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The effect of needle and syringe program and opioid agonist therapy on the risk of HIV, hepatitis B and C virus infection for people who inject drugs in Amsterdam, the Netherlands: findings from an emulated target trial. 

van Santen, D. K., Anders, B., Matser, A., Maher, L., Hickman, M., Lodi, S., and Prins, M. (2021) Addiction, doi.org/10.1111/add.15503. 



NRW. Umfrage zur Abfrage von Einmalspritzen in den Jahren 2018 bis 2020 

50.000 Spritzenpäckchen wurden 2020 zusätzlich mit der doppelten Menge an Spritzen bestückt. (Safer Use NRW, Stand Februar 2021)


Syringe Distribution Programs Can Improve Public Health During the Opioid Overdose Crisis 

Such initiatives can reduce overdose rates and infectious disease, increase use of treatment

Pew Trust, USA, Issue Brief March 2, 2021


USA. Ensuring Access to Clean Needles Can Save Lives, but Legal Barriers Persist

The United States continues to experience an unprecedented level of drug-related harm. While the failure to prevent this harm is most notable in the number of overdose deaths, which are now at their highest level on record, it is evident in other areas as well. Of particular importance from a policy perspective, bloodborne disease infections related to syringe sharing are also on the rise, with recent outbreaks in Kentucky, Massachusetts, and Indiana, among other states. Cases of infective endocarditis, which is caused largely by unsafe injection, are increasing as well. (The Network for Public Health Law, USA, 05.02.2021)


More evidence or stronger political will: exploring the feasibility of needle and syringe programs in Ukrainian prisons. 

Dmitrieva, A., Stepanov, V., Svyrydova, K. et al.

Harm Reduct J 18, 10 (2021). doi.org/10.1186/s12954-020-00459-z


A qualitative study of facilitators and barriers to participate in a needle exchange program for women who inject drugs. 

Värmå Falk, M., Strömdahl, S., Ekström, A.M. et al. 

Harm Reduct J 17, 84 (2020). doi.org/10.1186/s12954-020-00425-9


Overdose Education and Naloxone Distribution Within Syringe Service Programs - United States, 2019. 

Lambdin BH, Bluthenthal RN, Wenger LD, et al. 

MMWR Morb Mortal Wkly Rep. 2020;69(33):1117-1121. Published 2020 Aug 21. doi:10.15585/mmwr.mm6933a2


UK. New needle vending machines installed at Horizon hubs 

Vending machines with sterile drug-use equipment have been installed at two North Yorkshire Horizons hubs to improve access to needle exchange equipment.

The machines, located at Harrogate and Scarborough, are free to access, available now and incredibly simple to use. Users can operate the vending machine with a plastic token given out by hub reception staff. (North Yorkshire Horizons, UK, 13.08.2020)

UK. New needle vending machines installed at Horizon hubs 

Nord-Irland. Another Belfast Needle Exchange Depository Closes Despite an Increase in Demand

The imminent closure of another Needle and Syringe Exchange Scheme (NSES) depository in Belfast brings the number of exchange centres in Northern Ireland down to 20, despite a 13% increase in demand for the service compared to last year. The inflammatory remarks of a DUP MLA and protests from community members over paraphernalia littering signals the hardline response of the city toward its ‘worsening drugs problem.’ (Talking Drugs, UK, 12.08.2020)

Nord-Irland. Another Belfast Needle Exchange Depository Closes Despite an Increase in Demand

Usage of low dead space syringes and association with hepatitis C prevalence amongst people who inject drugs in the UK.

Trickey A., May M.T., Hope V. et al. 
Drug and Alcohol Dependence: 2018, 192, p. 118–124.

Analysis by Findings, UK, Juli 2020


Costs and consequences of the Portuguese needle-exchange program in community pharmacies. 

Borges M, Gouveia M, Fiorentino F, et al. 

Can Pharm J (Ott). 2020;153(3):170-178. Published 2020 May 12. doi:10.1177/1715163520915744


Hospital admissions among people who inject opioids following syringe services program implementation.

Bornstein, K.J., Coye, A.E., St. Onge, J.E. et al.

Harm Reduct J 17, 30 (2020). doi.org/10.1186/s12954-020-00376-1


Examining risk behavior and syringe coverage among people who inject drugs accessing a syringe services program: A latent class analysis.

Bartholomew TS, Tookes HE, Bullock C, Onugha J, Forrest DW, Feaster DJ.

Int J Drug Policy. 2020 Mar 5;78:102716. doi: 10.1016/j.drugpo.2020.102716. 


When people who inject drugs speak: qualitative thematic analysis of the perception of a mobile app for needle exchange programs.

Calvo F, Carbonell X, Rived M, Giralt C.

Adicciones. 2020 Feb 6;0(0):1334. doi: 10.20882/adicciones.1334.


Kanada/British Columbia. Prison needle exchanges driven by security, not health concerns, federal watchdog says in critical report

Few inmates have enrolled in the needle exchange program, according to correctional investigator. (CBC-Kanada, 19.02.2020)


Different environments, different risk behaviours: Consequences of decreased coverage of needle exchange programs in Budapest and Belgrade

Robert Csák, Irena Molnar, Péter Sárosi, Jovana Arsenijević, Bojan Arsenijević

Rightsreporter Foundation, Dezember 2018


Australien. Needle Syringe Program National Minimum Data Collection: National Data Report 2019.

