City Council debates effectiveness of Access Point's needle exchange amid rising syphilis cases

During the Pueblo City Council Work Session on April 21, 2025, significant discussions emerged surrounding the effectiveness of needle exchange programs in combating the rise of sexually transmitted infections (STIs) and addressing community concerns about syringe litter. The meeting highlighted the complexities and challenges faced by local health initiatives amid a growing drug crisis.

Council members expressed skepticism regarding the current needle exchange program operated by Access Point, particularly its inability to enforce an actual exchange of used needles for clean ones. This concern was underscored by rising rates of syphilis and other STIs in the region, prompting questions about the program's effectiveness in preventing the spread of diseases like HIV and hepatitis C. One council member pointed out that despite the program's existence, the increase in syphilis cases raises doubts about its impact on public health.

Data collection emerged as a critical issue, with council members noting that the information gathered on syringe distribution and litter may not accurately reflect the situation on the ground. The discussion revealed that while the number of needles distributed has increased significantly, the corresponding data on needle returns and litter was insufficient. This lack of comprehensive data complicates efforts to assess the program's success and its implications for community safety.

Additionally, the council acknowledged the broader context of the opioid crisis affecting Pueblo, which has contributed to the challenges faced by health services. The conversation included a proposal to collaborate with the Colorado Department of Public Health and Environment (CDPHE) to obtain more reliable data on STIs and needle exchange outcomes across different cities. This collaboration aims to provide a clearer picture of the effectiveness of various health initiatives and their impact on public health.

The meeting concluded with a recognition of the need for more accurate data collection methods, possibly involving third-party assessments, to ensure that health programs are evaluated fairly and effectively. As Pueblo grapples with the dual challenges of rising drug use and public health concerns, the council's discussions reflect a community striving to find effective solutions to complex health issues. The next steps will involve further data analysis and potential adjustments to the needle exchange program to better serve the community's needs.