If Perl 5.10 is installed on your server, the University of Winnipeg maintains an ActivePerl repository, and often has packages available for many Perl modules that are not officially available from the ActiveState web site.
The packages available for Perl 5.10 from the University of Winnipeg repository may be viewed at the following URL:
http://cpan.uwinnipeg.ca/PPMPackages/10xx/
As described on the above, it should be possible to install any Perl module for Perl .10 from the University of Winnipeg repository by running the following command in a command prompt window:
C:\>ppm install
http://cpan.uwinnipeg.ca/PPMPackages/10xx/DBD-mysql.ppd