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about Towns
Charles Towns was the owner of a private hospital (Charles Towns Hospital)
which specialized in the treatment of alcoholics and drug addicts from the
turn of the century into the 1940's or 50's. Bill W., the founder of
Alcoholics Anonymous started his recovery at that hospital.
Habits That Handicap: The Remedy for Narcotic
"The Injury of Tobacco and its Relation to other Drug Habits," 83 Cent. Mag. 766-772 (1912) The Peril of the Drug Habit, and the Need of Restrictive Legislation (New York: Century Co., 1912) Federal Responsibility in the Solution of the Habit-forming Drug Problem (New York, 1916) The Personal Problem Confronting the Physician in the Treatment of Drug and Alcoholic Addiction (New York: Charles B. Towns Hospital, 1917) The Present and Future of Narcotive Pathology, in Three Parts (New York: Charles B. Towns Hospital, 1917) The Alcoholic Problem Considered in its Institutional, Medical, and Sociological Aspects, in Three Parts (New York, The C. B. Towns Hospital, 1917)
NEW DRUG LAW HITS ACCIDENTAL USERS Towns Says Provision Must Be Made to Treat Thousands Who Got Habit Unconsciously. THEIR SUPPLY SHUT OFF Drug Fiends of the Underworld Will Be Little Affected by Statute Governing Physicians' Prescriptions. New York Times June 21, 1914 The Boylan anti-drug law, which was passed by the New York Legislature on March 28, and which becomes effective on July 1, will result in serious consequences if State and city authorities do not make immediate provision for the treatment of "innocent" drug slaves, according to Charles B. Towns of 119 West Eighty-first Street, who framed the law. "There are thousands of persons in this city alone who have unconsciously become addicted to the use of habit-forming drugs and who are not in any way to blame for their condition," Mr. Towns said yesterday. "Some of these innocent victims may not yet know that they have become drug fiends. No estimate can be made of their number. These are persons who, perhaps several years ago, were given drugs on physicians prescriptions to alleviate suffering from some disease or injury which, in most of the cases has since been cured. The administration of the drug, however, creates a craving for it which the patient cannot withstand, and after the cause for the first doses is gone the habit remains. The victims then secure more and more of the drug on their physicians' prescriptions. If the drug is denied them they become violently nervous and show all of the horrible symptoms of the deprived dope fiend within twenty-four hours; making it necessary for their physicians to renew the prescriptions. "The new law provides that in the future, it shall be unlawful for any physician, veterinarian, or dentist to issue prescriptions for drugs except after a physical examination for the treatment of disease, injury, or deformity, and to prevent the forging of prescription blanks every doctor signing them must affix a record of his name in full, his office address, office hours, and telephone number, and to whom the prescription is issued, together with the date of issuance. It can be filled but once, and must be filled within ten days. It will also be unlawful for any person to fill such prescription without first verifying its authenticity by telephone or otherwise or to have drugs in his possession without authority. Aside from the fact that any dealer or physician found guilty of breaking the new law will be guilty of a misdemeanor, his license may be revoked upon his conviction. "These new strictures will make it impossible for the innocent drug fiends to secure more drugs from their physicians. The law for the time being will hardly affect the drug users of the underworld, who have long known secret channels through which they can obtain their drugs. It will fall most heavily on the person who has broken no law in the past in securing habit forming drugs and will drive him--or her, for there are vast numbers of women who have become drug fiends in this manner--to seek illicit drug dens if other methods are not speedily provided. The law provides that persons who are found to be habitual users of such drugs shall be committed to a State, county, or city hospital or institution licensed under the State Lunacy Commission until they have been treated sufficiently to warrant their release. It takes only five or six days to cure a drug fiend in a hospital, but as yet the hospitals licensed by the commission have not made ample preparation for the treatment of more than a small percentage of the cases which should be sent to them when the law goes into effect if the highest good is to be derived from the law. "The movement for intelligent legislation regulating
drug traffic is comparatively young and New York's new law will not remedy
conditions in this State, but it is a good beginning. It should attract
the attention of intelligent people in other States, and should be
imitated throughout the country. Until this is done, however, and uniform
anti-drug legislation has been secured we will be handicapped by the fact
that drug users in New York can send prescriptions across the river to New
Jersey, or elsewhere, and have them filled with little inconvenience. The
law provides that all orders for the wholesale purchase of drugs must be
written on serially numbered, duplicated blanks furnished by the
Commissioner of Health. This will keep track of all supplies of drugs
purchased in New York, but druggists, or persons posing as druggists, will
still be able to order from Philadelphia, or elsewhere on their regular
letterhead paper or on fake letterhead paper. The need of national
legislation is obvious." When asked what he considered the principal cause of the widespread use of drugs, Mr. Towns said: "In the six thousand cases I have studied, I have found that in every case in which the victim was a youth he had smoked cigarettes long before he began to take drugs." Effective universal anti-drug legislation, he said, would reduce lunacy and criminality about 40 per cent. The New York Times April 29,1917 WAR IS INCREASING THE Hospitals Develop Craving, Says
No human intensity can compare with that of the drug user for his drug.
