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Deutsche AIDS-Hilfe: Konsumzubehör

Im Wissen um die Risiken des intravenösen und inhalativen Drogengebrauchs haben sich in den letzten Jahren beeindruckende Entwicklungen im Bereich der Konsumutensilien (Harm Reduction Tools) vollzogen. Im Fokus steht HIV, Hepatitiden und Abszesse aufgrund von Verunreinigungen und falschen Infektionstechniken zu reduzieren.

Insbesondere das Wissen um die leichtere Übertragbarkeit des Hepatitis B und C Virus  hat dazu geführt, dass eine Reihe neuartiger Einwegutensilien eingeführt wurden.

Hiermit werden erstmals Standards zur Vergabe von Konsumutensilien in unterschiedlichen Einrichtungen beschrieben. Darüber hinaus werden Empfehlungen zur Dokumentation, Arbeitssicherheit sowie zur Qualifikation von Mitarbeiter_innen formuliert.

Die Empfehlungen wurden unter Mitwirkung einer bundesweiten Expert_innengruppe, die sich aus Mitarbeiter_innen aus Aids- und Drogenhilfen mit langjährigen Erfahrungen in der Konsumutensilienvergabe zusammensetzte, erarbeitet.

Wir wollen diese Seite nutzen, um über Weiterentwicklung von Konsumzubehör zu informieren und deren Potentiale und Wirkweisen vorzustellen.(DAH – Deutsche AIDS-Hilfe, März 2018)

https://www.drogenkonsumraum.net/konsumzubeh%C3%B6r

Scoping out the literature on mobile needle and syringe programs—review of service delivery and client characteristics, operation, utilization, referrals, and impact

Carol Strike and Miroslav Miskovic

Harm Reduction Journal 2018, 15:6, doi.org/10.1186/s12954-018-0212-3

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0212-3

Needle and syringe programmes and opioid substitution therapy for preventing HCV transmission among people who inject drugs: findings from a Cochrane Review and meta-analysis.

Platt, L., Minozzi, S., Reed, J., Vickerman, P., Hagan, H., French, C., Jordan, A., Degenhardt, L., Hope, V., Hutchinson, S., Maher, L., Palmateer, N., Taylor, A., Bruneau, J., and Hickman, M. (2018)

Addiction, 113: 545563. doi: 10.1111/add.14012.

http://onlinelibrary.wiley.com/doi/10.1111/add.14012/full

USA. Orange County’s only needle exchange shuts down after Santa Ana denies permit

Orange County's first and only needle exchange program has shut down after Santa Ana city officials denied its permit application, a move some local advocacy groups and the state's leading public health agency say could negatively affect public welfare. (LA Times, 01.02.2018)

http://www.latimes.com/socal/daily-pilot/news/tn-wknd-et-oc-needle-exchange-20180201-story.html

Recovery of Infectious Hepatitis C Virus From Injection Paraphernalia: Implications for Prevention Programs Serving People Who Inject Drugs

Robert Heimer, Mawuena Binka, Stephen Koester, Jean-Paul C Grund, Amisha Patel, Elijah Paintsil, Brett D Lindenbach

The Journal of Infectious Diseases, Volume 217, Issue 3, 17 January 2018, Pages 466–473, doi.org/10.1093/infdis/jix427

Abstract

https://academic.oup.com/jid/article-abstract/217/3/466/4085610

Pharmacists’ role in harm reduction: a survey assessment of Kentucky community pharmacists’ willingness to participate in syringe/needle exchange

Amie Goodin, Amanda Fallin-Bennett, Traci Green and Patricia R. Freeman

Harm Reduction Journal2018, 15:4, doi.org/10.1186/s12954-018-0211-4

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0211-4

Needle syringe programmes and opioid substitution therapy for preventing hepatitis C transmission in people who inject drugs.

Platt L, Minozzi S, Reed J, Vickerman P, Hagan H, French C, Jordan A, Degenhardt L, Hope V, Hutchinson S, Maher L, Palmateer N, Taylor A, Bruneau J, Hickman M.

Cochrane Database Syst Rev. 2017 Sep 18;9:CD012021. doi: 10.1002/14651858.CD012021.pub2.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621373/

UK. 'First' pharmacy-based needle exchange vending machine in UK

A pharmacy in Lincolnshire has become the first in the UK to offer a needle exchange service using a vending machine, according to a charity.

Drug, alcohol and mental health charity Addaction approached Riverside Pharmacy in Sleaford about installing the vending machine, the organisation said in a statement last week.

The charity helped superintendent pharmacist Chris Mulimba acquire the custom-fit machine from injection equipment suppliers Orion Medical Supplies, it said.

The service operates from the pharmacy's consultation room, where patients can place any used needles in a bin before operating the vending machine with a plastic token given out by the pharmacy staff.

Mr Mulimba told C+D last week that the semi-automated machine “halves the time” taken by staff to complete a needle exchange, bringing it down to five minutes.

