New Mexico SEPs fact sheet_4.19.13
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New Mexico has a lower rate of AIDS cases attributed to injection drug use than the national average, however hepatitis infections remain high among injection drug users in the state. Syringe services programs have operated legally in New Mexico since 1997 and there are currently 50 programs across the state. These programs have served over 9,000 individuals, exchanged over 6.5 million syringes, and seen a decline in new HIV cases among injection drug users since 1998. Federal funding for syringe services programs in New Mexico was $132,000 in 2010 and $90,800 in 2011. These programs have been shown to be cost-effective, with every $1 invested resulting in $3-7 in savings to healthcare costs.
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The document describes a woman who gave birth unexpectedly at the same time as another woman 30 years prior, and her daughter who had a fascination with medicine and dissecting herself that led to a psychiatric hospitalization. It details some of the coincidences and events in the daughter's life, including meeting a boy with the same stitches as her in the hospital. The main themes are the daughter's artistic evolution and her view that the constants in her life are her mother, husband, and recurring hospital settings and coincidences she attributes to astrology.
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Connecticut SEP Fact Sheet 2013 5 28 13
Connecticut has one of the highest rates of HIV among people who inject drugs in the US. Syringe services programs (SSPs) aim to address this issue. SSPs in Connecticut have collected over 1.5 million syringes, helped nearly 7,000 people access drug treatment, and provided HIV prevention education to over 30,000 individuals. Studies show SSPs are effective - participation reduces HIV risk by a third and since 2003, HIV acquisition through injection drug use in CT has dropped 73%. SSPs also save money, with every $1 invested returning $3-7 in savings through preventing transmission and treatment costs.
Increases in covid‑19 are unrelated to levels of vaccination across....
Increases in COVID‑19 are unrelated to levels of vaccination across 68
countries and 2947 counties in the United States
1 s2.0-s2214109 x21000814-main (1)
- The initial spread of COVID-19 in Brazil was mostly affected by patterns of socioeconomic vulnerability rather than population age or health risk factors. States with high socioeconomic vulnerability had higher initial COVID-19 mortality despite efforts to expand health system capacity and enact policies.
- Over time, differences in policy response converged across states, while physical distancing and lower death rates became relatively greater in municipalities with the highest socioeconomic vulnerabilities.
- Existing socioeconomic inequalities in Brazil have affected the course of the COVID-19 epidemic, disproportionately burdening states and municipalities with high socioeconomic vulnerability. Targeted policies are needed to protect vulnerable populations.
Daily_Report_of_News,_Articles_and_Reports.pdf
The document provides a daily summary of media coverage from June 28, 2022 relating to the Department of Health in the Philippines. It analyzed 132 news articles and reports, finding the majority focused on increasing COVID-19 case numbers, the country's alert level system, booster shots, projections from OCTA Research, and the country's pandemic response. The top 5 topics covered case updates, the alert level system, booster shots, OCTA projections of rising NCR cases, and criticisms of the country's pandemic response. The DOH will continue encouraging vaccinations and boosters to strengthen protection as cases may rise due to increased mobility.
Influence of population density and access to sanitation on covid 19 in mozam...
Influence of population density and access to sanitation on covid 19 in mozam...Revista Angolana de Ciências da Saúde
Population density and access to sanitation were positively correlated with COVID-19 cases in Mozambique. The number of cases showed a cubic relationship with population density and a quadratic relationship with access to sanitation. While higher population density intuitively increases transmission, the relationship between more sanitation access and more cases was likely due to busier areas having both better sanitation and easier transmission, rather than sanitation itself increasing risk. The findings provide evidence on how these factors influenced COVID-19 spread in Mozambique.Government strategies in the covid 19 vaccination program
The document discusses government strategies for COVID-19 vaccination programs in Palu, Indonesia. It describes the policy model applied for COVID-19 vaccination in Palu as a centralized institutional model where the central government regulates and procures vaccines while the local government implements vaccination campaigns. The local government of Palu issued 7 policies to accelerate vaccination, including establishing vaccine rangers, ambassadors, festivals, and collaborating with community leaders to provide vaccination centers and increase the number of vaccinators.
