Pubdate: Tue, 12 Mar 2002 Source: Tribune Review (PA) Copyright: 2002 Tribune-Review Publishing Co. Contact: http://triblive.com/ Details: http://www.mapinc.org/media/460 ENABLING ADDICTION There is no other way to say it: The Allegheny County Health Department, voting 8-0, is officially complicit in the use of illegal drugs. The board has sanctioned the underground Prevention Point Pittsburgh needle-exchange program. Needle exchanges are illegal in Pennsylvania unless there is a declaration of a public health emergency. The department did so last fall. Under a liberal, prevailing, but highly suspect credo, the distribution of clean needles to drug addicts will diminish the spread of blood-borne diseases, such as the AIDs virus, through needle- sharing. The science does not support this article of faith. In a subculture defined by spectacularly risky behavior, controlling for only one risk variable - the use of clean needles - may be impossible. In addition, free needles may promote a coalescence of users, attracting isolated addicts into a crescendo of vice that exacerbates the threat to public health and the spread of disease. In a time of "enlightenment" when the public health and legal communities are pressuring mightily against the use of tobacco and misuse of alcohol, a tacit acceptance of drugs flies in the face of responsible public policy. Outreach and treatment, and yes, moral condemnation, are required at vastly higher levels than we see today. Enabling addiction with free needles doesn't belong. - --- MAP posted-by: Larry Stevens