Pubdate: Tue, 28 Mar 2006 Source: Tribune Review (Pittsburgh, PA) Copyright: 2006 Tribune-Review Publishing Co. Contact: http://www.pittsburghlive.com/x/tribune-review/trib/ Details: http://www.mapinc.org/media/460 Author: Caroline Jean Acker Referenced: http://www.mapinc.org/drugnews/v06/n000/a065.html NEEDLE POINTS If the Trib is going to make claims about hepatitis C and HIV rates in Allegheny County, it should do its homework ("The needle-exchange program: This is 'success'?" March 24). Rising numbers of positive hepatitis C tests almost certainly reflect larger numbers of people being tested. They are no fair measure of levels of hepatitis C in the population. Similarly, simply giving a number of positive HIV tests fails to indicate how many were linked to injection drug use as opposed to other risk factors. And again, results of voluntary tests, where only those who seek testing are tested, do not measure levels of a disease in the population. The numbers presented in the Trib's editorial say nothing about the effectiveness or lack of effectiveness of needle exchange in Allegheny County. To present numbers of positive test results with no indication of how they were derived and no context for interpreting them is worse than sloppy; it is irresponsible. Needle exchange modeled on the latest research is our best protection against the spread of hepatitis C. That is exactly what Prevention Point Pittsburgh provides. The best response to finding cases of hepatitis C is not less needle exchange, but more. Caroline Jean Acker Highland Park The writer is board president of Prevention Point Pittsburgh (pppgh.org), a private organization that provides needle exchange and overdose prevention services. - --- MAP posted-by: Richard Lake