Unrelieved, he will let nothing stand between him and it; neither
hunger, nakedness, starvation, arson, theft, nor murder will keep him
from the substance he craves. This is the opinion of Charles B. Towns of
New York City, of whom Dr. Richard C. Cabot of Boston does not hesitate
to say that he "knows, more about the alleviation and cure of drug
addictions than any doctor I have ever seen." The man who first indorsed
Mr. Towns and urged Dr. Cabot, to study his specific treatment for the
drug-taker, was Dr. Alexander Lambert of Bellevue Hospital, Professor of
Clinical Medicine at the Cornell University Medical College.
And it is also the opinion of Mr. Towns that the war in Europe has
resulted in a tremendous and unnecessary increase in the use of
habit-forming drugs, and that the great need in our country at the
moment is that Congress empower the President to appoint a committee of
able men to investigate this whole matter in all its phases and make
such appropriation as may be required to protect our soldiers from the
insidious evil that is doing its work abroad. Mr. Towns is going to Washington in a few days with this object in
view. He hopes to bring forcefully to the attention of President Wilson
certain facts concerning the growth of the drug habit among the troops
in Europe, together with the necessity that this country take up this
whole subject by commission, because it is so far-reaching, involves so
much detail, and affects so many and such varied interests that it would
be impossible at this time to introduce in Congress legislation that
would meet the case as it should be met. "I presume you have read in the papers," said Mr. Towns, "the account
of the arrest of some illicit traffickers in habit-forming drugs in
which an enormous quantity--- $500,000 worth, it is reported--- of such
drugs was found and it was also stated that this organization had
representatives in foreign countries and was carrying on a wholesale
business in such drugs. This is of great interest and confirms my
position, namely, that unless this problem is taken up internationally
it will be impossible to reach such things, because, the present Federal
and State laws on the subject are wholly inadequate." Before any legislation is proposed, Mr. Towns believes the subject
should be investigated by the Federal Government and that its findings
should be made public and studied as a preliminary to the enactment of
any law or amendment to the present law. "With the united wisdom of Congress applied to the matter,'' he said
a few days ago, "there can be no doubt that such an investigation as I
have in mind would lay the foundation for Federal legislation that would
once and for all solve this monstrous problem. Such action of Congress
would mean not only a solution of this subject as far as the Federal
Government is concerned; it would mean also a solution for the States.
And it would, mind you, establish a legislative, medical, and
sociological precedent that would give this country for the first time
the primacy it ought to have in asking other countries to join with us
once and for all in terminating this evil--- an evil which has now
become not merely a series of isolated national problems, but a united
world problem. "I have recently had a patient in this hospital who had been going
through two kinds of battle in France. He won the Victoria Cross. But he
also acquired the drug habit. The army hospital made a drug taker out of
him. It has probably done the same for half a million other brave men. "Before enlisting in the present war he in South Africa, was awarded a South African Service Medal, and was honorably discharged. He went to France in August, 1914, and was in his first engagement on Aug. 25, 26, 27, and 28 when he was 'gassed.' "He told me that the physical condition produced by gas was similar
to pneumonia in several respects. One being a contraction of the chest
which makes it impossible for the patient to lie down. The patients,
himself included, were carried into the hospital, set up against a wall,
and immediately placed under the influence of morphine. He said it had
been found that morphine was the only thing that would relieve a
sufferer from the effects of gas. "As soon as the patients were able to help themselves and to use a
hypodermic a mixture of this morphine solution was put on a table within
their reach, and they were allowed to use it as often as they felt
inclined. "Now, this soldier was not aware that he was becoming a morphine
addict, but in those three months he became one. The treatment followed
in his case was the usual one, and, so far as his observations went,
each of the gas victims who entered the hospital for treatment left it a
confirmed drug user. "He returned to the front and took part in the Hill 60 engagement,
where his battalion was wiped out---the Eleventh Battalion of the Black
Watch. He stood for an hour and a quarter at roll call, and was the only
man who answered to his name. But he was wounded and went again to the
hospital. He told them that he was up against the morphine habit, and
they gave him what morphine he needed while there. "He left that hospital and joined the Royal Engineers. was again
wounded, again went to the hospital for three weeks in March, 1915, and
again was supplied with the drug during that time. Then he was sent to
the Somme front, where itwas trench fighting. But he was still able to
get the drug in any quantity from civilians. As he put it to me:
'Thousands and thousands of dollars' worth of drugs are being sold by
the women who are following the army. "It is the firm conviction of this man that all those who have been
through the war from the first and have been 'gassed' are takers of the
drug. "On July 27, 1915, his officers had ordered the blowing up of a
trench. My friend started with a crew of eleven men to cross 275 feet of
tunnel toward the enemy, when, after reaching half the distance, shells
from the Austrian guns fell short and blew the tunnelers to pieces.
