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A portion of the following letter, written by RA President David Crowe, was published in the July 21, 2008 edition of The Globe and Mail, "Canada's National Newspaper".
Date: Sat, 19 Jul 2008 14:08:13 -0600 To: letters@GlobeAndMail.com From: "David Crowe (RA President)" David.Crowe@RethinkingAIDS.com Subject: Letter to the editor
I applaud Margaret Wente's courage in tackling the politically correct harm reduction industry in the pages of the Globe and Mail.
It is often implied that "harm reduction", the provision of clean needles to addicts, will reduce the risk of becoming HIV-positive. Actually, the opposite is true. While many studies have shown that needle exchanges reduce what are called risky behaviours, they actually increase the risk of becoming HIV-positive. A large study from Montreal, published in 1997, showed that consistent needle exchange users faced a 10-22 times higher risk of becoming HIV-positive than those who never used clean needle exchanges. A Seattle study showed about double the risk of becoming Hepatitis B and C positive among regular and sporadic needle exchange users.
This data not only questions what harms are being reduced, when some of the biggest so-called harms are increased, but raises an even bigger issue -- are antibody and genetic tests for HIV and other viruses accurate when they are used on people who regularly expose themselves to foreign toxic and immunosuppressive substances?
The fact that non-injection drug use (particularly cocaine) is also a risk factor for a positive HIV test indicates that many results among drug users may be false positives, signals of distress generated directly by the drugs (or impurities), not indicative of the presence of a virus.
It is likely that the drugs are the biggest problem for the health of addicts, not infectious diseases, something that "harm reduction" does not address, and likely makes worse.
- David Crowe
References:
Bruneau J et al. High rates of HIV infection. Am J Epidemiol. 1997 Dec 15; 146(12): 994-1002. http://davidcrowe.ca/SciHealthEnv/papers/605-HighRatesHIVInfectionsIVDUMontreal.pdf
Hagan H et al. Syringe exchange and risk of infection with hepatitis B and C viruses. Am J Epidemiol. 1999 Feb; 149(3): 203-13. http://davidcrowe.ca/SciHealthEnv/papers/1449-NEP-HepBC.pdf
Chiasson MA et al. Heterosexual transmission of HIV-1 associated with the use of smokable free-base cocaine (crack). AIDS. 1991 Sep; 5(9): 1121-6. http://davidcrowe.ca/SciHealthEnv/papers/487-HeteroTransmissionHIV-Crack.pdf
Chirgwin K et al. HIV infection, genital ulcer disease, and crack cocaine use among patients attending a clinic for sexually transmitted diseases. Am J Public Health. 1991; 81(12): 1576-9. http://davidcrowe.ca/SciHealthEnv/papers/488-HIV-GUD-Crack.pdf
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