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STUDY 2004 PDF file 86Kb
Scottish report calls for needle exchanges to provide citric acid
Injectors rapidly converted to using the citric acid sachets piloted by needle exchanges in Scotland, avoiding more risky ways of acidifying their drugs to prepare them for injection.
STUDY 2004 PDF file 156Kb
First randomised trial should reassure needle exchange doubters
From Alaska the first randomised trial of needle exchange found that compared to pharmacy access, the services reduced risky injecting while if anything also reducing the frequency of injecting and of cocaine use.
SERIES OF ARTICLES 2004 PDF file 2750Kb
Hepatitis C and needle exchange
Major series asking what remains a key question - can needle exchanges step up to the challenge of the highly transmissible hepatitis C virus? Features city case studies and forensic examination of the British record.
REVIEW 2004 PDF file 784Kb
Hepatitis C and needle exchange part 3: the British record
Reveals the paucity of evidence that exchanges in Britain have directly reduced risk behaviour or infection spread, and the hidden flaw in the seminal pilot study. Lack of real impact is probably less the problem than lack of real evidence of impact.
REVIEW 2004 PDF file 1222Kb
Hepatitis C and needle exchange part 4: the active ingredients
Final part of the series pulls together the threads in the form of the limitations which threaten viral control and the practice ingredients which hold promise for the future. A revitalised agenda commensurate with the challenge of hepatitis C.
REVIEW 2003 PDF file 1826Kb
Hepatitis C and needle exchange part 2: case studies
Six case studies show how the complex balance of exchange services can be disrupted, leaving hepatitis C and HIV spreading rapidly. Common themes are resource starvation, local hostility, counterproductive restrictions and a non-interventionist ethic. Includes influential early studies dating from 1992.
STUDY 2003 PDF file 164Kb
Naltrexone implants could reduce the early relapse rate after detoxification
Studies from the UK and Germany suggest that subcutaneous implants of naltrexone which block the effects of heroin for up to seven weeks could help reduce the early relapse rate after detoxification more effectively than the oral form of the medication.
STUDY 2003 PDF file 151Kb
'Most compelling evidence yet' that injecting rooms reduce overdose deaths
A review of all 19 drug consumption rooms in Germany commissioned by the Ministry of Health concluded that they had significantly contributed to reductions in drug-related deaths.
STUDY 2008 HTM file
Adequate needle exchange helps prevent bacterial as well as viral infections
US study suggest that needle exchanges which make adequate supplies of injecting equipment plus advice easily accessible not only prevent viral infections but also bacterial infections and abscesses, relieving a major burden on health services.
REVIEW 2003 PDF file 1150Kb
Hepatitis C and needle exchange part 1: The dimensions of the challenge
First part of the series established that hepatitis C has already infected a substantial minority of British injectors and is spreading rapidly due to continued risk behaviour allied with the robustness, infectivity and prevalence of the virus.
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