Death penalty for I.V. drug users
By Maia Szalavitz
Thursday, March 24, 2005

Sexual behavior is one of the most difficult human behaviors to alter, and the tragedy of the ongoing global HIV pandemic reflects the enormous complexity of that effort. But one cause of HIV transmission is far easier to remedy than unprotected sex: intravenous drug use with contaminated needles. Unfortunately, the United States is now trying to block the most effective method for fighting needle-transmitted AIDS -- distributing clean needles to addicts -- by pressuring the United Nations Office on Drugs and Crime to suppress data showing the success of needle-exchange programs and by considering an international "gag" rule on AIDS groups that work with needle users and receive American funding.

This would be tragic even if clean-needle programs saved only the lives of drug users, but they can have a far greater impact on the epidemic if instituted quickly enough. Contrary to popular stereotype, it's far easier to get an addict to use a clean needle than it is to get a man to use a condom, so containing HIV among addicts also massively reduces risk of later sexual and mother-to-child transmission. I should know, because as a woman and a former I.V. drug user, I first wrote about this issue 15 years ago for the Village Voice, in an effort to debunk myths that were being used way back then to block needle exchange. My argument at the time was based on some suggestive data, my own experience and common sense, but now there is overwhelming scientific evidence to favor these programs. It breaks my heart that more than ever before, politics is overshadowing science at the cost of so many lives. ...

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