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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.
STUDY 2001 PDF file 163Kb
Change of gear needed if needle exchanges are to combat hepatitis infection
Implications of a Swedish study which confirmed fears that needle exchanges successful against HIV may not prevent hepatitis infection, and one in Scotland which highlighted sporadic exchange attendance as a major impediment to disease prevention.
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.
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 164Kb
Female crack smokers respond well to standard HIV risk-reduction sessions
Outreach work among inner-city female drug users in Atlanta demonstrated the potential impact of just two standard sessions addressing the sex- and drug-related HIV risk of crack smokers, but also the utility of more customised help, especially for injectors.
DOCUMENT 2014 HTM file
Needle and syringe programmes
The UK’s health advisory body recommends high coverage and if need be, 24-hour needle exchange to combat HIV and the hepatitis C epidemic. The aim they say is for every injector to have even more sterile injecting equipment than they need for every single injection.
REVIEW 2008 HTM file
Needle and syringe programs and bleach in prisons: reviewing the evidence
Brief but thoroughly researched review argues that prison needle exchange is among the best ways to contain the potential for rapid spread of HIV infection in prison and possibly too in the community after prisoners are released.
After needle exchanges started distributing crack smoking equipment, drug injectors in Ottawa shifted from injecting to smoking the drug and less often shared their smoking equipment. The result was safer drug use and greater service contact by crack smokers.
From New York, a success story of the reversal of a serious epidemic of HIV among injectors, with mass needle exchange in the starring role. It adds weight to studies which collectively indicate that multi-strand approaches featuring high-coverage syringe provision can curb the spread of HIV.
OFFCUT 2006 PDF file 137Kb
Gaps in British harm reduction defences permit minor resurgence in HIV infection
Gaps in harm reduction defences are permitting a minor resurgence in HIV infection in Britain and continued high rate of spread of hepatitis C; each year of the 2000s injectors were two to three times more likely to be infected with HIV than in the mid-90s.
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