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County Supervisors Say No to Clean Syringe Exchange

Video
Video unavailable. Read transcript below.

Above: Reporter Kenny Goldberg tells host Gloria Penner about his reporting on the rise in hepatitis C and the difficulty in implementing clean needle exchange programs at the local level.

Dianne Jacob, chair of the San Diego County Board of Supervisors, is adamantly opposed to clean syringe exchanges.
Enlarge this image

Above: Dianne Jacob, chair of the San Diego County Board of Supervisors, is adamantly opposed to clean syringe exchanges.

San Diego’s clean syringe exchange collected 183,000 used needles in 2008.
Enlarge this image

Above: San Diego’s clean syringe exchange collected 183,000 used needles in 2008.

— People who inject illegal drugs are at highest risk of spreading hepatitis C, HIV, and other blood-borne diseases. To reduce that threat, communities all across the country have launched clean syringe exchange programs. The City of San Diego allows a needle exchange to operate twice a week. In part three of a four part series, KPBS Health Reporter Kenny Goldberg explores why the County Board of Supervisors refuses to consider that option.

Public health policy in San Diego County isn't decided by a group of doctors or appointed health officials.

It's determined by a five member board of supervisors elected by the public.

Dianne Jacob chairs the board. She and her associates are proud of their conservatism on fiscal and social issues.

For example, the board recently sued the state in an attempt to overturn California's medical marijuana law.

So what about authorizing a clean syringe exchange program? Jacob says there's no way the board would do that.

"I think it particularly sends a wrong message to our kids," says Jacob. "It sends a message to our kids that as county government, if we gave out clean needles for illegal drug use, that we condone illegal drug use. And we don't. And it's wrong."

Jacob believes government should encourage people to stay away from drugs. And Jacob thinks those who are using illegal substances need to go into treatment.

"So, that's where I'd say we should put our money, and focus on those efforts, to stop the illegal drug use," Jacob argues.

In 2004, the San Diego Association of Governments evaluated the city of San Diego's pilot syringe exchange program.

SANDAG found clients who visited the exchange were much less likely to share a needle. They also reduced their drug use. In fact, one in five clients said they had entered treatment.

Jacob doesn't believe it.

"I think there's research on both sides," Jacob insists. "I don't think it's conclusive that a clean needle exchange program reduces drug abuse and solves problems in communities. There's also evidence on the other side that it encourages drug use."

"That's patently false," says Dr. Steffanie Strathdee. "I've been working in this field now for more than 20 years, and I can tell you that there's no scientific evidence that shows that needle exchange causes harm."

Dr. Steffanie Strathdee heads up the division of global public health at the UCSD School of Medicine.

She's evaluated clean needle exchanges in Baltimore, Vancouver, and other locations around the world.

"Needle exchange has not been associated with any negative outcomes, such as increased crime, increased discarded needles on the street," Strathdee points out. "It hasn't been associated with more people starting drug use at earlier ages, etc., etc. In fact, it's consistently been associated with reductions in high-risk behavior. And so there's really no reason not to support it on a broader scale."

But Strathdee says in the United States, many politicians just don't get it. They don't understand clean syringe exchange programs help curb the spread of hepatitis C and HIV.

Instead to some lawmakers like Dianne Jacob, the idea of giving out clean needles to drug addicts is like giving out heroin.

"What kind of information might make you reconsider your view on this whole matter?"

"I'm not sure any kind of information will, frankly," says Jacob, "because of the fact that philosophically, I believe it's wrong to in any way, encourage drug use. I think it's wrong for government to send that message."

As it stands now in San Diego County, thousands of drug addicts have no access to clean syringes.

Locally over the past ten years, the number of people infected with hepatitis C has more than doubled. County health officials say more than 4,100 people have the disease.

Dianne Jacob wasn't aware of those figures until we brought them to her attention.

Comments

Avatar for user 'Hifi'

Hifi | July 6, 2009 at 2:07 p.m. ― 5 years, 5 months ago

Are we surprised anymore that conservatives aren't only ignorant of scientific evidence, but reject it outright? Once again, on this issue, they ask us to accept their views on faith alone.

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Avatar for user 'Edward'

Edward | July 8, 2009 at 7:49 a.m. ― 5 years, 5 months ago

Mrs. Jacob seems not to care about the facts, only her personal opinion; this is not what I would call good governing.

Mrs. Jacob tried to claim there were scientific studies showing that providing needles caused more problems, and then Dr. Strathdee stated that this was "patently false". Wow. And then Mrs. Jacob's is ruling on giving out needles w/out learning the facts on how much Hep C has spread in the last 10 yrs. Wow again. Like I said that's just bad governance.

If Mrs. Jacobs (and the rest of the county board) wants to retain their conservative image, they can support providing needles while arguing that by cutting down on those who become infected, they are saving the county the cost related in treating those who would have likely caught Hep C w/out the free needles - Fiscal Conservatism.

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Avatar for user 'mara'

mara | September 21, 2009 at 5:14 p.m. ― 5 years, 2 months ago

Yet another inane act by the County Board of Supervisors to frustrate public health. Who exactly is Diane Jacobs to substitute her own entirely unsupportable opinions for scientific facts? How is it possible that Jacobs could chair this committee?

When will the people of San Diego ever wake up and vote the Board of Supervisors out of office (with the exception of Ron Roberts, the only one on the Board actually concerned with public health, regarding scientific evidence as such, and following the law.

What a sad comment this makes about our community.

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