict trying to get clean, said in a recent interview. Among factors contributing to heroin
Note: Deaths per 100,000 population, age-adjusted to the 2000 standard U.S. population.
SOURCE: New Mexico Department of Health
overdose deaths: n Multigenerational heroin addiction is part of the cultural fabric of communities in the Rio Grande Valley. n Mexican cartels have been marketing cheap, high-quality heroin to younger users in affluent neighborhoods. n Heroin production in Mexico has been at an alltime high over the past four years.
Pill-popping culture
Federal narcotics agents raid drug dealers, not the family medicine cabinet. As a society, weve been trained to take pills, from daily vitamins to cold tablets. Were a pill-popping culture, Jennifer Weiss of the Heroin Awareness Committee said. Once a kid gets addicted to prescription pills, it is a very short leap to heroin. The development of a prescription drug habit is subtle, the DEAs Brown said. Parents and family members have no idea what to look for. Dr. Harris Silver knows
just how subtle painkillers can be. More than 20 years ago, they almost destroyed his career as a medical doctor, and now he spends his time educating other doctors, legislators, parents and anyone who will listen about the dangers of prescription painkillers. People dont realize that one in 20 patients receiving a prescription for opiate painkillers is at high risk for addiction, Silver said. It takes 11 days of daily use for someone to start showing signs of withdrawal if they stop taking the pills, Silver said. Thats how quickly addiction can happen. Silver was the lead analyst on a legislative drug task force report prepared by The Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico. Silver found these contributing factors for prescription drug overdoses in New Mexico: n Pharmaceutical companies deliberately downplayed the addictive qualities of prescription
painkiller drugs. n The State Medical Board is making voluntary guidelines on opioid drug prescriptions mandatory for doctors and others. n Harm-reduction programs run by the State Department of Health are making more inroads into communities where heroin use has been widespread for decades. n A U.S. Senate committee is investigating financial ties between the pharmaceutical industry and pain lobbyist organizations that push back against regulators attempts to rein in the growth in the use of painkilling medications. n Albuquerque Mayor Richard Berry and mayors around the country have joined in a campaign to educate parents about safeguarding prescription medications. n Parents of teens who died of drug overdoses or who are fighting addiction have joined together to educate other parents and push for programs and reforms much like Mothers Against Drunk Driving did decades ago to fight the states drunken driving problem. I dont need to talk to a gymnasium full of kids, the DEAs Brown said in a recent interview. I need to talk to gymnasiums full of parents. Theyre the ones we need to educate. Thats not just a cop talking. Mike Para works for the YDI Inc. Gang Intervention Program and has the tattooed cred and music chops to talk with any teen. Parents. Parents. Parents. Theyre the ones who have to listen. Theyre the ones who can provide the structure these kids need. Theyre the ones we need to be talking to.
Out of 2,200 drug-induced deaths from 2005 to 2009, just over 1,900 were men and women 25 years old or older.
DEADLY ADDICTION
PAT VASQUEZ-CUNNINGHAM/JOURNAL
A pregnant Alma Cortes, 34, talks about being a heroin addict and expectant mother at Metropolitan Assessment and Treatment Services, where she is enrolled in the Milagro program for pregnant addicts.
When she and her friends started snorting chiva in high school, Alma Cortes says they told themselves they werent doing heroin. It was OK we werent sticking a needle in our arms, she said in a recent interview. We were naive that way. That was 17 years ago in Grapevine, Texas, and heroin was the drug of choice at her high school. The first time I used, I threw up, got sick all the next day, Cortes said. But the high was so intense, I kept using it. The stuff was so pure, there were a lot of ODs.
Since then, it has been 17 years of using heroin, kicking her addiction and using heroin again. She figures shes kicked her habit 10 times and fallen back into the habit 11 times. Id be clean for years and think, I can get high just this once, but you dont, you like it too much, she says. I would stop and start. Each time, it was harder to stop. Now shes 6 months pregnant. Ive taken college biology classes. I know what happens to the babies of addicts. I didnt want that to happen. I tried never to get pregnant. But about five months ago she realized she was pregnant. I started to try and kick on my own. Not use for three or four days, or just enough to keep from getting sick.
I knew what it was going to do to a baby. I didnt want to have a baby in addiction. Living in Roswell, she had to travel to Carlsbad to see a doctor who was approved to use Suboxone, a drug used to help addicts stop using heroin. This is how crazy addiction is, Cortes said. You know that you cant get high from heroin when you take Suboxen, but guess what, I had to try it. Tried it twice. Didnt work. How crazy is that? Because she had dirty urine tests, her doctor said he couldnt keep treating her. He was very frustrated with me, she said. Two months ago, she decided to seek out an inpatient program, and her mother took her to UNM Hospital, where she was
examined and evaluated. Shes now at the Milagro program for pregnant addicts run by Bernalillo Countys Department of Substance Abuse Programs, the state Department of Health and the University of New Mexico. There are eight beds, and mothers of newborns are allowed to stay in the furnished apartments. Shes on Methadone, but the doctors tell her they know how to deal with babies born addicted to methadone. It wasnt just luck to get in here; it was a miracle. Im getting counseling. Im getting the checkups. Im in a safe place, she said. Now Ive got to commit to being clean for my baby boy. She hasnt decided on the babys name yet. Mike Gallagher
When the Heroin Awareness Committee looked around at what it could do to spare other parents and teens the pain of addiction and death, it would have been easy to get overwhelmed. There were a lot of needs, Jennifer Weiss, one of the founders, said. Education was a glaring deficiency. Getting the state Legislatures attention was another. Weiss and the other parents forming the committee have children either lost to drug overdoses WEISS: or who in Founding recovery. member of Like the the Heroin parents in Awareness Mothers Committee Against Drunk Driving, they have political credibility. Politicians of both parties listen. Whether they have the long-term staying power of MADD remains to be seen, but a long-term goal they have decided to address is the lack of drug addiction treatment programs for teens. The resources simply are not adequate, Weiss said. Inpatient beds are limited in New Mexico and outof-state care is expensive. Thirty to forty thousand dollars for a 30-day stay is out of reach. The New Mexico Drug Policy Task Force, with members appointed by legislators and Gov. Susana Martinez, found: n New Mexico ranks No. 1 in the nation, by far, for unmet treatment needs for illicit and prescription drug abuse for the 12 to 17 age group. n The state and municipalities have substantially reduced funding for prevention programs. n There are not enough trained professionals to staff rehabilitation facilities that are needed but dont exist.
n Inpatient addiction treatment is out of reach of many families because major insurers and Medicaid dont pay for residential treatment. We are developing a plan for an adolescent treatment center, Weiss said. It will be presented to Gov. Martinez and Albuquerque Mayor (Richard) Berry. The goal, and it may be a long-term one, is to create a comprehensive system of care for teen drug addicts, she said. It is much harder for adults to get clean, Weiss said. It makes sense to attack the problem at an earlier age.
