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A Research Study On Needle Exchange Programs

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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

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