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SYRINGE ACCESS


The ISSUE:

  • One third of people with HIV in the United States were infected through injection drug use.
  • Every year, another 8,000 people are newly infected with HIV through sharing contaminated syringes.
  • Every year, another 15,000 are newly infected with hepatitis C through sharing syringes and contaminated injection equipment.
  • African Americans account for over 50% of all AIDS cases attributed to injection drug use, while Latinos account for nearly 25%.
  • Among women, an estimated 61 percent of AIDS cases are due to injection drug use or the result of sexual contact with someone who contracted HIV through injection drug use.
  • Younger injection drug users generally become infected with hepatitis C within two years

These infections are preventable. Syringe exchange programs provide tools, resources, and education to enable people who inject drugs to protect themselves and their communities through safer injection practices and harm reduction methods. Nearly 200 syringe exchange programs currently operate in 38 states, Puerto Rico, Washington DC, and Indian Lands. Both state and local jurisdictions authorize and regulate sterile syringe access programs. There are no federal regulations governing sterile syringe access. Find out about syringe access authorization in your area:  see Practical Resources for Syringe Exchange Programs below...Navigating Changes in Law and Policy


Practical Resources for Syringe Exchange Programs
HRC provides resources to syringe exchange programs in the form of trainings, by providing materials, and providing direct technical assistance in the following areas...

HRC Resources: Syringe Access


The Solution
Syringe access programs are the most effective, evidence-based intervention for people who use drugs, their families, and communities. Seven federally funded research studies, and scores of scientific evidence confirm that syringe access programs are a valuable resource to prevent the spread of HIV, hepatitis C and other blood-borne diseases. Across the nation, people who inject drugs have reversed the course of the AIDS epidemic by using sterile syringes and harm reduction practices. (more)

Ban FINALLY LIFTED on Federal Funding for Needle and Syringe Exchange!
After 20 years, federal funding can finally be used to support syringe exchange activity. This was a long-fought and hard won battle, and the deepest gratitude goes out to all who have continued to do the work no matter what! The following links are a few articles of note on the policy change.

HRC Projects: Syringe Access Expansion
Harm Reduction Coalition operates syringe access expansion projects in New York and California. These projects provide technical assistance, training, and capacity building to help existing syringe exchange programs and expand access.

Government reports
A series of reports authored and/or commissioned by the federal government and Congress, dating back to 1991, have unanimously endorsed syringe exchange programs as effective HIV prevention that does not increase drug use.

Syringe exchange advocacy materials
HRC has a national campaign to end the 20 year ban on the use of federal funds for syringe exchange programs. Materials to support this effort are available here.

Key Research
This is an introduction to some of the research on syringe access for people who inject drugs.

Our Stories: How needle exchange impacted my life

Other SEP Links

HR 179: Community AIDS & Hepatitis Prevention Act
Title: To permit the use of Federal funds for syringe exchange programs for purposes of reducing the transmission of bloodborne pathogens, including HIV and viral hepatitis.

Congressional response to UNGASS reform effort

Moving the Needle on Syringe Exchange by James Wortman
July 2nd, 2008
The decision to lift the ban on federally funded syringe-exchange programs is gaining bipartisan momentum on Capitol Hill. This July, a new bill recommending lifting the ban is scheduled to hit Congress. Has the time finally arrived for evidence-based science to prevail over moral debates around the issue of providing clean syringes for safer injecting?

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