NEEDLE PROGRAM

As you point out in your editorial of September 8, the use of the term
"exchange" in relation to needle and syringe programs is at the least
misleading. To clarify matters, in 1997 Queensland Health renamed the
program as the NeedleAvailability and Support Program.

In Australia, needle availability and support programs have been highly
successful in preventing the spread of infectious diseases, particularly HI
V
and hepatitis B and C, in people who inject drugs and in the wider
community. The prevention of these diseases is essential as the social,
financial and emotional costs associated with the treatment of these
diseases is significant. The Needle Availability and Support Program also
gives health workers the opportunity to work with people who may not access
mainstream health services to give advice about treatment.

It is important to know that the majority of needles distributed through
Queensland Health=EDs Needle Availability and Support Prograal are disposed o
f
safely, with all people accessing the program given disposal containers.
This allows people to safely dispose of used equipment immediately after
use, rather than carrying potentially infectious equipment around until
their next visit to a program. Immediate disposal also discourages the
likelihood of the person using that equipment again or sharing used
equipment.

With the advantage of new funding, Queensland Health will increase its
efforts to ensure that the safe disposal of used needles is maximised
throughout the state. In addition, Queensland Health has led the call for a
national effort on research into a safe and effective retractable needle.

While Queensland Health does not condone drug use, we must continue to play
our role in reducing the harms caused by drugs to the individual and to the
community.

Kevin Lambkin
Acting State Manager
Alcohol, Tobacco and Other Drugs Services
Queensland Health.