Agenda
	Thursday, January 13, 2000
9:00-9:30	Welcoming Remarks Alonzo Plough, PhD, MPH, Public Health--Seattle and King County, Seattle, USA Dennis Donovan, PhD, Alcohol and Drug Abuse Institute, University of Washington, USA Ethan Nadelmann, JD, PhD, The Lindesmith Center, New York, USA
9:30-10:15	What is a Heroin Overdose? [abstracts] Moderator: G. Alan Marlatt, PhD, Addictive Behaviors Research Center, University of Washington, Seattle, USA Karl Sporer, MD, DACEP, Department of Emergency Services, San Francisco General Hospital, USA -- Acute Heroin Overdose: Overview Cheryl White, Illicit Drug Users' Union of Toronto, Canada -- Strategies from the Street: A Personal Account of Overdose
10:15-11:45	Heroin Overdose Trends: Epidemiological Insights [abstracts] Moderator: G. Alan Marlatt, PhD, Addictive Behaviors Research Center, University of Washington, Seattle, USA Ernest Drucker, PhD, Montefiore Medical Center, New York, USA -- Overdose Rates and Trends in 25 U.S. Cities Larry Campbell, Chief Coroner, Province of British Columbia, Vancouver, Canada -- A Brief Overview of Heroin Death in British Columbia Gary Oxman, MD, MPH, and Shelley Kowalski, PhD, Multnomah County Health Department, Portland, USA -- Epidemiology of Heroin Deaths in Multnomah County, Oregon - Quantitative and Qualitative Perspectives Alonzo Plough, PhD, MPH, Public Health--Seattle and King County, Seattle, USA -- Strategies for Seattle
1:00-2:15	Risk Factors for Heroin Overdose [abstracts] Moderator: G. Alan Marlatt, PhD, Addictive Behaviors Research Center, University of Washington, Seattle, USA Deborah Zador, MD, Concord Repatriation General Hospital, Sydney, Australia -- Users' Perceptions of Cause and Risk of Heroin Overdose in Sydney, Australia: Implications for Prevention Shaun Seaman, PhD, INSERM, Paris, France -- Role of Prison and Jail in Increasing the Risk of Overdose Shep Siegel, PhD, McMaster University, Hamilton, Canada -- Pavlovian Conditioning and Drug Overdose Kristen Ochoa, Dept of Epidemiology and Biostatistics, UCSF, San Francisco, USA -- Overdosing Among Young Injection Drug Users in San Francisco
2:30-4:00	Naloxone Distribution [abstracts] Commentator: Scott Burris, JD, Temple University School of Law, Philadelphia, USA -- Legal Aspects of Naloxone Availability John Strang, PhD, National Addiction Centre, London, UK -- Preventing Opiate Overdose Deaths: Identifying the Target Groups and Exploring Possible New Prevention Opportunities Karen H. Seal, MD, MPH, Urban Health Study, San Francisco, USA -- Providing "Take-Home" Naloxone to Injection Drug Users to Prevent Heroin Overdose Deaths -- A Feasible Option? Dan Bigg, Chicago Recovery Alliance, Chicago, USA -- Overdose Management Training with Naloxone Maurizio Campana, MD, Department of Addictive Behaviors, Bergamo, Italy -- Overdose Mortality and Naloxone Distribution in Italy
4:15-5:30	Outreach and Education [abstracts] Moderator: Kris Nyrop, MA, Street Outreach Services, Seattle, USA Heather Edney-Meschery, Santa Cruz Needle Exchange, Santa Cruz, USA -- Exchange-Based Prevention L. Synn Stern, MPH, Positive Health Project, New York, USA -- "BDZs & Methadone: Overdose Challenges for Low Threshold Drug Services Stuart N. Fisk, RN, MSN, Allegheny General Hospital, Pittsburgh, USA -- Translating Clinical Information into "User Friendly" Knowledge about OD Prevention
5:45-7:00	Reception

	Friday, January 14, 2000
9:00-11:00	International Innovations in Heroin Overdose Prevention [abstracts] Moderator: Donald MacPherson, Social Planning Dept., Vancouver, Canada Robert Ali, MD, University of New South Wales, Sydney, Australia -- Pulling the Strands Together: An Intersectoral Approach to Overdose Among Heroin Users Christoph Buerki, MD, KODA-1, Bern, Switzerland -- Swiss Approaches to Heroin Overdose: From Safe Injection Rooms to Heroin Prescription Urban Weber, PhD, Integrative Drogenhilfe, Frankfurt, Germany -- Overdoses in Safe Injection Rooms - Prevention and Interventions Giel van Brussel, MD, Drug Dept, Amsterdam Municipal Health Service, Amsterdam, Netherlands -- The Role of Public Health in Preventing Death Caused by Heroin Overdose
