Vancouver health officials will distribute new crack pipes to the city’s non-injection drug users this fall as part of a pilot project aimed at engaging crack cocaine smokers and reducing the transmission of disease such as hepatitis C.

The program, part of Vancouver’s harm reduction strategy, is expected to start in October and run for six months to a year, said Dr. Reka Gustafson, a medical health officer with Vancouver Coastal Health.

The intent is to connect health care workers with crack cocaine smokers to evaluate how many of the drug users are in the city and what equipment they need to lower their risk of catching diseases such as hepatitis C, HIV and even respiratory illnesses.

A kit with a clean, unused pipe, mouthpiece, filter and condoms will be handed out to the participants, Gustafson said. It’s not known at this time how many drug users will take part in the pilot, which is estimated to cost between $50,000 and $60,000.

“There’s been a shift to crack cocaine smoking and we want to make sure the services we provide are the services they need … if we’re providing syringes and what we need are pipes, we’re not serving them,” Gustafson said […] “It’s just understanding and knowing the health consequences of crack cocaine smoking.”

The reason they want to get clean needles and crack pipes out on the street is because 95% of addicts don’t keep theirs clean, of course. However, once you’ve passed out a clean pipe or clean needle, **it’s only sterile for that first use**. From then on it’s dirty and stays that way. It will be used again. And again, and again, and again.

But Henry, they’ll teach them all about the importance of sterile works! They have a program and everything! And the addicts will ignore them. Such education programs have been common for over forty years. I’ve been working with addicts since 1986. There is a uniquely evil kind of ignorance that tells would-be do-gooders that the addict who won’t change his behaviors despite the likelihood of death by gunshot, overdose, AIDS, organic damage, mugging, and a thousand others ways an addict manages to die, will for some reason see the light and change out of fear of contracting hepatitis. If you want to kill an addict, give him uncut heroin or a government health department social worker. They are equally deadly.

So now, thanks to Vancouver Coastal Health, there will be many, many thousands more dirty pipes infected with hepatitis and other nasties out there in the addict community than there were before. Same number of addicts, just several thousand extra infected crack pipes, so the individual chance of infection is significantly raised.

But, but, but.. we give them pamphlets!

Arrrgh.