Proceedings--Workshop on Needle Exchange and Bleach Distribution Programs

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This book reports on research on and experience with needle exchange and bleach distribution programs and their effects on rates of drug use, the behavior of injection drug users, and the spread of HIV and other infectious diseases among injection drug users. It discusses U.S. needle exchange data, international evaluations of needle exchange programs, legal issues and drug paraphernalia laws, evaluation methods, and bleach distribution programs.
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Product Details

  • ISBN-13: 9780309050845
  • Publisher: National Academies Press
  • Publication date: 1/1/1994
  • Edition description: New Edition
  • Pages: 320
  • Product dimensions: 8.57 (w) x 10.96 (h) x 0.89 (d)

Table of Contents

Introduction 1
The University of California Needle Exchange Program Evaluation Project: Methods, Conclusions, and Recommendations 7
Risk for Human Immunodeficiency Virus and Hepatitis B Virus in Users of the Tacoma Syringe Exchange Program 24
Behavioral and Community Impact of the Portland Syringe Exchange Program 35
New York City Syringe Exchange: An Overview 47
Discussion: U.S. Needle Exchange Data 64
Evaluation of the Needle/Syringe Exchange in Amsterdam, the Netherlands 67
Evaluation of Human Immunodeficiency Virus Prevention Programs for Injection Drug Users in Canada 72
Toronto's HIV Prevention Program for Injection Drug Users: Trends in Risk Behaviour and HIV Seroprevalence Over Two and a Half Years 78
Evaluating Montreal's Needle Exchange CACTUS-Montreal 83
Needle Exchange and Bleach Distribution Programs: The Australian Experience 91
Discussion: International Evaluations of Needle Exchange Programs 109
Law and Policy 113
New Connecticut Laws to Improve Access to Needles and Syringes: What Is Their Impact? 132
Canadian Pharmacies' Response to HIV and Harm Reduction Strategies: A Report From the National Survey on Community Pharmacies and HIV/AIDS Prevention 135
Discussion: Legal Issues and Drug Paraphernalia 152
Assessing the Efficacy of Needle Exchange Programs: An Epidemiological Perspective 155
An Evaluation of Needle and Syringe Exchange in San Francisco 170
Using Qualitative Methods to Evaluate Needle Exchange 187
Operational Modeling of Needle Exchange Programs 202
Discussion: Evaluation Methods 250
HIV-1 Prevention: Interdisciplinary Studies and Reviews on Efficacy of Bleach and Compliance to Bleach Prevention Protocols 255
Inactivation and Disinfection of HIV: A Summary 284
Use of Bleach by Injection Drug Users 294
Discussion: Bleach Distribution Programs 303
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