We had a priest who was a missionary in Africa. Every Christmas, Easter and any other time he could come up with he put out a list of items to send there.
He said that the small rural hospital he worked at rarely had soap for the doctor to wash their hands so they just rinsed them with water.
Not to mention all of the other diseases that could have been prevented with the soap and syringes.
Seems like this is a classic example of why conservatives should not abandon common sense in order to avoid being called "uncaring" by the libs.
The NGO's/AIDS activists on the ground in Africa had to have known about the needle situation. As you said, your missionary friend was well aware of the sanitation issues, it's inconceivable that other people could have been unaware.