Additional analysis is needed to understand the impetus behind the laws and to determine their direct impact on HCV incidence, including the impact of case reporting by syringe exchange programs
. Fourth, only Medicaid policy data for fee-for-service programs were considered; restrictions in Medicaid managed care programs might differ, other Medicaid barriers to treatment were not assessed, and the direct association between Medicaid sobriety requirements and the number of persons being treated in each state was not assessed.
Of the 874 persons who completed the questionnaire and identified themselves as IDUs, 603 (69%) reported obtaining most of their syringes from the syringe exchange program
. Of the 390 persons who completed the questionnaire and did not report a history of injection drug use, 287 (74%) reported other risk factors for HBV infection (e.g., sex with an IDU, multiple sex partners, being a man who has sex with men, or engaging in commercial sex work).
"We're particularly proud of two important grants in North Carolina and Florida to help establish the very first legal syringe exchange programs
in these states," Campbell says.
* Syringe exchange programs
: While the opioid epidemic is driven by prescription opioids, the epidemic is transitioning to cheaper illicit opioids.
States have begun emphasizing syringe exchange programs
as a way to provide intravenous drug users access to clean needles and limit the spread of transmittable diseases like HIV and Hepatitis C.
The committee said the Philippine government should instead adopt a 'right-to-health approach to drug abuse with harm reduction strategies, such as syringe exchange programs
; and increase the availability of treatment services that are evidence-based and respectful of the rights of drug users.'
Minimize arrests related to programs like syringe exchange programs
, which prevent the spread of infectious diseases
"This evidence base has also supported and justified recent policy decisions in Kenya facilitating the development of harm-reduction interventions, including needle and syringe exchange programs
Unmet need for recommended preventive health services among clients of California syringe exchange programs
: Implications for quality improvement.
Since the 1980's, syringe exchange programs
have proliferated at the local level.
Just as San Franciscans responded in a timely and creative way to prevent high rates of HIV infection among drug injectors and their partners through early implementation of syringe exchange programs
, a similarly urgent strategy must be employed to counteract the dramatic increases in heroin overdoses, (1) while continuing to expand sterile injection equipment accessibility to prevent HIV and hepatitis C infections.