An increase in drug use, specifically opiates, has overwhelmed the United States. This behavior has led to a rise in the transmission of HIV/Hepatitis C which would be otherwise preventable. The needle exchange programs in Moorhead, Milwaukee, and Scott County are working to lower the transmission rate and increase participation in treatment programs. There are currently 35 states with known needle exchange programs in the United States. However, there is a large disparity of programs throughout the Midwest (amfAR, 2014). This case study has revealed that there is a need for needle exchange programming in this portion of the country and the programs that do exist have proven to be successful. The state of North Dakota does not have a needle exchange program. The Fargo-Moorhead Good Neighbor Project cannot legally serve the residents of Fargo, North Dakota. Under current North Dakota law, needle exchange programs are prohibited. The North Dakota Century Code 19-03.4 states that it is unlawful to possess or deliver drug paraphernalia. In its definition of drug paraphernalia, hypodermic syringes and needles for the use of injecting controlled substances are included. Individuals can currently purchase syringes without a prescription at a pharmacy if the pharmacy chooses to sell them this way. However, most pharmacies will not sell them without a current insulin prescription (Hardy, M., personal communication, 2016). The program in Scott County, Indiana had the
Although these clients will still be abusing illegal substances, Sheon (2004) indicated that any reduction of harm is a step in the right direction, and the amount of success is measured by the client’s quality of life and well-being (as cited in Brown et al., 2005). “Harm reduction is about being respectful in somebody else’s world” (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). By not respecting somebody else’s choices, the clients feel they must lie about their unhealthy lifestyles, which prevents the clients from getting assistance because they were trying to protect themselves from the real situation (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). A way to reduce the harm from illegal substance abuse is clean needle exchange, and teaching clients how to properly inject themselves (Brown et al., 2005). The needle exchange is a program where clients exchange their used needles for clean ones, which helps reduce the spread of diseases such as HIV/AIDS (Brown et al., 2005). With continuation of these programs the harm from abusing illegal substances is reduced and the spread of life threatening diseases, such as HIV,
Peter Beilenson and Patrick McGuire had many obstacles and disappoints in their path to establish a needle exchange program in Baltimore. Peter Beilenson did not come up with the idea by himself, but got the idea, while working at John Hopkins in 1990, from the then health commissioner, Maxie Collier (Beilenson, 62). The program was hard subject to bring up and many politicians would not pass a bill for it. Beilenson’s bill that he brought to the General Assembly in 1993 was to establish a needle exchange program and to have the drug paraphernalia law exempted (Beilenson, 65). Unfortunately the General Assembly denied the bill, because many of the people felt that it would “simply be making it easier for addicts to pursue their illegal habit”
Needle exchange programs have long been a controversial subject with both the general population and government lawmakers. The primary objective for needle exchange programs (NEPs) is to prevent the spread of blood-borne disease and is very successful in doing so. But, issues of morality due to the perception of drug enablement and the stigma of intravenous drug users (IDUs) and their potential effects on the decline of society are continually used as arguments for those against NEPs. It has been proven through many studies that these programs not only reduce harms associated with intravenous drug use, they are also cost effective and reduce the circulation of used syringes to the general population. Beyond epidemiological efforts, NEPs also provide a de-stigmatized center for gathering and offers health services such as HIV testing, counselling and referrals to treatment for drug addiction. This paper aims to highlight the efficacy of needle exchange programs, safe injection sites and address the social and political issues associated with them.
All major cities should have some sort of needle exchange program. Needle exchange programs exchange dirty needles and syringes for clean ones and provide additional services. The exchange programs reduce disease, drug related deaths, and help people get clean. If you find needle exchange programs helpful, write an email or letter to your local government or state government to try and get one started in your
If needle exchange programs will be banned in United States than it will cause even greater stigma towards needle sharing practices. Even today, in the 21st century due restriction policies and laws against publically available injecting equipment, most people developed a negative attitude towards a needle exchange programs. As was mentioned by Dr. Epidemiol, most of the time individuals that engage in needle sharing practices would not report the fact of needle sharing , even if it indeed occurred. Less drug users would report it because most people feel stigmatized if they tell in public about the act of needle sharing.
The professors said “that addicts should not be the focus of HIV prevention efforts because they would not change their behavior.” Parker was outraged and organized meetings with IDUs to warn them of HIV transference. In one of his meetings two addicts came in with clean syringes, their actions motivated him. In 1986, Parker began distributing and exchanging needles and syringes on the streets of New Haven and Boston, Massachusetts. He has been arrested several times in eight states where it is still illegal to purchase syringes without a prescription. Because of foundational work by Jon Parker and the work in Amsterdam, in two year later the first SEP operated with a bit of community consent opened in Tacoma. In the same year, two more exchange programs surfaced, one in New York and another in San Francisco. Today, there are currently 203 exchange programs operating. Despite the “on and off” support from private state and local funding and help from activist and advocates keep the programs afloat.
