Deadly Ignorance (Bush policy errors about needles and aids)

[jbfam4]

Deadly Ignorance


Sunday, February 27, 2005; Page B06

http://www.washingtonpost.com/wp-dyn/articles/A56611-2005Feb26.html?nav=most_emailed
THE BUSH administration is quietly extending a policy that undermines the global battle against AIDS. It is being pushed in this direction by Congress, notably by Rep. Mark Edward Souder (R-Ind.). But some administration officials zealously defend this policy error, claiming scientific evidence that doesn't exist.

The administration's error is to oppose the distribution of uncontaminated needles to drug addicts. A large body of scientific evidence suggests that the free provision of clean needles curbs the spread of AIDS among drug users without increasing rates of addiction. Given that addicts are at the center of many of the AIDS epidemics in Eastern Europe and Asia, ignoring this science could cost millions of lives. In Russia, as of 2004, 80 percent of all HIV cases involved drug injectors, and many of these infections occurred because addicts share contaminated needles. In Malaysia, China, Vietnam and Ukraine, drug injectors also account for more than half of all HIV cases. Once a critical mass of drug users carries the virus, the epidemic spreads via unprotected sex to non-drug users.

The administration claims that the evidence for the effectiveness of needle exchange is shaky. An official who requested anonymity directed us to a number of researchers who have allegedly cast doubt on the pro-exchange consensus. One of them is Steffanie A. Strathdee of the University of California at San Diego; when we contacted her, she responded that her research "supports the expansion of needle exchange programs, not the opposite." Another researcher cited by the administration is Martin T. Schechter of the University of British Columbia; he wrote us that "Our research here in Vancouver has been repeatedly used to cast doubt on needle exchange programs. I believe this is a clear misinterpretation of the facts." Yet a third researcher cited by the administration is Julie Bruneau at the University of Montreal; she told us that "in the vast majority of cases needle exchange programs drive HIV incidence lower." We asked Dr. Bruneau whether she favored needle exchanges in countries such as Russia or Thailand. "Yes, sure," she responded.

Respecting science does not appear to be the administration's priority, however. Not only is it refusing to spend federal dollars on needle exchange, but the administration also is waging a campaign to persuade the United Nations to toe its misguided line. The U.N. Office on Drugs and Crime, which is heavily reliant on U.S. funding, has been made to expunge references to needle exchange from its literature, and the administration is expected to continue its pressure on the United Nations at a meeting that starts March 7. The State Department's new leadership needs to end this bullying flat-earthism. It won't help President Bush's current effort to relaunch his image among allies. And it's almost certain to kill people.

[gottaB]

1. Progress is slow, HIV is fast

I was sort of heartened to see religious leaders change gears on AIDS a few years back. The compassionate impulse is genuine, I believe. Unfortunately the religious world is in the midst of upheaval, and at present the reactionary forces have the upper hand. If religious leaders who genuinely care about human suffering aren't prepared to accept medical science, they ought to just step aside. I just can't see how anybody could in good conscience oppose needle exchange programs.