Pubdate: Wed, 21 Oct 2009 Source: Province, The (CN BC) Copyright: 2009 Canwest Publishing Inc. Contact: http://www.canada.com/theprovince/letters.html Website: http://www.canada.com/theprovince/ Details: http://www.mapinc.org/media/476 Author: Jon Ferry, The Province Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) CRACK-ADDICT SAFE-INHALATION ZONE JUST NUTS Only Way To Help Addicts Is To Get Them To Quit The suggestion by Vancouver medical researchers that we should set up safe-inhalation rooms for crack addicts is, in my view, crackers . . . but hardly surprising. For at least 20 years now, the B.C. health establishment, hooked on the tired old ideology of "harm reduction," has been having a hard time saying no to the powerful drug lobby in the Downtown Eastside. But it doesn't take a long visit there for one to see that harm-reduction approaches, such as handing out free needles and laying on a so-called safe-injection site for hard-drug addicts, have proved to be a colossal failure. We simply have to move on and accept that the only real way to help people deal with an enslaving addiction to drugs like heroin, cocaine and crystal meth is to get them to give them up -- as we're increasingly doing with tobacco. Ten years ago, while writing an article about Vancouver International Airport, I visited the cigarette-smoking room they offered travellers there. Now you're not allowed to smoke anywhere inside the airport. And virtually all provinces and territories have banned all such public rooms. Nevertheless, Vancouver medical researchers remain so smitten with harm-reduction ideology that they're seriously suggesting we look at similar rooms for crack smokers -- even though crack remains illegal in Canada, for what should be obvious reasons. Why ban smoking rooms for users of legal tobacco while advocating them for users of illegal crack? Well, say the researchers in a study published in the Canadian Medical Association Journal, smoking crack over time puts addicts at increased risk of contracting HIV. To combat this, they insist we should try providing them with such "innovative interventions" as "safer crack kits" and "medically supervised inhalation rooms." Innovative? Hardly. It was more than 20 years ago that celebrated former drug addict John Turvey co-founded North America's first needle exchange to stem the spread of HIV among intravenous drug users. It drew raves, but it didn't prevent the Downtown Eastside from later developing one of the western world's highest rates of HIV infection. Indeed, in 2002, Turvey admitted to me he'd been very naive. As for crack addicts facing an increased risk of HIV, that's hardly headline news. They can stay high for days at a time. And they're obviously not going to be engaging in safe-injection or safe-sex practices . . . or safe anything. Dr. Brian Conway, an infectious-disease specialist who's treated Downtown Eastside HIV patients for the past 10 years, yesterday called an inhalation room for crack addicts an "extreme" intervention that probably should be considered only as a last resort. Conway told me there are many other things that could be done to help addicts: "There are a number of cognitive therapies for cocaine use that have been studied extensively in Europe and the United States that are simply not available here and would be far cheaper per capita than an inhalation room." No, the proposal for taxpayer-funded, crack-smoking rooms just doesn't pass the smell test. In fact, it stinks. - --- MAP posted-by: Jo-D