Although aaPaa has no formal policy on needle exchange, we are currently reviewing the American Psychiatric Association's [APA's] policy [see below] which has been approved by the APA board. Our Public Policy Committee has not formally endorsed the APA policy but is very likely to recommend endorsement at our next board meeting.

We feel that further study of needle programs is useful and may be an adjunct to other psychosocial approaches in addition to methadone in the treatment of injecting drug users. If you have questions or require additional information, please contact us.

We would welcome the opportunity to meet with you to more fully inform you regarding the philosophy, goals and priorities of aaPaa. Thank you for the opportunity to express our views on this important issue.

American Association of Public Health Physicians (AAPHP)

No response was received.

American College of Addiction Treatment Administrators (ACATA)

ACATA deals almost exclusively in professional development and credentialing of administrators in the field. Consequently, it has not dealt with needle exchange and bleach distribution programs and does not have a position on this issue.

American Medical Association (AMA)

Whereas, AMA policy 20.977 recognizes the urgent need to decrease transmission of human immunodeficiency virus (HIV) and calls for ''pinpoint(ing) effective strategies (including needle exchange programs)" to reduce the spread of HIV infection among intravenous drug abusers; and

Whereas, Negative consequences of needle exchange programs have not been detected, i.e., no increase in injection drug use or changing of drug use behavior from non-injection to injection; and

Whereas, Syringe and needle exchange (SANE) programs reduce the rising incidence of HIV infection among intravenous drug users; and

Whereas, Difficulty in obtaining sterile needles and syringes is significantly and independently associated with needle sharing; therefore be it

RESOLVED, That the American Medical Association encourage needle exchange programs.

American Medical Association House of Delegates Resolution 231 (I-94)

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