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RACE AND THE ENFORCEMENT OF DRUG DELIVERY LAWS IN ...

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who used a serious illicit drug in the past month were white. 52 In either case,<br />

these data indicate that a clear majority of those who recently used a serious<br />

illegal drug from 2002 to 2006 were white.<br />

Although useful, most general surveys such as those described above miss<br />

institutionalized, transient and homeless populations. As a result, such surveys<br />

may underestimate the prevalence of some categories of drug use. 53 In particular,<br />

the percentage of Seattle residents reporting heroin use in the previous year in<br />

the SAMHSA survey was very low (.1 percent). Yet, according to public health<br />

officials, 15,000–18,000 King County residents are injection drug users (IDUs),<br />

most of whom use heroin. 54 In the Seattle-King County area, concern among<br />

public health officials has therefore centered on injection drug use, which is<br />

believed to be unusually prevalent and poses particular health risks. 55 The<br />

Seattle-King County Needle Exchange Survey is an important source of<br />

information about IDUs living in King County.<br />

2007–2008 SEATTLE-K<strong>IN</strong>G COUNTY NEEDLE EXCHANGE SURVEY<br />

The 2007-2008 Seattle-King County Needle Exchange Survey was conducted on<br />

behalf of Public Health - Seattle & King County and The Defender Association. 56<br />

The survey was administered at all seven needle exchange sites in Seattle-King<br />

County during all hours of operation for a two-week period of time (September<br />

11–24th, 2006). Only clients who exchanged needles were surveyed. The twoweek<br />

sampling period was selected because according to public health experts,<br />

the majority of needle exchangers utilize the needle exchange services within that<br />

time frame.<br />

52<br />

These calculations were based on 2000 U.S. Census Bureau population counts provided in<br />

Tables QT-P6, P12, and P121; half of those in the 10–14 age range were combined with younger<br />

residents and subtracted from general population figures to calculate the proportion of the<br />

resident population and white resident population aged 12 and older.<br />

53 For example, a survey of homeless Seattle youth (whose drug use patterns may or may not be<br />

similar to those found among homeless adults) found that 46 percent had used LSD, 33.5<br />

percent had used amphetamines, 18.1 percent had used (an unspecified form of) cocaine, and<br />

10.3 percent had used heroin in the past three months (Wagner et al. 2001).<br />

54 Banta-Green et al. 2006: 10; Deibert et al. 2006: 1347; Public Health- Seattle & King County<br />

2005.<br />

55<br />

Injection drug use poses serious and particular health risks. For example, roughly one-third of<br />

all new HIV cases and 60 percent of hepatitis C infections stem from injection drug use (Deibert<br />

et al. 2006: 1347; Lee and Sharpe 2003).<br />

56 The 2007-2008 Seattle-King County Needle Exchange Survey was designed by Michael<br />

Hanrahan, Kris Nyrop and K. Beckett.<br />

25

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