Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

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204TABLE 17.-AGE OF ADDICTS AND NONADDICTSAddictNonaddlct18tol9 _ 16 1620to21 14 1422to23 7 724to25 _ 9 926to27 9 928to29. 9 930to31... _. 9 932to33 _ 4 434to35.. 4 436to37. .55_38to39 _... 2 240orolder 12 12Total.. 100 100
205TABLE 21.—NUMBER OF BROTHERSAddict Nonaddict TotalNumber Percent Number Percent Number PercentNumber:18 181 21 21? - 24 243. _._. 14 144.. 9 9_.-5 3 36 _.__7 _ 2 2More than 7 _._ 1 INo answer; don't know 8 821Total ._ 100 100(a)Number of sisters:16 161--- -- _.__ 28 28-2 22 223 14 144.. 5 5__5 3 36...7 1 iMorethan7 2 2No answer; don't know 9 9Total 100 100
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NARCOTICS RESEARCH, REHABILITATION,
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::VEXHIBIT NO. 4 (a) AND (b)Eddy, D
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urden that such addiction imposes u
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1 (lata; (->) the sliariiis" oF iii
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9Chairman Pepper. The committee is
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::11quota production from unrecogni
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13in this country. This raises the
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15from other clinical projects of w
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:17practice, experience has indicat
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;19.I think a quota would be better
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21When methadone was first introduc
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:::::.—23American Society of Phar
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_'—25.I'BOCUREMENT AND ISSUE DATA
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'.28Fiscal years-1967 1968 1969 197
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30rally in opium. By indirect, the
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32We can, I think, most helpfully g
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34so intense that we haven't done v
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Dr. Eddy. Well, physicians, usually
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38Dr. Eddy. No.Chairman Pepper. Now
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:40get away with it as Dr. Keats su
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:—:42public health hazard was jud
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:44Bibliography(1 Nathan B. Eddy. "
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46(52) Nathan B. Eddy. "Dilaudid."
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48(98) "The New Narcotics, Post-gra
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^.50
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52entails the consideration of addi
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54Chairman Pepper. Have you found t
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56^.I wonder would you care to comm
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58Chairman Pepper. Without objectio
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—1958-681959-«419691962-64196219
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—62abuse and has brought about th
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64bank robbery or an assault. You d
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66Mr. Wiggins. Would the stopping o
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68—Chairman Pepper. Can you give
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:70The problem then would be the wi
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;72taking exceptional measures in t
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)—74pay serious attention to this
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;76From 1958 to 1961, he served as
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78deine in painkilling drugs. So if
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;80ning capabilities, responsibilit
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;:;82terials. If they could introdu
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84Figure 1infrared Ektachrome film
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;86Figure 3.—Tones of wheat (W) a
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88ers at the poppyfields or at any
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:90;:tional situations has handicap
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;;92Locating illicit opium cropsDet
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94Jaffe. Well, there would be some
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96Mr. Jaffe. Primarily on the fact
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98in the same ball park about what
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100Chairman Pepper. Mr, Waldie, do
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::102agencies and input data would
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104most facilities are barely able
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;106We have also studied a ^roup of
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108Dr. Gearing. Yes, sir; I would n
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110somethino: in the nei
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112program is put into the machiner
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I114you have some data there that s
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116Dr. Gearing. It depends on what
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118Chairman Pepper. Would you have
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120it not be so that we could proje
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.122admission rate was approximatel
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124BESULTS(1) Although many of the
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1262. All the members of the methad
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128HETHADOHE MAINTENANCE TREATMENT
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11 1 1 1 1 11130Methadone Halnten?n
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132TABLE 2.-METHAD0NE MAINTENANCE T
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134Figure 9 Methadone tlaintenance
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136Methadone Ka'ntanance Treatmf:nt
