Pubdate: Mon, 1 May 2000 Source: New York Times (NY) Copyright: 2000 The New York Times Company Contact: 229 West 43rd Street, New York, NY 10036 Fax: (212) 556-3622 Website: http://www.nytimes.com/ Forum: http://www10.nytimes.com/comment/ Author: Aryeh Neier Referenced: http://www.mapinc.org/drugnews/v00/n544/a04.html Subject line by MAP To the Editor: Re "Heroin Carries AIDS to a Region in Siberia" (front page, April 24): H.I.V. infection in Russia and its neighbors is fueled almost entirely by injected-drug use. These countries now face the devastating damage done to Africa and parts of Southeast Asia by the global AIDS epidemic. But there is a small window of opportunity to act before the epidemic outpaces the capacity to control it. To do so, more national decision-makers, foreign aid agencies and nongovernment organizations must provide financial and policy support for pragmatic harm-reduction strategies. We have the capability: needle exchanges and methadone therapy are effective public health interventions. ARYEH NEIER Pres., Open Society Institute New York, April 26, 2000 - --- MAP posted-by: Richard Lake