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Prison Guards Fear HIV, But Oppose Clean Needles
Supplying clean needles hands weapons to inmates, guards say. But as drug injection and tattooing sow disease, prison officials are desperate for remedies.
Terry Leger, a prison guard at Matsqui prison in Abbotsford, still has a tiny scar from where an inmate stabbed him with a dirty needle in January 2003. It could have been worse, because after the prisoner was contained, Leger found a makeshift knife stashed in the prisoner's pants.
Leger's scar on his left hand is the size of a pin prick, but the incident forced him into anti-retroviral treatment for the next month.
Canadian corrections officers reported 167 incidents of guards being poked with dirty needles in the last seven-and-a-half years. Because federal prisons have a zero tolerance policy for paraphernalia, needles are well hidden in prisoner's rooms.
Usually it's during room inspection that officers come across hidden needles the hard way.
But along with incidents like Leger's, guards have been held hostage in two separate incidents in Ontario by inmates with syringes filled with what was believed to be contaminated blood.
'It was hell'
Nineteen side effects are possible during anti-retroviral treatment, from facial numbness, loss of appetite, and chronic diarrhea.
Leger experienced 17 of those side effects, in addition to depression and alienation from his wife and two young children over the next year while he waited for the Hepatitis C incubation period to pass.
During that year, he said he wasn't quick to hug his family or kiss them. He even moved his own toothbrush away from the rest of his family's, which were in a holder by the bathroom sink.
"It was hell. I wouldn't wish that on anyone," Leger told The Tyee.
The Union of Canadian Correctional Officers launched a national campaign Tuesday to draw attention to the dangers they face on the job. The union has spent more than 75 days over the past two years in contract negotiations with the federal government since its contract expired. The campaign is being used to draw attention to their concerns about safety, management, pensions, and the proliferation of weapons in federal prisons.
Union officials say the number of weapons seized - 1199 in the past year - is on the rise and there are higher rates of infectious disease in prisons. They feel both problems will be exacerbated by two programs currently being considered by Correctional Service Canada.
Union officials say harm reduction strategies used on the outside of prisons will not translate on the inside.
Syringe, tattoo projects considered
Correctional Service is considering a needle exchange program across the country and a "tattoo pilot project" in six of the nation's 54 federal penitentiaries, according to Michèle Pilon-Santilli, Correction Service's communication director.
Pilon-Santilli said both strategies are aimed to reduce the spread of HIV and Hepatitis C in federal prisons, but the union says the plans pose further risks to the officers.
Currently prisons hand out condoms, lubricants, and bleach kits for cleaning needles to try to curb the spread of infectious diseases.
Still, according to Pilon-Santilli, the HIV rate in prison is seven to 10 times higher than in the general public. Hepatitis C rates are more than 30 times higher in prisons.
The needle exchange program is still in its very early exploration stage, but the tattoo program is ready to be launched once Correctional Service decides which prisons will participate.
"They're not tattoo parlors, they're tattoo pilot initiatives," Pilon-Santilli said.
The program will have one inmate tattooing other inmates, using sterilized tattoo needles, under the supervision of guard. The program's purpose is to reduce the spread of infectious disease and no gang or racist tattoos will be given.
As it stands, inmates tattoo themselves with anything from a piece of metal to a pen, Pilon-Santilli said. Once they've found something that works, several inmates will be tattooed with the same device. With 95 per cent of inmate released back into society at some point, it's a public health issue, Pilon-Santilli said. The same holds true for the needle exchange, she added.
'No way' says union
"We have a duty to look at all harm reduction initiatives. But we understand that the needle exchange is a controversial and complex issue. We have no intentions of doing something immediately, it's something we're still exploring," Pilon-Santilli.
The Union of Canadian Correctional Officers doesn't need any time decide.
"No way, shape or form would the corrections officers, or the union, agree to a needle exchange," said union president Sylvain Martel. He said with more needles in prisons, more officers will be poked.
Likewise, he disapproves of the tattoo project and its $3 million price tag.
