Should Cities Fund Needle Exchange Programs?

Should Cities Fund Needle Exchange Programs?

Nearly one-in-five new HIV cases are the result of drug users sharing dirty needles, an extrodinarily high number. Some cities have attempted to combat the epidemic by giving free clean needles to addicts in exchange for used ones. These programs are highly controversial in the U.S., with many insisting such programs encourage drug use and increase crime. Should your community be funding needle exchange programs?

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Chicago Recovery Alliance

Syringe Exchange Has the Greatest Level of Effectiveness with IDUs

Chicago Recovery Alliance

IDUs (injection drug users) have been one of the main behavioral risks for HIV disease, viral hepatitis B/C, and overdose and cities who have supported such efforts have shown more impact in preventing the spread of these conditions over the last 20 years worldwide.

Worldwide, those areas which have adopted syringe exchange early and with earnest have been more successful in avoiding spread of HIV among people injecting.

While the federal government in the US has not contributed a penny to syringe exchange to date -- it was only within the last year that Congress allowed the District of Columbia to use their own money to support syringe exchange -- State, County and City governments have risen to the call of science and compassion and meet public health goals by both funding syringe exchange and allowing greater access to syringes in pharmacies. 

The research data about the effectiveness of these efforts has developed to the level of community reductions in HIV spread among people injecting and thus, significant reductions in newly developed AIDS cases among IDUs.  As well, recent evidence suggests there are more effective ways to run syringe exchange.  For instance, giving people as many syringes as they need for themselves and those around them is much more helpful than limiting syringes obtained.  

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  • William Martin PhD
    William Martin (Ph.D, Harvard, 1969), is the Harry and Hazel Chavanne Emeritus Professor of Religion and Public Policy in the Department of Sociology at Rice.... More

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