Getting treatment
One of the ironies in this equation is that it is easier to get drug treatment once youve been arrested. That conclusion didnt come from some activist for legalizing drugs. It came from the head of the overcrowded Metropolitan Detention Center, Director Ramon Rustin. Were back-end loaded, Rustin said. You enter the criminal justice system, and you receive treatment, but the arrest record can make staying clean that much harder. It is harder to get a job. Harder to find an apartment, he said. A lot of places wont rent to a person with a drug arrest. We can detox a heroin addict in two weeks, Rustin said. They get out sober but with no job and no place to live. What they have is the drug. There are 300 to 400 inmates each month who enter the drug and alcohol detox programs in the jail. Thats a significant number, and only those with the most extreme addiction go into the programs, he said. Rustins boss, Deputy County Manager Tom Swisstack, said it may not be a question of spending more money, but rearranging how and where money is spent. If you move resources to the front end of the criminal justice system, literally the booking desk, we may be able to divert people into programs they need, Swisstack said. Mike Gallagher
PAT VASQUEZ-CUNNINGHAM/JOURNAL
YDIs Rusty Rutherford leads a rap session with teens as part of the nonprofits gang intervention outreach program.
called Chasing Nowhere. I wanted to perform, he said. I found out about it from a friend. Hes one of more than 350 kids YDIs Gang Intervention program reaches each year. About 25 percent are referred by the Juvenile Court, but most are walk-ins like Gio. Getting kids moving in a positive direction, instead of a self-destructive one, is the goal, said Rusty Rutherford, an intervention specialist. It doesnt matter what side of town youre from preppy white kids from the Heights or gang members from the Valley, he said. We all have differences, and we all have problems.
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Fifteen-year-old Gio, who lost his mother to a heroin overdose, works on his hip-hop singing at Youth Development Inc.s Gang Intervention Program.
at the time of the interview, because of some recent unstated trouble with the law. Its pretty easy to get into trouble, Gio said. You dont have to go looking for it. It just happens. But if you think hes unique, take a look at a series of maps prepared by the University of New Mexico Center for Education Policy Research called Mapping The Landscape. Peter Winograd, the centers head, says it paints a bleak portrait of the states educational system and the future for many New Mexico kids: n Truancy rates for many schools are over 30 percent. Students with more than 10 absences are considered truant. n Dropout rates of more than 30 percent. n Drug use two or three times the national average. n Poverty rates in some areas above 30 percent. Leaf through it, and the statistics get more depressing with each page, something Winograd freely admits. It is a difficult picture to look at, Winograd said. But you have to understand the extent of the problem before you can move forward. Solutions may not lie in spending more money, but in how to use the money available, Winograd said. You need to start the discussion somewhere, he said. But he said he isnt a defeatist. In my lifetime, the Berlin Wall was torn down and segregation was broken, Winograd said. Those were significant achievements. This lays out another challenge. Mike Gallagher
At-risk teen
By any definition, Gio is an at-risk teen. School, to say the least, hasnt been easy. But his grades are getting better. He was wearing an ankle bracelet monitor
More than half of the New Mexico inmates in state prisons and local jails are arrested for drug-related crimes.*
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By Mike Gallagher
Journal Investigative Reporter
By Scott Sandlin
Journal Staff Writer
A state Supreme Court ruling in 2010 created a whole new ballgame with regard to liability for ballparks when a visitor is injured by a flyball. It rejected the so-called baseball rule, which offered widespread immunity to ball clubs and stadium owners, and said they can be sued in New Mexico. The precedent-setting ruling also said baseball is a unique spectator sport and fans share responsibility for their safety. The case that engendered the legal fight involving a 4-year-old boy who was struck on the head by a ball on the opening day of the season was settled last week. The case stemming from the July 2003 incident was to have gone to trial before District Judge Alan Malott, who had issued recent rulings about the scope of evidence the plaintiffs could present. The settlement amount is confidential, but the entire sum was paid by the Isotopes. The Isotopes were defendants in the lawsuit, wh ich stem med f rom a player for the New Orleans Zephyrs hitting a ball into the stadiums picnic area during pregame batting practice. The attorney for the boys family said he regretted the case didnt get a public airing. It s just a da ngerous situation out there, said attorney Jake Vigil, who represented the family of Emilio Crespin, now 12. Unless youve got a complete heads-up about whats going on, you could end up severely injured or dead. He said one ball club official said in a deposition there are hundreds of injuries at the park each year, yet theyve n eve r eve n c o n s id e r e d
See ISOTOPES on PAGE A2
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Female heroin addicts wrap themselves in blankets while withdrawing from heroin addiction.
Dear Readers The demise of the Mexican heroin trade has been announced at least three times during my career in the early 1980s when cocaine grabbed the headlines, again during the crack cocaine epidemic and finally around 2000. But heroin never went away. True, there is a difference now. Black tar has been replaced by brown powder. Its cheap, and the higher purity level means it can be smoked or snorted. That makes it a drug of choice for teens, in particular, who think its safe because they dont need a needle. The higher potency makes it more addictive and easier to overdose. But while law enforcement priorities changed like the wind, in New Mexico, heroin was always there. Over the years, the official assessment of the problem seemed to ebb and flow with little connection to reality. At some point, I concluded that any announcement of the demise of the Mexican heroin trade was the same as using the phrase war on drugs. It was political rhetoric for political agendas. As long as heroin kept its place in poor neighborhoods, killing people of color or homeless men who smell of urine, many bought into the myth that heroin was no longer a problem. But let heroin do its deadly work in the vaulted ceilings of Albuquerques Northeast Heights where the Nayarit Cartel targets affluent teenagers and the myth is destroyed. Suddenly, heroin is real and it kills. In the world Ive covered, thats always been the reality. Mike Gallagher
During 2005, in the middle of wars in Iraq and Afghanistan, the warnings from Drug Enforcement Administration analysts got lost. Mexican heroin was becoming more abundant. Purity levels were rising. The warnings in those internal documents reviewed by the Journal were in stark contrast to what the U.S. State Department had told Congress five years earlier that Mexican poppy cultivation was at an all-time low and Mexico was no longer a major problem as far as heroin was concerned. Some of the DEA warnings made it into the public arena in 2006, and they became louder in 2008. Other agencies, such as Homeland Security, took note that the purity of heroin seized at the border was increasing. The DEA found more and more Mexican heroin on the East Coast. But that story was pushed to the background by the increasing violence between the Mexican drug cartels and the involvement of the Mexican army. Those stories dominated front pages, the Internet and the nightly news. The annual reports on Mexican heroin poppy cultivation in Mexico hardly caused a ripple. But as cartel violence claimed the lives of more than 50,000 people, Mexican heroin production more than doubled between 2005 and 2007 from 9.6 tons to 21.6 tons as the total acreage under cultivation for poppies boomed. From 2007 to 2008, heroin production estimates doubled again to 45.6 tons, according to the National Drug IntelliSee TODAYS on PAGE A4
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t. Jay Gilhooly retired from the Albuquerque Police Department on Aug. 3, three days before it notched its 25th officer-involved shooting since 2010 and three days after allegations surfaced concerning the use of cellphone cameras and private cellphones by highranking police officials at the home of deceased civil rights attorney/adversary Mary
UpFront
Han. It was also the week one of two ousted officers continued his fight to regain his job before the city Personnel
Board after repeatedly kicking a downed and potentially dangerous suspect. Meanwhile, other officers continued to bicker anonymously on public blogs, some citizens continued to only half-joke that they were in fear of their police force and Chief Ray Schultz was out of town. Again. Morale, Gilhooly said in what is certainly one of the
See APD on PAGE A2
JOURNAL FILE
Lt. Jay Gilhooly retired this month after nearly 20 years with the Albuquerque Police Department. Gilhooly says he is proud of APD but says leadership, vision and communication are lacking.
A4 Albuquerque Journal
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gence Center 2010 report. Instead of producing black tar heroin a process that uses less opium base the cartels began refining the opium base into brown powder heroin of much higher purity. What happened? The theory put forward by several former DEA analysts is pretty simple. The Mexican army was redirected from poppy eradication, which involved pulling the plants out by hand and generally making life difficult for the peasant Gomeros who grow the poppy and collect the dried poppy gum. Instead, they were taking the fight to the drug cartels, attempting to keep the peace or making the violence worse, depending on your point of view. That allowed the heroin poppy crop to sprout throughout the Sierra Madre from Durango and Sinaloa to Mexicos southern border. Cartel chemists trained in the more sophisticated manufacturing of methamphetamine were enlisted to make better quality heroin. They made a lot of it. And all that product had to go somewhere. It came to the United States.