“A traditional method takes 10 minutes – you have to assemble the indvidual [pack],” Mr Mulimba explained. “The [vending machine] has everything pre-packed; the only time it takes is talking to the client about harm reduction.” (chemistanddruggist.co.uk, UK, 23.01.2018)

https://www.chemistanddruggist.co.uk/news/pharmacy-needle-exchange-vending-machine-uk

USA. New York City Program Takes Controversial Approach to Opioid Crisis (Audio)

There's no single solution to the opioid crisis, but a New York City program is taking a controversial approach to fighting the epidemic.

It's called "harm reduction,” and it's not new. The non-punitive approach aims to reduce the harmful consequences of drug use. For some programs around the country that means giving access to sterile needles, and, in the case of The Washington Heights Corner Project, a bathroom where users can inject drugs knowing that if they overdose, someone will come to their aid. (WNYC – The Takeaway, 15.01.2018, Audio, 07:26)

https://www.wnyc.org/story/harm-reduction-how-one-new-york-city-program-tackles-opioids/

The Association Between Residential Eviction and Syringe Sharing among Street-Involved Youth in Vancouver, Canada

Andreas Pilarinos, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6943/14H30_1_Andreas Pilarinos.pptx

The needle exchange debate in Stockholm city council and Swedish Parliament during the 21st century

Lena Eriksson, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6945/14H30_2_Lena Eriksson.pptx

The cost-effectiveness of needle and syringe provision in preventing transmission of Hepatitis C Virus in people who inject drugs in the UK

Zoë Ward, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6947/14H30_4_Zoe Ward.ppt

Health Outcomes for Clients of Needle and Syringe Programs in Prisons: A Systematic Review

Prof. Dr. Heino Stöver, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6881/14H30_2_Heino Stover.pptx

Schottland. Fears over loss of drug addicts' Glasgow Central Station needle exchange as HIV outbreak spreads

USE of needle exchanges by drug addicts has plummeted since one of Scotland's busiest units closed, amid concerns the move is contributing to the growth of an HIV outbreak. (Evening Times, Glasgow, 21.12.2017)

http://www.eveningtimes.co.uk/news/15784920.Fears_over_loss_of_drug_addicts__Glasgow_Central_Station_needle_exchange_as_HIV_outbreak_spreads/

UK/Liverpool. Wirral Needle Exchange: "70% Of Our Clients Are Steroid Users"

As part of our exclusive investigation into steroid use on Merseyside, Radio City News have discovered more people are now injecting performance enhancing drugs than injecting heroin.

"The increase is with steroid users and those of performance enhancing drugs."

Around 70% of clients using the needle exchange operated by Wirral Ways To Recovery in Birkenhead are steroid users. (Radio City, Merseyside/Liverpool, 05.12.2017)

https://planetradio.co.uk/city/local/news/wirral-needle-exchange-70-clients-steroid-users/

Drogen und Strafvollzug: Relaunch der Safer-Use-Homepage

Die Homepage der Aidshilfe NRW zu den Themenbereichen Spritzenautomatenprojekt NRW und Drogen/Haft erstrahlt nun seit einigen Wochen in neuem Glanz. Neben den gewohnten Inhalten rund um das Spritzenautomatenprojekt (Standorte, Betreiber, Materialbestellung, etc.) und aktualisierten Informationen zu Safer Use, Harm Reduction und Prävention von HIV/Aids und Hepatitis gibt es nun unter anderem auch einen eigenen Bereich für das Thema Strafvollzug und eine regelmäßig aktualisierte Seite mit aktuellen Berichten zu Veranstaltungen, politischen, gesellschaftlichen und medizinischen Entwicklungen, die auch hier im Newsletter aufgegriffen werden. Einige Kapitel befinden sich noch im Aufbau, wir sind jederzeit dankbar für Hinweise zu Ergänzungen und neuen Themen. (Aidshilfe NRW, November 2017)

http://www.saferuse-nrw.de/Saferuse-NRW/front_content.php

Findings (UK) Research Analysis: Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England.

Kesten J.M., Ayres R., Neale J. et al.
International Journal of Drug Policy: 2017, 39, p. 99–108.

http://findings.org.uk/PHP/dl.php?file=Kesten_JM_1.cab

WHO. Needle and syringe programmes

A key component of the comprehensive package is the provision of sterile injecting equipment and its safe disposal. WHO has reviewed the evidence for the effectiveness of needle and syringe programmes in the Evidence for action series.

The Evidence for action technical paper summarises the evidence in more detail and will be useful for service providers and planners.

The Evidence for action policy brief can be used for advocacy purposes to convince policy makers of the importance of this intervention. It is available in a number of languages.

The practical Guide to starting and managing needle and syringe programmes helps countries and project managers in the implementation and scale-up phase of their programme. (WHO 2017)

http://www.who.int/hiv/topics/idu/needles/en/

Effectiveness of needle and syringe Programmes in people who inject drugs – An overview of systematic reviews.

Fernandes RM, Cary M, Duarte G, et al.

BMC Public Health. 2017;17:309. doi:10.1186/s12889-017-4210-2.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387338/

UK. Needle and syringe programmes (Guidelines)

This guideline covers needle and syringe programmes for people (including those under 16) who inject drugs. The main aim is to reduce the transmission of viruses and other infections caused by sharing injecting equipment, such as HIV, hepatitis B and C. In turn, this will reduce the prevalence of blood-borne viruses and bacterial infections, so benefiting wider society.

