Preventing HIV Transmission: The Role of Sterile Needles and Bleach / Edition 1

Preventing HIV Transmission: The Role of Sterile Needles and Bleach / Edition 1

by Jacques Normand, David Vlahov, Lincoln E. Moses, Panel on Needle Exchange and Bleach Distribution Programs
     
 

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs… See more details below

Overview

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

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Product Details

ISBN-13:
9780309052962
Publisher:
National Academies Press
Publication date:
09/14/1995
Series:
Health Series
Pages:
352
Product dimensions:
6.14(w) x 9.28(h) x 1.15(d)

Table of Contents

Preface
Acknowledgments
Executive Summary1
Introduction9
1The Epidemiology of HIV and AIDS23
2The Epidemiology of Injection Drug Use57
3Needle Exchange and Bleach Distribution Programs in the United States74
4Community Views103
5The Legal Environment143
6The Effectiveness of Bleach as a Disinfectant of Injection Drug Equipment167
7The Effects of Needle Exchange Programs198
8Directions for Future Research263
A Description and Review of Research Projects in Three Cities281
B Professional Association Positions on Needle Exchange and Bleach Distribution Programs307
C Biographical Sketches313
Index321

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