Needle exchanges coming to 2 Canadian prisons

Inmates at two federal prisons who use injection drugs will have access to clean syringes beginning in June, with the Correctional Service ofCanada planning to roll out the service at other institutions next year.

The correctional service has previously made needles available for inmates with diabetes who require insulin and for people needing EpiPens, but this is the first time drug users in Canadian prisons will have access to clean needles.

"Correctional Service Canada's prison needle exchange program is an initiative that will strengthen ongoing efforts to address infectious diseases in federal penitentiaries and in our communities," said interim commissioner Anne Kelly in a written statementon Monday.

Phase 1 of the needle exchange program will begin with one men's institution, the Atlantic Institution inRenous, N.B., as well as one women's facility, the Grand Valley Institution in Kitchener, Ont.

A correctional servicespokesperson said the prisons were selected because they havethe highest rates of injection drug use and needle sharing, based on routinely gathered health information.

According to the service, HIV rates in prison are 200 times higher than in the general population, and hepatitis C rates are 260 times higher. For both diseases, the ratewithin prisons has decreased considerably in the past 10 years.

Long overdue, advocatesays

The announcement was welcomed by harm reduction advocates on Monday.

Sandra Ka Hon Chu is director of research and advocacy with the Canadian HIV/AIDS Legal Network. She said the plan to make clean needles available in two institutions is a positive step, but that it should have come two decades ago.

The organization is one of five groups and individuals that launched a lawsuit against the correctional servicein 2012.Chu claims the lack of clean injection equipment is a denial of prisoners' rights to health.

"It's been over five years [since the lawsuit was launched]and I think this is sort of the tragedy in that five-plus years, numerous people have been infected with HIV and hepatitis C," she said.

According to Chu, prisoners who use injection drugs go to great lengths to create andshare makeshift syringes, sometimes made out of things like pens..

"It's quite terrible," she said. "I've heard stories from prisoners using one needle that's been used by 30 or 40, up to 50 people, just shared because there's so little access."

Chu said she's concerned about the needle exchange model the correctional serviceis planning to use, which requires inmates to return a needle to get a new one. She said there should be a diversity of needle distribution models, and making prisoners hand in a syringe to obtain a clean one reduces overall access.

Prison guards object

The Union of Canadian Correctional Officers said in a written statement that it is concerned about the launch of the needle exchange programs in two prisons, which it claims are being implemented without new training or safety measures for correctional officers.

"This program represents a dangerous turning point. Correctional Service Canada has decided to close its eyes to drug trafficking in our institutions. It has chosen to encourage criminal activity inside the walls instead of investing in the care and treatment of inmates who are drug addicts or carriers of infectious disease," union presidentJason Godinsaid.

"We are also wondering what's happening withCSC's zero-tolerance policy on drugs?"

Godinexpressed confusion about the role of correctional officers who witnessinmates using the needles to inject contraband drugs, and whether they're expected to intervene, or permit drug use.

He also claimed the new program will be a threat toofficers and put inmates' lives at risk with the risk of overdose, and that the correctional service's role should be to continue to reduce the supply of drugs.

According to the correctional service, "The safety and security of staff, the public and inmates are of utmost importance when making decisions about CSC programs and policy."

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