11:15-12:30	Emergency Response to Overdose [abstracts] Moderator: Clark Kimerer, Chief of Staff, Seattle Police Department Thomas G. Martin, MD, MPH, FACEP, FACMT, FAACT, University of Washington Medical Center, Seattle, USA -- Controversies in Emergency Response to Heroin Overdose Robert Swarner, EMT-P, American Medical Response, Santa Cruz, USA -- Making It Safe to Call 911 Karen Wanger, MDCM, FRCPC, FACEP, St. Paul's Hospital, Vancouver, Canada -- Waking Them Gently: The Prehospital Treatment of Heroin Overdoses Neil Flynn, MD, Harm Reduction Services, Sacramento, USA -- Bad Attitudes in the ER: It's a Two-Way Street
12:30-2:00	Luncheon Speaker: Tony Trimingham, Family Drug Support, Willoughby, Australia -- From Tears to Hope: Family Support for Overdose Victims [abstract]
2:00-3:30	Concurrent Focus Sessions I: A. Treatment as an Approach to Preventing Overdose [abstracts] Moderator: Dennis M. Donovan, PhD, Alcohol & Drug Abuse Institute, University of Washington, Seattle, USA Ron Jackson, MSW, Evergreen Treatment Services, Seattle, USA -- The Role of Opiate Substitution Treatment in Preventing Heroin Overdose Joe Merrill, MD, MPH, University of Washington, Seattle, USA -- Methadone Maintenance in Primary Care Walter Ling, MD, Los Angeles Addiction Treatment and Research Center, Los Angeles, USA -- Buprenorphine: A New Opiate Pharmacotherapy G. Alan Marlatt, PhD, University of Washington, Seattle, USA -- Relapse Prevention and Harm Reduction in the Prevention of Heroin Overdose B. Epidemiological Issues [abstracts] Moderator: Norma Jaeger, MSW, King County Division of Mental Health and Chemical Dependency Services, Seattle, USA Fiona Couper, PhD, Washington State Toxicology Lab, Seattle, WA -- Toxicology of Heroin-Related Deaths David Solet, PhD, Epidemiology, Public Health-Seattle & King County Seattle, USA -- Using Medical Examiner Data to Characterize Local Patterns in Opiate-Related Mortality: King County, WA, 1996-1998 Stephen Sifaneck, PhD, National Development and Research Institute, New York, USA -- Heroin Overdose and HIV on Manhattan's Lower East Side C. Naloxone Distribution (cont.) [abstracts] Moderator: Scott Burris, JD, Temple University School of Law, Philadelphia, USA Kerstin Dettmer, MD, Fixpunkt, Berlin, Germany -- Naloxone Distribution to Drug Addicts as a Contribution to the Prevention of Opiate Overdose Fatalities Ro Giuliano, San Francisco Needle Exchange, San Francisco, USA, -- Naloxone Administration Training: Issues and Outcomes
3:45-5:00	Concurrent Focus Sessions II: A. International Innovations (cont.) [abstracts] Moderator: Donald MacPherson, Social Planning Dept., Vancouver, Canada Craig Fry, Turning Point Alcohol & Drug Centre, Fitzroy, Australia -- An Overview of Heroin Overdose in Melbourne: The Scope and Context of the Problem and Current Responses Isabelle Renschler, IREC, Swiss Federal Institute of Technology, Lausanne, Switzlerland -- Challenges for Effective Community Action: A Prevention Program for Drug Addiction in a Semi-rural Area in Switzerland Werner Schneider, Drug Policy Department, City of Frankfurt, Germany -- "Heroin Overdose and Responses in Frankfurt, Germany" B. Peer Interventions & Emergency Response [abstracts] Moderator: Norm Stamper, Chief, Seattle Police Department, USA Peter Davidson, National Drug Research Institute, Curtin University, Perth, Australia -- Peer-Based Intervention in a Hospital Setting after Overdose: A Report on the OOPS ED Project Sheigla Murphy, PhD and Julia Choe, Institute for Scientific Analysis, San Francisco, USA -- Overdose Stories from the Field C. Community Organizing [abstracts] Moderator: Corinne Carey, JD, Urban Justice Center, Lower East Side Harm Reduction Center, New York, USA Bryan Alleyne, Vancouver Area Network of Drug Users, Vancouver, Canada -- So Ya Won't Hire Me 'Cause You Know I'm a Junkie Tammy Desjardins, Vancouver Area Network of Drug Users, Vancouver, Canada -- Organizing Drug Users to Speak Out about Overdose Belita Nelson, Starfish Foundation, Plano Texas, USA -- Starfish Foundation: Organizing Parents, Teachers and Students to Fight Teenage Heroin Abuse Kendra Wright, Family Watch, Washington DC, USA -- The Impact of Drug Policy on Family, Women and Children Peter Morse, PhC, Housing Works, New York, USA -- Response of Drug Services Staff to Overdose
5:00-5:30	Closing Remarks