Heard S, Iversen J, Kwon JA and Maher L. 

Sydney: Kirby Institute, UNSW Sydney; 2019.


Politics and Harm Reduction: Four Countries’ Syringe Access Stories

Drug policy varies greatly among European countries, despite common foundations in UN treaties or EU strategies. In this article I’ll review syringe service programs (SSPs) in four East-Central European countries—the Czech Republic, Slovakia, Poland and Hungary, collectively known as the Visegrád Group—to show how politics impact harm reduction. (Filter, USA, 20.11.2019)


Using Interrupted Time Series Analysis to Measure the Impact of Legalized Syringe Exchange on HIV Diagnoses in Baltimore and Philadelphia

Ruiz, Monica S. PhD, MPHa; O'Rourke, Allison MPHb; Allen, Sean T. DrPH, MPHc; Holtgrave, David R. PhDc; Metzger, David PhDd,e; Benitez, Jose MSWf; Brady, Kathleen A. MDg; Chaulk, C. Patrick MD, MPHh; Wen, Leana S. MDi

JAIDS Journal of Acquired Immune Deficiency Syndromes: December 1, 2019 - Volume 82 - Issue - p S148–S154, doi: 10.1097/QAI.0000000000002176


Availability of HIV and HCV On-Site Testing and Treatment at Syringe Service Programs in the United States.

Behrends CN, Nugent AV, Des Jarlais DC, Frimpong JA, Perlman DC, Schackman BR.

J Acquir Immune Defic Syndr. 2018 Oct 1;79(2):e76-e78. doi: 10.1097/QAI.0000000000001792. 


I could take the judgment if you could just provide the service: non-prescription syringe purchase experience at Arizona pharmacies, 2018.

Meyerson BE, Lawrence CA, Cope SD, Levin S, Thomas C, Eldridge LA, Coles HB, Vadiei N, Kennedy A.

Harm Reduct J. 2019 Sep 18;16(1):57. doi: 10.1186/s12954-019-0327-1.


Survey of Southern Wisconsin Needle Exchange Clients Regarding Opioid Overdose and Naloxone Use.

Baltes A, Devo B, Kaiser M, Birstler J, Brown RT.

WMJ. 2019 Jul;118(2):84-87. PMID: 31532934


Kanada. How a Misapplied Needle Exchange May Harm Incarcerated People

A needle exchange program in seven federal prisons in Canada is at the center of a heated debate between the nation’s correctional officers union and harm reduction advocates. Each side says that its constituents—correctional officers and incarcerated people who use drugs, respectively—are endangered by the program.

The Union of Canadian Correctional Officers claims, against the available evidence, that officers’ safety is jeopardized by incarcerated people accessing sterile syringes. Harm reductionists argue that instead, the program is currently failing those it’s meant to serve—and even putting them at increased risk. (Filter, USA, 02.10.2019)


I could take the judgment if you could just provide the service: non-prescription syringe purchase experience at Arizona pharmacies, 2018.

Meyerson BE, Lawrence CA, Cope SD, Levin S, Thomas C, Eldridge LA, Coles HB, Vadiei N, Kennedy A.

Harm Reduct J. 2019 Sep 18;16(1):57. doi: 10.1186/s12954-019-0327-1.


Needle exchange programmes in Visegrad countries: a comparative case study of structural factors in effective service delivery.

Kender-Jeziorska I.

Harm Reduct J. 2019 Sep 3;16(1):54. doi: 10.1186/s12954-019-0323-5.


Südafrika. Needle and Syringe Programmes under pressure in South Africa

With the needles and syringe programme in Durban closed by the local authorities since May 2018, the services in Port Elisabeth are also facing difficulties now. (MAINline, Niederlande, 05.09.2019)


USA. NYC Syringe Programs Successfully Serving the Most Vulnerable New Yorkers

New York City’s syringe service programs (SSPs) are successfully getting harm reduction resources into the hands of the most vulnerable New Yorkers, according to new data released by the Department of Health and Mental Hygiene (DOHMH). (Filter, USA, 19.06.2019)


Understanding the public health consequences of suspending a rural syringe services program: a qualitative study of the experiences of people who inject drugs.

Allen ST, Grieb SM, O'Rourke A, Yoder R, Planchet E, White RH, Sherman SG.

Harm Reduct J. 2019 May 21;16(1):33. doi: 10.1186/s12954-019-0305-7.


Barriers to using new needles encountered by rural Appalachian people who inject drugs: implications for needle exchange

Stephen M. Davis, Alfgeir L. Kristjansson, Danielle Davidov, Keith Zullig, Adam Baus and Melanie Fisher

Harm Reduction Journal2019 16:23 


Drug injection, syringe source, and self-stigma in New York City

People with substance use problems are widely stigmatized, a harmful societal notion reinforced by media depictions of drug use, misguided public policy, and punishments by criminal justice systems. Drug-related stigma is highly present for people who inject drugs (PWID), likely due in part to its association with HIV. On top of this, PWID often feel ashamed of their habits. This “self-stigma” encourages PWID to hide their addiction, avoiding crucial treatment and social support. This week, as part of our Special Series on Stigma and Addiction, we review a study by Alexis Rivera and colleagues that investigated which injection risk behaviors and demographic factors are associated with self-stigma among PWID in New York City. (STASH, Vol. 15(5), 14.05.2019)