Syringe Exchange Programs - -- United States, 2. Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e- mail to: mmwrq@cdc. Type 5. 08 Accommodation and the title of the report in the subject line of e- mail. Syringe exchange programs (SEPs) provide free sterile. IDUs). (1). SEPs in the United States began as a way to prevent. HIV) and other bloodborne infections such as hepatitis B and hepatitis. C. The National Institute on Drug Abuse recommends that persons who continue to inject drugs use a new, sterile. Monitoring syringe exchange activity is an important part of assessing HIV prevention measures. United States. As of November 2. SEPs were operating in 3. District of. Columbia (DC), and Puerto Rico (North American Syringe Exchange Network . This. report summarizes a survey of SEP activities in the United States during 2. SEP surveys (3- -7; Beth Israel Medical Center . The findings indicated. SEPs, including an increase in public funding, and a stabilization in both the number. SEPs operating and the number of syringes exchanged since 2. This report also documents an expansion of. SEPs, a trend that resulted from an increase in state and local funding. These expanded services are. IDUs and their communities from the spread of bloodborne pathogens and are providing access to. Monitoring of syringe exchange activity should continue. The surveys. included questions regarding the number of syringes. Data for 2. 00. 5 were collected during March- -August. Telephone interviews were conducted to clarify responses received on surveys. The methods were similar to those used. SEP surveys, except for an Internet- based option that was used in the 2. PRHA is a peer-run organization that promotes the philosophy of harm reduction and safer drug use. Active users at all levels of PRHA facilitate the need-based needle distribution program, serving the Cascadia region since. Name: Tacoma Needle Exchange Program: Organization: Point Defiance AIDS Projects: Address: Tacoma, WA Phone: 253-272-4857: Fax: 253-272-8415: Delivery phone: 253-381-5229.These 1. 18 SEPs reported operating in 9. A total of 7. 9 (6. SEPs were operating in six states: 2. California, 1. 7 in New. Mexico, 1. 5 in Washington, 1. Wisconsin, nine in New York, and six in Connecticut. The. 1. 2 largest programs exchanged 1. Nearly all SEPs provided alcohol pads (1. Certain medical services also were offered by SEPs, including counseling and testing for HIV (9. Vaccinations for hepatitis B were provided by 4. SEPs, and hepatitis A. Thirty- four (2. 9%) SEPs offered other on- site medical care. The total number of. SEPs was summed for all sites operated by each program. This total number of hours. Delivery. of syringes and other risk- reduction supplies to residences or meeting spots was reported by 5. SEPs. A total of. SEPs allowed persons to exchange syringes on behalf of other persons (i. The reported budgets for these 1. SEPs totaled $1. 5. Table 3). Some SEPs received funding from a. For the 9. 7. SEPs for which individual budget information could be generated, the 2. In 2. 00. 5, a total of 3. SEPs. operated with a budget of < $2. SEPs. reported multiple sources of financial support in 2. The. total amount of public funding increased by nearly $2 million in 2. Federal law prohibits the use of federal funds to. SEPs. However, in 2. SEPs and syringes exchanged. In 2. 00. 5, eight fewer SEPs were operating than previously indicated. BIMC, unpublished data, 2. SEPs operating. However. SEPs operating in 2. The number of syringes exchanged decreased. D Purchase, A Solberg. American Syringe Exchange Network, Tacoma, Washington. Total funding of SEPs increased in 2. SEPs. Increases in funding, particularly public funding, provided opportunities for SEPs. As a result of these increases, many SEPs have evolved into larger. IDUs and their communities (e. HIV and hepatitis A, hepatitis B, and hepatitis C; vaccinations for hepatitis A and hepatitis B; and general medical. These more costly services have been added to many SEPs during the past several years, and continued increases. By expanding such services, SEPs are becoming part of. IDUs and their. communities. First, the extent of SEP activity in the United. States is likely underestimated because 4. SEPs known to NASEN did not complete the survey. Other. SEPs might exist but are not known to NASEN. Second, certain SEPs operating within larger organizations were not able. Finally. data collected were based on self- reports by program. On- site medical services are being provided by an increasing number of SEPs. IDUs. often encounter problems in accessing health care, and offering these services in SEP locations increases the likelihood. IDUs will receive these services. Preventing HIV transmission: the role of sterile needles and bleach. Washington, DC: National. Academies Press; 1. Available at. http: //www. National Institute on Drug Abuse. Principles of HIV prevention in drug- using populations. Available at. http: //www. Syringe exchange programs- -- United States, 1. MMWR 1. 99. 5; 4. CDC. Update: syringe exchange programs- -- United States, 1. MMWR 1. 99. 7; 4. CDC. Update: syringe exchange programs- -- United States, 1. MMWR 1. 99. 8; 4. CDC. Update: syringe exchange programs- -- United States, 1. MMWR 2. 00. 1; 5. CDC. Update: syringe exchange programs- -- United States, 2. MMWR 2. 00. 5; 5. For this report, the term . In addition, DC has one SEP. The largest- volume SEPs were San Francisco AIDS Foundation HIV Prevention Project (2. Chicago Recovery Alliance, Chicago, Illinois (2. Street Outreach Services, Seattle, Washington (1. HIV Education and Prevention Project of. Alameda, Oakland, California (0. Public Health - - Seattle & King County Needle Exchange, Seattle, Washington (0. Point Defiance AIDS. Project, Tacoma, Washington (0. San Diego Clean Needle Exchange Program, San Diego, California (0. SANA Needle Exchange. Program/HIV Alliance, Eugene, Oregon (0. Prevention Point Pittsburgh, Pittsburgh, Pennsylvania (0. Lifepoint, Milwaukee, Wisconsin (0. Homeless Healthcare, Los Angeles, California (0. Project De Sida, Albuquerque, New Mexico (0. County governments providing public funding: Clark, King, Pierce, and Skagit, Washington; Alameda, Humboldt. Los Angeles, and Santa Clara, California; Dane and Eau Claire, Wisconsin; Boulder, Colorado; Cook, Illinois; and Lane and Multnomah, Oregon. City. governments providing public funding: Inglewood, Los Angeles, Reseda, and San Francisco, California; Seattle and Vancouver, Washington; Chicago, Illinois; Milwaukee. Madison, Wisconsin; New York, New York; and Bridgeport, Connecticut. Department of. Health and Human Services. References to non- CDC sites on the Internet are. MMWR readers and do not constitute or imply. CDC or the U. S. CDC is not responsible for the content. URL addresses listed in MMWR were current as of. Disclaimer. All MMWR HTML versions of articles are electronic conversions from ASCII text. HTML. Government Printing Office (GPO), Washington, DC 2. Date last reviewed: 1.
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