Pubdate: Mon, 06 Jul 2009 Source: Province, The (CN BC) Copyright: 2009 Canwest Publishing Inc. Contact: http://www.canada.com/theprovince/letters.html Website: http://www.canada.com/theprovince/ Details: http://www.mapinc.org/media/476 Author: Elaine O'Connor, Staff Writer AIDS IN THE HEART OF THE CITY Drugs are far from the only health emergency in the Downtown Eastside. The local AIDS prevalence rate here is higher than in some African countries. A May 2003 Human Rights Watch report called Vancouver "home to what is arguably the worst AIDS epidemic in the developed world." In 1997, a University of B.C. epidemiologist estimated drug users were being infected with HIV at a rate of 20 per cent per year. In 2001, the HIV-related death rate in the Downtown Eastside was 38 times that of B.C. overall. Less-deadly diseases are also prevalent. It's estimated more than 90 per cent of users in the area have hepatitis C. The new infection rate has since fallen to three per cent, but prevalence of the disease remains high. Even with needle exchanges, the potential for transmission is daunting. The Downtown Eastside is home to an estimated 5,000 injection drug users, according to a B.C. Centre for Excellence in HIV/AIDS report. As a result, users in the area have an HIV prevalence rate estimated at 30 to 40 per cent. In the developing world, countries such as South Africa have a prevalence rate of 19 per cent, according to UNICEF. - --- MAP posted-by: Richard R Smith Jr