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June 28, 2002

New Hawaii Law to Permit Sale of Sterile Syringes for the Prevention of Disease

Beginning Monday, July 1, 2002, Act 292 of the 2001 Hawaii legislative session authorizes the sale of sterile syringes to persons who may use them for injection of illicit drugs. The purpose of the new law is to decrease transmission of HIV and other blood borne diseases such as hepatitis, through the sharing of infected syringes.

The sale of sterile syringes through pharmacies and health care providers is expected to complement Hawaii’s highly successful sterile syringe exchange program. The U.S. Public Health Service recommends that a new, sterile syringe be used for each injection to eliminate the possibility of disease transmission. Hawaii's new syringe access legislation makes this more possible.

Under this new law only licensed pharmacists and physicians and their agents under their supervision are authorized to sell syringes. Major national organizations such as the AMA, American Bar Association and associations of pharmacists, state health officials and AIDS directors have all come out in favor of expanded syringe access efforts. At least half a dozen other states have similar laws that permit pharmacy sales of syringes to injection drug users.

Hawaii has managed to keep transmission of HIV due to sharing of used syringes much lower than most states due to the early and widespread implementation of the syringe exchange program. However, new HIV infections occur and hepatitis C continues to spread.

Peter Whiticar, Chief of the STD/AIDS Prevention Branch who worked with a task force of state and community agencies in support of the law said, "The new law permits an effective prevention intervention with little or no cost to the public purse. In the longer term fewer infections mean lower health care costs and less human suffering."

The law requires the Department of Health to produce and make available for distribution written educational materials about prevention of blood-borne diseases, HIV counseling and testing, drug treatment, access to the syringe exchange program and safe disposal of used syringes. These materials have been developed specifically for Hawaii and are now being distributed to pharmacies for consumers.

Act 262 can be viewed on the Internet at: www.capitol.hawaii.gov/session2001/bills/hb646_cd1_.htm

A hard copy can be obtained by calling 808-733-9010.

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