VOL. LIII, NO. 119
California State University, Long Beach May 14, 2003
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Ourview

Free needles mean real help


Riverside County’s top health official, Public Health Officer Gary Feldman, is pitting his agenda against the sheriff and district attorney in a battle over a needle exchange program.
 
Feldman notes surging hepatitis C rates among his top reasons for proposing allowing drug addicts access to clean needles. Needles are often shared by intravenous drug users, which spreads fatal blood-born diseases such as hepatitis C and HIV.
 
Programs that allow addicts to exchange dirty needles for clean needles have already been proven successful in California.
 
In 1990, San Francisco initiated an underground needle exchange program. It was illegal, but it operated with the express backing of the mayor and the approval of police and was found to be highly effective in reducing risky behavior among drug addicts.
 
In 1994, the Journal of the American Medical Association published research that led doctors in Los Angeles to call for a similar program that has also met with success.
 
The report included interviews of 5,644 intravenous drug users by researchers from UC San Francisco. The researchers found that as participation in the needle exchange program went up, the percentage of addicts who shared syringes went down from 66 percent before the program’s initiation, to 35 percent in 1994. The report also concluded that the average age of intravenous drug users had increased, while the number of first-time drug users dropped dramatically — indicating that needle exchange programs do not entice young people into a life of drug abuse.
 
Riverside County is home to an estimated 12,000 intravenous-drug abusers, according to the county Community Health Agency. About 60 percent of hepatitis C cases and 23 percent of AIDS cases across the county can be attributed to sharing syringes, rates higher than the state’s according to county and state documents.
 
Based on the evidence from San Francisco, Riverside Country could benefit from some form of needle exchange program. Officials need to shed their narrow-minded reaction to the thought of accepting and dealing with drug use. It is obviously not working to outlaw all drugs and imprison those who are found to be users.
 
We have a real problem on our hands and we must do what we can to prevent diseases from spreading from the drug culture to the outside population.
 
“Feldman said the disease prevention benefits are not limited to drug abusers, because the infections they pick up are passed along to the general population,” The L.A. Times reported.
 
“It’s not as if the drug users aren’t sons, mothers, fathers, and everyone else,” Feldman told the L.A. Times. “They interact with non-drug users every day.”
 
Drug use is a reality in our society. Paranoia and criminalization are not the answers to helping people with real addictions. Everyone has their own addictions — some of us have alcohol problems, others are addicted to prescription medication, some people tear their families apart because they are addicted to work and money, but these are more socially acceptable. We cannot dismiss an entire group because we feel like they are worth less. Handing out needles is simply one step in the thousand mile journey, but at least it is a step in the right direction — that of acknowledgement and compassion.



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