Advocacy for Syringe Exchange Programs in Canada
Sylvia R. Beliveau
A00372691
Drugs and Behavior
Saint Mary’s University
Abstract
Syringe exchange programs seek to provide drug injection users with sterile syringes in order to prevent the user from contracting blood-borne diseases such as HIV/AIDs, hepatitis B and hepatitis C. These programs are often controversial because they provide injection drug users with the means to use illicit drugs. Syringe exchange programs are based on the concept of harm reduction. It would be beneficial to advocate for syringe programs within Canada because they provide Canada with important services needed to protect public health. Syringe exchange programs can help to decrease the number of HIV infections among drug injection users within Canada and around the world.
S
yringe exchange programs are a very necessary service within Canada for which we should advocated. Syringe exchange programs help to reduce HIV infection rates among injection drug users while at the same time do not facilitate an increase in drug use (Wodak, A., 2006, p. 837). Syringe exchange programs provide injection drug users with sterile syringes for little to no cost (Zhang, S., Yan, P., Archibald, C., 2004). Contracting blood-borne diseases from sharing and using infected needles contributes to the overall epidemic and can spread to populations outside of injection drug users (Zhang, et al. 2004).
Although these clients will still be abusing illegal substances, Sheon (2004) indicated that any reduction of harm is a step in the right direction, and the amount of success is measured by the client’s quality of life and well-being (as cited in Brown et al., 2005). “Harm reduction is about being respectful in somebody else’s world” (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). By not respecting somebody else’s choices, the clients feel they must lie about their unhealthy lifestyles, which prevents the clients from getting assistance because they were trying to protect themselves from the real situation (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). A way to reduce the harm from illegal substance abuse is clean needle exchange, and teaching clients how to properly inject themselves (Brown et al., 2005). The needle exchange is a program where clients exchange their used needles for clean ones, which helps reduce the spread of diseases such as HIV/AIDS (Brown et al., 2005). With continuation of these programs the harm from abusing illegal substances is reduced and the spread of life threatening diseases, such as HIV,
Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).
Illicit drugs in general are a major problem worldwide, more specifically IV drugs. Adopting needle exchange programs is a good way to reduce IV drug addiction and effects. Not only do drugs become addicting, but they ruin you and your loved ones lives and needle exchange programs can help reduce this problem. Needle exchange programs exchange dirty, used needles and syringes for clean ones, and have additional services: helps get homeless people off the street, rehab options, and mental health services. Even though they give out clean needles and syringes, they do not support drug use and do not allow you to use them on site. Needle exchange programs
A safe injection site (SIS) has been placed in Vancouver’s Downtown Eastside where drug use is a challenging problem. The program is a vital piece of the cities known harm reduction approach to its serious problems with homelessness, drugs, crime and AIDS. Canada has drastically shifted its method. Going from punishing drug users to establishing the plan of harm reduction. Since 2003 when the supervised SIS opened, it has presented a safe health-focused center where drug users have access to inject illegal drugs using sterile equipment in a clean environment under the supervision of medically trained professionals. Although there are some serious concerns about the
In 2003, 99 cities with needle exchanges saw HIV rates drop, and cities without NEP’s had an increase in HIV (Rosenberg). When needle exchange programs are set up and used properly it can benefit the community and lower HIV rates because dirty needles aren't being shared. They don't only distribute clean needles, they also distribute cotton, sterile cookers, sterile water bottles, and alcohol wipes. Some programs also distribute bleach, condoms, and health pamphlets (Normand, Vlahov, Moses).Not only do they give out sterile needles but they also give out many other items to keep people from spreading diseases so people can be more clean while using heroin. Some heroin users come to the program to make sure they aren't passing HIV along to anyone else (Biello).
America has been fighting a long war with drugs and the many diseases that are spread due to drug habits and dirty needles. Many people believe that the cure to solving this widespread epidemic is The Clean Needle Exchange program; this is a program that offers clean needles to drug abusers and also counseling to reduce the need for drugs. Though there are definitely benefits to the program it does not come without pitfalls, the programs have received a great deal of controversy because some people view it as drug promoting and supporting. The program is also funded by taxpayers which has sparked a lot of criticism and created the ban on needle exchange
Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of
An increase in drug use, specifically opiates, has overwhelmed the United States. This behavior has led to a rise in the transmission of HIV/Hepatitis C which would be otherwise preventable. The needle exchange programs in Moorhead, Milwaukee, and Scott County are working to lower the transmission rate and increase participation in treatment programs.
Canadian society has always dealt with some percentage of the population who have become addicted to intravenous drugs. Left unchecked, the ecology of IV drug use creates a number of societal issues as well as a greater burden to the already over-stretched Canadian healthcare system. Legally and financially supporting safe injection sites is just a matter of simple economics.