"That's taxpayers' money. In the 1990s, the big thing was to de-tattoo someone," said Martel, who added the costly effort was meant to help prisoners reintegrate into society.
"Now, we're going to pay for them to be tattooed and a month before their release we're going to have them de-tattooed. They say it will reduce the infectious disease inside (the prison), which is bullshit, bologna."
Tattoos said to fuel gangs
Martel said his biggest objection to the tattoo project is that it will perpetuate gang activity in the prisons. Often esoteric tattoos are used to identify gang members, he said, and the inmate giving the tattoos would also be under pressure not to tattoo members of rival gangs.
He is also concerned that both the needles in the exchange and the tattoo needles will find their way in the general prison population.
Pilon-Santilli said since the tattooing is done in a controlled environment, than there is no way the needles will find their way into the general population. But Martel said medical syringes are often stolen under similar circumstances from prison medical services.
"It's very simple how to reduce infection rates; have a zero-tolerance policy and mean it. If you have no drugs, you don't need needles to shoot them," Martel said.
He said when inmates get caught with drugs, they are often handed minimal punishment through internal disciplinary hearings. But if criminal charges were applied to those in possession of drugs, Martel feels it would curb the use of drugs in prison.
"These programs come from the medical side of CSC. Those people are doctors, psychologists, psychiatrists. It's those doctors in Ottawa that are thinking about this from their ivory tower."
Good results reported in Europe
Glenn Betteridge is a Senior Policy Analyst at the Canadian HIV/AIDS Legal Network. He co-authored a 2004 report exploring prison needle exchanges in European prisons and the current penal system in Canada. Contrary to what Martel predicts, none of the European prisons using needle exchange programs reported those needles being used in attacks. In fact, in Germany, the program was cancelled when the government changed hands. Prison guards in that country protested because they realized how much safer the exchange program made the prisons, he said.
The report also found that despite a zero tolerance policy in Canadian prisons, in 2003, 11 per cent of all participants, 439 adult males, 158 females, in six Ontario correctional centres had a history of injecting drugs in the past year while incarcerated; 32 per cent of those who reported reported injecting with used needles.
There is no shortage of ways to get drugs in prison. In fact, officers at Matsqui prison recently found 34 grams of uncut heroin in a prisoner's cell.
"There is a zero tolerance policy across the world in prisons; it doesn't mean they don't exist. The needles that are in prison are dirty," Betteridge said.
Most of the European prisoners participating in the needle exchange keep their needles in plastic cases, in shaving kits, or in a holder pinned to a cork board so that guards know where the needles are kept. They do this despite a zero tolerance policy in the prison, he added.
Homemade needles
Some of the needles used in Canadian prisons are home made, from tape, ball point pens, and old parts of syringes, which are virtually impossible to sterilize. In his research, Betteridge said bleach has been proven ineffective in preventing the spread of Hepatitis C, particularly with homemade needles.
However, Betteridge admits that not every prisoner should partake in the needle exchange.
"People who have psychiatric or mental health issue that make them a danger should not be taking part in a needle exchange program. That's a decision for the institution to make. Similarly those with a history of violence against correction staff should not be part of the program," Betteridge said.
"It also decreases the overall rate of HIV and Hepatitis C in a correctional institution which makes it a safer place," he added. "There's a common sensicle idea that any needle poses a danger, but that isn't borne out by the evidence."
Scott Deveau is a staff reporter for The Tyee. ![]()



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lokijy ng (not verified)
7 years ago
Why are the prisoners socializing with other prisoners? Keep them separate ,incommunicado,no social contact ought to be allowed that privilege assumed lost when a crime is solved and person convicted. If perosns who are prove to be addicted then give them injections as required and the drug do not hide like an ostrich in the sand. Ignoring the facts is always a problem and keeping people ignorant is setting yourselves up for backlash and tragedy. At least that is my experience.
