A general update to MSIC supporters has been distributed by Medical Director Ingrid Van Beek. It makes an interesting read overall however the marked criticisms of the “pseudo-science” of the NGO Drug Free Australia (DFA) are noteworthy.
The full missive:
On behalf of the staff of the MSIC, I am pleased to inform you that legislation to extend the trial of the Medically Supervised Injecting Centre (MSIC) for a further 4 years (to the end of October 2011) has now passed successfully through both houses in NSW Parliament. We are of course glad that the NSW Government continues to support this important public health initiative. The support for this bill from the Greens, Independents including Clover Moore, Dawn Fardell and Robert Oakeshott and five Liberal MPs (who were allowed a conscience vote) was also very encouraging.
While the parliamentary speeches in favour of the bill were heartening for the staff at the MSIC, comments like the following made by the member for Castle Hill in his speech against the bill were less so: I am willing to bet that some of those working at the centre will be trawling the streets for addicts to get their numbers up because, after all, it is their livelihood. Indeed, when I pointed out the escape clause [the new provision that a review will be triggered should MSIC utilisation drop below 75% of current levels] to my wife she immediately suggested that staff would pull people in off the street and get them to inject inside the injecting room so that they could maintain their jobs.
Likewise, repeated assertions that the MSIC merely encourages experimentation with dangerous drug cocktails were abhorrent to us. I sometimes wonder if anyone ever suggests of my cardiologist colleagues that they must be very concerned about the impact of the decreasing rate of tobacco use in the community on their â€œlivelihoodsâ€â€¦surely not, given their obvious life-long career commitment to improving the communityâ€™s health status. Similarly those of us who have chosen to work with drug users in what is arguably one of the most challenging fields within the public health sector donâ€™t deserve to have such aspersions cast.
It was also deeply disturbing to see the extent to which the misinformation produced by Gary Christian of Drug Free Australia (DFA) permeated many of the speeches of those opposed. That this compilation of pseudo-science gained credence comparable to the various reports tabled by the team of internationally recognised researchers from Australiaâ€™s National Centre in HIV Epidemiology and Clinical Research who undertook the MSICâ€™s evaluation, is a travesty. I suspect that many of the MPs who used DFAâ€™s various statistical extrapolations in their speeches didnâ€™t even realise that apart from being fundamentally flawed, they referred to the first 18-month period of what has now been a 6-year trial. But I am reassured that it did little to change the way the politicians actually voted in the end.
I have pasted hereunder the MSICâ€™s response to the 6 key arguments circulated by Mr Christian to all MPs prior to the parliamentary debate for your information (attached herewith).
Finally, to coin the words of DFAâ€™s CEO: that the Australian Medical Association, the Royal Australasian Colleges of Physicians, Emergency Medicine, Psychiatry, the Alcohol and other Drugs Council of Australia, the Australian Drug Foundation, the Australasian Society of HIV Medicine, the Hepatitis C Council of NSW, the NSW Users and AIDS Association, the AIDS Council of NSW, Family Drug Support, the Ted Noffs Foundation, Reverend Bill Crews of the Exodus Foundation, Sydney City Council, all of the parishes in Kings Cross, the large majority of local residents and businesses in Kings Cross and many others support the MSIC – speaks for itself.
Your ongoing support is greatly appreciated. Thank you.
Dr Ingrid van Beek