Pubdate: Sat, 22 Jun 2002 Source: Maple Ridge News (CN BC) Copyright: 2002 Maple Ridge News Contact: http://www.mapleridgenews.com/ Details: http://www.mapinc.org/media/1328 Author: Robert Sharpe PRESCRIPTION HEROIN REDUCES DISEASE, DEATH Dear Editor, Re: Junkie's blues (News Views, June 5). Tom Fletcher ridicules the notion that childhood violence and sexual abuse drives some drug users to engage in self-destructive behavior. He sarcastically suggests "the nanny state should take over, replacing those big nasty cops with tax-funded legal drug dealers." Replacing the punitive nanny state otherwise known as the drug war with harm reduction isn't necessarily a bad idea. Consider the experience of Canada's southern neighbor, the former land of the free and current record holder in citizens incarcerated. U.S. Centers for Disease Control researchers estimate that 57% of AIDS cases among women and 36% of AIDS cases overall in the U.S. are linked to injection drug use or sex with partners who inject drugs. This easily preventable public health crisis is a direct result of zero tolerance policies that restrict access to clean syringes. Can Canada afford to emulate the tough-on-drugs approach of the United States? Europe provides much better role models. Switzerland's heroin maintenance trials have been shown to reduce drug-related disease, death and crime. They are currently being replicated in Germany, Spain, and the Netherlands. Providing chronic addicts with standardized doses in a treatment setting eliminates much of the problems associated with heroin use. Addicts would not be sharing needles if not for zero tolerance laws that restrict access to clean syringes, nor would they be committing crimes if not for artificially inflated illicit market prices. If expanded, prescription heroin maintenance would deprive organized crime of a core client base. This would render illegal heroin trafficking unprofitable and spare future generations addiction. Harm reduction interventions have the potential to reduce the perils of both drug use and drug prohibition. Putting public health before politics may send the wrong message to children, but I like to think the children themselves are more important than the message. The U.S. Centers for Disease Control webpage the verifies extent of IDU/HIV problem: www.cdc.gov/hiv/pubs/facts/idu.htm. More information is also available on our website: www.drugpolicy.org. Robert Sharpe Drug Policy Alliance Washington D.C. - --- MAP posted-by: Keith Brilhart