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:::.::.138Appendix A^—Methadone M
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140nance treatment patients showing
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142Figure 3 •lethadone Kaintenanc
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144Dr. DuPoNT. 1,760 on methadone m
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:146there are dramatic reductions i
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148Health insurance coverage for me
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150Dr. DtjPont. Well, there are no
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152Mr. Blommer. You would agree the
Page 166 and 167: 154done. Where is the evidence ? No
Page 168 and 169: 156There are several reasons a pers
Page 170 and 171: 158It would seem to me a very busy
Page 172 and 173: 160we had before. I don't think it
Page 174 and 175: 162heroin addiction and support all
Page 176 and 177: 164Dr. DuPoNT. I am reluctant to ge
Page 178 and 179: 166Using this figure as rule of thu
Page 180 and 181: )168ment facilities for heroin addi
Page 182 and 183: .170parole departments. None were c
Page 184 and 185: ::172Table 2.— Selected character
Page 186 and 187: 174TABLE 3.—HEROIN ADDICTION RATE
Page 188 and 189: 176W.a^^cc-V.c Cffv..AdF-ro ftcoKjL
Page 190 and 191: 178.^06V f\QrK-'SEt G^ouP/AJ6SIS're
Page 192 and 193: I180*i coo)u->CM>—'CMUJCOO O COa>
Page 194 and 195: I(/I182esiMmin0)^> oo.00 =E|c O.2 o
Page 196 and 197: 184encouraged to return to methadon
Page 198 and 199: 186or other side effects. This incr
Page 200 and 201: :188number as that on the bottle. W
Page 202 and 203: 190Attachment ThreeTo all medical s
Page 204 and 205: -jI IALLI192ATTACHMENT- FIVE,J: IPA
Page 206 and 207: 194ATTACHMENT NINEGOVERNMENT OF THE
Page 208 and 209: ......—196half of the addicts sta
Page 210 and 211: 198CONCLUSIONSCertain patterns emer
Page 212 and 213: 200TABLE 5.— PROFILE OF BARBITUAR
Page 214 and 215: 202TABLE ll.-SUPPORT OF HEROIN HABI
Page 218 and 219: 206TABLE 23.—PRESENT MARITAL STAT
Page 220 and 221: 208TABLE 28.-MILITARY SERVICEAddict
Page 222 and 223: :210The committee is pleased to cal
Page 224 and 225: 212sists of a network of 21 geograp
Page 226 and 227: 214(6) Basic studies on the nature
Page 228 and 229: 216in fact, constitute autonomous o
Page 230 and 231: Chairman Pepper. Mr. Perito?218;; M
Page 232 and 233: ^'220is not a very forgiving drug.
Page 234 and 235: '222Furthermore, in our present con
Page 236 and 237: —224the Federal Government decide
Page 238 and 239: -—I have presented one generic ki
Page 240 and 241: ,clinic;?,>•
Page 242 and 243: 230I realize we are running late.Do
Page 244 and 245: ''232'']Vir. Winn. Tiien you mentio
Page 246 and 247: 234So having put it in the area, ha
Page 248 and 249: ,Memberships'—i236privilege of co
Page 250 and 251: ;238A central hypothermic response
Page 252 and 253: ;240South Bronx, Bedford-Stuyvesant
Page 254 and 255: 242€are of patient addicts. We ha
Page 256 and 257: 244hospitals in the city, came into
Page 258 and 259: 246that came into my office, and I
Page 260 and 261: 'Mr.;>•/nmo'.i,,;248deputy commis
Page 262 and 263: :250two Rockefeller Institute physi
Page 264 and 265: :252during pliase II that serious e
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254well-structured methadone mainte
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;:256nonsense and serves only to ad
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:258you best complete your statemen
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260Mr. Pertto. Based upon your expe
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262A a'reat case in point was a con
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«264Mr. Steiger. Did you discuss w
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—:266Mr. HoRAN. We don't support
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268Mr. Horan, let's back up a littl
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270It is not up to heroin or morphi
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272nesses yesterday who brought out
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274;Mr. Perito. It is my understand
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276So that at the end of the week t
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278steroid he lias in him we might
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280Mr. Perito. You are referriii"'
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282not drug free. I can say approxi
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28 A$2-a-day habit these individual
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•As286I got to the point once in
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288Mr. Steiger. You mentioned anoxi
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290Mr. Eangel. I could see then tha
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292Dr. Casriel. Mr. Keating, I have
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j294What period of time are ^ve tal
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296was March of 1970—he was admit
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298"The paper by Dole and Nyswander
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:300vent them from coming to New Yo
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302[Exhibit No.14(b)]Casriel Instit
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304to result from the insuflScient
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306It is this role of the intervent
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308EESULTSStudies concerning tlie p
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310The method derives from a specia
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312Why is this happening? What need
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m)effective with uncured alcoholics
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I316Casriel, who is medical-psychia
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318resort to heroin. One must not f
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.320in Permanent Cure of Narcotic A
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322!(4) '-Modification of Adaptatio
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324sections of the country, all sor
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;Mr.Pertto.niuch,I?,Mr. Peritq. Tha
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328Chairman Pepper. Mr. Steiger.Mr.
