During my career as a prison boss if I could of implemented a safe injecting room I could have saved many lives & minimised the spreading of communicable diseases such as Hepatitis C virus (HCV) where the prevalence in NSW prisons is 20-30 times higher than in the community.

Criminalisation of drug use results in the mass incarceration of people who use drugs. Illicit drug offences represent the second most common offence for custodial sentences in Australia.
There are currently no needle and syringe programs (NSPs)operating in any Australian prisons. This is despite a growing body of international research clearly demonstrating that NSPs have been shown to be safe, beneficial and cost-effective within a variety of prison settings.
Australia cannot afford to continue to avoid the serious implications of not implementing prison-based NSPs, both to protect prisoners’ health and human rights, and to limit the spread of BBVs as individuals are released back into the community.
The vast majority of injecting episodes inside prisons occur with shared injecting equipment – a practice identified to be one of the most effective ways to transmit HIV and HCV.12. I have found needles that have been used by multiple inmates for months on end.
Beating the drug epidemic is going to take a holistic approach.There is no one-fit all solution to the scourge of drugs it has to be a combination of education, good parenting,mental health services, better rehab facilities in our regions & prisons & getting tough on dealers.
Harm minimisation programs such as pill testing and safe injecting rooms & needle exchange programs won't solve the drug epidemic but they do save lives, they do make the community safer & they minimise the harm to the drug user, their families & the community.
Once a drug addict arrived at my prison the damage has already been done to the addict, to the families of the addict and to the community.
We don't need issues like this to become a political point scoring debates. Whilst our politicians continue to ignore that harm minimisation programs work young people continue to die from bad pills at music events and from dirty needles.
End-
@threadreaderapp unroll please

More from Kirsti Miller

Would having the testosterone limit for transgender women at 10nmol/L (5-10 times what’s considered “typical” for women) give them a massive advantage over their cisgender opponents?


Absolutely not, is recognized an XY chromosome body is seen as unhealthy <12nmol/L or less. A XY female as they lose the ability to produce natural occurring testosterone, falls into a range of 0.4nmol/L.

Which we know too, the individual falls into menopause at 9.6nmol/L, and due to complete androgen deprivation eventually into the position of that would equate a XX female = who had had a complete hysterectomy including her gonads.

We can be assured, one this is extremely unhealthy – Moreover, and most important, we can be assured that there are no women either XX and or XY competing internationally like this.

This is not for anyone a desired state and for the participation high performance sport eventually impossible to participate longterm.

More from Government

This article by Jim Spellar for @LabourList misses the point about why Labour needs to think seriously about constitutional reform - and have a programme for it ready for government.


The state of our constitution is a bit like the state of the neglected electric wiring in an old house. If you are moving into the house, sorting it out is a bit tedious. Couldn’t you spend the time and money on a new sound system?

But if you ignore the wiring, you’ll find that you can’t safely install the new sound system. And your house may well catch fire.

Any programme for social democratic government requires a state with capacity, and a state that has clear mechanisms of accountability, for all the big and all the small decisions that in takes, in which people have confidence.

That is not a description of the modern UK state.

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