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Back疾管署署長羅一鈞回應沈伯洋社區中心爭議：減害策略成效顯著，愛滋新增感染降至20人以下
疾管署署長羅一鈞回應沈伯洋社區中心爭議：減害策略成效顯著，愛滋新增感染降至20人以下
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自由时报1 hour agoHealth2 min readChinaView translation

疾管署署長羅一鈞回應沈伯洋社區中心爭議：減害策略成效顯著，愛滋新增感染降至20人以下

愛滋減害策略清潔針具

Quick Look

疾管署署長羅一鈞表示，台灣推動減害策略後愛滋疫情大幅降低，每年因注射毒品感染愛滋已降至20人以下，並澄清清潔針具社區發放有嚴格管理機制，美沙冬替代療法需在醫療機構進行，對沈伯洋所謂社區中心發放毒品的主張表示需由本人釐清。

AI-generated summary

Why It Matters

台灣自2005年愛滋疫情升溫，一年新增感染近2500人，後推動美沙冬替代療法及清潔針具等減害措施。

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疾管署署長羅一鈞表示，目前清潔針具社區發放是有嚴格的管理機制，美沙冬替代療法則需在醫療機構進行，在推動減害計畫後，愛滋疫情大幅降低。（記者黃宜靜攝）

民進黨台北市長參選人沈伯洋在2014年文章指出，「建立社區中心，提供吸毒者毒品與乾淨的針頭」的主張遭藍營挖出，成為選舉攻防話題；疾管署署長羅一鈞表示，目前清潔針具社區發放是有嚴格的管理機制，美沙冬替代療法則需在醫療機構進行，在推動減害計畫後，愛滋疫情大幅降低，每年因注射毒品感染愛滋已降至20人以下，有顯著效益，至於他所謂的社區中心來發放毒品，需由本人釐清，「沒辦法替他講什麼」。

疾管署署長羅一鈞今天接受媒體聯訪時指出，國內自2005年愛滋疫情升溫，一年新增感染近2500人，在開始推動美沙冬替代療法及清潔針具等減害措施後，目前愛滋疫情大幅降低，每年因注射毒品感染愛滋已降至20人以下，有顯著效益；除了有效控制愛滋，也讓國內完成C肝消除、使用海洛因者減少。根據台大公衛學院研究推估，在2005年至2020年間，共預防上萬名靜脈藥癮者感染愛滋，也節省4千多億元愛滋相關醫療支出，是極具成本效益的方案。

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羅一鈞表示，台灣自2007年將減害策略納入愛滋相關法規後，社區中的醫院、民間團體可設置清潔針具發放點，但須經過衛生主管機關核准，工作人員也需接受核准或訓練，有嚴格的管理機制；至於美沙冬本身雖然具有成癮性，但透過醫療專業管理，以危害相對較低的方式取代海洛因，是國際公認有效、安全手段，美沙冬發放是需要在醫師、藥師、護理人員在場的醫療機構，在社區發放美沙冬是有執行上的困難。

至於沈伯洋所謂「社區中心來提供毒品」指什麼，羅一鈞說，「可能需要他（沈伯洋）再釐清，沒辦法替他講什麼」。

☆少一份毒品就多一份健康，自由時報提醒您遠離毒品☆

What to Watch

AI outlook — possibilities, not facts

  • 減害策略將持續推動，預計愛滋新增感染人數將維持低位

    Likely · Within months

Open Questions

  • 沈伯洋所指的「社區中心提供毒品」具體指什麼？
  • 減害策略在不同地區的執行差異為何？

Related Topics

愛滋
People羅一鈞沈伯洋
Organizations疾病管制署民進黨台大公衛學院
Places台灣
Topics減害策略清潔針具美沙冬替代療法沈伯洋羅一鈞疾管署
This article was originally published by 自由时报.

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