Increased purity
Keith Brown, assistant special agent in charge of the Albuquerque DEA office, said his agents dont see much black tar heroin these days. Just about everything we seize these days is brown powder, he said. The purity is much higher. Instead of 900,000 heroin addicts in the United States, a figure that had remained fairly steady for decades, federal drug agency estimates jumped to 1.5 million addicts by 2010. The New Mexico Department of Health estimates there are 25,000 addicts using needles in the state, and heroin is the most commonly injected drug. But you dont need a needle to get high on heroin anymore. At the current level of purity, heroin can be smoked or snorted, Brown said. That wasnt the case 10 years ago. That makes it more attractive to young people who shy away from needles. Wholesale prices of an ounce of heroin have dropped from between $1,200 and $1,500 to a low of $500 an ounce, with an average price of $700. Heroin at the street level is sold in units that go for $20. Roughly five units equal a gram. We have low prices and high demand, Brown said. Capitalism at its purest form. How many units an addict needs depends on how long he or she has been using heroin. The body builds up a tolerance for opioid-based drugs so it takes more to get the rush. The more often a person takes the drug, the faster the tolerance builds up. A gram-a-day habit isnt unusual. Some addicts develop habits that can reach 3 grams a day. To support that habit, they normally start selling drugs and creating more heroin addicts. The exact weight of heroin in a unit or a gram is guesswork, as is the purity. Street-level dealers are pretty unreliable when it comes to weights or cutting the heroin. There is no quality control. That makes things risky for addicts. The difference between a recreational dose and a fatal dose is small. Addicts can tell when heroin has been cut too much because they can smell the cutting agent when they cook it prior to injection. If it smells like coffee, you know theyve cut the hell out of it with instant coffee, Tim, a 32-year-old recovering addict, said in a recent interview. Think
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Female inmates detox from heroin at a cell pod at the Metropolitan Detention Center, where inmates are under watch 24/7 in case of seizures or other health problems while kicking their habit.
drug series_Poppy Cultivation artist: cathryn cunningham COURTESY OF DEPARTMENT OF JUSTICE size: 1 col x 17p Federal proof: aug narcotics agents seized cash and pounds of date of and local 10, 2012
brown powder heroin from Mexican national drug dealers who set up shop in Albuquerque.
acres
about putting that in your veins. When you dont give it a second thought, you know youre a stone addict.
Business models
There are generally three business models for distribution of heroin in New Mexico, keeping in mind there are no absolutes in the heroin economy: n Mexican nationals who set up regional poly-drug distribution networks with direct ties to either the Sinaloa or Jurez cartels. They sell to local connections, often relatives who have some legal status in the United States, who then sell to lower-level American distributors. The heroin flow into Rio Arriba County comes from these networks. n American trafficking organizations, like the Los Padillas gang, that have direct ties to Mexican wholesalers and operate in a specific geographic area. This type of operation has become rare because of increased competition and relentless law enforcement pressure.
PAT VASQUEZ-CUNNINGHAM/JOURNAL 2005 -- 3300 SUNDAY New Mexicos 8,154.5 Deadly Addiction An inmate is checked into the Metropolitan Detention Center after his probation was revoked 2006 -- 5000 12,355.3 for failing a urine test. TODAY Heroin More 2007 -- 6900 17,050.3 Lethal Than Ever 2008 -- 15,000 37,065.8 TUESDAY: Painkillers delivery drivers from Over the years, their publicity on the leader of Nayarit, Mexico. delivery routes in the Jurez Cartel, Amado 2009 --19,500 48,185.5 Turn Deadly Albuquerque moved north Carrillo Fuentes, that many We were just getting WEDNESDAY: What from the rougher trade people believe Carrillo had ready for this fellow to get Can Be Done? near East Central to strip Jordans younger brother sentenced in federal court, The complete series malls on Lomas Boulevard about a year after his arrest, killed. to shopping centers along Riggs said. will be posted on Jordan believes that. Montgomery NE and now as I got a call from the ABQJournal.com He is an iconoclast who far north as Paseo del Norte. federal Public Defenders never had many friends in The delivery boys get paid Office about representing the DEA hierarchy but was $400 to $500 a month and a another defendant who had highly regarded by field bonus of several thousand just gotten arrested, he agents, particularly those dollars when they return said. When I looked at the who worked undercover. to Mexico after working six complaint, it showed my They never cared for n The Nayarit Cartel, months to a year. Half of new client was involved in the truth in Washington, which specializes in heroin them seem to be nicknamed the same sort of operation Jordan said in a recent and operates self-contained Junior. working out of the same telephone interview. distribution networks in house in northwest They dont know the real Jordan, who grew up in El midsize American cities from names of the people they Albuquerque. My original Paso and played basketball at Phoenix to the East Coast. client hadnt even been work for and seldom see the University of New Mexico The Northeast Heights is sentenced, yet. them. before joining the DEA, said a market targeted by these As a citizen, Riggs said, Weve seen the same honchos in Washington distributors. I just found that offensive. pattern all across the never viewed Mexican heroin Federal narcotics agents country, the DEAs Brown as a serious problem because Heroin drives cartels believe the Nayarit Cartel said. They move into the market was mostly in the intentionally seeks to expand an area, then focus on southwestern United States. They always forget about heroin distribution into more neighborhoods where the The current high-quality heroin, retired DEA agent affluent suburban areas in money is. heroin in New Mexico Phil Jordan said in a recent mid-American cities. reminds Jordan of a situation Federal drug task forces telephone interview. The Nayarit Cartel created in the mid-1990s in the Dallas are good at rolling up drug The people who run drug a system of independent cells area. trafficking organizations policy always push it down made up of young illegal (DTOs) like these. We had a serious problem the priority ladder, he said. Mexican immigrants who with high-purity heroin Any review of federal court Then, it comes around to live together and do nothing hitting the wealthy suburbs, files shows thats true. Few, if bite them. but deliver daily heroin Jordan said. Good kids any, cases go to trial. Defense Heroin trafficking is supplies to American user/ from good families, high attorneys focus instead on at the core of the Mexican dealers. school basketball players, downplaying the role of their cartels, he said. It isnt overdosing on heroin. clients in the trafficking They are deliberately sexy. It isnt pretty. But organization to get sentences nonthreatening and No one wanted to believe theyve been moving heroin below 10 years instead of 20 nondescript. They dont it. Everyone was in denial. for decades, and they make years. carry guns. They dont dress money at it. Heroin, he said, should like gang-bangers. They The problem is that as always be a priority in Over the course of his tend to drive cars like 5-year- fast as federal narcotics federal narcotics agencies. career, Jordan ran the old Mazdas. agents and the local agencies cocaine desk in Washington, Guys like Chapo Guzman, working with them roll up D.C., and the El Paso the head of the Sinaloa They make deliveries one organization, another is Intelligence Center. He was Cartel, cut their teeth to busy shopping center ready to take its place. the special agent in charge of running heroin, he said. parking lots along major the Albuquerque office, and Heroin is the trunk, and Veteran criminal defense thoroughfares during the later he held the same post in every other poison these attorney Joseph Riggs was day and stay in their rented Dallas. guys smuggle are branches called on to represent one apartments or houses during from that tree. of the ubiquitous heroin the night. He brought so much
The New Mexico Department of Health estimates there are 25,000 addicts using needles in the state, and heroin is the most commonly injected drug.
