Pubdate: Sat, 09 Apr 2005 Source: Argus, The (CA) Copyright: 2005, ANG Newspapers Contact: http://www.theargusonline.com/ Details: http://www.mapinc.org/media/1642 Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) Bookmark: http://www.mapinc.org/opinion.htm (Opinion) ALLOWING NEEDLE SALES MAKES PUBLIC HEALTH SENSE When it comes to public health, some of the simplest solutions can meet the stiffest of opposition for myriad reasons. Such is the case with the idea of allowing pharmacies to sell clean hypodermic needles to anyone 18 and older. The opposition sees that idea as encouraging drug use, while ignoring the huge public health benefits the program would provide in preventing the spread of blood-borne diseases such as HIV and Hepatitis C among injection drug users. Fortunately, thanks to a law signed by Gov. Arnold Schwarzenegger last September, counties in the state can pass resolutions that approve behind-the-counter sales of syringes. Last week, Alameda County joined Contra Costa County as one of five counties in the state to approve the sale of needles to stem the spread of disease. While we agree treatment of drug abuse is the ultimate prevention, the reality is that our counties are the home to thousands and thousands of intravenous drug users. They accelerate the spread of HIV and other diseases through the sharing of dirty needles. For these chronic users a clean needle can be more difficult to obtain than the drug of their choice. Public health statistics attribute anywhere from one quarter to one third of all HIV infections to the sharing of dirty needles. In Alameda County, public health officials say that 26,000 of the 36,000 Hepatitis C infected residents in the county have been exposed through needle-sharing for injection drug use. The obvious strain on public health resources and taxpayer funds because of dirty needles is obvious. Most drug users who become infected have no insurance, much less a job, and end up in our county hospitals and public health institutions. Not only will this simple action prevent disease and death, it also will save the taxpaying public money by reducing the number of those infected and need heath care. Licensed pharmacists will be able to sell 10 or fewer needles at any one time without a prescription. Those pharmacists must register with local health officials and provide information to buyers -- written or verbal -- on how to properly dispose of needles and how to seek drug treatment programs. Alameda and Contra Costa counties should be commended for passing such resolutions, and also for recognizing the immediate and real benefit this will provide for public health. - --- MAP posted-by: Larry Seguin