Pubdate: Sat, 06 Nov 1999 Source: Rocky Mountain News (CO) Copyright: 1999 Denver Publishing Co. Contact: 400 W. Colfax, Denver, CO 80204 Website: http://www.denver-rmn.com/ Author: Lou Kilzer, RM News Staff SATCHER SUPPORTS NEEDLE EXCHANGES Surgeon General: Programs Would Reduce Spread Of HIV The nation's top medical official backed needle-exchange programs on Friday in Denver during the opening day of the U.S. Conference on AIDS. Surgeon General David Satcher said such programs can "significantly reduce the spread of HIV," the virus most experts say is the cause of AIDS. Controversial exchange programs like one Denver tried to start a few years ago allow drug addicts to turn in dirty needles for clean ones with no questions asked. Opponents say the programs promote drug addiction, even though health workers argue that sharing of dirty needles is one of the leading reasons for the spread of AIDS. Denver health workers tried to start an exchange program in 1997, even though possession of drug paraphernalia is illegal in Colorado. The legislature in 1998 killed an effort to amend the law to allow exchanges. "You do not deserve a death sentence because you're addicted," Satcher said. The conference has drawn about 3,000 delegates from around the world to Denver's Adams Mark Hotel to share stories, push products and declare to all that the epidemic not only persists but is expanding. Peter Piot, executive director of the United Nations AIDS program UNAIDS, used large round numbers to picture the epidemic. He said that 6 million people a year become infected with HIV, and "nine out of 10 do not even know they are infected." Piot said Africa is the grim center of the worldwide epidemic. "Unless the entire world unites to respond, the catastrophe we know today will pale in comparison with what is to come," Piot said. "In short, Africa's very survival is at stake." The AIDS community has been on a roller-coaster ride in recent years. In 1997, several journalists and a few researchers had used the word "cure" when describing a new class of AIDS-fighting drugs called protease inhibitors. Since then, more and more patients are failing on the drugs. Satcher underlined that fact by declaring that, however helpful the new drugs are, they "are not a cure." Satcher also recommended that children abstain form having sex as a way to prevent the spread of AIDS. "Sex is beautiful, sex is great," but sex is also something young people should consider putting off, he said. "Relationships do not begin with sex." - --- MAP posted-by: manemez j lovitto