Pubdate: Sun, 09 Jul 2000 Source: Age, The (Australia) Copyright: 2000 David Syme & Co Ltd Contact: 250 Spencer Street, Melbourne, 3000, Australia Website: http://www.theage.com.au/ Authors: Paul Heinrichs And John Elder HEROIN: HOW THE BUSH WAS HOOKED Heroin, once just a big-city problem, now has a frightening grip on the youth of country Victoria, a special Sunday Age investigation has found. Huge quantities of heroin are infiltrating Victoria's country towns and regional cities, bringing havoc and despair to vulnerable young people already battling unemployment and the lack of opportunity that come with living in the bush as its towns struggle to survive. A Sunday Age investigation shows that addiction, overdoses and drug-related crime in the main centres of Ballarat, Geelong and Bendigo, and even in smaller towns such as Portland, are approaching that of Melbourne. The Victorian Government's key drug policy adviser, Professor David Penington, was in Ballarat last week as part of a push to mobilise local government involvement in prevention and community programs. Professor Penington said some councils had not begun to face up to the drugs issue. "They're just appalled about drugs, appalled about anything to do with them," he said. "They haven't worked through those sorts of emotions which stop people getting on to the next stage. "So we are going to have discussion in every council in Victoria about the problem to get people to face up to the reality in their own community, and start thinking about the strategies that may make a difference." The scale of heroin use is shown by new official figures revealing that more than half a million needles were distributed in rural Victoria last year as part of the fight against AIDS and hepatitis C. On Friday, the acting Premier, Health Minister John Thwaites, announced funding for two new four-bed youth detoxification units in Geelong and Ballarat, the first outside the metropolitan area. Costing close to $1.4 million a year, the two units are intended to allow young people aged from 12 to 21 to remain closer to friends and families while undergoing detoxification. Mr Thwaites said there was no "Berlin Wall" around Melbourne that prevented drugs infiltrating country areas, and they had done so "in large amounts". But, he said, there was no need for injecting rooms in regional cities because they were not gripped by the street trade seen in parts of Melbourne. The Sunday Age, as part of a continuing survey of the heroin problem in rural Victoria, has found: The numbers of rural people involved in methadone programs and needle exchanges is increasing, according to a report by Dr Rodger Brough, chairman of the Rural Heroin and Methadone Project. A survey of doctors and pharmacists around the state found most were treating people with drug problems. The Salvation Army, which runs rehab services in Bendigo, Warrnambool and suburban Bayswater, says Melbourne's drug rehabilitation facilities could not cope with the demands being put on them by rural people. In Colac, a dairy town with a population of 12,000, there is a waiting list for methadone; the Colac Community Health Centre needs to double its resources to meet demand for its methadone program; and there is only one prescribing doctor, and one dispensing pharmacist, a key issue because patients on methadone usually need time-consuming monitoring when on the drug. At Echuca, there were reports of people needing long-term withdrawal from drugs having to travel to the Blue Mountains, in NSW, because there wasn't a bed for them in Victoria. Heroin starter kits - a syringe already loaded with the drug - have recently gone on sale in the Hume region. 514,287 needles were distributed to rural regions last year under AIDS and hepatitis C programs. This is an increase of 30 per cent on the 393,657 distributed in 1998, itself a rise of 77 per cent on the 222,555 handed out in 1997. The 1999 figures regional breakdown for needles is: Barwon-South Western, 188,531; Grampians, 90,360; Loddon-Mallee, 33,035; Hume, 65,807; Gippsland, 136,554. Coroners' figures show that between 1997 and 1999 there were 78 deaths from heroin overdose in the non-metropolitan areas of Victoria. The Geelong region had 24, Bendigo 17, Gippsland 15, Ballarat 14 and Seymour 8. In Horsham (population 13,500) four needle-exchange outlets, including an outreach service to Aboriginal users and one community support centre, handed out more than 5000 needles last year to illicit drug users and diabetics. Ten years ago, there was one service in town. Two weeks ago, in Maffra, 200 people attended a meeting about the growing heroin problem in the Gippsland town. Last Sunday, in Stawell, a tree was planted in memory of people in the region who have died from drug use. - --- MAP posted-by: Jo-D