Pubdate: Sun, 03 Jul 2005
Source: Star, The (Malaysia)
Copyright: 2005 Star Publications (Malaysia) Bhd.
Contact:  http://www.thestar.com.my
Details: http://www.mapinc.org/media/922
Author: Audrey Edwards
Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction)
Bookmark: http://www.mapinc.org/find?136 (Methadone)
Bookmark: http://www.mapinc.org/find?137 (Needle Exchange)

NEEDLE EXCHANGE PROGRAMME EXPECTED TO BEGIN IN JANUARY

PETALING JAYA: The needle exchange and condom distribution programme
to check the spread of HIV among drug users is expected to start in
January.

Health Minister Datuk Dr Chua Soi Lek said his ministry has decided
that the harm reduction programme, involving the two methods and drug
substitution therapy, will go ahead.

"The earliest we can begin is in January. There are many people to
train. And I have been told that in terms of amending the law, it can
be done administratively," he said yesterday.

A pilot programme involving 1,200 volunteers will begin at the end of
October for the drug substitution therapy, which uses methadone.

Harm reduction focuses on preventing or reducing actual harm
associated with risk behaviour.

The concept, which has been around for a long time, realises that some
drug users will not stop using drugs despite the risk of HIV/AIDS and
other blood-borne diseases.

Datuk Dr Chua Soi Lek It also includes providing information to
injecting drug users (IDUs) of the risk, outreach programmes, peer
education, voluntary counselling and HIV testing.

Recently, the Government said it was seriously considering the needle
exchange and condom distribution programme for IDUs in an effort to
halt the spread of HIV among Malaysians.

Prime Minister Datuk Seri Abdullah Ahmad Badawi had said that it was
necessary as the situation had reached an "emergency level."

Statistics released by the ministry show that 64,439 Malaysians were
infected from 1986 until December last year.

The number of new cases in 2004 was 6,427.

Of the total number of people living with AIDS reported so far, 75%
are IDUs.

It has been estimated that if left unchecked, 300,000 Malaysians would
be infected with HIV in 10 years' time.

A study conducted in 1998 among 6,326 inmates at 26 Pusat Serenti
(government-run drug rehabilitation centres) found that 65% of them
were IDUs and 77.6% were sexually active. But only 18.7% used condoms
during sex.

Dr Chua also said that no extra infrastructure was necessary as the
ministry would use existing drop-in centres to carry out the programme.

"It is only making sure that we have enough trained staff from both
the ministry and NGOs (non-governmental organisations). We have
already started talking to some of them," he added.

A meeting with the ulama will be held on Aug 11 to explain the harm
reduction programme. "We will meet leaders from other religions on a
separate day," Dr Chua said.

Meanwhile, Deputy Health Minister Datuk Dr Abdul Latiff Ahmad said the
programme must be fully understood to ensure its success.

He said NGOs, the medical fraternity and ministry staff had a role to
play in the "social marketing" of the programme.

"We want ministry officers to be really skilled in the programme and
there will be human resource training.

"If they do not understand the programme, how can it be implemented
successfully?

"If one doctor or staff nurse makes a wrong remark because he or she
does not have adequate information, it will affect our goals," he told
reporters after opening the Islamic Medical Association of Malaysia's
Seventh National Scientific meeting.

Dr Latiff said that while the programme would follow guidelines set by
the World Health Organisation and based on the experiences of other
countries, it would be drawn up to suit Malaysian culture.
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MAP posted-by: Richard Lake