Imagine that you are the pilot of a plane traveling to a new and exciting destination. Early in the journey the plane takes off and soars high into the sky where you feel like you are on top of the world, looking down from above at all of the beauty underneath you. On the way to your destination you are anxious and full of excitement in anticipation of the new journey that you are about to experience when all of the sudden your plane starts to shake and you find yourself losing control. At this point you have two options: You can try to change course to regain control and make it through the turbulence or you can continue with what you are doing and let the plane spiral to the ground in a firey crash. This scenario is similar to the life
Canadian society has always dealt with some percentage of the population who have become addicted to intravenous drugs. Left unchecked, the ecology of IV drug use creates a number of societal issues as well as a greater burden to the already over-stretched Canadian healthcare system. Legally and financially supporting safe injection sites is just a matter of simple economics.
Several studies have shown that injection drug users lower their risk of transmitting infectious diseases when there is a needle exchange program available. There has not been a valid study of whether or not the amounts of time needles are returned to the exchange programs are harmful to communities. The Journal of Public Health, conducted surveys, evidence from needle exchange sites, jails, and institutions that needle exchange programs are effective in reducing illnesses such as HIV and AIDS (Burt & Theide, 2016). Furthermore, Reepalu, Blome, Bjork, Widell, & Bjorkman (2012), researched the same individuals for 20 years, with no breaks. Their studies concluded that injection drug use, not only heightens the risk for HIV and AID’s, there is also an increase in Hepatitis B and Hepatitis C. However, there studies showed that there is not an increase rate of cancer diagnoses due to injection drug use. In a study conducted by Bonar and Rosenberg (2014), they wanted to see if self-initiated harm strategies, such as: proper needle sterilization techniques, proper disposal of needles, and cleaning of the pre injected skin, could help improve the health of those that use drugs intravenously. Their study was conducted over an eight-month period, results showed that their
Moreover, NEPs will provide sterile needle and syringes to avoid exchanges of used injections between drug users. Since NEPs are implemented, the number of HIV cases and other diseases are declined. In Saskatchewan, distributing needles reduces the total costs for health care because needle exchange programs reduce the transmission of HIV by one-third and accommodate a return of four thousand dollars investment in health care costs. (Thompson) Needle exchange program provide safety not only in drug addicts but also provide safety in the community. Many of needle exchange programs perform a one-for-one basis to decrease the exposure of contaminated needles in streets and playgrounds so that children and other people are away from needle sticks accident. (Franciscus)
Today, experts in public health policy have been advocated for harm reduction, which is a philosophy that attempts to reduce the negative outcomes of drug use. Safe injection sites (SISs) follow this ideology. They are facilities where addicts are legally able to use opioids, such as heroin, under medical supervision. To stop reusing and sharing of needles, Opioid users will be given access to clean needles, which will prevent hospitalizations from serious infections and the spread of sexually transmitted diseases. Furthermore, opioid addicts will have a clean space and will not fear being arrested by the police. This will eliminate additional anxiety and stress. Advocates for SISs believe that SISs will reduce public drug use and provide a safe space for addicts to consume illicit drugs. They have been successful in many developed countries. In many studies, it has been shown that SISs save taxpayers money and reduce the number of opioid-related deaths.
Many people may not realize this but multiple states, including Michigan, are facing an epidemic. It is not a disease, however, it is a heroin epidemic. In a country where addictive opioid pain-killer prescriptions are handed out like candy, it not surprising heroin, also known as smack or thunder, has become a serious problem. The current heroin epidemic Michigan is facing, as are dozens of other states, has spiraled out of control in recent years. In Michigan, some of the areas hit hardest by this drug are in the southern portion of the state, like Wayne, Oakland, and Monroe Counties. The connection between painkillers and heroin may not be clear, but this is because both are classified as opioid drugs, and therefore cause many of the same positive and negative side effects. As a country, we are currently the largest consumer of opioids in the world; almost the entire world supply of hydrocodone (the opioid in Vicodin) and 81% of the world’s oxycodone (in Percocet and OxyContin) is used by the United States (Volkow). Along with consuming most of the world’s most common opioids, we have gone from 76 million of these prescriptions in 1991 to 207 million in 2013 – constantly increasing except for a small decrease starting in 2012 (Volkow). This widespread use has caused numerous consequences from increasing emergency room visits – for both painkillers and heroin – to sky-rocking overdose cases all over the country (Volkow). Michigan, unfortunately, currently has one of the
The 1 Needle Awareness Foundation and Operation Overdose Radio is committed to providing a voice for the drug addiction community, and standing up to drug companies and rogue doctors. We, as a nation-wide community are the only ones who have the will to stop
Some residents of New Hanover County find that statistic new and shocking. However, many others have dealt with the issue for a significant amount of time. As you leave the tourist areas of New Hanover County, you find public housing projects, trailer parks, and parks littered with discarded hypodermic needles. To people who live in these places, the opioid crisis already made an impact on everyday life and no longer captures people’s attention. For example, Joe Stanley, a former addict interviewed by NC Policy Watch said that people in Wilmington had been dealing with a drug problem for years. However, it has become big news “because you’re seeing that other demographic
Specific people that inject drugs using this method occasionally share needles or use dirty needles. This can allow the spread of HIV and other disease. The danger of needling sharing has become a hot button issue lately and needs to be addressed especially