Mel from Calgary (not verified)
7 years ago
Decriminalise drugs and there will be a reduction of drug addicts and drug pushers in prison. lokijy ng solution would create very expensive prisons to build. If it works in europe it should be tried, we know what the Americans are doing isn't working. Stephen Harper won't like a needle exhange and tattoos.
bobthecabdriver (not verified)
7 years ago
The last figure I`ve seen for cost of incarceration was $69,000 per inmate/year. This might explain the reluctance of the judicial system to lock people away. A key factor in needle exchange is cost of health care. Things like hepatitis are very expensive to treat over an extended period. Also prison guards like to keep the inmates on drugs - it makes them easier to handle. It`s a terrible place to work.
brutal bobby T (not verified)
7 years ago
What a stroke of genius. Provide the inmates with a needle exchange so they can stab the guards with 'clean' syringes. Total rot!
JimmyC (not verified)
7 years ago
What does bobthecabdriver mean by guards like to keep inmates on drugs - it makes them easier to handle? That is insane as the inmate population simply creates rival drug gangs similar to the street with very violent consequences. Drug turf wars and drug debts cause death, not an easier inmate to handle.
bobthecabdriver (not verified)
7 years ago
I stand by that statement. People in prison and on drugs are easier to deal with than people going `cold turkey`. Even taking away their cigarette supply creates serious tension and that`s why they still smoke. From the guards point of view anything that lowers tension is a good thing. I`m talking the real world - not the way things ought to be.
lokijy ng (not verified)
7 years ago
Please do not read into previous blurb that i want the inmates to have needles to use as weapons secreted on their persons,I suggest best to have the medical profession have a venipuncturist assigned to inject drugs provided by the province/federal gov'ts. The injections and drugs would be on request perhaps one out of ten thousand may want to get clean but i doubt that. A population of semi comatose inmates is easier to handle than a crowd of smokers without tobacco.
JimmyC (not verified)
7 years ago
I understand what you are saying bobthecabdriver, about not wanting 100 inmates 'jones-ing' for drugs, but that is why inmates have access to the Methadone program and other groups such as AA and NA. To help them deal with their addictions. An inmate wired on Crystal Meth or crack is not fun for the guards either, we are not talking about about inmates quietly going to sleep after smoking some THC, but drugs which cause violence and wars over their supply...
anonymous (not verified)
7 years ago
"Drug Abuse--There Is an Answer!" at http://www.watchtower.org/library/g/2001/7/8/article_03.htm
Jane (not verified)
7 years ago
I realize that corrections officers are worried, but their anxiety over a needle exchange is fueled by lack of good information. The fact is, if you are going to be stabbed, better by a needle that has been used once rather than multiple times. Even if it is contaminated, the potential viral load on a single use needle will be much less than that of a needle that has been used multiple times by multiple people and therefore it will be less infectious. Secondly, if needles are obtained through an exchange, the inmates must store them in a manner that is visible, so the guards won't have to worry about accidentally coming across a hidden needle. In Switerland, which has had prison needle exchanges for a number of years, there has been no incidences of inmates threatening officers with needles. In fact, I suspect that inmates who have been given the benefit of a needle exhange are not likely to behave in a way that will jeopardize it. The corrections officers need to get over their kneejerk defensive reaction. With few exceptions, inmates will be released from prison back into the community. We need to do everything we can that they do not come out carrying an infectious virus that threatens the health of people in the community as well as themselves.
Chevy (not verified)
7 years ago
As a former correctional officer, I really feel for these unsung heroes. They do a job that majority of Canadians would not even dream of doing. To be blunt, most prisoners are pieces of garbage. They are in jail for a reason and if they are in a federal facilities, the crimes they've been convicted for are more serious. This cabdriver guy has no clue. If it was for me, I could reduce cost by reducing staff by reducing the amount of movement these idiots have in the jail. No yard time, no gym time, get your meals and eat in your cell. Some television and only news, nothing else. The moment an officer is subjected to disparaging remarks, the inmate needs to be then subjected to further harsher treatment, such as solitary confinement. I think what needs to be reinforced, and I'm sure the more elderly inmates would concur, is that time needs to be done quietly. As it stands, jails are filling up with noisy, mouthy, lippy, stupid 19-24 year old kids who think that adult system is the same as juvi. Some silence would be more beneficial than most prison programs as there would be copious amounts of time for self-reflection and thought and reflection on what they've done. I have more to come.
