Pubdate: Fri, 25 Nov 2005 Source: Vancouver Sun (CN BC) Copyright: 2005 The Vancouver Sun Contact: http://www.canada.com/vancouver/vancouversun/ Details: http://www.mapinc.org/media/477 Author: Margaret Munro, CanWest News Service Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) RESEARCHERS CALL ON JAILS TO OFFER CONVICTS STERILE SYRINGES Addicted Prisoners At High Risk Of Contracting AIDS AIDS researchers are calling on the Correctional Service of Canada to make sterile syringes freely available in prisons for pilot studies to try to curb the spread of HIV among drug-using inmates. Researchers from the B.C. Centre for Excellence in HIV/AIDS write in the journal Lancet today that the problem is made worse because accepted disease-prevention methods, such as needle exchanges, are rarely available to prisoners. "There is an urgent need to ensure that standards of HIV prevention in prisons are consistent with the best available evidence and the standards outlined in international guidelines," say the researchers. Co-author Thomas Kerr said in an interview the fastest growing HIV epidemic in many parts of the world is among intravenous drug users, who are frequently in and out of prison. And there is mounting evidence from Canada and elsewhere that prisons are incubators for the disease. "We have found evidence locally, which is consistent with what people have found in other countries, that incarceration is associated with HIV infection, that drug use occurs in prisons and a lot of high-risk behaviour such as syringe exchange happens," says Kerr. "It's a very dangerous dynamic." Convicts interviewed for one recent study by B.C. HIV researchers reported seeing syringes go through more than 30 people's hands. Corrections Canada is well aware it has a problem. And it is taking steps to prevent the spread of infection by providing convicts with condoms and sterile tattooing equipment and drug treatment. Kerr says more needs to be done, such as pilot projects to assess the use of needle exchanges, which make sterile syringes available to intravenous drug users. They are widely used to prevent the spread of HIV in city and community settings. The Canadian HIV/AIDS Legal Network, an advocacy group pushing for years for needle exchanges in Canadian prisons. Corrections Canada is exploring the idea and has asked the Public Health Agency of Canada for input, says Christa McGregor, a media officer with CSC. The health agency is reviewing evidence on the effectiveness of needle exchanges and visiting foreign prisons that already provide inmates with syringes, McGregor said. She says Corrections Canada expects the health agency's recommendations by the end of March. - --- MAP posted-by: Beth