The United States of America has been contending with adverse social and economic effects of the drug abuse, namely of heroin, since the foundation of this country. Our initial attempt to outlaw heroin with the Harrison Narcotic Act of 1914 resulted in the U.S. having the worst heroin problem in the world (Tooley 540). Although the legislative actions regarding heroin hitherto produced ominous results that rarely affected any individuals other than the addict and his or her family, the late twentieth century brings rise to the ever-infringing AIDS epidemic in conjunction with heroin abuse. The distribution of clean needles to intravenous (IV) drug users is being encouraged in an attempt to prevent the transmission of human immunodeficiency virus (HIV) from sharing "contaminated needles" (Glantz 1077). It is the contention of this paper to advocate the establishment and support of needle exchange programs for intravenous drug users because such programs reduce the spread of HIV and do not cause an increase of drug use. This can be justified simply by examining the towering evidence that undoubtedly supports needle exchange programs and the effectiveness of their main objective to p

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Public safety groups in the United States are rapidly beginning to accept the effectiveness of needle exchange programs. The 113 needle exchange programs that are currently operating throughout the United States (Bowdy 26) are a result of this acceptance. These programs for the most part are established to support "needle exchange" more so than "needle distribution" (Fuller 10). Many needle exchange programs have been initiated by recovering addicts who understand "the realities of addiction and the potential harm of needle sharing" (Fuller 9). Perhaps addicts feel more comfortable taking advice from some one whom has been there and knows what they are going through. Social interaction between the addict and program is quite simple. Program clients are asked to donate their old injection equipment in exchange for new materials and identification cards issued by some programs, allowing the users to carry their injection equipment anywhere (Loconte 20), reducing the need to share needles. Volunteers keep track of old needles collected and sterile ones given out with "a coding system that allows participants to remain anonymous" (Green 15).

Needle exchange programs encourage the participation of addicts in their program usually by giving out more equipment than is received (Loconte 20). We can not ignore the possibility that addicts are really motivated to participate in the programs because the extra equipment received from the program could easily be sold to attain their next bag of dope (Loconte 20). This will not do the addict any good but it could possibly keep someone from being victimized to support such a habit. It should be understood that needle exchange programs are not really concerned with the IV drug users' reasons behind taking advantage of the services regularly, so long as they do just that, take advantage of the services regularly.

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Approximate Word count = 1793
Approximate Pages = 7 (250 words per page double spaced)