Albuquerque Journal
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drug series_CasesIndicted artist: cathryn cunningham size: 1 col x 18p date of proof: aug 10, 2012
2010 Cocaine Ecstasy Heroin Marijuana Meth Other Prescription Psilocybin 935 21 642 340 475 155 219 2
PAT VASQUEZ-CUNNINGHAM/JOURNAL
County jail inmate Angela Sandoval, 34, shows a letter written by her daughter begging her mother to stop using drugs. Sandoval was awaiting transport to the state womens prison in Grants.
Angela Sandoval, 32-year-old mother of three, is headed to prison again. She was interviewed through the glass of her cell door at the Metropolitan Detention Center while awaiting transport to the womens prison in Grants. This is your life on drugs, she said. Two years in prison and five years probation, she said. Im owned by the state of New Mexico. That was her message to anyone who cares to hear it. It is a message to her daughters, including her youngest, Arianna, who had a message for her mother. Sandoval held up the letter from her daughter, who in large letters begged her mother to stop using drugs. Sandoval could hardly talk about the letter through her tears. Sandoval is a testament to the fact
that the state criminal justice system has limits when criminal defendants wont obey the rules of their probation. A short summary: Sandoval was convicted in 2001 of robbery and put on probation. That probation was revoked, and she was sent to Drug Court, which she failed to complete. In 2008, she had another conviction for robbery committed to support her drug habit, and she was put on probation, which she violated and was sent to prison. In 2011 and 2012, Sandoval faced four separate indictments for possession with intent to distribute heroin and methamphetamine, among other charges. She was sentenced to prison again. She didnt want to talk about how she got here, other than she was caught trafficking. Where shes going, you dont talk about that. You especially dont use names. The most she will volunteer is that she fell in with the wrong crowd and
started using drugs. The wrong crowd translates in most jails as hanging with gang members or drug dealers or a boyfriend with his own raging addiction. Sandoval became pregnant at age 14, and her daughters are in the care of their grandmother. Her big concern now is her oldest daughter, who is 17. Shes gotten a job, her drivers license, Sandoval said. Shes doing good. I keep telling her and her sisters, I wasted half their lives getting mixed up with drugs. They have to do something better, she said, looking around her cell. Anything is better than this. She is not sure what the future holds. Prison didnt help the last time, she said. It made things worse. But she added, I have to treat this as an opportunity to get things right. Mike Gallagher
take the case to federal court when you can. As a result, big drug cases go to federal court, and lots of little drug cases are indicted in state court. Last year, in response to a public outcry over teens overdosing in Albuquerque, federal and local narcotics agents focused their efforts for a few weeks on street-level heroin dealers. Normally, the agents target heroin wholesalers and organizations with direct access to the Mexican drug cartels, on the theory that street-level dealers dont get much prison time and are selling to support their own drug habits. Out of the 13 arrests made in the operation, only two resulted in prison sentences longer than a year. Others resulted in probationary sentences, and several are pending plea negotiations. U.S. Attorney Ken Gonzales didnt expect anything more than that. We wanted the public to know we were paying attention to the drug overdoses in the Northeast Heights and let the drug dealers know we were paying attention, he said.
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Mike Salinas, 34, says heroin is everywhere. You dont need to find it. It finds you, he says.
In transition
For students in transition years, kids and parents may need a little extra guidance
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Top Albuquerque officials Monday urged councilors to approve a $50 million bond proposal to pay for a new Paseo del Norte/Interstate 25 interchange, warning that a public election on the issue would be expensive and legally risky. The warnings came during a special meeting at which councilors voted to consider the bond proposal, which would eliminate the need for a public vote on the proposed bonds. The nine-member council will consider the proposal Sept. 5. and will need a seven-vote super majority to approve the bond sale without an election. City officials had planned to list the question on the general election ballot on Nov. 6, but the citys election plans were thrown in turmoil last week after Assistant Attorney General Tania Maestas raised questions about whether New Mexico law allows a municipal question on a general-election ballot. But several councilors said Monday night they preferred to stick to an earlier promise that voters would have a chance to approve or reject financing for the project. My biggest concern is that we voted 9-0 to send it to the voters, said Councilor Ken SanSee COUNCIL on PAGE A2
By Mike Gallagher
Journal Investigative Reporter
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Tim Gallagher says prescription painkillers got him started on his heroin addiction.
Dear Readers: It used to be pretty simple. Heroin was heroin. Cocaine was cocaine. Now, federal and local cops have to use the Physicians Desk Reference PDR for short to identify the pills they seize in drug arrests. Or collect at the scene of fatal drug overdoses. Are the blue pills oxycodone or OxyContin? Is this Valium or hydrocodone? Its often up to police to identify the pills because the people involved couldnt tell an aspirin from suppository. We hear stories of young people raiding the family medicine cabinet, going to parties where they throw the pills into a bowl antidepressants, sedatives, decongestants, painkillers, muscle relaxers and anything else they found in the medicine cabinet or got from a friend. They play games and take pills from the bowl like candy rewards. You can dismiss the stories as urban legend, thinking that the behavior is too bizarre to be true. Then a kid dies at one of these parties and its no longer urban legend. Its the new reality of the drug world. Mike Gallagher
By Dan McKay
Journal Staff Writer
Activists trying to raise the minimum wage in Albuquerque by a dollar an hour coupled with automatic cost-of-living increases say they have gathered enough petition signatures to force a vote on the issue. They turned in the last of 25,156 signatures on Monday, said Becca Glenn, a spokeswoman for the wage coalition. Thats more than twice the number required to move the ordinance forward. The City Clerks Office now has 10 days to verify the validity of the signatures, which must be from Albuquerque voters. Were confident we have enough signatures, said Matthew Henderson, executive director of Ol New Mexico, a nonprofit comSee MINIMUM on PAGE A5
Harris Silver, M.D., and Tim Gallagher (no relation to the reporter) are both in recovery. Thats where the similarity starts and ends. Both have battled the euphoria and warm sense of well-being that addicts describe when taking opioid drugs. Some describe it as a cocoon against all troubles. Silver was a practicing surgeon when he became addicted to painkillers. He was prescribed SILVER: Surthe drugs for pain geon became from a bulging disc addicted to in his neck. painkillers Like a lot of professional people who become addicted, at some point he started doctor shopping to get prescriptions for the drugs. That was more than 20 years ago. He got caught, not by a doctor but by a pharmacist. I was a dumb doctor shopper. I kept taking the prescriptions to the same pharmacist, Silver said. He called my boss, and that began this long road Ive been on. Silver lobbied the Legislature this last session for tougher regulations on prescription painkillers and was the main analyst for the state Drug Policy Task Force. He does educational programs for doctors on the prescription painkiller addiction problem and is involved in national symposiums on the problem. And when he needed surgery recently, he had to take painkillers and then come off them with a lot of help from his sponsor, doctor and others. You dont stop being an addict or
See PAINKILLERS on PAGE A4
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about as small as small farming gets families that can trace their roots to Spanish immigrants who came to the valley 400 years ago and Pueblo communities that go back even longer. It is common to find farm plots here that have been carved ever smaller over the years, land divided as it passed from parents to children. Drive State Route 22 through Pea Blanca or any of the other country lanes in the valley between Bernalillo and Cochiti
See SEEDS on PAGE A5
DEAN HANSON/JOURNAL
Patrice Harrison-Inglis, left, and Deborah Montoya in Pea Blancas grand experiment a field of sunflowers.