Chevy (not verified)
7 years ago
To tie this argument into the above article. I believe that encouraging a needle exchange fosters drug dealing, gang activity, and most of all, more drug addiction. So where is the difference from the outside? I think that needles should not be encouraged and drug abuse should be seen as a serious problem. Tattoos and tattoo parlors don't make it better, they just make the problem worse. Needles should be seen as contraband and treated as such with harsh consequences. The flow of narcotics can be stemmed by having frequent skin searches (not cavity searches) and eliminating contact during visits and abolishing conjugal visits. Inmates should only be allowed to have the minimal amounts of property for survival and anything more should be seen as hoarding and read as a sign for an upcoming disturbance as inmates put aside food and clothing if a conflict on the unit is about to happen. Ensure time is done quietly, like a monastery. In time you would see a more patient and cautious and less mouthy person emerge from the institution with less propensity to become involved in criminal activity. Finally, Inmates are pieces of garbage, period. They know they are. That's why they would use any way necessary to gain something and if that means using a dirty needle, then that's what's done. If this was in the United States, snipers and sharpshooters are brought in and the hostage taker is the one that is killed in the end, no questions asked and in quick time with little negotiation. Limit this drug flow problem and maybe the attitude on drugs on the street might be impacted also. Thanks. If I sound mean, I am, its just a result of the environment I worked in.
devilsadvocate (not verified)
7 years ago
"Inmates are pieces of garbage, period". And we wonder at the high rate of recidivism. You sound like a supremicist. Not ALL inmates are pieces of garbage, Chevy; many of them are mentally ill, socially ostracised, physically abused. I'm not trying to make excuses for the vast amount of nasty people out there - I'm just trying to give you a little perspective. Persons with an addiction to heavy drugs are in a prison you obviously don't understand. Alternatives to needle based treatments exist; if you take a heroin addict who wants off the drug and give him therapy and a pot based recovery program, not only will you minimize the chance of needle assaults, you'll increase his chances of recovering from his addiction 10 fold. Take the addiction away, and much of the criminal behaviour disappears. Our prisons should be a treatment based process, rather than some monastic isolation. If you like your idea better, though, go on down to Guantanimo Bay (sp?) and join up with the rest of the gang.
brutal bobby T (not verified)
7 years ago
I'm with you most of the way, Chevy, but the 'garbage' comment is a bit over the top. Prison is a place where inmates should have time to reflect on their misdeeds and begin on a road to humility. And devilsadvocate, you make some sense I admit, but a 'pot' based recovery program??!!!! Are you insane? Inmates should not be shooting up or getting tattoos in the joint PERIOD. Nothing like a bunch of tatties to make an ex-con COMPLETELY unemployable as if they don't have enough hurdles.
Chevy (not verified)
7 years ago
Brutal Bobby, when you work with them like I did, after a little while, they all become pieces of garbage. You try to help them, you write them letters of recommendation, you get them their treatments and hospital care, then? For what? They come right back 6 weeks later. And I'm supposed to care? There is a joke among civil servants about the BC Substance Abuse Management program provided for inmates incarcerated in British Columbia. The joke is? We call the program Substance Abuse Maintenance, not Management. Why, because that is exactly what it is. Devilsadvocate, go smoke another joint because your head certainly isn't at the level of this conversation. Brutal Bobby, read my above posts about how time should be done. One thing though, I never advocate for violence in our incarcerated environments, it doesn't solve anything and doesn't improve any conditions. What gets stuff done is total compromise and compliance. Thank you.
Chevy (not verified)
7 years ago
G'itmo Bay is something different. That's not a jail, that's a concentration camp, period. I'd hate to work in that kind of environment. But I did love working in a sentenced environment. I felt like I was giving the taxpayer a sense of security and good value for their dollar. I did my job well and cared for my colleagues. Devilsadvocate, when you're done having your joint, write something, I'm still waiting.
brutal bobby T (not verified)
7 years ago
Chevy,if I walked a mile in your shoes, I would very possibly feel the same way. However, I do believe in my heart that people have the ability to redeem themselves, if they open their hearts, discover humility, and are willing to work at it----and the first (huge) step is to give up drugs,(including pot).
