Pubdate: Mon, 17 Dec 2007
Source: Winnipeg Free Press (CN MB)
Copyright: 2007 Winnipeg Free Press
Contact: http://www.winnipegfreepress.com/info/letters/index.html
Website: http://www.winnipegfreepress.com/
Details: http://www.mapinc.org/media/502
Author: Lindsey Wiebe
Bookmark: http://www.mapinc.org/topic/crack+pipes
Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction)
Bookmark: http://www.mapinc.org/find?137 (Needle Exchange)
Bookmark: http://www.mapinc.org/coke.htm (Cocaine)

STUDY ON CRACK PIPES LAUDED

Sharing Linked to Spread of Hep C

A new study offering evidence that hepatitis C could spread through 
crack-pipe sharing is being lauded by a Winnipeg program that 
distributes free pipes in the hopes of cutting down on shared use.

"It is actually very interesting," said Winnipeg Regional Health 
Authority's medical officer of health, Dr. Margaret Fast, of the 
University of Victoria study.

The university examined drug paraphernalia used by more than 50 crack 
cocaine users in Toronto last year. The virus was found on one of 22 
pipes whose owners tested antibody positive.

The WRHA started offering safe pipe kits to crack users a few years 
ago through the Street Connections program, and Fast said the new 
findings were "encouraging, in a way."

That's because Winnipeg's crack-pipe program was started in part to 
address concerns that bloodborn pathogens, like hepatitis C, could 
spread through pipe use. Heavy users often develop cuts and sores on 
their lips and mouth, and as a result are more susceptible to disease.

"If they're already infected, that seemed reasonable that 
transmission of infection, spread of infection could occur in that 
way," said Fast.

Fast acknowledged the recent study was limited, but said the findings 
are still enough to spark the interest of the medical community.

"What it demonstrated is that this does happen," she said.

The study comes as public heat over the distribution of free, safe 
crack-pipe kits continues to inflame some Canadian communities. 
Political pressure at the municipal level saw Ottawa scrap its safe 
pipe program earlier this year. A similar program in Nanaimo, B.C., 
was put on hold, but may be revived under a Vancouver-based initiative.

Fast said the same criticism hasn't been felt in Winnipeg, and that 
the program here has been "very fortunate in that regard."

Street Connections has been operating since the mid-1980s, 
distributing free condoms and a needle exchange program and free flu 
shots, among other services. The safe crack-pipe kits were made 
available in 2004.

There were initial concerns about the project, Fast said, but 
although it hasn't received widespread support, there's been no 
sustained opposition, either.

"The public seems to accept it in the same way that they have 
accepted the needle exchange program," she said.

Winnipeg's safe crack-pipe program distributes roughly 1,200 kits per 
month through the Street Connections van, at a cost of around 60 
cents per kit. The kit contains a glass-tube pipe, thought to be 
safer than pipes shared on the street, along with cleaners, alcohol 
swabs and matches. 
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MAP posted-by: Richard Lake