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NEEDLE-EXCHANGE PLAN LIFESAVER FOR SPRINGFIELD

Imagine a Springfield man has just learned he has a life-threatening disease and he needs some medical advice. 

Should he ask his doctor about treatment, or should he ask the Springfield City Council?

Later this month, the City Council is expected to vote on a revised proposal to establish a needle-exchange program in the city. 

The city's public-health experts and members of its large medical community agree that Springfield should approve the program to prevent the spread of HIV, AIDS, hepatitis C and other blood-borne disease.  So far, a majority of City Council members has blocked the program.  Some say it is wrong to spend taxpayer money to promote the use of illegal drugs.  Others say it will attract drug addicts and criminals to the city.  None gave a medical opinion. 

Imagine now that the city itself is the patient with the life-threatening disease.  In Springfield, 43 percent of the HIV cases can be traced to the use of intravenous drugs.  By comparison, the statewide average is 30 percent.  The city is an obvious candidate for the program. 

City councilors should listen to public-health experts and members of the city's medical community.  The city has a health crisis on its hands and a treatment program at its disposal.  The council has a duty to approve the program. 

Four councilors have expressed support for the program: William T.  Foley, Jose F.  Tosado, Kateri Walsh and its lead proponent, Bud L.  Williams.  A five-vote majority will win passage, and a sixth vote of support on the nine-member council would be veto-proof. 

Arguments from opponents will sound familiar: The needle program will promote drug use, send the wrong message to the city's young people and undermine efforts by law-enforcement agencies to halt illegal drug traffic. 

It is worth repeating that needle-exchange programs do not promote drug use, suggest to young people that drug use is acceptable or make the work of police officers and prosecutors more difficult.  The program is a proven success.  It has slowed the spread of disease and helped to steer illegal drug users toward counseling and treatment programs in Northampton, Boston, Cambridge and Provincetown.  Last week, the town of Westport became the fifth community in the state to adopt the program. 

Springfield will make it six.