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stop being in recovery. I am enthusiastic about being in recovery, Silver said. Thats something Gallagher is trying to learn. Gallagher, 32, doesnt walk the halls of the Roundhouse in Santa Fe. Until recently, he was hustling for his next heroin fix an addiction that grew from his use of painkillers. Started out when I was about 17 with painkillers from my dentist, he said. After that, things get a little hazy. Family members had a history of drug abuse, and he was introduced to injecting heroin by a family member. You work but you get fired because you have to score or think about scoring, Gallagher said. Once youre into heroin, you dont think about anything else. At the time of an interview with the Journal, he was at the Bernalillo County Metropolitan Assessment & Treatment Services facility to detox. He had just graduated from Turquoise Lodge, a Department of Health inpatient rehabilitation program. I graduated three days ago, he said. I immediately forgot to concentrate on my recovery. I started worrying about a job and getting a car. Next thing I know, I wake up facedown in the street and cant remember how I got there. Gallagher checked into the detox facility as soon as he could get his act together. Tell everyone, this isnt easy, he said.
MDC Corrections officer Juan Zamora checks inmates for drugs during intake.
drug series_obtain piechart artist: cathryn cunningham size: 2 col x 21p4 date of proof: aug 13, 2012
drug series_US painkiller sales map archive x_maps_nm_drugs artist: cathryn cunningham size: 3 col x 20p date of proof: aug 9, 2012
PAT VASQUEZ-CUNNINGHAM/JOURNAL
1.6%
ND SD NE MN IA IL MO AR LA WI MI IN OH KY TN MS AL GA FL
NH VT NY PA W V VA NC SC
ME MA RI CT NJ DE MD DC
Fatal meds
More people in New Mexico are dying of prescription painkiller drug overdoses than from overdosing on heroin and cocaine. A typical victim is middle-aged and female. The Centers for Disease Control and Prevention called it a national epidemic last November. The New Mexico Drug Policy Task Force, with members appointed by the Legislature and Gov. Susana Martinez, goes one better: In New Mexico, we have a substance abuse epidemic of monumental proportions. The warnings that prescription painkillers were a threat date back to 2001, when federal agencies noted large increases in emergency room visits for people who had overdosed on oxycodone or hydrocodone. Both narcotics are controlled substances under federal law, but oxycodone is a Schedule II drug and hydrocodone is Schedule III. Oxycodone is slightly more powerful and is considered more subject to abuse. As a result, prescriptions for oxycodone cannot be called in to a pharmacy like hydrocodone prescriptions. Add to that the growing current concern that prescription pain medication has become a gateway to heroin addiction for young people. In New Mexico, heroin overdose deaths among people 25 and younger doubled from 2009 to 2010. But that recent concern masks other problems in New Mexico. Among them: n Deaths from prescription opioid drugs tripled from 2000 to 2009. n The majority of people dying of prescription drug overdoses are between the ages of 44 and 64. n More women die of prescription drug overdoses than overdoses of illegal drugs. n Prescriptions for pain medications in New Mexico increased more than 350 percent for oxycodone and more than 150 percent for hydrocodone from 1999 to 2009. The state Drug Policy Task Force concluded there were several reasons for what it called a glut of opioid prescription medication in New Mexico. Among them: n Overprescribing prescription painkillers like Percocet (oxycodone) and Vicodin (hydrocodone) by doctors and dentists. n The medicine cabinet
55%
6.5%
79.4% One doctor
UT
CO
KS OK TX
AZ
NM
3.3% More than one doctor 3.5% Other 1.6% Drug dealer/stranger
SOURCE: Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA), 2010
EDDIE MOORE/JOURNAL
Dr. Steven Jenkusky and other members of the New Mexico Medical Board last week approved new rules for prescription painkillers.
problem, in which unused prescription painkillers are stored unsecured and accessible to others, especially to teenagers. n Prescription forgeries and doctor shopping by people who are addicted to the pills or who want to sell the pills to other addicts. other challenges present themselves. Problems with insurance coverage can interrupt the doctors oversight or make it hard for people to legally obtain the drugs. If a patient has to see multiple doctors for different health problems, addiction management can become difficult as the patient receives different drugs for different medical problems. And doctors can miss signs that a patients use of pain medication is spinning out of control. The state Medical Board wants doctors to do a better job of explaining to all patients receiving prescriptions for painkillers how addictive the drugs are. Jennifer Weiss of the Heroin Awareness Committee said that is one of her groups goals. I know from personal experience that I never got an explanation of how addictive the painkillers were, Weiss said. Her son, Cameron, died of a heroin overdose after he became addicted to painkillers prescribed after he had a series of high school sports injuries.
High-risk patients
Many people addicted to prescription drugs come by it honestly through medical treatment for cancer, complications from surgery, spinal cord injuries and other medical conditions for which doctors prescribe painkillers. Because patients taking opioid painkillers build up a physical tolerance to the drugs, the addiction needs to be carefully managed in a way that requires the attention of the doctor and patient. Patients with a history of substance abuse or mental health problems can be difficult to manage. One in 20 patients are at high risk for addiction if they are prescribed opioid painkillers, said Silver, the physician analyst for the Drug Policy Task Force. We have to do a better job of identifying those patients at high risk. Once treatment begins,
The Pharmacy Board investigators are highly regarded by law enforcement. They do amazing work, said DEA Assistant Special Agent in Charge Keith Brown. They either initiate or aid all our diversion investigations. The Legislature didnt fund the expansion of the program, but the board found grant money to do it. Responding to the states top-in-the-nation ranking for prescription overdose deaths, the state Medical Board last week enacted regulations governing prescription practices for opioid painkillers. They require doctors prescribing the narcotic painkillers for more than 10 days to use the Board of Pharmacys prescription monitoring program to determine if patients are getting painkillers from other doctors. Physicians also must document the treatment plan for patients receiving painkillers for longer than 10 days and see long-term patients at least every six months. Some doctors objected to the changes as heavyhanded, but board Chairman Dr. Steven Weiner said the board was responding to a statewide public health crisis. The regulations would require ongoing education for doctors on prescription pain medications.
Pain lobby
So is Big Pharma pushing pain meds too aggressively? The U.S. Senate is investigating the role of drug manufacturers in promoting painkillers within the medical community and the public. Sens. Max Baucus, D-Mont., and Charles Grassley, R-Iowa, sent letters to pharmaceutical firms saying evidence suggests the epidemic of addiction and accidental deaths from narcotic painkillers is due to companies promoting
misleading information about the drugs safety and effectiveness. The senators are asking for financial information about links between drug companies manufacturing painkillers and what they called the pain lobby. During the 1990s, Congress held numerous hearings on the undermedicating of cancer patients and others with painful chronic medical conditions, such as spinal cord injuries. A major complaint was that the regulations of state medical boards which license doctors restricted physicians from prescribing adequate amounts of narcotic painkillers to patients with diseases such as cancer. One result of the hearings was a liberalization of state regulations on prescribing powerful painkillers for acute pain, which covers a much larger universe of patients from minor surgical procedures to sports injuries. About the time the changes went into effect, the number of overdose deaths from prescription painkillers and emergency room admissions for overdoses began to increase. One of the arguments in favor of loosening state regulations was that the new generation of painkillers was not as addictive as older drugs. Two companies that produced the most widely used painkillers hydrocodone and oxycodone were sued by federal prosecutors in 2006 for misleading doctors about how addictive the drugs are. The lawsuits were settled for almost $1 billion, with the companies promising to market their products using more accurate information saying that todays painkillers are just as addictive as older medications. The companies also have taken some steps to modify opioid painkillers to make some of them more difficult to snort or smoke.