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You can't have a better tomorrow if you are thinking about yesterday all the time. - Charles F. Ketterin
To think too long about doing a thing often becomes its undoing. - Eva Young
Time is free, but it's priceless. You can't own it, but you can use it. You can't keep it, but you can spend it. Once you've lost it you can never get it back. - Marvey MackatMass SEPs State Fact Sheet_01.14.14
1) Syringe services programs (SSPs) in Massachusetts have had no impact on crime or police ability to do their jobs, according to the Cambridge Police Commissioner.
2) Massachusetts has a disproportionately high rate of AIDS cases attributed to injection drug use compared to the national average, affecting African American and Latino communities the most.
3) Studies show that the relatively small investments in SSPs in Massachusetts have resulted in huge savings in healthcare costs and lives saved due to reduced HIV transmission from injection drug use.
Treatment as Prevention: THE KEY TO AN AIDS FREE GENERATION - Irene Day and D...
This document summarizes the impact of antiretroviral treatment (HAART/ART) on HIV/AIDS in British Columbia, Canada from the 1990s onwards. Key points include:
- The introduction of HAART in the late 1990s led to sharp declines in AIDS-related deaths and increases in life expectancy for those with HIV in BC.
- Expanded access to ART through evolving treatment guidelines in BC was associated with decreases in new HIV diagnoses, AIDS cases, and all-cause mortality in the province.
- Combination prevention approaches including expanded ART access have helped control the HIV epidemic in BC and provide a model for other regions seeking to curb new infections through Treatment as Prevention.
Daily_Report_of_News,_Articles_and_Reports.pdf
The document summarizes media monitoring reports from June 30, 2022 related to the Department of Health in the Philippines. It outlines the total number of news articles monitored and provides a breakdown of topics. The top 5 trending topics were MPHS, booster shots, country risk classification, medical assistants, and case updates. For each topic, it describes the relevant news and identifies any potential issues and recommends actions. It also lists other prominent topics covered such as the alleged secretary of health, dengue cases, vaccine progress, second booster shots, and the alert level system.
What strategy for optimal health in poorest developing countries
This article analyzes strategies for achieving optimal health in developing countries with high rates of HIV/AIDS. It uses an economic model to study how international goals of zero new HIV infections, zero deaths from AIDS, and zero discrimination in healthcare access can be achieved. The model finds that HIV vaccines may be effective before individuals reach the "seropositivity" threshold, and medical care may slow death rates after individuals pass the HIV threshold but before reaching the AIDS threshold. However, once the AIDS threshold is passed, existing tools are no longer effective at fighting the virus. Overall eradication requires public education to change behaviors and cooperation between governments, international organizations, and low-cost drug companies on prevention and treatment.
Mexico CASALUD Final
The CASALUD model in Mexico aims to reform primary care delivery for patients covered by Seguro Popular, Mexico's public health insurance program. It introduces innovative technologies and care models to 1) proactively prevent and detect chronic diseases like diabetes, 2) implement evidence-based disease management, and 3) enhance patient engagement and provider training. The program currently operates in over 100 primary care clinics serving about 1.3 million patients. It uses electronic tools and mobile apps to systematically screen patients, support clinical decision-making, and monitor supply chains. Performance is evaluated using various process and health outcome measures, with results displayed on a dashboard to promote continuous quality improvement.
Statement of intent
This document outlines the purpose and context of a research study on the impact of health education on HIV prevention in Canada. [1] The study aims to understand how education impacts various intervention programs and factors that help education be successful. [2] It will also seek to understand perceptions incorporated in education that help HIV education programs. [3] Key issues examined will include whether education targets at-risk groups and whether service providers are flexible in assisting people with HIV.
HIV prevention-2020-road-map
The document outlines a road map to accelerate HIV prevention efforts to meet global targets of reducing new HIV infections by 75% by 2020. It finds that while progress has been made, declines in new infections have been too slow, with only 1.7 million new infections in 2016, an 11% decline since 2010. Of 25 focus countries, only 3 saw over 30% declines, while 8 had no decline or increases. No country met the 2015 target of 50% reduction. Faster progress is needed to avoid increased treatment costs and continued mother-to-child transmission programs. The road map proposes intensified prevention programs, especially for adolescent girls, young women and key populations.
