Spread
Of AIDS Continues With Bush's Blessings
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
is opposing 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.
A study of
81 cities published in 1997 in the Lancet, a medical journal,
found that in cities without needle-exchange programs, HIV infection
rates among injection drug users rose by nearly 6 percent per
year; by contrast, cities that had introduced free-needle programs
witnessed a decrease in infection rates of about the same magnitude.
Respecting
science does not appear to be the administration's priority. 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 retract it's oppositional research backing.
The U.N. Office
on Drugs and Crime, which is heavily reliant on US 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.