The effectiveness of harm reduction in preventing HIV among injecting drug users

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The effectiveness of harm reduction in preventing HIV among injecting drug users.

There is now compelling evidence that harm reduction approaches to HIV prevention among injecting drug users are effective, safe and cost-effective. The evidence of effectiveness is strongest for needle and syringe programs and opioid substitution treatment. There is no convincing evidence that needle and syringe programs increase injecting drug use. The low prevalence approximately 1%) of HIV ...

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Harm reduction among injecting drug users — evidence of effectiveness

This chapter synthesises and evaluates the available direct evidence relating to the impact of needle and syringe programmes (NSPs), opioid substitution treatment (OST), drug consumption rooms (DCRs), and peer naloxone distribution (PND) on HIV/hepatitis C (HCV) incidence/prevalence, injecting risk behaviour and overdose-related mortality. To achieve this, we conducted a review of reviews; a sy...

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Towards Harm Reduction of Injecting Drug Users: A Priority Action for Preventing HIV in Bangladesh

Concentrated HIV epidemics have already occurred in IDUs in the neighbouring India, Myanmar and Nepal (WHO, Regional Office South-East Asia, 2008). Due to porous borders with India and Myanmar and central geographical situation between ‘Golden Triangle’(Myanmar, Thailand and Laos) and ‘Golden Crescent’ (Pakistan, Afghanistan and Iran), Bangladesh is a potential route of international drugs traf...

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Cost-effectiveness of harm reduction in preventing hepatitis C among injection drug users.

OBJECTIVES Hepatitis C (HCV) has emerged as a major epidemic among injection drug users (IDUs), with observed prevalence exceeding 70% in many American and European cities. This article explores the potential of syringe exchange programs (SEPs) to reduce HCV incidence and prevalence. DESIGN A random-mixing epidemiological model is used to examine the potential impact of harm reduction interve...

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The cost-effectiveness of expanding harm reduction activities for injecting drug users in Odessa, Ukraine.

OBJECTIVES The objectives of this study were to estimate the cost-effectiveness of a harm reduction intervention among injecting drug users (IDUs) in Odessa, Ukraine; and to explore how the cost-effectiveness changes if the intervention were scaled up to 60% as recommended by WHO/UNAIDS. STUDY DESIGN Economic providers' costs were estimated. A dynamic mathematical model, fitted to epidemiolog...

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ژورنال

عنوان ژورنال: New South Wales Public Health Bulletin

سال: 2010

ISSN: 1034-7674

DOI: 10.1071/nb10007