Syringe Exchange Programs (SEPs) in New Jersey have led to a dramatic reduction in needle sticks for firefighters and benefit public health. Nearly half of all AIDS cases in New Jersey occur among injecting drug users. SEPs disproportionately help Latinos and African Americans, who make up a larger proportion of injecting drug users living with HIV/AIDS than their overall state population. Five municipalities in New Jersey have established SEPs since 2006. From 2007-2009, over 5,800 individuals accessed SEPs and nearly 1,000 entered drug treatment. Federal funding of $620,500 for SEPs will save up to $4.3 million based on evidence that every $1 invested saves $3-7 through reduced transmission