Where had been a tunnel was now only a hole. "My friend picked himself up and found that his leg was sprained and
his back hurt. There was one fellow whose leg was blown off. My friend
carried him over to their trenches so looked back and saw another
companion trying to get up. So he carried him in. He carried back the
whole eleven, and dropped when the job was finished. "When he knew anything again he was back in the hospital--- the same
hospital at which he had remained previously for nearly three months. "He informs me that the hospital records show that while he was in
them morphine was administered to him regularly. This will appear on the
charts, but not the quantity. He has seen morphine administered to
twenty men at one time from the same hypodermic; in fact, the nurses
never refused morphine to any one who asked for it. "After he arrived in this country he went to Boston and the British
Consul there arranged for him to go to Bermuda with the nurse. He stayed
there about two weeks, but his cough got no better and he came back. He
then went into the Maine woods, where he tried to rid himself of the
drug habit, but found he could not. The open air did cure his cough, and
he returned to Boston determined to conquer his addiction to drugs. A
physician prescribed for him for four weeks, and he was taking as much
morphine at the end of that time as he had been at the beginning. "This man told me that he was very discouraged, and had made up his
mind to shoot himself. He talked the matter over with his wife, and they
came to New York and saw me. He had only $71 left when he reached New
York. I gave him the best room in the house, feeling that I owed it to
the boys over there in Europe to do something. He is cured. "Now the basic way for the United States or any other country to deal
with this question." Mr. Towns asserted, "to go at once and directly to
the very root of the whole business, would be to restrict all use of
opium to its crude form and to its forms as laudanum and paregoric. This
would cut off all pecuniary interest in it, save for supplying it for
legitimate medical needs in the crude form, and in its least harmful
forms of laudanum and paregoric. Opium is produced only in a few
countries--- practically none in our own country--- and it is only the
manufacture of its alkaloids that requires such large outlay of capital
in laboratory equipment. "Where an opiate is indicated there are very few instances in which
the required results could not be had from the administration of the
crude product. Crude opium is the least harmful form of opium that can
be taken for it contains all of the alkaloids and may be taken either by
the mouth or in suppositories. If the traffic in and sale of this drug
was reduced to traffic and sale of crude opium it would not
inconvenience the medical profession in its legitimate use of the drug
in any way whatsoever find it would Immediately stop this large illicit
traffic that has grown out of the habit-forming drug situation. "No possible good will come out of attempting merely to forbid the
importation, manufacture or sale of heroin. The chemists are very clever
and they would give us in another day some preparation of opium under
some other trade name. And if it was not an actual preparation of opium
they would claim that it was a synthetic one. The only way to meet such
a habit-forming drug condition is, I repeat, to restrict the
manufacture, sale, prescribing and administering of opiates to the crude
opium, to laudanum, and to paregoric, and then to hold the physician to
a strict accounting of all of these he personally prescribes or
administers. There are no physical conditions in which heroin or any
other narcotic is indicated but what could be met by these. We can
dispense even with morphine and all of the opium alkaloids. "I can go back to the time in the South when there was an old
rosewood medicine chest with a ball of opium and a vial of paregoric,
and these easily met every possible need where opiates were considered
necessary to alleviate pain. The medical profession would not be
inconvenienced in the slightest degree by such a restriction, and it
would at once eliminate every unfavorable hazard that has grown out of
the use of habit-forming drugs for medical purposes. "Stopping importation is a farce, unless at the same time there is a
rigid Governmental control in those countries that produce or import the
drug. The only obstacle to an international understanding is that the
producing countries know very well that Government regulation would
materially lessen the sale of the drug. Within the borders of our own
country such a system would simplify rather than complicate present
conditions. We have today along our frontier find in our parts
inspectors trying to stop the illicit traffic in opium, and the money
thus spent by our Government would be more than sufficient to handle and
distribute all of the drug that is needed for legitimate purposes. "Any druggist could of course continue to buy all that he wished, but
he would have to account for what he bought. The drug would serve only
its legitimate purpose, because the druggist could sell it only on
prescription. This would at once eliminate the gravest feature of the
case, the indiscriminate sale of proprietary and patent medicines
containing small quantities of opium. The physician would thus have to
shoulder the entire responsibility for the use of any habit-forming
drug. "I must hammer this point once more: With the Government as the first
distributor and the physician as the last, the whole condition of
affairs would assume a brighter aspect, for it would be a simple matter
to get from the physician a proper accounting for what he had dispensed.
Thus the new crop of users would be small, and less than 10 per cent. of
the opium at present brought into this country would be sufficient to
meet every legitimate need."
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