Pubdate: Thu, 14 Jan 1999 Date: 01/14/1999 Source: Sydney Morning Herald (Australia) Author: Stuart Loveday Page: 8 Clear evidence from the '70s, '80s and '90s shows time and time again the ", whatever resources and brilliant minds are applied to the problem. Hepatitis C (HCV), a virus transmitted through blood-to-blood contact, is transmitted at the rate of 11,000 new infections each year Australia-wide. Ninety per cent of cases arise as a result of people sharing drug-injecting equipment. HCV is one of the major harms that must be reduced. Hepatitis C: the Neglected Epidemic, the recent landmark bipartisan report by the NSW Parliament's Standing Committee on Social Issues, highlights the personal, social and economic costs of hepatitis C. It emphasises the importance of supporting the principle of harm minimisation to help control the transmission of HCV. To say that harm minimisation strategies are "defeatist" indicates a sad level of ignorance. It is exactly these strategies which have made Australia a world leader in managing to contain the spread of HIV. These strategies are starting to show an effectiveness in slowing the spread of HCV without increasing illicit drug use. We need a wide range of strategies to help defeat hepatitis C, and to help defeat harmful illicit drug use. Let's stop emphasising the things that don't work. Find the things that do work. And let's approach the problem rationally, once more. STUART LOVEDAY Executive officer Hepatitis C Council of NSW DR PAUL O'BRIEN Northern Rivers division of GPs DR GILLIAN DEAKIN Eastern Sydney division of GPs Sydney