Pubdate: Wed, 05 May 1999 Source: Victoria Times-Colonist (Canada) Contact: Louise Dickson SOCIETY IS COMMITTING GENOCIDE AGAINST INTRAVENOUS DRUG USERS Society is committing genocide against intravenous drug users and everybody knows it, delegates at the eighth annual Canadian conference on HIV/AIDS research were told Tuesday in Victoria. "The government has the means to stop it and they are not doing anything about it," Dr. Martin Schechter told the conference's closing session. "If someone from Mars landed here, they'd say this is social murder. It's going to get very grim." Schechter, an epidemiologist and national director of the Canadian HIV trials, was referring to the almost 12,000 drug addicts living in downtown Vancouver's eastside. "Over 2,000 are HIV positive and almost all of them have hepatitis C," said the doctor. Schechter believes society has to take a much broader approach in dealing with drug addicts. He believes strategies including the availability of better treatment for drug addicts, prevention of addiction, availability of methadone, safe injection sites, widespread access to clean needles and safe injection practices would improve the situation. "I would even go so far as to advocate trials of medically supervised heroin which has been done in Switzerland and Amsterdam and appears to be successful for those addicts that don't respond or won't come in to methadone [treatment]," he said. Addicts will tell you their lives revolve around acquiring drugs, said Schechter. "Can you imagine if you had an addict who was provided clean pharmaceutical heroin under medical supervision and then had the rest of their day to get a job instead of breaking into your house or getting rousted by the police?" The medical profession is beginning to understand the overlap in the way HIV and hepatitis C are transmitted, said Schechter. "Right now and for the past several years, the overlap has concentrated in injection drug users." Hepatitis C is transmitted much more easily than HIV, he said. People can become infected using someone else's razor or toothbrush. Hepatitis C is also transmitted very efficiently when people share dirty needles. "Such a great proportion of injection drug users are infected that when you share with a stranger, there's a significant chance that person is going to be infected." - --- MAP posted-by: Derek Rea