Tessie Castillo, AlterNet
December 6, 2012
In the pale light of early morning, a mobile unit sits curbside in Atlanta, Georgia’s most notorious crime zone. A woman in a tattered coat shuffles up to the vehicle. She’s diabetic and carries a bag of over 300 used syringes. The people in the mobile unit are happy to accept the needles, and they offer her clean insulin syringes in exchange. Mostly volunteers, they have braved the cold to bring public health services to the neighborhood’s residents. In doing so, they are breaking the law.
Syringe exchange, the act of exchanging a used syringe for a clean one, is an accepted practice for reducing bloodborne disease transmission in much of the northern United States. Not so in the South, which has steadfastly refused to endorse syringe exchange, and the practice is more or less prohibited in all Dixie states. But despite a legal situation that is ambiguous at best and often outright hostile, 13 syringe exchange programs exist in the South. Scattered across nine states, the programs and the people who run them are as colorful as they are unexpected. A program in New Orleans runs a clandestine exchange through volunteers on bicycles, advertising their services through a circus and the local music scene. In South Carolina, a doctor, two reverends and an atheist formed an unlikely alliance to create the first syringe exchange program in their state. In North Carolina, a former drug user living with HIV and hepatitis C distributes needles from the back of his van to help others avoid his fate.