(NIC – National Institute for Health and Care Excellence, UK, Public health guideline [PH52] Published date: March 2014, next review: 2017)

https://www.nice.org.uk/guidance/ph52

Auf der von Infodrog betriebenen Datenbank suchtindex.ch findet sich neu eine Übersicht mit sämtlichen Spritzenautomaten und Möglichkeiten zum Spritzenumtausch in der Schweiz. Spritzenautomaten gewährleisten Menschen, die Substanzen intravenös konsumieren, jederzeit, anonym und kostengünstig den Zugang zu sterilem Injektionsmaterial. (INFODROG, 2017)

https://suchtindex.infodrog.ch/de

ScotRail Alliance is to reconsider the decision to close Scotland's largest needle exchange, located in Glasgow Central Station.

The exchange opened in July 2016, but Network Rail said it was forced to shut it down after drug-taking equipment was found in public areas.

Public health minister Aileen Campbell said the government recognised "very real concerns" about the move.

And she told MSPs that bosses had "agreed to look again" at the decision. (BBC News, 26.09.2017)

http://www.bbc.com/news/uk-scotland-glasgow-west-41403794

Needle syringe programmes and opioid substitution therapy for preventing HCV transmission among people who inject drugs: findings from a Cochrane Review and meta-analysis.

Platt, L., Minozzi, S., Reed, J., Vickerman, P., Hagan, H., French, C., Jordan, A., Degenhardt, L., Hope, V., Hutchinson, S., Maher, L., Palmateer, N., Taylor, A., Bruneau, J., and Hickman, M. (2017)

Addiction, doi: 10.1111/add.14012.

http://onlinelibrary.wiley.com/doi/10.1111/add.14012/abstract

Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England

Kesten, Joanna M. et al.

International Journal of Drug Policy , Volume 39 , 99 - 108

http://www.ijdp.org/article/S0955-3959(16)30300-0/fulltext

Recovery of Infectious Hepatitis C Virus from Injection Paraphernalia: Implications for Prevention Programs Serving People Who Inject Drugs

Robert Heimer, Mawuena Binka, Stephen Koester, Jean-Paul C Grund, Amisha Patel, Elijah Paintsil, Brett D Lindenbach

The Journal of Infectious Diseases, , jix427, doi.org/10.1093/infdis/jix427

Abstract

https://academic.oup.com/jid/article-abstract/doi/10.1093/infdis/jix427/4085610/Recovery-of-Infectious-Hepatitis-C-Virus-from

New findings suggest that sharing paraphernalia used to cook and prepare injection drugs does not directly lead to transmission of hepatitis C virus.

According to Robert Heimer, PhD, professor of epidemiology and pharmacology at the Yale School of Public Health, and colleagues, this contrasts with past epidemiological studies that reported HCV incidence linked to sharing “cookers” and filters. Heimer said those studies were not clear on whether the results reflected the contamination of such paraphernalia or syringe-mediated contamination among people who inject drugs (PWID). (healio.com, 22.08.2017)

https://www.healio.com/infectious-disease/hepatitis-c/news/in-the-journals/%7B39d71a14-cb1f-458a-8ccb-c28118968e61%7D/sharing-injection-paraphernalia-does-not-lead-to-hcv-transmission

LOWELL, Mass. — They hide in weeds along hiking trails and in playground grass. They wash into rivers and float downstream to land on beaches. They pepper baseball dugouts, sidewalks and streets. Syringes left by drug users amid the heroin crisis are turning up everywhere. (NBC News, USA, 17.07.2017)

http://www.nbcnews.com/storyline/americas-heroin-epidemic/discarded-syringes-heroin-crisis-create-health-environmental-problems-n783671

ANDERSON – The syringe exchange program has made some changes following a vote by the Board of Health at the June meeting.

The biggest change was immediate – the removal of the cooker, a small, metal bowl that is used for cooking drugs. The item was included in the harm reduction kit offered to program participants with the syringes they exchange. (The Herald Bulletin, USA, 10.07.2017)

http://www.heraldbulletin.com/news/local_news/syringe-exchange-program-makes-adjustments/article_bb2e3ca9-db98-5d35-ae1d-cad8eb539d12.html

Nova Scotia must develop a more comprehensive and integrated approach to harm reduction if it wants to effectively deal with the growing opioid crisis, according to one expert.

Dr. Susan Kirkland is a professor at Dalhousie’s department of community health and epidemiology, and the director of the Atlantic Interdisciplinary Research Network for Social and Behavioural Issues in Hepatitis C and HIV/AIDS.

This week, she is presenting a recent report she authored for Mainline Needle Exchange, on the impact of their services on the harm reduction landscape, at the Canadian Public Health Association’s annual conference, which is being held in Halifax. (The Chronicle News, Kanada, 06.06.2017)

http://thechronicleherald.ca/novascotia/1475620-infographic-report-says-clean-needle-programs-are-in-high-demand-underfunded