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The document models the potential impact of non-pharmaceutical interventions on the COVID-19 epidemic in the UK. It finds that without interventions, there could be 23 million cases and 350,000 deaths by December 2021. Individual interventions like school closures or physical distancing may lower transmission rates but may not be enough. A combination of interventions is more effective but lockdown measures that substantially limit contacts outside the home are needed to reduce transmission to sustainable levels and prevent overwhelming health services. Intensive lockdown periods may need to continue for much of the year to control the epidemic.
Minnesota SEP State Fact Sheet 4.19.13
Syringe services programs (SSPs) have operated in Minnesota since 1995. Minnesota has one of the lowest rates of AIDS cases attributable to injecting drug use in the nation at 10.2%, compared to 25% nationally, due to its early efforts with SSPs. In 1997, Minnesota changed its laws to allow pharmacies to sell up to 10 syringes without a prescription. Studies have shown that investments in SSPs can result in savings of $3-7 for every $1 invested by reducing disease transmission and healthcare costs.
Adherencia al tarv en am latina y caribe
This systematic review and meta-analysis examined adherence to antiretroviral therapy (ART) among people living with HIV in Latin America and the Caribbean. The analysis included 53 studies published between 2005-2016 involving over 22,000 individuals across 25 countries. The overall adherence rate was estimated to be 70%, similar to rates in high-income regions. Adherence was higher with shorter recall periods and in lower income countries. Common barriers to adherence included substance abuse, depression, unemployment and pill burden. The review suggests adherence in the region may be below the level needed for long-term viral suppression.
covid19-global-impact-26-03-2020 Imperial college
1) An unmitigated COVID-19 epidemic could result in 7 billion infections and 40 million deaths globally.
2) Mitigation strategies could reduce infections by 30-38% and deaths by 19-55%, saving 16-20 million lives. However, even under mitigation, healthcare demand would overwhelm systems in all countries.
3) Suppression strategies that rapidly adopt public health measures like testing, isolation, and social distancing to reduce transmission by 75% could save 38.7 million lives if started early or 30.7 million lives if started later. Delays in suppression will lead to worse outcomes.
Amanda glassman
Most of the world's poorest people now live in middle-income countries rather than low-income countries. The total disease burden has also shifted to middle-income countries, where they face a high burden from diseases like tuberculosis, measles, HIV/AIDS, and vaccine-preventable diseases. While population sizes are larger in middle-income countries, disease burdens are also high due to lagging public health prevention programs and relatively poor vaccination performance compared to their economic status. Many middle-income countries will struggle to self-finance their immunization programs based on projected costs. A new, tailored strategy is needed to address disease burdens in middle-income countries.
ICSS Wireless Health
The document discusses the changing epidemiological profile in Latin America, where noncommunicable diseases have emerged as the main health burden. It notes the high rates of diabetes and other chronic conditions in the region. While some communicable diseases persist, the analysis is shifting from acute to chronic diseases. The text advocates for integrating health services and empowering patients through continuous bidirectional communication across multiple channels. It presents the Telecommunication for Health initiative, which uses mobile phones, the internet and telephone to provide strategic services that achieve "last mile delivery" and increase patient information and self-management of diseases.
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This document discusses the importance of syringe services programs (SSPs) and the partial lifting of the federal ban on funding for them. Key points:
- In the US, 8% of new HIV infections and 11 people per day are due to injection drug use. Injection drug users are twice as likely to be unaware of their HIV status.
- Outside of Africa, 30% of new HIV infections are due to injection drug use. No federal funding can currently go to SSPs outside the US.
- Hepatitis C is a leading cause of death among people living with HIV in the US and the leading cause of liver transplants.
- The House and Senate have identical language for a
HEWA_Syringe_Services_Programs_10232013(2)
This document discusses syringe services programs (SSPs) and addresses common myths about them. It provides data showing that SSPs: 1) provide a variety of services beyond just syringe distribution, including medical care, testing, and referrals; 2) do not increase drug use or undermine safety, and may in fact reduce improperly discarded syringes and increase treatment enrollment; and 3) help reduce health disparities among injection drug users by increasing access to services. The document aims to dispel myths about SSPs and present evidence that they provide significant public health benefits.
