Pubdate: Fri, 06 Aug 2004 Source: Enterprise, The (MA) Copyright: 2004 The Enterprise Contact: http://enterprise.southofboston.com/ Details: http://www.mapinc.org/media/3231 Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) NEEDLE PROGRAM HELPS TO PREVENT DEADLY DISEASES It should be clear by now that most drug users are going to take their drugs, with or without the "help" of the public. If a dirty needle is all they have, they will use it. That is reality. Still, Massachusetts is just one of five states that hasn't faced that fact. Forty-five states do not require a prescription to buy a syringe; Massachusetts still makes that demand. The theory is that allowing access to clean needles promotes drug use. But this is the same flawed logic that prevents promoting use of condoms. People won't stop having sex just because they aren't protected; most of them will do it anyway. The Legislature could have remedied this problem, and several bills were filed this year to allow the sale of syringes without prescriptions. They made it out of the Health Care Committee, but stalled in the House Ways and Means Committee. That means more infections from needles being passed among drug addicts who already have a high rate of infection of AIDS, HIV, hepatitis C and other diseases. There is another way for a drug user to get a clean needle, but it is not easy. Four communities have needle exchange programs, but they are in Boston, Cambridge, Provincetown and Northampton. It is impractical to think that any drug user from southeastern Massachusetts is going to travel that far to get a clean needle. We have not given up on trying to curb drug use and get these people clean. That is not obviated by allowing them to use clean needles as they try to break their habits. The cities with needle-exchange programs have a lower rate of disease attributed to intravenous drug use than the five cities targeted by needle-exchange advocates this week. In Boston, 28 percent of AIDS and HIV cases are connected to needle use. In Provincetown, the rate is 7 percent. In New Bedford, Lynn and Worcester, where addicts are far from legal and clean needles, the rates are 60 percent and higher. We should never stop trying to break every single addict's drug habit. But in the meantime, the failure to allow access to clean needles means that not only are drug addicts being infected with deadly diseases, they are being passed to their partners and innocent children. - --- MAP posted-by: Larry Seguin