
Sharp Advice Needle Exchange:
Administers a needle
exchange called Sharp Advice Needle
Exchange (SANE). The needle exchange provides safe
injection equipment (clean needles, alcohol swabs, filters) and sharps
containers for safe disposal of used needles. Outreach services are
available as well.
Works with other
community groups on initiatives that reduce the spread of HIV and
Hepatitis C and that create supportive environments for those infected
and/or affected by HIV/AIDS.
Has Ensure (meal
replacement) available to clients of ACCB and SANE. The Ensure is kindly
donated by Abbott Laboratories Limited.
Maintains a website
http://www.accb.ns.ca so anyone can get information about HIV/AIDS on
line.
Needle Exchange programs exist
to provide clean needles and syringes for injection drug users. Health experts
say hypodermic needles can harbor more than 20 blood-borne diseases, including
HIV, and hepatitis B and C. Almost half of the country's new HIV infections were
among injection drug users. It's estimated an injection drug user will inject
about 1,000 times a year.
The first official needle exchange program in
Canada began in 1989 in Vancouver. Within a few months, similar programs
sprouted up in Montreal and Toronto. Over the years, community health groups,
helped by provincial and federal funding, have created more than 100 exchange
programs in the country. Ontario has the most comprehensive network of programs
with 16.
Critics of such programs say they encourage
people to use illegal drugs and result in more needles being dumped in public
places. A study published in the Canadian Medical Association Journal in August
1997 concluded that providing sterile needles is an inexpensive means of
preventing greater health-care costs. Researchers at McMaster University
examined the needle exchange program in Hamilton, which provided more than
14,200 clean syringes to 275 drug users in 1995.
The authors of the study estimated the program
prevented 24 new HIV infections over five years. The study said the cost of
treating HIV and AIDS over a person's lifetime could total $1.3 million in
direct costs to the health system.
According to the Centre for Addiction and
Mental Health (CAMH), which looked at several surveys, needle exchange programs
(NEPs):
-Reduce the transmission of disease in drug
users.
-Do not increase injection drug use.
-Do not increase the number of needles discarded (NEPs collect more needles
than they give out).