Several studies have shown that injection drug users lower their risk of transmitting infectious diseases when there is a needle exchange program available. There has not been a valid study of whether or not the amounts of time needles are returned to the exchange programs are harmful to communities. The Journal of Public Health, conducted surveys, evidence from needle exchange sites, jails, and institutions that needle exchange programs are effective in reducing illnesses such as HIV and AIDS (Burt & Theide, 2016). Furthermore, Reepalu, Blome, Bjork, Widell, & Bjorkman (2012), researched the same individuals for 20 years, with no breaks. Their studies concluded that injection drug use, not only heightens the risk for HIV and AID’s, there is also an increase in Hepatitis B and Hepatitis C. However, there studies showed that there is not an increase rate of cancer diagnoses due to injection drug use. In a study conducted by Bonar and Rosenberg (2014), they wanted to see if self-initiated harm strategies, such as: proper needle sterilization techniques, proper disposal of needles, and cleaning of the pre injected skin, could help improve the health of those that use drugs intravenously. Their study was conducted over an eight-month period, results showed that their
In conclusion, methadone clinics and needle exchange programs have many stigmas linked to them due to the biases that have been associated with these programs in the past. The programs are trying to create ways to encourage more drug users to use the programs available especially the needle exchange program for those who inject
Moreover, NEPs will provide sterile needle and syringes to avoid exchanges of used injections between drug users. Since NEPs are implemented, the number of HIV cases and other diseases are declined. In Saskatchewan, distributing needles reduces the total costs for health care because needle exchange programs reduce the transmission of HIV by one-third and accommodate a return of four thousand dollars investment in health care costs. (Thompson) Needle exchange program provide safety not only in drug addicts but also provide safety in the community. Many of needle exchange programs perform a one-for-one basis to decrease the exposure of contaminated needles in streets and playgrounds so that children and other people are away from needle sticks accident. (Franciscus)
There are many ways in which people who are addicted to intravenous drugs are perceived by our society. People sometimes believe the addicted person is to blame for their circumstance and substance dependence and some feel serious drug addicts are a “lost cause” due to a lack of values or flawed character. “Persons who struggle with addictions often are depicted as criminals or prostitutes, weak, lazy and morally corrupt” (Bartlett, R., Brown, L., Shattell, M., Wright, T., Lewallen, L. (2013). These stereotypes paint people with addiction negatively; a percentage of people who live with serious addiction are capable of recovery with the right attitude, support and healthcare. Street level healthcare services such as; safe injection sites, provide accessable resources at street level for people to make the choice to live healthier lifestyles. Govement funding and support is needed to make these projects possible to improve the health of Canadians. Safe injection sites are proven to be positive contributions to communities, save lives, reduce harm and open doors towards recovery for people from the grip of addiction.
Although the usage of these harsh narcotics are illegal now as they were then, having a secure place to carry out these activities reduce multiple negative outcomes. There were several specific events during the 1990’s, mentioned by Boyd (2013: 235), that caused the city of Vancouver to realize that the public health of this area was at risk. For instance, he refers to the “more potent and less expensive” injectable substances that became obtainable, which resulted in approximately 300 deaths per year in relation to heroin. This caused a number of drug users and supporters to open a safe injection location, called the ‘Back Alley Site’, which was terminated by the police in 1994 (Boyd, 2013: 235). In 1995, crack cocaine became available to this area in which Boyd (2013: 235) described to be “cheap, addictive and highly destructive”, being a vast concern for the mentally ill. So, would this have even been an issue if the Back Alley Site were to remain open, without the interference of the law? Then in 1997, there was a high occurrence of the HIV infection among injection drug users who shared needles; it was argued that the infection was more common with those who regularly visited needle exchange programs, which was only due to the fact that these addicts were “higher risk drug users” (Wood, Tyndall, Spittal, Li, Hogg,
We Know in this Modern World everyone one is finding a way to get relief from their stress. Their many ways to cope with it, however that include good ways and bad ways. Good ways Would basically include going on a vacation or spending time with their family and bad ways would include taking synthetic drugs that ultimately would start the destruction of their lives. There are also many harmful ways people take drugs which might even put a scar on their lives forever or even give them some chronic diseases that would take their life. One of that phenomenon is exchanging needles or using the same needle over and over again while doing drugs. In order to prevent chronic diseases like HIV and AIDS, in some countries their government has started a program called a needle exchange where drug users get the new and clean needles for their drug use. Basically, Needle and syringe programs (NSPs) are a type of harm diminution imagination that provides clean needles and syringes to people who have an addiction to inject drugs (referred to as PWID) to reduce the chances of getting the diseases of HIV and other harmful blood-borne viruses (hepatitis B and C). This Needle Exchange program has helped and identified many drug users from chronic diseases. The World Health Organization (WHO) suggest the distribution of 200 sterile needles and syringes per drug injector per year, in order to tellingly tackle HIV transmission via this route. There are many arguments for and against the needle