Albuquerque Journal
By Mike Gallagher
Journal Investigative Reporter
Clinica De La Gloria was a busy place. In one year, Gloria Vigil wrote prescriptions for 700 patients. Eighty-nine percent of those were for oxycodone, hydrocodone or methadone. A man who had dropped off one of her prescriptions at a pharmacy told Drug Enforcement Administration agents that the prescriptions had cost him $150 $50 for a go-between and $100 for Vigil. The man told agents he used 15 different names for prescriptions written by Vigil, a 62-year-old nurse practitioner. Another DEA source told agents he would pay Vigil $250 a prescription for 180 tablets of 30-milligram oxycodone. The source also told agents he obtained prescriptions from Vigil under multiple names, but could use each name only once every four weeks to avoid drawing the attention of the state Pharmacy Board. The man was sent to Vigils office on Bridge SW
Her attorney later wrote to the sentencing judge that Vigil told agents she wanted to call them several times because she didnt know how to get out of the situation. Vigils sentencing was scheduled for earlier this year but has been delayed.
Friend to friend
Vigils case is an exception to what narcotics agents find when investigating the diversion of prescription pain pills into the illegal market in New Mexico. More typical is a person with a legitimate prescription using half the pills for their medical condition and selling the other half. Prices for oxycodone or hydrocodone fluctuate wildly in the illegal street market from $1 per milligram to sometimes as high as $2 a milligram. In one case, 49 tablets of 30-milligram doses sold for $900 or $1.63 a milligram. A lot of what we find is a guy with a computer printing forged prescriptions with two friends passing them at pharmacies, DEA Assistant Special Agent in Charge Keith Brown said. Sometimes it gets a little more sophisticated than that, but not often.
twice by DEA agents to buy prescriptions. During the recorded meetings, the source purchased five prescriptions for oxycodone in five different names. Vigil later admitted in her guilty plea that she created phony medical charts in the names of people she never treated to help cover her tracks. Clinica De La Gloria is a South Valley version of a pill mill. DEA investigators first interviewed Vigil in 2008 about prescriptions for opioid painkillers she had signed for several young men while operating the medical practice from her home. In 2009, she opened Clinica De La Gloria in the 1700 block of Bridge SW. In 2010, DEA agents put
Clinica De La Gloria under surveillance and began interviewing employees of pharmacies about prescriptions written by Vigil for Percocet and other painkillers, according to federal court documents. Her case is a sad one on more than one level. As a child, Vigil was struck by polio, which left her with lifelong physical problems. Those ailments became worse as she grew older, according to court records. Despite that, she obtained a nursing degree and earned the right to prescribe medications working in public health clinics in Santa Fe and Las Cruces and in mental health hospitals. When she was arrested, Vigil cooperated with federal agents.
JOURNAL FILE
These pills were collected in a drive by the state Department of Public Safety to get unneeded painkillers out of homes.
Call 911
The 911 Good Samaritan Law provides a limited immunity from drug possession charges when a drug-related overdose victim or a witness to an overdose seeks medical assistance. Several drug addicts attempting to get clean asked that the public be made aware of the law. Theres no reason for people to leave someone overdosing to die, said Mike Salinas, who was in the county detox facility. They need to call 911. Everyone needs to know about the Good Samaritan law. The state Drug Policy Task Force said in its report to Gov. Susana Martinez and the Legislature that many people and law enforcement agencies were unaware of the law. The task force concluded that the laws effectiveness had been hampered because it does not protect probationers, parolees, people facing trial or people with outstanding warrants.
munity group involved in the effort. The proposal is expected to trigger fierce debate if it makes the ballot. The Greater Albuquerque Chamber of Commerce said its ready to fight the measure. The proposal would amend the citys minimum-wage law to require pay of $8.50 an hour, starting next year. Thats up from the $7.50 an hour required in Albuquerque now. The federal requirement is $7.25. Supporters of the wage hike are working under a rarely used provision of the City Charter that allows direct legislation through voter initiative. They had two months to gather signatures from 12,091 voters. If the clerk certifies they have met the requirement, the ordinance must be proposed to the City Council. If the council rejects the ordinance, amends it or fails to act within a certain period of time, the proposal must be scheduled for an election within 90 days, according to the charter. Supporters say they want the ordinance to go on the general election ballot Nov. 6. But its not clear that will happen. Just last week, an assistant attorney general advised state election officials that she believes the generalelection ballot, by state law, is supposed to be reserved for state- or county-wide questions, not municipal issues. If the wage question cant go before voters in November, then a special election would be scheduled. But state law says there cant be other elections 42 days before or 30 days after a general election. That might push a vote on the wage ordinance to December. Glenn said putting it on the November ballot makes the most sense. It would avoid the cost of a special election and the county clerk has technology (that) allows her to have the minimum wage on only municipal voters ballots, Glenn said. Henderson said activists circulating petitions found plenty of support for the wage hike. The minimum wage hasnt gone up in Albuquerque in three years, Henderson said
The Chamber is ready for battle if this one makes it on the ballot.
TERRI COLE, PRESIDENT AND CEO OF G R E ATE R A L B U Q U E RQ U E CHAMBER OF COMMERCE
in an interview. Its already out of date. The economy is in such a sour state, a lot of people think that in order to boost consumer spending, this is the kind of thing that can help. The proposal, he added, would put a lot more money in the hands of low-wage workers who will spend it right away. Terri Cole, president and CEO of the Chamber of Commerce, said the proposal would hurt Albuquerque. The Chamber is ready for battle if this one makes it on the ballot, she said in a written statement. Increasing the minimum wage will eliminate jobs, lower benefits and increase prices in Albuquerque. In a nutshell, Albuquerque will become much less competitive. She said the chamber will oppose the proposal because no one wants an uncompetitive city. The proponents of this effort ought to join us and work, instead, on education reform. Lets increase the quality of life for all by lowering the dropout rate and closing the achievement gap. The ordinance calls not only for raising the minimum wage in 2013, but also for costof-living increases each year after that. There also would be new requirements that apply to employees who receive tips. The coalition working on the wage proposal includes AFSCME, El Centro de Igualdad y Derechos, New Mexico Voices for Children, the Restaurant Opportunities Center and Working America. City Clerk Amy Bailey said her staff is already working to verify the signatures. About 60 percent of those checked so far have been valid, she said. If that rate holds up, the wage ordinance will have more than enough signatures to move forward.
artist: cathryn see if they Sunflowers are a big crop in the Great Plains, and a group of middle Rio Grande farmers are experimenting tocunningham can size: 1 col x 19p be a success here.
