Effectiveness of sterile needle and syringe programmes

@article{Wodak2005EffectivenessOS,
  title={Effectiveness of sterile needle and syringe programmes},
  author={Alex D Wodak and Annie Cooney},
  journal={International Journal of Drug Policy},
  year={2005},
  volume={16},
  pages={31-44}
}
Abstract This is the first comprehensive international review of the evidence for needle syringe programmes. [...] Key Result Conservatively, six of the nine Bradford Hill criteria were fulfilled (strength of association, replication of findings, temporal sequence, biological plausibility, coherence of evidence, and reasoning by analogy). Three of the Bradford Hill criteria were not fulfilled (specificity of association, biological gradient and experimental evidence).Expand
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TLDR
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TLDR
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TLDR
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TLDR
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Effectiveness of needle/syringe programmes and opiate substitution therapy in preventing HCV transmission among people who inject drugs.
TLDR
The objectives are to assess the impact of needle/syringe programmes with and without opiate substitution therapy (OST) on the incidence of HCV infection among people who inject drugs (PWID). Expand
Harm reduction product distribution in British Columbia.
TLDR
Marked regional variation exists in the rates of harm reduction product distribution per 100,000 residents aged 15-64, and the supply/demand ratio for needle and syringe units is estimated. Expand
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TLDR
If installed and properly maintained in a well-chosen location and with the local community well prepared, SVMs can enhance the temporal and geographical availability of sterile injecting equipment. Expand
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TLDR
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The history, science, and politics surrounding the implementation and evaluation of NEPs in both developed and developing countries are discussed, and alternative mechanisms to increase coverage of sterile syringes among IDUs are suggested. Expand
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A critical review of the literature suggests that biases common to observational studies can account for higher HIV incidence among SEP attenders relative to non-attenders, and Hierarchical models that take into account the ecological dimensions of SEP are recommended as an approach for future studies. Expand
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Despite having the largest NEP in North America, Vancouver has been experiencing an ongoing HIV epidemic and NEP are crucial for sterile syringe provision, they should be considered one component of a comprehensive programme including counselling, support and education. Expand
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TLDR
Using imputed costs for donated services and estimates of lifetime costs to treat an HIV infection, syringe exchange was demonstrated to be a cost‐saving strategy from a societal perspective. Expand
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