NEEDLE EXCHANGE PROGRAMS

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             With condom use as one of the most basic and important factors in HIV/AIDS reduction it is important anything that stands in the way of condom use be addressed immediately, most importantly intravenous drug use (IDU). While HIV diagnoses due to IDU in New York City declined by 36% between 2004 and 2005, IDU still accounts for 7% of NYC HIV diagnoses and 15.4% of NYC AIDS diagnoses in 2005.[i] HIV transmission in IDU occurs when multiple people use one needle, making needle exchange programs one of most important tools in reducing IDU HIV/AIDS. Data shows that needle exchanges do not promote drug use and are between 33% and 70% effective against HIV incidence.[ii] New York State has already begun to take action with the Expanded Syringe Access Demonstration Program, passed by the state legislature in 2000. ESAP allows for the sale of ten needles and syringes at a time to people over the age of 18 at registered pharmacies and health care centers.[iii] However pharmacies are not allowed to advertise the needles, one of many regulations that control needle exchange programs. New York City needs to take further action to make sure that needle exchange programs do not discourage use and that the need exchange programs continue to expand.

 

[i] NYC DOHMH HIV Epidemiology Program 2nd Semiannual Report. Vol.1, No.2. October 2006.

[ii] Valhov D, Junge B. The role of needle exchange programs in HIV prevention. Pub Health Reports 1998;113(Supp 1):75-80.                                    

[iii] NY State Public Health Law Section 3381 Chapter 56 Laws of 2000: Expanded Syringe Access Demonstration Program. http://www.astho.org/pubs/HIVESAPNY.pdf. Accessed 3 May 2007.