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News From Needle Exchanges What the staff say

News From Needle Exchanges What the staff say. John Campbell March 2009. Scottish drugs Forum. Overview. SDF’s relationship with needle exchange Data sources Findings Conclusions. Scottish drugs Forum. SDF’s Relationship with Needle Exchange. Needle Exchange Workers’ Forum

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News From Needle Exchanges What the staff say

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  1. News From Needle ExchangesWhat the staff say John Campbell March 2009 ScottishdrugsForum

  2. Overview • SDF’s relationship with needle exchange • Data sources • Findings • Conclusions ScottishdrugsForum

  3. SDF’s Relationship with Needle Exchange • Needle Exchange Workers’ Forum • Needle Exchange Guidelines • Glasgow Steroid Working Group • BBV Prevention Groups • SUI Survey • Training ScottishdrugsForum

  4. Data Sources • Needle Exchange Workers’ Forum (horse’s mouth) • Hard Data • SDF - Needle Exchange Workers’ Survey ScottishdrugsForum

  5. SDF – Survey • Staff views sought • Geographical coverage • Asked about injecting trends ScottishdrugsForum

  6. New Clients • 52% noticed an increase in new clients • All (except 1) had new clients injecting heroin • Most had new clients injecting steroids • Half had clients injecting cocaine/crack • First reports of injectable tan! ScottishdrugsForum

  7. Melanotan 2 • Melanotan is a hormone that stimulates melanin production • Other reported benefits: weight loss increased libido healthy spot free skin ScottishdrugsForum

  8. Hard Data GDCC - Steroids ScottishdrugsForum

  9. ScottishdrugsForum

  10. Existing Clients • All have clients injecting heroin • More than half have clients injecting: Steroids Cocaine or crack Amphetamines ScottishdrugsForum

  11. Poly- Drug Use • Most reported increase in combined use of: Heroin Alcohol (described as huge and massive) Cocaine and crack Benzodiazepines Methadone ScottishdrugsForum

  12. Changes in Preparation of Drugs • “Speed-balling” – but not new in every area • Crack needs to be cold prepared do clients know this? • Proper use of citric?

  13. Changes in Injecting Behaviour • “More people groin and neck” • “increase in femoral injecting” • “many more groin injectors than at any time over last 9 years”  • “cyclizine injecting” • “methamphetamine becoming more popular especially when a dry up of heroin” ScottishdrugsForum

  14. Changes in the Choice of Injecting Sites • femoral injecting-choice or necessity? • Some reported neck injecting • Feet and legs also used ScottishdrugsForum

  15. Femoral injecting numbers? • 15,000 injectors • 1/3rd using the femoral vein = 5,000 • Injects 3 times per day =15,000 • Per week =105,000 • Per year =5,460,0000 ScottishdrugsForum

  16. Changes in Injecting Injuries • Nearly half reported increases in…….. ScottishdrugsForum

  17. Sharing Needles • Only 1 respondent noticed an increase in sharing - PRISON ScottishdrugsForum

  18. Sharing Paraphernalia • Only one respondent reported increase in sharing of spoons, filters and citric. • The paraphernalia given out from this area does not include the above! ScottishdrugsForum

  19. Paraphernalia Given and Asked for • Increase in long blue Needles • Increase in green needles and (2ml) barrels • Regional paraphernalia variations (2 respondents sell citric to clients) • Clients asking for a full range of paraphernalia ScottishdrugsForum

  20. Summary • Increase in steroid and other performance enhancing drugs • Increase in cocaine/crack injecting • Increase in poly drug use (especially alcohol) • Increase in high risk injecting sites • Increase in injecting injuries • Decrease in sharing ScottishdrugsForum

  21. Average NXC client? • If we have no such thing as an average needle exchange client. • We should ensure we have no such thing as an average needle exchange service. ScottishdrugsForum

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