and youll see corn, some chile and other odds and ends spread across farm fields. Mostly, though, youll see the green patchwork of fields planted in alfalfa, the valleys dominant crop. But if you look along the roadsides and ditch banks, that splash of latesummer yellow you see is indeed the plant known as Helianthus annuus the wild sunflower. Its native to the region, a wildflower adapted to our arid climate, according to University of New Mexico biologist Tim Lowrey. And the sunflowers grown by farmers are hybrids of that lovely wild plant. Its really the only native seed crop that originated in North America, Lowrey said. It was that connection fields of farmed sunflowers she saw on a trip to California followed by wild ones lining the ditches on her return that first got Pea Blanca farmer Patrice Harrison-Inglis thinking. I thought, Ya know what? Those hybrids would probably grow pretty well here, Harrison-Ingis recalled. When Harrison-Inglis gets hold of an idea, theres an exuberant energy behind it. I took a chance, Montoya said with a laugh recently as she and Harrison-Inglis stood in the horse corral looking over at her 2 acres of
If you go
WHAT: Pea Blanca Sunflower Festival, with food, art, music, and hayrides to see the sunflower fields WHEN: Aug. 25 and 26, 8 a.m. to 5 p.m. WHERE: Pea Blanca Community Center, 776 N.M. 22, Pea Blanca HOW MUCH: $1 dazzling yellow. Patrice is very good at convincing us to do a new adventure. At this point, the adventure is now two years into the Sandoval County sunflower experiment, with 35 acres between Santa Clara and Cochiti planted in sunflowers this year. And Harrison-Inglis, Montoya and their neighbors are inviting you up to Pea Blanca the last weekend in August to check out the results, for the first Pea Blanca Sunflower Festival. Sunflowers seem to make sense as a New Mexico crop, according to Janet Jarratt, a Los Lunas dairy farmer who has experimented with a variety bred for beauty and used for cut-flower displays. They really are a great plant because they are indigenous, Jarratt said. The problem, Jarratt said, has always been the chicken-and-egg problem of economies of scale getting enough acreage in sunflowers to support the
processing plants needed to turn them into a marketable commodity. Each needs the other. Which comes first? As a rotational crop, sunflowers are perfect for New Mexicos alfalfa farmers, according to Del Jimenez at New Mexico State Universitys ag science center in Alcalde. Alfalfa, typically baled for animal feed, is a relatively lowmaintenance crop. But you cant leave a field in alfalfa forever, Jimenes said. Alfalfa puts nitrogen in the soil, and sooner or later sustainable farming practices require you to switch it out for a crop that takes the nitrogen back out, said Jimenez, an ex officio member of the Pea Blanca sunflower posse. You can grow them for their oil, or for eating. Sunflowers are a huge crop in the Dakotas, with over a million acres in production last year, according to the U.S. Department of Agriculture. Our neighbors in Colorado grow sunflowers, along with California (where farmers grow pretty much everything) and six other states. But theyre not even a blip in New Mexicos agricultural economy. For now, Harrison-Inglis hopes to package the Pea Blanca sunflowers as a boutique local crop for eating, to be sold at local stores. If the harvest is large enough, it could be shipped
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to one of the large sunflower processors in the Great Plains sunflower farming states. But Harrison-Inglis had a glimmer in her eye as she let slip the dream enough sunflowers to support a plant, in Pea Blanca, to turn the seed into pressed sunflower oil: What if Pea Blanca could have a mill? While thats just a distant dream, in the meantime you can check out the dazzling yellow experiment Aug. 25 and 26. UpFront is a daily frontpage opinion column. Comment directly to John Fleck at 823-3916 or jfleck@ abqjournal.com. Go to www. abqjournal.com/letters/ new to submit a letter to the editor.
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DEADLY ADDICTION
How Can We
Board member says teachers union contract makes it too cumbersome to fire bad teachers
By Mike Gallagher
Journal Investigative Reporter
By Hailey Heinz
Journal Staff Writer
Albuquerque Public Schools board member Kathy Korte, saying she has had many frustrations with a few lousy teachers over the years, plans to vote against the teachers union contract tonight because she says its too cumbersome for principals to fire bad teachers. I registered my kids and see that my battles will continue at the schools because of a few rogue teachers who arent doing their jobs, and no one is KORTE: Calls forcing them to, Korte wrote process of firin an email last week to dis- ing teachers trict administrators, the local cumbersome teachers union president and the school board. Sleeping on the job; lack of a clear curriculum; lack of communication with parents; bipolar-like tendencies that tell kids to do one thing as they rush out the door when the bell rings
See BOARD on PAGE A8
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Youth Development Inc.s Judy Pacheco watches Nikko Vasquez, 18, create a song on a computer. YDI is credited with keeping young people like Nikko away from gangs and drugs.
Dear Readers:
The breathtaking scope of New Mexicos deadly drug addiction is downright depressing. Sometimes, it seems hopeless. It isnt. Despite the slow pace and horrific setbacks, we as a state have made headway in our long struggle with drunken driving. Weve made headway in curbing the use of methamphetamine. We can do the same when it comes to heroin and prescription painkiller addiction. Once we begin addressing the states opiate addiction problem, other substance abuse problems like cocaine should follow.
By Kevin Robinson-Avila
Journal Staff Writer
The Public Regulation Commission approved a new renewable energy rate rider Tuesday to allow Public Service Company of New Mexico to begin recovering its investments in solar, wind and other clean energy sources. Customer bills, for the first time, also will carry a line item showing the cost of renewables along with an explanation that they reduce the amount the utility spends on fossil fuels. The green energy charge could begin appearing on bills as soon as this month, depending on when the commission publishes its final order, said PNM spokeswoman Susan Sponar. She said preliminary estimates indicate the average customer, who consumes about 600 kilowatt hours of electricity a month, could
See GREEN on PAGE A8
Over the past several months, Ive talked with many people about what approaches are working and others that are just being discussed. There are certain non-starters from my perspective: closing the border; legalization of heroin; or shooting drug dealers on sight. None of those things is going to happen. But a concerted effort that involves reducing purity and supply (like we did with ingredients for methamphetamine), public education campaigns, intervention and treatment programs, legislation, and coordinated efforts of law enforcement and the courts can change this deadly equation. Like it did with DWI. We cant afford not to try. Mike Gallagher
Ray Archuleta, 44, has been using heroin for more than 20 years. The years havent been kind. The streets and heroin addiction have worn him down. A lot of heroin addicts his age are dead. Ive quit a lot over 20 years, but it gets harder each time, he said. I have to accept that I want to be sober, I have to change my whole attitude. Heroin. This drug, its a devil, he said. Archuletas many attempts over the past two decades show how hard it is to kick the habit. For this interview, he was in the volunteer county detox program called Metropolitan Assessment & Treatment Services trying to get clean, again. He was on a five-day taper the drug Suboxone for five days in decreasing doses to ease his withdrawal. Suboxone and methadone are drugs used both for detoxification of heroin addicts, allowing them to stop using heroin, and in long-term maintenance programs in which addicts use them instead of heroin. Both can be abused, and both can lead to death by overdoses. But success means an addict is less likely to kick down your door and
See HOW on PAGE A4
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UpFront
Thomas J. Cole
hen money got tight because of the recession, the Legislature searched the nooks and crannies of government for unspent public funds that could be swept up and re-appropriated for what lawmakers considered to be more pressing needs. One place it went looking for money was the New Mexico Finance Authority. It was a no-brainer; the authority has about $1.8 billion in assets, with a good deal of that in cash. The Legislature got what it was looking for. During the past
three fiscal years, the NMFA has transferred about $43 million to the states general fund. How the Finance Authority accounted for the transferred money on its financial statements has become an issue in an investigation of the authority by the state Securities Division. The authoritys former controller and its current chief operating officer are accused of conspiring to disguise the transfers in a bid to mislead investors and potential investors in NMFA bonds. The investigation of the Finance
Authority began last month with the discovery that a 2011 audit of the NMFA was never conducted and that the former controller ginned up a fake audit. The Finance Authority said Monday that none of the money transferred to the state came from its flagship program, the Public Project Revolving Fund, which borrows money through bond sales and makes loans to state and local governments and agencies. The revolving fund is the only
See N.M. on PAGE A2
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haul off your property to support his habit. The strategies for breaking New Mexicos deadly addiction to opiates must address how to help those already hooked and how to keep the ranks from growing. U.S. Attorney Ken Gonzales puts a high priority on young people being targeted by Mexican cartel heroin pushers by aggressively targeting drug dealers. But he says that alone wont turn the tide. Kids need to understand the threat posed by heroin just because they dont need to inject themselves with needles (high-quality heroin can be smoked or snorted) doesnt mean it isnt deadly. Many young people turned away from methamphetamine after education campaigns equating a frying egg with your brain on drugs and staring at the haunted and toothless faces after just a few years on the drug. Not cool. New rules making it more difficult to get meth-making ingredients thats why you have to sign for Sudafed at the drugstore coupled with U.S.-Mexican cooperation that reduced supply and purity were effective. At the top of the list, according to one veteran narcotics agent, kids need to understand this isnt your grandpas heroin. People think they know about heroin; they dont. Time and again police and people working drug treatment said parents were completely ignorant about the drug threat their children face. Some of their suggestions: n Develop drug education programs designed to reach adults across the state who have school-age children. Education programs designed to reach young people have to stay current and innovative. n Drug education needs to be designed to reach younger kids and specifically young girls, who experts say are particularly susceptible to peer pressure. School districts need to coordinate anti-drug and substance abuse efforts with local treatment and intervention programs. n Juvenile courts should require older teens sentenced to a state lockup to complete a GED before they are released.
