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STUDY 2004 PDF file 607Kb
Opiate antagonist treatment risks overdose
The most comprehensive recent study of serious medical incidents during and after treatment for opioid dependence highlighted the risk of overdose death when patients stop taking opiate-blocking drugs. In comparison, substitute prescribing was safer even after the patient had left treatment.
What happens when city authorities ask retail and service premises to host syringe disposal bins in their toilets? There were misgivings, but when the bins meant customers and staff could avoid discarded syringes, they were welcomed and retained, safely disposing of over 2000 syringes a month.
STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency
Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.
STUDY 2004 PDF file 190Kb
First randomised trial finds methadone helps prisoners control drug use and infection risk
In Australia the first trial to randomly allocate prisoners seeking this treatment to methadone maintenance found substantial reductions in heroin use, injecting and syringe sharing, promising to avert infections and preserve lives.
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.
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