Pubdate: Mon, 22 Jun 2009 Source: Egyptian Gazette, The (Egypt) Contact: Eltahrir House 2009 Website: http://www.algomhuria.net.eg/gazette/1/ Details: http://www.mapinc.org/media/5052 Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) NEEDLE SHARING RIFE AMONG DRUG USERS The prevalence of HIV among intravenous drug users (IDUs) in Egypt is relatively low, but needle sharing is rife among this group, putting them at risk of contracting the virus, experts say. "Sharing needles and syringes is very high in Egypt. This is very alarming because although only one per cent of IDUs are HIV-positive, the high percentage of needle sharing may mean that we are sitting on a ticking bomb," Ehab Kharrat, a senior programme advisor for the UNDP HIV/AIDS Regional Programme in the Arab States (HARPAS), said. Different studies of sample groups show that 45-50 per cent of drug users in Egypt share needles, he said. "When the IDUs get the drugs, many of them do not wait to get a clean needle or syringe, so they grab the next available one they find," Midhat el-Arabi, the head of a programme dealing with drug users at the Freedom Drug Rehabilitation Centre, a local NGO, said. "They [addicts] believe that securing the tool [the syringe] first is a bad omen," said 29-year-old Mohamed (he preferred to give his first name only), who stopped injecting himself eight months ago, said. "I used to buy the narcotic first then inject myself with the first syringe I found." "This belief increases the risk of needle sharing and hence the transmission of HIV and other [blood transmittable] diseases," Midhat el-Arabi told Reuters. Mohamed said he knew he contracted HIV five months ago, a few months after he gave up drugs. "I am quite sure I got it from needle sharing. I did not engage in any sexual relationship or undergo a blood transfusion."A 2007 study, on drug addiction in Egypt by the National Centre for Social and Criminal Research, showed that 600,000-800,000 people suffer from 'substance dependency disorder' - about 0.8 per cent of the country's 76 million population, Kharrat, said. "But the promising thing is that right now we have four or five outreach projects for IDUs in Egypt and these projects are effective. There are also drug rehabilitation centres which have started to have an impact and hopefully will prevent an HIV epidemic from spreading among IDUs," Kharrat said, adding that their success rate in getting people off drugs was 40-60 per cent. - --- MAP posted-by: Doug