Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns

Hdl Handle:
http://hdl.handle.net/10147/319887
Title:
Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns
Authors:
Duplessy, Catherine; Reynaud, Emmanuel G
Citation:
Duplessy C, Reynaud EG. Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns. Harm Reduction Journal. 2014 May 22;11(1):16
Issue Date:
22-May-2014
URI:
http://dx.doi.org/10.1186/1477-7517-11-16; http://hdl.handle.net/10147/319887
Abstract:
Abstract Background Syringe-dispensing machines (SDM) provide syringes at any time even to hard-to-reach injecting drug users (IDUs). They represent an important harm reduction strategy in large populated urban areas such as Paris. We analyzed the performance of one of the world's largest SDM schemes based in Paris over 12 years to understand its efficiency and its limitations, to answer public and stakeholder concerns and optimize its outputs. Methods Parisian syringe dispensing and exchange machines were monitored as well as their sharp disposals and associated bins over a 12-year period. Moreover, mechanical counting devices were installed on specific syringe-dispensing/exchange machines to record the characteristics of the exchange process. Results Distribution and needle exchange have risen steadily by 202% for the distribution and 2,000% for syringe recovery even without a coin counterpart. However, 2 machines out of 34 generate 50% of the total activity of the scheme. It takes 14 s for an IDU to collect a syringe, while the average user takes 3.76 syringes per session 20 min apart. Interestingly, collection time stops early in the evening (19 h) for the entire night. Conclusions SDMs had an increasing distribution role during daytime as part of the harm reduction strategy in Paris with efficient recycling capacities of used syringes and a limited number of kits collected by IDU. Using counting devices to monitor Syringe Exchange Programs (SEPs) is a very helpful tool to optimize use and answer public and stakeholder concerns.
Item Type:
Article
Language:
en
Keywords:
DRUGS MISUSE; PUBLIC HEALTH

Full metadata record

DC FieldValue Language
dc.contributor.authorDuplessy, Catherineen_GB
dc.contributor.authorReynaud, Emmanuel Gen_GB
dc.date.accessioned2014-06-05T11:36:47Z-
dc.date.available2014-06-05T11:36:47Z-
dc.date.issued2014-05-22-
dc.identifier.citationDuplessy C, Reynaud EG. Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns. Harm Reduction Journal. 2014 May 22;11(1):16en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1477-7517-11-16-
dc.identifier.urihttp://hdl.handle.net/10147/319887-
dc.description.abstractAbstract Background Syringe-dispensing machines (SDM) provide syringes at any time even to hard-to-reach injecting drug users (IDUs). They represent an important harm reduction strategy in large populated urban areas such as Paris. We analyzed the performance of one of the world's largest SDM schemes based in Paris over 12 years to understand its efficiency and its limitations, to answer public and stakeholder concerns and optimize its outputs. Methods Parisian syringe dispensing and exchange machines were monitored as well as their sharp disposals and associated bins over a 12-year period. Moreover, mechanical counting devices were installed on specific syringe-dispensing/exchange machines to record the characteristics of the exchange process. Results Distribution and needle exchange have risen steadily by 202% for the distribution and 2,000% for syringe recovery even without a coin counterpart. However, 2 machines out of 34 generate 50% of the total activity of the scheme. It takes 14 s for an IDU to collect a syringe, while the average user takes 3.76 syringes per session 20 min apart. Interestingly, collection time stops early in the evening (19 h) for the entire night. Conclusions SDMs had an increasing distribution role during daytime as part of the harm reduction strategy in Paris with efficient recycling capacities of used syringes and a limited number of kits collected by IDU. Using counting devices to monitor Syringe Exchange Programs (SEPs) is a very helpful tool to optimize use and answer public and stakeholder concerns.-
dc.language.isoenen
dc.subjectDRUGS MISUSEen_GB
dc.subjectPUBLIC HEALTHen_GB
dc.titleLong-term survey of a syringe-dispensing machine needle exchange program: answering public concernsen_GB
dc.typeArticleen
dc.language.rfc3066en-
dc.rights.holderCatherine Duplessy et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-05-28T23:08:42Z-
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