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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.
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 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 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.
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.
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.
STUDY 2003 PDF file 130Kb
What happens when heroin supplies dry up?
The 2001 'heroin drought' in Australia can be seen as a test of what might happen if enforcement authorities dramatically reduced heroin supplies in a country with a thriving heroin market patronised by an established population of heroin addicts.
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.
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