For a long time, a state ban stopping the creation of syringe exchanges stymied public health efforts in the name of not enabling addicts. Today, the situation has deteriorated to the point where cheap moralizing can no longer withstand proven medical evidence.

Now that the law has changed, health officials across the state must decide their next course of action.

Miami County health officer Dr. Rafik Farag has chosen to do nothing.

LAST WEEK, THE county board of health heard a proposal from Antonia Sawyer, the coordinator of the Miami County Systems of Care, to start a needle exchange program. Excluding inmates of the Miami Correctional Facility, cases of hepatitis C nearly doubled from 2015 to 2016 in Miami County, spiking from 33 cases of infections to 60, according to the Indiana State Health Department.

The Centers for Disease Control and Prevention say most people today become  with the blood-borne liver disease by sharing needles to inject opioids or other drugs. Sawyer told the board of health Tuesday research suggests one intravenous drug user-infected with hepatitis C will spread the disease to 20 others.

“This is an epidemic that has steadily increased over five years,” Sawyer said. “This is something that’s going to get much worse before it gets better.”

The need to take issue with disease spread through dirty needle use should be obvious to anyone in the state. The dangers of the 2015 HIV outbreak in southern Indiana and a widespread hepatitis C epidemic were compounded by the nationwide heroin scourge. The lack of available options for addicts to exchange dirty needles for clean ones only served to exacerbate the situation and create more problems.

AS WE HAVE said in the past, needle exchanges are an idea for which the time has come. Foot-dragging by officials on the local, state and national stage will only make things worse.

“If someone can convince me there’s an epidemic, I’ll declare it,” Farag said Tuesday. “But we don’t have an epidemic right now.”

Without such a declaration from its health officer, Miami County cannot pursue a syringe exchange program.

Our opioid problem — and the accompanying spread of disease through needle sharing — isn’t a fight we asked for, but it’s one we must take on with clear eyes and correct information. We don’t have another option.

As Miami County’s Systems of Care coordinator asked the board of health last week: “How many more cases do we want to get? Does everybody in this room want to get it? Is that when it will become an epidemic?”

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