Pubdate: Wed, 22 Aug 2001 Source: Winnipeg Sun (CN MB) Copyright: 2001 Canoe Limited Partnership Contact: http://www.fyiwinnipeg.com/winsun.shtml Details: http://www.mapinc.org/media/503 Author: Lyn Cockburn Bookmark: http://www.mapinc.org/find?142 (Safe Injecting Rooms) SAFE SHOOTING GALLERIES GOOD IDEA Safe houses for drug addicts. Places where users can shoot up using sterile needles and clean water. That's what an editorial in the Aug. 21 edition of the Canadian Medical Association Journal advocates. Using the mean streets of Vancouver -- where addicts shoot up in plain sight, often using dirty water from puddles -- as an example of the need, the journal proposes "safer" injection facilities where addicts would be offered primary health care and counselling to get them off drugs and off the street. Note that the journal uses the word "safer" because, of course, when you're talking drugs of unknown origin, the word "safe" loses all meaning. Also note that Canada would not be first in opening such facilities; 45 such houses operate in several European countries, including Switzerland, the Netherlands and Germany, with a trial facility now open in Australia. Why do it? That's the first question. How do the words hepatitis C and HIV sound? Anyone who thinks either disease can be contained within a certain segment of the population -- drug users or gays -- is stark raving stupid. These are not polite diseases which recognize boundaries of any kind. Instead, they leap from gays to straights to non-drug users to the newborn with blithe alacrity, not pausing for a second to acknowledge the morality, religion, skin colour, sexual preference or gender of their victims. Anything, anything at all, that we can do to curtail such diseases has to be worth it. And for those poised to scream "Abstinence is the answer," don't bother. Abstinence from sex and "just saying no" to drugs do not mean much to the newborn who comes into the world HIV positive. What is abstinence to the woman who in 20 years of marriage has never slept with anyone other than her husband and who goes to her doctor because she's been feeling tired, only to be told she is HIV positive? Now she has to deal with the horror of perhaps developing full blown AIDS as well as the terrible knowledge that her husband has been deceiving her. Abstinence does nothing for our teenage drug users who, when they come home to us from the street, already have hepatitis C. Abstinence is a nice word and that's all it is. Were I one of those mothers with a kid on the streets shooting up, I most assuredly would want the small comfort of knowing that my son or daughter could go to a "safer" injection facility. Once drug addicts have contracted diseases, they cost our already over-burdened medical system thousands of dollars more to treat than do non-addicted patients. Those, then, are the practical reasons for the creation of drug-user facilities. What of moral concerns? It was only yesterday that the CMA published its editorial, and already I've received irate letters to the editor insisting that such a practice would be sure to encourage drug use. This is, of course, the same silly argument used to condemn any suggestion that we make birth control available to teenagers. Better they should embrace abstinence than each other, say some. Access to birth control will just encourage young people to have sex, others bleat. They totally ignore the fact the sexually active teenager is a fact of life. They totally ignore the fact the sight of a condom is more likely to turn kids -- and adults -- off rather than on. (Ditto drug paraphernalia). And they totally ignore the fact there is an element of punishment in our self-righteous attitudes towards sex and drugs. Somehow, we want those little teenage brats, especially the girls, to suffer if they have sex. Serves them right if they get pregnant. Somehow we want them all to suffer if they do drugs. Serves them right if they get hepatitis C or become HIV positive. No, it doesn't. That sort of attitude is barbaric. And mean. And uncivilized. And if pregnancy and death serve people right if they do sex and drugs, then we should all suffer for our mistakes. I told a lie last week and I got away with it. It was a relatively small lie and it hurt no one, but it was a lie. And what about the time I stole a pair of jeans (I was much younger, of course, and since I'd never shoplifted, I had to prove I could do it, didn't I?)? I got away with it, too. Somehow, the cost benefits of opening up safer drug facilities pale in comparison to the benefits to human life. If such institutions result in getting one addict off the streets, then there is one fewer addict today than there was yesterday. That's what counts. - --- MAP posted-by: Beth