Chevy (not verified)
7 years ago
Bobby, I'm trying to believe in the redemption thing. I did believe but cynism does have the best of me right now. The first step is to recognize that it is a disease but also to realize that going back is not an option. Thank you
devil's advocate (not verified)
7 years ago
Better late than never, and I haven't smoked a thing today; working in the medical/legal system has given me an eye opening lesson, guys! I've seen innumerable people ease pain and suffering with a joint; that kind of thing will change your mind. Do you take ibuprofen? Asprin? Or some other, deadly, addictive painkiller? Perhaps watching a long term heroin addict try to kick his monkey and succeed with the help of a much softer and less damaging drug to help him would give you some of my perspective. Or perhaps you prefer the methadone method? Is that better than a little THC? Perhaps to you my "head" isn't at the same level as yours. True. Mine is out of my ass.
Truman Green (not verified)
7 years ago
Wow! Excellent forum of opinion. I hope the writers will do a bit of homework, though--on who brings most of the drugs into the prisons. Apparently,it's the guards. It does seem a bit ironic that a person can be sentenced to jail for possession of heroin--into a place where heroin is just as easy to obtain. The answer, of course, is to legalize all drugs. Heroin is the world's safest and best analgesic.(For the first time, I actually heard an American doctor,on tv, suggest that the opiates are far better as analgesics than the NSAIDs and the COX 2 inhibitors.) Do I hear laughter? Well, everyone's brainwashed. It will kill you, but so will just about anything else you pump into your arteries in an overdose. Legal drugs are assessed on their side effects. It's becoming apparent that all of the COX 2's will kill you, as will the NSAIDS because of their side effects. Heroin has no side effects, except easily-treated constipation. Now here's the really big news: Heroin is not as addictive as everyone seems to think, and, when it is used strictly as an analgesic for physical pain, it is not addictive at all. I know very few will agree with me, largely due to the Kathy Tait school of journalism in which she, and many others, wrote for years about "evil heroin." Well, folks, it's just a refinement of opium, eh, invented by the Bayer people for alcohol addiction. There's really a tiny demand for the stuff. It's the illegality that makes it's value go from $150 a kilogram in Columbia, or one of the "Stans" in Central Asia, to $150,000.00 per kilogram in Vancouver. The entire illegal drug industry is a huge hoax perpetrated by the many groups who have a vested interest in the continued illegality. And here's the solution for prisons: Treat these drugs like the medications they are. Have clinics in the prisons where prisoners can line up for their daily injections, if they can demonstrate that they are addicted. Many would "age-out" at around fifty years old.(Heroin works as an analgesic in seniors, but the euphoric benefits are vastly diminished.) More would become bored with the whole thing. Part of the charm of heroin is the sub-cultural pride it fosters in users. When the state supplies it, it loses some of this charm. I have before me an article published about six years ago in the Vancouver Sun (if the Sun will allow the copyright infraction) by reporter, Murray Whyte : "Seventy percent of the 654 deaths in B.C. attributed to heroin doses between 1984 and 1993 were not caused solely by the drug, according to a Simon Fraser University graduate student. But Michael Brandt, a criminology student, said in a study released Tuesday that "heroin was singled out in the autopsy reports because of the mythology surrounding the drug," a mythology he says portrays heroin as 'evil.' According to him, the deaths were caused by a variety of factors, such as hepatitis, HIV, liver disease and consumption of deadly drug cocktails. "These people were sick and diseased, and it seems that heroin was only the final pharmacological insult that pushed them over the edge," he said. In the remaining 30 percent of the cases he investigated, Brandt found that high drug purity did cause death... "If you want to make a drug dangerous, criminalize it," Brandt said. "It drives it underground where it can't be controlled."
cheyenne (not verified)
7 years ago
stupid