Pubdate: Tue, 05 Apr 2005 Source: Toronto Star (CN ON) Copyright: 2005 The Toronto Star Contact: http://www.thestar.com/ Details: http://www.mapinc.org/media/456 Author: Shaun Hopkins Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) NEEDLE EXCHANGE PREVENTS DISEASE Re: Astounded needles used for steroids, Letter, March 28. In response to the letter regarding the role of needle exchange programs, I would like to clarify that needle exchange programs in Ontario are mandated through legislation to decrease the spread of communicable disease in injection drug users by providing exchange supplies and counselling. Over the last 15 years, Ontario has been a leader in the prevention of HIV and hepatitis among people using illicit drugs. Toronto injection drug users have a very low rate of HIV compared to many other North America cities and this can be attributed to the fact that needle exchange has been available in Toronto since 1989 and is widely available and accessible. Although needle exchange programs are available to drug users from any economic background, low-income, homeless and under-housed people have historically been more likely to obtain supplies and counselling. Steroid users are at risk of contracting communicable diseases through sharing needles and potentially the vials containing steroids. Many steroid users do not perceive themselves to be at risk for HIV or hepatitis because they aren't using heroin or cocaine. This erroneous perception probably puts them more at risk. Shaun Hopkins, Manager The Works, Needle Exchange and Methadone Program Toronto Public Health - --- MAP posted-by: Larry Seguin