This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.Outreach at the sites in the NADR project varied in terms of techniques used, from written instructions about the use of ... to be flushed through a used syringe twice before injecting and following each bleach flushing with a flushing of water.
|Title||:||Preventing HIV Transmission:|
|Author||:||Panel on Needle Exchange and Bleach Distribution Programs, National Research Council and Institute of Medicine, Institute of Medicine|
|Publisher||:||National Academies Press - 1995-09-14|