Pubdate: Tue, 19 Sep 2006 Source: Somerville Journal (MA) Copyright: 2006 Somerville Journal Contact: http://www2.townonline.com/somerville/ Details: http://www.mapinc.org/media/3621 Author: Priscilla Yeon, State House News Service Bookmark: http://www.mapinc.org/find?143 (Hepatitis) Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) 'IF YOU HAVE A SYRINGE, WHERE DO YOU PUT IT?' As legal over-the-counter hypodermic syringe sales begin today, the state is listing no disposal sites for dirty needles in 10 of the state's 13 counties and, according to proponents of the law, has failed to put a system in place for the proper disposal of used needles. As part of the new law, which proponents say is intended to reduce the spread of diseases, especially among users of illegal drugs, the Department of Public Health was required to release public information today on needle safety and drop-off sites for used syringes. The department web site lists sites in only Barnstable and Franklin counties as well as the city of Haverhill. The new law says disposal of syringes must be done safely and responsibly and cites the state's sanitary code in cautioning that improper disposal may lead to penalties of up to $25,000 or two years in jail. In Web remarks addressed to the "many people in Massachusetts who use syringes to manage your health care at home," the state is encouraging needle users statewide to use the limited number of sites or a "medical mail back service." The site lists toll-free phone numbers of four services that provide pre-paid mailing cartons. DPH's site lists precautionary measures such as "be safe" and "be aware" and encourages needle users to dispose of syringes in sharp containers that can be purchased at medical supply stores. It also advises people not to dispose sharps with recycling or in the garbage, and includes a substance abuse education and information hotline number. The guidelines include hotlines for substance abuse and HIV and Hepatitis C testing and counseling programs. For Democrat Rep. Carl Sciortino, D-Medford the guidelines "met my expectations" since they included AIDS/HIV and Hepatitis C help-lines, he said. The web site lists four phone numbers for the voluntary needle exchange program previously in place in Boston, Cambridge, Provincetown and Northampton. Those programs allow drug users to trade used syringes for new ones. "Since the law took effect the state has done nothing on disposal or collection. The sites listed on the fact sheet, were pre-existing," said Diego Sanchez, director of public relations for the AIDS Action Committee, which supports the new law. Sanchez said the state is "taking advantage" of the work other cities and towns have done "but they have done no work on disposal collection since this law has taken effect." To help people with more information on proper disposal and purchase of needles, the AIDS Action Committee established a hotline, said Sanchez. The number is 1-800-988-5209. According to Peter Koutoujian (D-Waltham), co-chairman for the Legislature's Committee on Public Health, there were "different readings" of the law by the DPH and a proper needle disposal system has not been established yet. "I know this is a brand new system to be put in place, but I was hopeful that there would be more directions given to the individuals, especially because there is no disposal system in place" said Koutoujian, who credited DPH and the Department of Environmental Protection for "hard work so far." "The disposal piece (of the law) is crucial." Critics of the law have warned of the potential for more needles to be improperly discarded. Gov. Mitt Romney also argued that making needles more widely available could have "unintended consequences in public health." He vetoed the needle bill this summer, citing an increase in heroin deaths and hospitalizations in the state. When legislators overrode Romney's veto, Massachusetts joined the majority of the country in deregulating needle sales, with only New Jersey and Delaware not allowing syringe sales over the counter. According to Dr. Leonard Morse, commissioner of public health for the city of Worcester, he is proposing the establishment of eight drop-off sites throughout the city for used needles. The sites were selected based on places drug users frequent for medical and social needs, he said. The Worcester City Council opposes such measure, said Morse, but has received local grants and support of several health advocates to implement "Operation Yellow Box," which refers to the color the proposed drop-off sites. "I feel that the careless disposal of syringes in playgrounds and parks is unacceptable," said Morse. "The Yellow Box is an expression to drug users that we care about them and we would hope that they would care about the community." - --- MAP posted-by: Beth Wehrman