Drug abuse behavior intervention: is love or conniving?

AIDS is a great danger of infectious diseases, at present, the drug can not cure diseases, vaccines are still struggling to explore, behavior intervention to block the spread of AIDS has become a way to control the AIDS pandemic an important means. In recent years, China has made AIDS prevention a major breakthrough in effective, and that is in high-risk groups in the implementation of the "100 percent condom", "Qingjiezhenju exchange" and "methadone maintenance treatment" and other acts of intervention. People may still remember two or three years ago, when the Hunan-based newspaper "safety first entertainment" reported Lixian / WHO100% condom pilot project, triggered a nationwide debate. Numerous domestic and foreign media reported and discussed, and some media even tough questions. Although the surge in public opinion, but people still recognized in the floating population of more entertainment and hotel resettlement condom vending machine, and on the streets for a "set of machines" has long been commonplace. In that case, the concern is with the people of traditional moral values and contrary to existing law, for drug users "Qingjiezhenju exchange" and "methadone maintenance treatment" is carried out? What is the meaning and difficult? Recipient, as well as look at how public opinion? 6.26 in the upcoming International Day against Drug Abuse, with a reporter above doubt that we came to the Global Fund AIDS project in Changsha City to do Tianxin Qu and "Qingjiezhenju clearing house" and "out-patient methadone maintenance treatment" ... ... Care, they should do when a patient Special tips: we can not because some of the people and ignore the law as the spread of AIDS prevention and treatment of high-risk groups, but should implement its education and intervention policies, the two lesser evil is a pragmatic and wise choice. "The Global Fund was initiated by the UN Secretary General Kofi Annan established. Adoption of comprehensive measures to reduce AIDS in injecting drug use among sex workers and the spread of AIDS and reduce the impact of the world's fourth round of the China AIDS Fund, the overall objective of the project. At present, Changsha Tianxin Qu Changsha-Zhuzhou-Xiangtan City as the only region to participate in the project area, the completion of the AIDS baseline survey on the basis of the provincial and municipal governments take the lead in the leadership of health, public security and Drug Administration to coordinate multi-sectoral support of methadone maintenance treatment clinics and clean needles Exchange of care, was on February 27, 2006 officially started ... ... "and Changsha City to do Tianxin Qu Fu Zhiyong, director of CDC, told reporters in general were introduced. Project Office head Zhou Tong, Lan Lung Oversight officials, project officials were Wu told reporters that the project also includes the care provided free AIDS counseling and testing for HIV-infected pregnant women to block the implementation of mother-to-child, commercial sex to promote the use of condoms And so on. At present, there are 5 major center for the HIV (AIDS virus) infection in high-risk groups to provide behavioral intervention, treatment and counseling services. The "out-patient methadone maintenance treatment" for heroin addicts to provide methadone treatment, oral methadone to drug users to reduce or even eliminate their drug use, drug injection cut off the route of transmission and effective in reducing HIV transmission among drug users; "Qingjiezhenju exchange Center "does not meet the requirements to participate in methadone maintenance treatment for drug addicts to provide free Qingjiezhenju to prevent the sharing of syringes and as a result of AIDS. It is understood that the implementation of the drug to a one-time payment of methadone and needle, even though the policy is positive publicity, but law enforcement officials still on the free needles and methadone maintenance therapy with people with different views. As well as the earlier drug addicts to methadone maintenance treatment out-patient medication after law enforcement officers have been arrested, resulting in methadone maintenance treatment they are mentally affected, afraid to come back, after the Government, public health, public security, such as multi-sector coordination, the issue has been resolved now . Project staff to do Tianxin Qu was grateful for the public security departments on AIDS prevention and treatment project for its understanding and support. "People have the impression that drifted away from the society of drug addicts is on the brink of the crowd, you act interventions need to contact them at close range, the ability to communicate with them and feel the significance of pay?" A reporter asked. "In contact with those drug users, we are concerned that some of their ability to cope with? Through a period of time, we quickly found that worry is unnecessary. We recognize that they are in need of help vulnerable groups, drug addicts willing to needle exchange Have to show he is willing to actively cooperate with the. "Long Lan said:" They care, they should do when a patient from a medical point of view, the drug addicts of the central nervous system and endocrine system has been significantly damaged. In the implementation of the behavioral intervention, not just a simple operation, but from a psychological, knowledge, attitudes give care, support and encouragement to help them eliminate the addiction center, the consolidation of treatment. After a period of time, A number of drug addicts gradually changed the attitude of indifference before the restoration of social identity, we are also very warm. Our job is very meaningful to them is responsible for public health in charge. " "Not long ago, methadone maintenance therapy patient on the road before, have taken place in a traffic accident, the car driver seriously injured. Two to seeing this treatment of drug addicts, were injured and to help appease the 110 and 120 telephone calls to show their social Sense of responsibility. Staff in a timely manner on the wall give praise and removed from the treatment of certain expenses as a token of encouragement. Preparations for the establishment of graduate students and a promotional Web site devoted to express his gratitude to the Government, and hoped to make its own contribution to the community . " "Traditional moral values that the government ban on taking drugs only right and proper. To provide drug addicts with needles and methadone is not the Government's social and drug abuse, drug trafficking and even concessions?" Reporter asked. "AIDS prevention and treatment of the pragmatic point of view, we can not because some of the people and ignore the law as the spread of AIDS prevention and treatment of high-risk groups, but should implement its education and intervention. In short, the two lesser evil Is a pragmatic and wise choice. "Fu Zhiyong clear and concise answer. Many people do not