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, Mr., In''wMr, WiNx.nltiiink tlie
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:332"Stomach cramps" were found to
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'i.We334'""^li'anTOanl^ETPPEiL That
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:))))336would be deprived of any cl
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338less abuse liability than agents
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Page 355 and 356:
CONTENTSApril 26 1April 27 77April
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:•vEXHIBIT NO. 4 (a) AND (b)Eddy,
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:lovernor,vnEXHIBIT NO. 21 (a) and
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342have no desire to preempt the au
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344We hope these hearings will prov
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346tons in 1962 and to 155 tons in
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348SOUTHEAST ASIAAs you know also,
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350I would also point out as I did
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352their farmers who have been grow
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354told that much of the insurgency
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356Mr. IxGERSOLL. Well, again, Mr.
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358jority of the heroin problem in
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360years, but I have been frustrate
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362Mr, Steiger. If you were goin^ t
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364report marihuana among junior gr
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366And it seems to me tliat we Avou
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?368effectively, then maybe we will
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370improvement as far as the abilit
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372was there. Your visits probably
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374the purchase of Avitnesses—I s
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:376administrations to publicly say
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378Chairman Pepper. We will take a
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380Mr. Ingersoll. No. I don't recal
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:382can fulfill the vow made by the
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384have to give you the same answer
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386Mr. Brasco. But that is another
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388Mr. Ingeksoll. Well, that is the
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Page 413 and 414:
-39,3,Dr. Edwards held a surgical f
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395of Narcotics and Dangerous Drugs
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397Naloxone, recently approved for
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399for example, who might be abusin
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401Now, because of our attention ha
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403and this is only for the investi
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405effects this drug will produce i
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407Now, if it is not used intravene
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409Mr. Wiggins. Dr. Jennings, does
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411Penicillin is good for pneumonia
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413Mr. R ANGEL. But from the studie
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415Dr. Gardner. Again, we don't hav
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417Dr. Edwards. I suspect it at lea
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419On the other hand, if serious si
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421of the best known programs. Alth
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423Medical Association, American Ps
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425of the United States Pharmacopei
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4275. Repeated examinations. Physic
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429agement and rehabilitation of se
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—431As the agenc.v within HEW whi
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433and complex acts such as driving
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435(Inig induces physical and psych
Page 457 and 458:
437Chiiirmtin Pepper. Doctor, I thi
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439A large proportion of youngsters
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441Dr. Brown, what would you say is
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443Chairmiui Pepper. Wliat is tlie
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446The state of the art is promisin
Page 467 and 468:
447Lot nie ask you first, is tlic d
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449Chairman Pepper. Do you happen t
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451want you to take a look at. We w
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453In addition to that, there seems
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455the Mfldict is having a program
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457—on drugs? By that I mean, vei
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459\\ e are basically saying, in or
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—;461that this is the extent to w
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463We could go into the drug area a
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.465program that was i)ut into Jack
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467Mr. Brasco. Possibly. However, w
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469him, arrange to get somebody els
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471ainpheta.mines, or barbiturates.
Page 493 and 494:
473In the meantime, the Institute d
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475treated in the community centers
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477research on narcotics in the sam
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479c 53 03E
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Page 503 and 504:
483spending for research through NI
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485There has been no concerted seri
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487it is left in one of their veins
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489I do not think I should explain
Page 511 and 512:
491Dr. ViLLARREAL. Until the reflex
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493evidence strongly shows is that
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495Chairman Pepper. One other quest
Page 517 and 518:
497Dr. ViLLARREAL. So, it is a biol
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'.499could result in a laboratory s
Page 521 and 522:
5qifinds it in normal exploration.