HIV prevention conference
This document discusses advancing HIV and hepatitis prevention for drug users by ending the ban on federal funding for syringe service programs (SSPs). It notes that 8% of new HIV infections in the US are due to injection drug use, and SSPs can help prevent the spread of diseases by providing clean syringes. While the ban was briefly lifted from 2009-2011, allowing federal funding of SSPs in some states, Congress reinstated the ban in 2011. The document argues for fully lifting the ban, as SSPs save lives and money by reducing disease transmission and healthcare costs. It provides examples of SSPs decreasing new HIV cases and saving millions in medical expenses. The document aims to dispel myths about
hesp
This document discusses harm reduction strategies for injection drug users, specifically syringe services programs (SSPs). It notes that SSPs can help reduce the spread of HIV, hepatitis C, and other infections among injection drug users and the community. However, there is currently a federal ban on the use of federal funds to support SSPs. The document advocates lifting this ban, as SSPs are supported by many medical and public health organizations and enjoy support at the local and state levels. Lifting the ban could allow federal funding of SSP services other than direct syringe provision and help address health disparities among injection drug users.
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This document summarizes a clinical skills workshop on overdose prevention and response through administering naloxone. It provides statistics showing the rise in overdose deaths from prescription drugs and heroin in the US. It describes who is at risk of overdose and when naloxone should be prescribed. The workshop reviews videos demonstrating naloxone administration and discusses how distributing naloxone saves lives without enabling drug use. Over 150,000 laypeople have been trained to reverse over 26,000 overdoses. The workshop encourages participants to educate others on naloxone and reducing overdose risk.
9-20-2016OklahomaCityPresentationMBL
This document discusses harm reduction strategies and syringe exchange programs (SEPs). It provides evidence that SEPs are effective in preventing HIV and hepatitis C by allowing for safe disposal of used needles and connecting injection drug users to medical care. The document reviews how SEPs make communities safer by reducing improperly discarded syringes, protect first responders from needlestick injuries, and do not increase crime rates. SEPs are also cost-effective by saving millions in avoided healthcare costs from prevented infections. The discussion aims to increase support for SEPs by addressing common myths and concerns.
Meghaan Walsh HJS Poster[1]
Syringe exchange programs (SEPs) have been shown to be a cost-effective intervention for preventing HIV among injection drug users (IDUs). SEPs are associated with an 80% reduction in HIV incidence among IDUs over the last 20 years. While HIV rates have decreased among most groups, IDUs have seen one of the largest improvements due in large part to SEPs increasing access to sterile syringes. However, SEPs remain controversial in the US despite evidence that they are cost-effective and reduce HIV transmission by providing sterile injection equipment and linking IDUs to healthcare. Further advocacy is needed to restore federal funding for expanding SEPs.
Clinical Skills Workshop
This document summarizes a clinical skills workshop on overdose prevention and response through administering naloxone. It discusses the rising rates of overdose deaths from prescription drugs and heroin in the US. It outlines when a naloxone prescription is appropriate and emphasizes that prescribing naloxone is safe and can help reduce overdose deaths by enabling family members and others to respond in an overdose situation. The document encourages trainees to educate others on overdose prevention and response.
2 5 16 Syringe Exchange Webinar
This document discusses injection drug use in Native communities and harm reduction strategies. It begins with an overview of injection drug use trends and why traditional interventions have been unsuccessful. It then discusses harm reduction approaches, which aim to reduce negative health consequences of drug use rather than focusing solely on abstinence. Specific harm reduction strategies discussed include syringe exchange programs and access to medications like buprenorphine to treat addiction. The document emphasizes that harm reduction is about protecting people and public health, not condoning drug use.
APHA federal funding for SSPs
This document summarizes efforts to end the ban on federal funding for syringe service programs (SSPs) in the United States. Advocates from 18 organizations came together to develop new advocacy strategies and materials informed by harm reduction approaches, updated data, and perspectives from new partners. The new data showed that SSPs save money by reducing healthcare costs and increasing access to addiction treatment. While progress has been made in lifting the ban, advocates will need to continue efforts to maintain funding and ensure proper implementation.
Pingree letter 12-3-15
The letter expresses appreciation for modifying the ban on federal funding for syringe access programs and urges the representative to include the modified rider in future funding bills. It argues that syringe access programs help address the opioid crisis and prevent disease by connecting drug users to treatment while reducing health risks. The letter cites data showing rises in opioid overdoses and hepatitis C cases in Maine to argue that syringe access programs are an important public health measure.
