Heroin: Law and order

Last modified: Sunday, 31. May 2009 - 4:14 pm

According to the Centers for Disease Control, injection drug use directly and indirectly accounts for more than 36% of all AIDS cases in the United States.
For decades, HIV prevention advocates have been campaigning for funding of needle-exchange programs to reduce HIV transmission rates, but have run into a wall of opposition from conservative politicians who claim needle exchange programs were unproven and, worse, that they “encouraged” drug use.
Following through on these assertions, in 1998 the U.S. Congress imposed a federal ban on funding for any program or agency that incorporated needle exchange into its AIDS prevention efforts. Republican leaders said that if researchers and advocates could prove needle exchange programs were effective and did not contribute to increased use, they would consider lifting the ban.
A survey of 81 cities around the world compared rates of HIV infection rates among injection drug users in cities that had needle exchange programs with those cities that did not. In the 52 cities lacking needle exchange, HIV infection rates increased an average of 5.9% per year. In the 29 cities with needle exchange programs, HIV infection rates actually fell and by almost the same percentage — 5.8% per year.
Data from hundreds of such studies were compiled, summarized, and included in eight federally funded reports presented to Congress. All confirmed that needle exchange programs reduced rates of HIV infection among drug users and did not encourage wider use in the communities they served — a degree of unanimity in research data highly unusual in science.
Even so, Congressional leaders decided to make the federal ban on needle exchange programs permanent.

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