Page 523 and 524:
503synthesized a large number of na
Page 525 and 526:
505STATEMENT OE DR. ALBERT KURLAND,
Page 527 and 528:
507discovered if we iiad taken the
Page 529 and 530:
509Mr. Perito. Dr. Kurland, do you
Page 531 and 532:
511Chairman Pepper. Has the Food an
Page 533 and 534:
513]Mr. Steiger. Do you feel from y
Page 535 and 536:
515In this second study there was a
Page 537 and 538:
517were any significant differences
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519The Deceptive Communication and
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.522than a State psychiatric hospit
Page 544 and 545:
524Department of Mental Hygiene), R
Page 546 and 547:
TABLE 3—COMPARISON OF THE 1ST POS
Page 548 and 549:
528TABLE 10—RELATIONSHIP OF AGE T
Page 550 and 551:
530tution and his involvement in th
Page 552 and 553:
Attachment No. 5;r\ N-CH,-CH=CHo ,
Page 554 and 555:
'-534Chart No. U (case No. 672)Disp
Page 556 and 557:
536Chart No. 4 (case No. 694)Illust
Page 558 and 559:
538Chart No. 35 {case No. 697)Excep
Page 560 and 561:
540This amount of heroin is roughly
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5msuccessful or not in that short a
Page 564 and 565:
544Chairman Pepper. Would you repea
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54^creased amount of licit as well
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—54Sand the bureaucracy and the a
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,,Mr.550you have used some of the s
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552so many areas is also a pitiful
Page 574 and 575:
55,4nitiide of heroin addiction in
Page 576 and 577:
556reached $976.5 billion, we can w
Page 578 and 579:
558Mr. Jones was appointed to the c
Page 580 and 581:
560cant when you consider that Out
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562criminal act in his lifetime. Ye
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—564Mr. Perito. Would it be fair
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566Now, Dr. Cliambers, can yon resp
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—568Mr. Raxgel. Our distinguished
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;-570Mr. Jones. That is correct. Ou
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572the commissioner, $186 million i
Page 594 and 595:
574there should be something in the
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576and the way in which the funds a
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57SDr. Chambers. I think wliat you
Page 600 and 601:
580Education is the best way of pre
Page 602 and 603:
58-2Certain essential facts must re
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584done through determined action,
Page 606 and 607:
586druffs, has the Nation's largest
Page 608 and 609:
:588To repeat, methadone maintenanc
Page 610 and 611:
:590I believe the Federal Governmen
Page 612 and 613:
:take no such satisfaction. We have
Page 614 and 615:
594of value in the testimony you ha
Page 616 and 617:
596gone ahead with several. We have
Page 618 and 619:
598force within our State Police De
Page 620 and 621:
60PRased on the proposed goal of 2.
Page 622 and 623:
602STATEMENT OF HON. MILTON SIIAPP,
Page 624 and 625:
(51)4and apprehend the wholesalers
Page 626 and 627:
J'606[Exhibit No. 23Prepared Statem
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608Under our 1071-72 budget proposa
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GIOcenters for the treatment of her
Page 632 and 633:
. Dr.612Bourne informs me that we h
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614Governors in Atlanta to which re
Page 636 and 637:
616pretty bad news, because it indi
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618Scientific statistical ioformati
Page 640 and 641:
620((')) Finally, I believe that al
Page 642 and 643:
622Governor Carter. I certainly rec
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624programs that are now available,
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626all of the top officials in the
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628perhaps greater than some of the
Page 650 and 651:
)630tion and many others attempting
Page 652 and 653:
632(3) Long term residential self-h
Page 654 and 655:
634for the support of drug service
Page 656 and 657:
:636D. NARCO, Inc.Narcotics Addicti
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638crimes to obtain the necessary m
Page 660 and 661:
640million to $25 milliou per year.
Page 662 and 663:
642Mr. Perito. Thank yoii. Mr. Chai
Page 664 and 665:
644narcotic antagonist, and the oth
Page 666 and 667:
646. Dr. Kramer. From what I have s
Page 668 and 669:
—(348your money on, but methadone
Page 670 and 671:
—650I know of no techinque in pri
Page 672 and 673:
652Dr. Kramer. Yes, sir. As a matte
Page 674 and 675:
:'654prison and who liave no—wlio
Page 676 and 677:
65GDr. KT?A:\rEij. 1 suspect tliat
Page 678 and 679:
658support some of the inethadone p
Page 680 and 681:
'6660Dr. IvKAisrKK. 1 believe that
Page 682 and 683:
662jrest that the Veterans' Adminis
Page 684 and 685:
664opiates may be ingested in sever
Page 686 and 687:
666(5) It suppresses the desire for
Page 688 and 689:
668Many people have benefited from
Page 690 and 691:
—G70Other researches which may di
Page 692 and 693:
672synthetic painkillers, our commi
Page 694 and 695:
074IV. A universal ban on legitimat
Page 696 and 697:
..676iTlius we must look to educati
Page 698 and 699:
678states, from Arnold Becker, publ
Page 700 and 701:
680However, we must look at rehabil
Page 702 and 703:
:682(a) The natural history of narc
Page 704 and 705:
684was a heavy user. The decrease i
Page 706 and 707:
686(13) Wallace. R. K. : Physiologi
Page 708 and 709:
688TABLE 9.-USE OF "HARD LIQUOR" BE
Page 710:
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