Harm Reduction Programs

This paper is intended to educate those who almost nothing about heroin and those who use it. Many people have been associated with friends or families who have used some kind of drug. There are many people who have not had any contact with heroin users or if they have, don’t understand much about it. Using various sources about heroin to explain where it came from, how it is used, who uses it and how a person starts on the path towards heroin, preventing addiction, and global issues surrounding this drug. Although the topic of heroin is inexhaustible, it is my hope to spark reader’s curiosity. Knowledge of this drug might just help the reader join in on discussions about heroin.

As the number of intravenous drug users continues to rise, so does the risk of dangerous and potentially fatal complications that are associated with illicit drug use. In this population, death rates are higher due to overdose, AIDs-related mortality, and other blood-borne viruses (Mathers et al., 2013). Mortality rates remain high even though precautions have been taken to reduce them. According to Lavender & McCarron (2013), “Mortality in injecting drug users is up to 22 times higher than for the age-adjusted population, despite increased provision of needle and syringe programs, reduced needle and syringe sharing, and higher uptake of hepatitis B vaccination” (p. 511).

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

Imagine for a moment being able to walk down the street without seeing used needles or other drug equipment. Although it will not completely eradicate the problem, safe injection sites will allow users to have a safe and clean environment that they do not have access to now; not just to inject their drugs, but also to dispose of their used syringes. When given a 3-year trial at the first facility in Canada, it was found that fatal overdoses within 500 metres of the facility were reduced by 35 percent, and a 9 percent decrease in the rest of the city (Stueck, 2011). Thus proving the effectiveness of injection facilities not only in Vancouver, but nationwide. Giving access to support can significantly increase the quality of life for intravenous drug users. By providing sterile equipment the

There are no “safe heroin injection sites.” The only “safe” approach to heroin is to not take it. For addicts, the humane public health response is to help them get and stay sober, or at the very least, opioid replacement therapy in sustained treatment. Any approach without these goals is cruel and dehumanizing- not healing, but perpetuating harm. (Walter 2)

There are many people in the world today that are drug addicts and cannot quit by themselves which is where the methadone clinics come into the picture. Methadone reduces the withdrawal symptoms therefore making it easier to quit drugs. Even though methadone is supposedly proven to be safe, it seems to have biases and stigmas associated with it because it is an opioid medication and many people can become addicted to it as well as have serious side effects. For individuals who aren 't willing to quit using drugs, they offer needle exchange programs that reduce the risks of infections and diseases. Needle exchange programs are important in a society like today because a

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

Heroin, methamphetamine, and opioids have been around for centuries and the use of these drugs is not a new phenomenon. The use of injection drugs causes individual’s serious harm and have placed large expenses on the health care system. “Heroin, cocaine and other drugs kill around 0.2 million people each year, shattering families and bringing misery to thousands of other people” (United Nations iii); Because of-these incidents harm reduction strategies have been put in place to create a safer and more educated population, but it has only been a start. ‘Safe injection sites’ has become a well talked about term in the last decade. The term itself refers to a physical place

Today, experts in public health policy have been advocated for harm reduction, which is a philosophy that attempts to reduce the negative outcomes of drug use. Safe injection sites (SISs) follow this ideology. They are facilities where addicts are legally able to use opioids, such as heroin, under medical supervision. To stop reusing and sharing of needles, Opioid users will be given access to clean needles, which will prevent hospitalizations from serious infections and the spread of sexually transmitted diseases. Furthermore, opioid addicts will have a clean space and will not fear being arrested by the police. This will eliminate additional anxiety and stress. Advocates for SISs believe that SISs will reduce public drug use and provide a safe space for addicts to consume illicit drugs. They have been successful in many developed countries. In many studies, it has been shown that SISs save taxpayers money and reduce the number of opioid-related deaths.

Needle exchange programs have long been a controversial subject with both the general population and government lawmakers. The primary objective for needle exchange programs (NEPs) is to prevent the spread of blood-borne disease and is very successful in doing so. But, issues of morality due to the perception of drug enablement and the stigma of intravenous drug users (IDUs) and their potential effects on the decline of society are continually used as arguments for those against NEPs. It has been proven through many studies that these programs not only reduce harms associated with intravenous drug use, they are also cost effective and reduce the circulation of used syringes to the general population. Beyond epidemiological efforts, NEPs also provide a de-stigmatized center for gathering and offers health services such as HIV testing, counselling and referrals to treatment for drug addiction. This paper aims to highlight the efficacy of needle exchange programs, safe injection sites and address the social and political issues associated with them.

The opium epidemic is leading many Americans down a path that will ruin not only their lives but their loved ones also. “Safe Injections Sites” will only raise addiction rates and opium consumption in the United

The Government should adopt needle exchange programs. When the government adopts needle exchange programs for heroin use, the users would not being sharing needles with other people as much and if there is sharing of needles the needle exchange program gives bleach packets to hopefully make sharing needles safer for the users

Methadone clinics can be another solution to combat the ever growing heroin epidemic. Methadone is very similar to heroin as it provides the same high, but it blocks the brains reward receptors that are effected by heroin. This allows the user to detox slowly without little withdrawal symptoms that accompany it, rather than a dreadful recovery. The goal is to relieve heorin addict’s cravings and desire for heroin in a safe, legal manner. Addicts are only able to attain Methadone and have use of the clinics by having a prescription. Methadone has been around and proven to be affective since the 1960s, but only recently have clinics come into practice. There has been a rise of Methadone clinics popping up in neighborhoods where there are high

In conclusion, I agree with harm reduction and in the sense that it is a good idea in regards to needle exchange programs. In my personal thoughts, the needle exchange programs offer addicts clean needles but doesn't encourage them to use drugs, just a safer way to inject the drugs and provide a safer society. People who use drugs are going to continue their habits whether they think it is safe or not. Harm reduction is developmentally an approach to prevention of behavior in

It’s easy to lose track of the chaos that happens in the world on a day to day basis when your main priority is deciding what to eat for lunch tomorrow, or even dreading your next shift; yet we can turn on the news and hear about the most recent overdose and not even blink an eye. The blatant disregard for drug addicts today is at an ultimate high. In the past two years alone, more people have died from opiate addiction than they have in the entire Vietnam War. The fact that drug users are seen as lower class members of society as only aided in the increase of addiction and death, killing more Americans than HIV/AIDS did at its peak. Though the epidemic did not occur overnight, it has recently become one of America’s biggest health confrontations. Although there is no absolute solution, in order to decelerate the prevailing wave of usage and overdose/death, decriminalization in correlation to government funded programs could give ease to the definition of the word “epidemic”.