understand why the drug is to block transmission of AIDS to control the AIDS epidemic the focus of the crowd? It is understood that China's AIDS drug to remain the primary route of transmission, drugs and AIDS as the two hand in hand accompanied by the devil. The middle-aged and young drug addicts in order to constitute, a low level of education, health sense for many. Heroin addiction so that drug addicts are always impatient to attack by intravenous heroin into the solution. Due to poor health concepts and the characteristics of groups of drug addicts, often re-use a syringe or more common, as long as one is infected with HIV, the virus can be passed this way, and other human body. Many drug users often have other sexually promiscuous behavior, especially female drug addicts, but also the spread of HIV infection and the high-risk groups. Female drug addicts more drugs to prostitution in exchange for money, this overlapping pattern of behavior will no doubt exacerbated the spread of AIDS. As a result, to contain AIDS in the drug hidden in the crowd spread of the epidemic, is one of the world for now and for a long time in heavy and arduous task. Qingjiezhenju exchange: Internationally recognized and effective interventions Special tips: the beginning of a period of about secretly, the little concrete action. Repeatedly, through various channels of publicity and educational efforts, to participate in the drug more gradually up. Although there are "secretly", but more generous than the previously. 2:00, day out at night Zhang Ping's "BLAM BLAM BLAM BLAM" Xin into the open the door. "The old did not bring?" Asked Zhang Xin Cheng. "Brought a total of 3." Get "goods", Zhang Ping, is fast disappearing in the night. As this triad movie scene trading took place in Changsha City in an alley Tianxin Qu. "Sometimes people's drug addiction up, no matter what time to knock on the door to needle. I used to have." Xin Cheng said: "I have a principle, not yet back to the old, by no means new to." To 30-year-old into a circle xin in the "famous" has now become a fellow advocate for their own understanding of the surrounding drug addicts Qingjiezhenju to provide his important work. He has 9-year history of drug abuse, and also into the drug on several occasions. Reporter: "You have to share that with other people?" Xin Cheng: "shared, as long as they have been smoking the drug, whether anyone will be shared syringes with each other, because addiction has not made a syringe to attend, just wash over you get on the injection." Reporter: "Do you know whether or not previously shared syringes vulnerable to AIDS?" Xin Cheng: "In the past, do not know, we later learned, but drug offenders, who were on the tube is come from the syringe, with the start. Dilution on the white powder with tap water, even when the panic in the fields or cloacae To go against the water, "he said." Even if he wanted to use a clean needle is very difficult, first, no money, and the other is sometimes closed in the evening clinic pharmacy can not buy. Of course, the most important thing is he did not recognize the seriousness of the real. " "I told them, the exchange of clean syringe is to prevent the sharing, the sharing of risk of HIV infection, AIDS had on a dead end." Xin Cheng for their work showing obvious pride. Due to years of injecting drug use, Xin Cheng who has been very difficult to find a needle. Each injection, he must be going through such pain. Despite the injection every time after the beginning of regret, but he has plunged into the quagmire of heroin and able to extricate themselves. As long as the addiction up, he would have regardless of what the. In the new shop to open community health service center, the reporter saw hanging on the door, "the Global Fund to Tianxin Qu Qingjiezhenju clearing house" brands, not only here that do not conform to methadone maintenance treatment for drug addicts to provide free Qingjiezhenju, but also to provide Health-related advice. According to the health care of drug addicts to pay for the number of needle exchange out of the same Qingjiezhenju. After the recovery of syringes after the inventory of "84" disinfected, and then concentrate on dealing with the destruction. Menting relatively cold to see the needle exchange centers, Tong Zhou told reporters: "Qingjiezhenju here for the very small number of drug addicts, after all, in our country, drug trafficking and drug abuse is illegal, the Department of Public sector firm targets . A lot of drug users are 'a number of the palace', they are worried that the fight against, for fear of being aware of other people, people who are not familiar with the very difficult to close. According to this, we selected 5 healthy and relatively high education level and there The ability of certain social drug users as peer advocates and training, Xin Cheng is one of them. Companion advocates have also called for a sense of responsibility, each responsible for 10 to 20 drug users in the behavioral intervention, and recovery to receive a syringe; for To ensure the quality of work, we signed an agreement with fellow advocates, labor advocates to honor his return (300-500 yuan / month). " Reporters learned that although the exchange Qingjiezhenju made numerous records, but they are non-real-name registration, most often the name change. Tong Zhou told reporters, drug addicts Qingjiezhenju exchange for a recognition process to begin for some time about the secretly, the less practical action. Repeatedly, through various channels of publicity and educational efforts, people gradually participate in more than up. Although there are "secretly", but more generous than the previously. As of March 31, Qingjiezhenju exchange center has 443 people on drug users to exchange Qingjiezhenju 3546. It is understood that Qingjiezhenju exchange control is an internationally recognized AIDS epidemic and effective interventions. In the late 70, the Netherlands carried out first in order to control the prevalence of hepatitis B; after the emergence of AIDS, needle exchange and the West have been widely used in developing countries. Began in 1990 in Kathmandu, Nepal's needle exchange project may be the most successful in Asia. By trained social workers and primary health care personnel roving team, sent to drug users clean syringes, recovery of used syringes and drug addicts and promote disease prevention, but also to provide them with simple medical services. Project in Nepal so that HIV infection rates below 2% in control, and injecting drug users in neighboring countries the infection rate has increased to 70%. It is not only to control the population of injecting drug users AIDS epidemic, AIDS knowledge and prevention also extends to the activities of other groups. In addition, many countries in the implementation of infection control by injecting drug users and the spread of AIDS is an important measure addicts how to clean syringes, a professor, as well as the provision of clean syringe disinfection supplies.