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

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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.

ISBN: 0-309-05296-3, NLM: WC 503.6 P944, LCCN: 95-35458, LC: RA644.A25P754, Country of Origin: U.S., appendixes included, 8 chapters, 334 pages, 13 contributors, hard cover.

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Editorial Reviews

Booknews
Addresses the two national epidemics of HIV/AIDS and injection drug use, taking a critical look at the available data on the issue of whether sterile needles should be provided to drug users. The study uses available data on the numerous needle and bleach programs in use and offers public policy recommendations to reduce the spread of HIV/AIDS. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780309052962
  • Publisher: National Academies Press
  • Publication date: 9/14/1995
  • Series: Health Series
  • Edition number: 1
  • Pages: 352
  • Product dimensions: 6.14 (w) x 9.28 (h) x 1.15 (d)

Table of Contents

Preface
Acknowledgments
Executive Summary 1
Introduction 9
1 The Epidemiology of HIV and AIDS 23
2 The Epidemiology of Injection Drug Use 57
3 Needle Exchange and Bleach Distribution Programs in the United States 74
4 Community Views 103
5 The Legal Environment 143
6 The Effectiveness of Bleach as a Disinfectant of Injection Drug Equipment 167
7 The Effects of Needle Exchange Programs 198
8 Directions for Future Research 263
A Description and Review of Research Projects in Three Cities 281
B Professional Association Positions on Needle Exchange and Bleach Distribution Programs 307
C Biographical Sketches 313
Index 321
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