Pubdate: Tue, 29 Jan 2013 Source: Abbotsford Times (CN BC) Copyright: 2013 The Abbotsford Times Contact: http://www.abbotsfordtimes.com/ Details: http://www.mapinc.org/media/1009 Author: Dr. Thomas Kerr Page: A3 NEEDLE FACTS SPEAK FOR THEMSELVES Editor, the Times: As a scientist, it was disturbing to read that the ongoing discussions regarding needle exchange in Abbotsford arrived at a simple difference of opinion regarding the benefits and shortcomings of these programs. The reality is that needle exchanges have been rigorously studied, and there now exists a large body of scientific facts concerning these programs. The evidence consistently shows that, contrary to the opinions of Tim Williams of Life Recovery, needle exchanges reduce HIV risk behaviour and do not encourage drug use. The evidence is so strong that the World Health Organization and the United Nations have issued guidance documents calling on countries to implement needle exchanges as part of an essential package of programs needed to control the spread of HIV among individuals who inject drugs. Countless high profile medical bodies, including the US Institute of Medicine have issued similar consensus statements. Fortunately, the province of British Columbia has followed the evidence and also called for the implementation of needle exchanges. We recently showed in a paper published in the American Journal of Public Health that the expansion of needle exchange in Vancouver resulted in large declines in HIV risk behaviour and infection. Interestingly, this period coincided with substantial declines in injection drug use in the city. Given the serious threat to individual and community health posed by HIV infection, it is time to separate scientific fact from opinion. Dr. Thomas Kerr UBC Department of Medicine - --- MAP posted-by: Matt