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1.1: 1 Needle Exchange Case Study

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Currently, the problem with the Baltimore NEP is that the current policy of 1:1 needle exchange is restrictive for those individuals who may not have needles to begin with. In addition, the Baltimore NEP accepts neither broken needles nor needles that don’t come banded in sets of five. The current policy may be restrictive to some IDUs, and therefore it is possible that there is potential to still curb the incidence and prevalence of blood-borne pathogens if the current policy of 1:1 needle exchange is changed. In addition, by creating a NEP that also provides linkage to care, community outreach, and education, the full comprehensive approach can be implemented among IDUs, a historically underserved population, as well as a hard to reach one.

Literature Review Injection drug users were first identified as a risk group for …show more content…
One such state was Connecticut. John Daniels, the Mayor of New Haven, supported the findings of the first program evaluation of New Haven’s needle exchange program. The study found that there was a reduction in HIV incidence of 33% among injection drug users (Hurley, Jolley, & Kaldor, 1997). Following the release of the positive findings in the New Haven needle exchange program, many states that had previously not had a needle exchange program began to fund the creation of their own. By 1995, there were 77 needle exchange programs in the United States, with multiple programs oriented around dense urban regions (Normand, Vlahov, & Moses, 1995). In 1998, there were 130 needle exchange programs operating in the United States. Despite the ban on federal funding for research to support needle exchange programs, a large amount of research was conducted in order to evaluate the effectiveness and efficiency of needle exchange programs (Paone, Clark & Shi,

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