Chicago Tribune (CT) - TUESDAY, November 15, 1994; Edition: NORTH SPORTS FINAL Section: EDITORIAL Page: 24 Word Count: 432
But in one respect, the nation has been slow and reluctant to deal with the epidemic. The stress on safe sex has often obscured the fact that more than one of every four AIDS victims contracts the virus through drug use-sharing contaminated hypodermic needles to inject their daily fix. Public health experts and advocacy groups long ago proposed to combat this menace by assuring addicts easy access to sterile needles, sparing them the need to share dirty ones. But the war on AIDS collided with the war on drugs, and the AIDS effort lost. Critics insisted that such programs would tacitly condone drug abuse but do little to curb the epidemic-since people who put dangerous drugs into their bodies aren't likely to worry too much about putting lethal microbes in as well.
It was a plausible argument that has since been proven wrong. Needle-exchange programs have been operating in this country for several years now, some legally and some not, and they have compiled a record of clear success.
The most recent evidence comes from a study of 350 addicts in New York City, who got syringes at storefront exchanges and mobile units around the city. Normally, about 5 percent of addicts in New York are infected with HIV each year. But for those in the program, the rate fell to 2 percent. The participants' use of dirty syringes fell dramatically after they enrolled.
This investigation reinforces the conclusion of a survey published last year by the federal Centers for Disease Control, which looked at the experience of needle exchanges around the country. It found that they do not seem to foster more drug abuse or more addicts but do reduce needle-sharing.
The report said these exchanges are a highly cost-effective way of preventing AIDS transmission. Washington, it concluded, should lift its ban on the use of federal funds for needle programs and states with laws forbidding possession and over-the-counter sales of syringes should repeal them. Illinois is one of those, although Chicago has some exchange programs, with police generally looking the other way.
Such programs will offend those who think combating drug abuse should take first priority. But the costs of that policy have been much too high to leave it in place.
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