JOURNAL FILE
At an Albuquerque City Council meeting last year, members of the Heroin Awareness Committee display photos of family members who lost their lives to heroin addiction.
The Journal is making the series Deadly Addiction available as a public service for easy sharing without registration. Just go to www.ABQjournal. com/drugs for all parts of the series including full-page replicas of the newspaper pages.
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Katrina Hotrum, head of Bernalillo Countys drug programs, talks about coordinating programs with law enforcement agencies and health care providers.
communication so we can work together is really a key to getting anything to work, she said.
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Ray Archuleta, 44, talks at the Metropolitan Assessment and Treatment Services center about the need for easier access to Suboxone.
Treatment options
The state Drug Policy Task Force concluded that tens of thousands of people in the state need treatment for substance abuse but are unable to obtain or afford services. Some of the task force suggestions include: n Create a centralized referral service available 24/7 for people seeking drug or alcohol treatment programs. n Expand services at Turquoise Lodge in Albuquerque from the current 34 beds to 80 so it can offer long-term recovery services. n Create three temporary 10-bed emergency regional treatment centers for juveniles for detoxification and residential treatment in Las Cruces, Albuquerque and either Farmington or Espaola. n Increase the availability of opioid dependence therapy that is, the use of Suboxone through trained physicians throughout the state. n Examine the role of commercial insurance carriers in restricting or cutting back private insurance coverage for drug and alcohol treatment. n Require insurance carriers, including Medicaid, to cover methadone maintenance therapy most patients pay out-of-pocket monthly costs averaging $330. Some companies pay for Suboxone therapy. n Should the state run methadone clinics in areas not currently served by private clinics? There are currently clinics in Albuquerque, Santa Fe, Espaola and Belen.
are treated the same from arrest through prosecution and sentencing. Those suggesting the idea argue that addict/dealers do more harm to a community than addicts.
n Train police officers in smaller communities in the use of Naloxone for immediate treatment of people overdosing from heroin or prescription drugs. n Broaden the immunity of people calling 911 for help for someone overdosing to include people on probation and parole. n Develop programs in jails and prisons that release inmates to treatment programs directly from lockup. Make methadone and Suboxone step-down treatment available in jails and prison for new inmates with a history of heroin or prescription drug abuse. n Create wet houses where homeless addicts and alcoholics can stay without requiring them to be sober.
Medical help
According to the Centers for Disease Control and Prevention, New Mexico has the highest per capita death rate from drug overdoses in the nation. Although the numbers decreased slightly in recent years, the 477 who died of overdoses in 2010 surpassed New Mexicos historically high drunken driving fatalities by more than 100. Stemming the supply of painkillers not only would reduce the number of people who die of prescription drug overdoses, but also would curtail heroin use, because many people especially teens move from the medicine cabinet supply to the heroin dealer. The state Medical Board took a major step last week in adopting new rules for doctors prescribing opioid painkillers like hydrocodone and oxycodone. New Mexico is at the top of the list for fatal overdoses on the painkillers. Also, young people often start down the trail to heroin abuse by popping painkillers. The new rules are more restrictive and require doctors to document painkiller prescriptions in treatment plans and to have follow-up visits. Doctors prescribing pain medication will be required to attend continuing education classes to stay current on the use and abuse of the drugs. The expansion of the Board of Pharmacys prescription monitoring system holds promise in getting prescription forgeries and doctor shopping under
PAT VASQUEZ-CUNNINGHAM/JOURNAL
Public defenders consult with clients before felony arraignments recently in state District Judge Reed Sheppards courtroom, where drug-related crimes made up a large part of the docket.
control. But a successful monitoring program can create more work for police agencies by identifying more prescription forgers. Are local police ready for that? Are local prosecutors? Do they have enough officers and prosecutors with the expertise to build the criminal cases? What priority would those cases be given? Another suggestion under discussion is development of specific drug screening and intervention for people over age 50 who are at risk for addiction to prescription drugs. the staying power of an organization like Mothers Against Drunk Driving, their impact can be felt for decades. The Heroin Awareness Committee has made development of a permanent inpatient juvenile drug treatment facility in Albuquerque its priority. n Youth Development Inc.s Gang Intervention Program has aimed at highrisk kids for decades and measures success when graduates bring more teens to the programs door for help. Some of those former graduates are adults who bring younger relatives in for help in dealing with gangs and drug abuse. n The U.S. Attorneys Office and federal law enforcement agencies FBI, DEA, ATF and Homeland Security Investigations over the past several years have made a point of working with local police agencies throughout the state to target longtime local drug dealers and armed career criminals. n The multiagency approach to dealing with the heroin addiction problem in Rio Arriba County a problem that is a black mark on New Mexico. Federal, state and local law enforcement agencies have cooperated in prosecuting large-scale Mexican drug organizations supplying heroin to the area, while at the same time cooperating with education and treatment programs for heroin addicts. n At the MATS program, addicts can use the Suboxone taper detox twice a year because the drug is expensive and the program is not a drug maintenance program. Katrina Hotrum is director of the Bernalillo County Department of Substance Abuse Programs and oversees MATS, a voluntary 48-bed drug and alcohol detox center in Southeast Albuquerque that was wracked by scandal a few years ago. Over the last year she said her job was rebuilding trust in the program, communication with police and the medical community and coordinating with state and other local programs. Building the lines of
In interviews with police, doctors, jailers, prosecutors, educators, defense attorneys, legislators and treatment professionals, the words communication and coordination were mentioned time and time again. Each profession tends to look at the drug issue through its own prism made up of problems and issues facing their specific area of expertise. The integration of law enforcement and the criminal justice system cant be ignored in addressing how the state can reverse the addiction problem. For example, the closing of one small treatment program can have ramifications in state courts that refer people on probation to it. That closure can increase the local jail population. In the end, this is clear: There is no silver bullet. It will take everything from hard-hitting education programs to hard-nosed police work taking down dealers. It will take treatment and grass-roots efforts. In the words of Gonzales, New Mexicos top federal law enforcement official: If we want to heal our communities, we have to work together.
Grass roots
There are any number of positive steps taken in the past two years. Among them: n The formation of a citizens group like the Heroin Awareness Committee can change the landscape, forcing politicians, judges, law enforcement agencies and a others to address the issues they raise. If the groups develop
Law enforcement
Police arrest a lot of people on drug charges, and literally thousands of people are taken into court. n The question at the local level is whether police and prosecutors are compiling numbers or making cases that affect the drug problem in neighborhoods. n Police, prosecutors and judges need to make a clear distinction between drug addicts and addict/dealers. In many instances the cases
The 477 who died of overdoses in 2010 surpassed New Mexicos historically high drunken driving fatalities by more than 100.