Pubdate: Fri, 15 Aug 2003 Source: Worcester Magazine (MA) Copyright: 2003 by Worcester Publishing Ltd Contact: http://www.worcestermag.com/ Details: http://www.mapinc.org/media/2124 Author: Kim Hanna http://www.mapinc.org/writers/kim+hanna Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) NEEDLE EXCHANGE Thank you for this fine report on the status of funding for HIV and AIDS testing in Worcester (WM, "AIDS and the blame game," July 24). Recent reports show a major increase in AIDS cases and a sharp increase in new HIV infections. An increased supply of very pure heroin is leading to an increase in IV drug users and, without a supply of hypodermic syringes, addicts will be sharing needles. In the midst of the HIV/AIDS epidemic, Governor Romney and our politicians have cut the funds for testing by 40% in the last 18 months. I'm sorry to say that these actions border on being criminal. A public health catastrophe in the making here. It can cost $200,000. per year to treat an AIDS patient; with most of the money paid by the public. It is morally and fiscally irresponsible to reduce HIV and AIDS testing. The experience of states such as Minnesota and Connecticut that have deregulated needle sales consistently show a decrease in needle sharing; and a reduction in new hepatitis and HIV infections after syringe sales are deregulated. In Illinois Gov. Rod Blagojevich recently signed into law a measure that will allow anyone age 18 and older to buy hypodermic needles without a prescription. The law will allow individuals to purchase up to 20 needles at a time from a pharmacy. Pharmacies will be required to offer the buyer educational materials on drug treatment and safe needle disposal. Supporters of the law say that it will reduce the spread of injection related HIV and Hepatitis C generally and particularly the rate of mother-to-child HIV transmission, since 96% of all HIV-positive infants are born to a parent who was infected from dirty needles. Most new HIV cases come from shared needles. Because HIV, hepatitis C, and other blood-borne diseases are easily spread through the sharing of needles by injection drug users, most states have moved to allow for access to sterile syringes to stem these disease epidemics. The Illinois law that allows for syringe sales without a prescription leaves only 5 states (New Jersey, California, Pennsylvania, Delaware, and Massachusetts) with prescription requirements. New Jersey Gov. James E. McGreevey has called for a pilot needle-exchange program that would allow addicts to turn in old syringes - 80 percent of which have been found to be infected with the virus that causes AIDS and/or Hepatitis C - for new ones. Since Gov. Romney and the legislature have reduced HIV/AIDS testing; they should at least quickly move to make hypodermic syringes available without prescription. This will come as a relief to residents of Worcester, a city that refuse to allow a needle exchange program. Needle sales will benefit every community in Massachusetts, as we move through this HIV/AIDS crisis. Kim Hanna Worcester - --- MAP posted-by: Larry Seguin