Pubdate: Wed, 08 Jan 2003 Source: San Diego Union Tribune (CA) Copyright: 2003 Union-Tribune Publishing Co. Contact: http://www.uniontrib.com/ Details: http://www.mapinc.org/media/386 Author: Roland Foster Referenced: http://www.mapinc.org/drugnews/v03/n025/a04.html DO NEEDLE EXCHANGES MAKE THE CITY SAFER? "Program for exchanging needles to be reviewed" (B-1, Jan. 5): Advocates of San Diego's needle-exchange program for drug addicts claim "it's a preventive measure" and the "numbers look pretty good." The information provided indicates that this hypothesis is wishful thinking at best. The primary intent of needle exchange is to prevent injection drug addicts from becoming infected with HIV, hepatitis and other infectious diseases. Yet neither the needle-exchange advocates or your report provided any data to demonstrate that the program has indeed decreased new infections. Advocates provide only the number of needles handed out and returned as evidence of success. Tragically, 3,000 of the 18,000 needles returned to the program - nearly one in five - were turned in by the mother of an addict who died from AIDS. Not even 3,000 needles could save one person from HIV or from his own addiction. Needle-exchange programs are also touted as a link between addicts and drug treatment. But according to your report, only 37 out of the hundreds of addicts participating in the program were actually referred to treatment. And being referred to treatment should not be confused with actually being treated. Ironically, while San Diego provides a countless supply of free needles to addicts, the city has a shortage of space for drug treatment. The city should rethink its priorities that at this time are enabling addicts to continue their self-destructive behavior at the expense of treating and prevention addiction. ROLAND FOSTER Staff Member Committee on Government Reform U.S. House of Representatives - --- MAP posted-by: Jay Bergstrom