HJS_HIVSurveyProject
1) The survey found that while most providers were aware of CDC and D.C. HIV testing guidelines, only a small percentage were implementing them in practice.
2) Providers reported patient demographics that over-represented Caucasian and privately insured populations compared to actual D.C. demographics. Most providers did not understand the true extent of the HIV epidemic across D.C.
3) Limited time for counseling and beliefs that HIV was not an issue for their patient populations were the primary barriers cited to routine HIV testing. The study was limited by a small sample size but suggests biases may influence provider testing practices.
Needle Exchange Factsheet with references
Lifting the ban on federal funding for syringe services programs (SSPs) would allow localities to spend prevention funds as they see fit without additional costs. SSPs save $7 for every $1 spent by reducing HIV treatment costs and are a bridge to other health services. They make neighborhoods safer by providing a safe place to dispose of used needles and reducing injuries. The demographics of injection drug users are changing as prescription opioid misuse decreases and more users transition to heroin, becoming younger, female, and non-urban.
060811JointstatementHIV_final_
Six development agencies agreed to strengthen cooperation to increase the scale and effectiveness of infrastructure programs that combat HIV/AIDS in developing countries. They will work to mainstream HIV/AIDS prevention and treatment into infrastructure sectors like transport, energy, and water. This includes requiring contractors for large civil works projects to raise awareness of construction workers about preventing transmission. The agencies will also share best practices, ensure interventions align with national HIV/AIDS strategies, and encourage partnerships to expand successful programs while avoiding fragmented assistance. Their goal is to assess key interventions and scale up effective initiatives across other projects and partner country policies.
Nevada December 17
Several Nevada organizations wrote to Representative Amodei requesting that the House Appropriations Committee lift the federal ban on funding for syringe service programs (SSPs). They argued that SSPs are proven to be highly effective and cost saving in reducing HIV and hepatitis infections and connecting people to medical care and treatment services without increasing drug use. They cited the success of Northern Nevada HOPES' syringe exchange program in Reno, which has safely disposed of over 89,000 used syringes and referred over 100 clients to medical care and treatment. Lifting the federal ban would allow similar programs to be established in Las Vegas and southern Nevada to achieve comparable public health benefits and healthcare savings.
pwposter2006-7
PreventionWorks! is a needle exchange program in Washington DC that aims to reduce the spread of bloodborne diseases like HIV/AIDS among injection drug users. The organization operates a mobile van that provides clean needles in exchange for used ones at various sites throughout the city. In addition to needle exchanges, the van also distributes safe sex kits, food, clothing, and information about drug treatment programs. Volunteers with PreventionWorks! describe serving a diverse group of clients on the van, including injection drug users, crack smokers, and sex workers. The staff is dedicated to caring for clients and providing a safe community space for harm reduction.
Prevention_Works!2007-08[1]
This document summarizes the work of PreventionWorks!, a needle exchange program in Washington DC. A team of Georgetown medical students worked with PreventionWorks! to reduce HIV/AIDS and other diseases among injection drug users. PreventionWorks! operates a mobile van that provides clean needles in exchange for used ones, as well as medical referrals and supplies. It aims to reduce disease transmission through harm reduction services. The program has exchanged over 330,000 needles since 1998. A typical day involves the van stopping in areas with high drug use and infection rates to exchange needles and provide other assistance.
PreventionWorks![2008]
The document describes PreventionWorks!, an organization in Washington D.C. that provides harm reduction services including syringe exchange and healthcare referrals to injection drug users. It aims to curb HIV and other diseases among drug users and their partners/children. Services include mobile outreach exchange program and wrap-around services. Georgetown University students volunteered with PreventionWorks! by making kits, logging client services, and interacting with clients. They also worked on projects to provide clean water, wound care information, and listings of health resources to clients. The experience provided insights into life as a drug user and the context of drug use, while applying medical knowledge in real world settings.
PreventionWorks2009-10[1]
This document summarizes a harm reduction project in Washington D.C. called PreventionWorks!. The project aims to reduce harms from drug use and HIV transmission through services like needle exchange, safe sex kits, wound care, and referrals to treatment. They operate a mobile unit that visits neighborhoods in Northeast D.C. with many injection drug users. On a typical day, the mobile unit engages with about 30 people by providing supplies and linking them to medical care.
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New Mexico SEPs fact sheet_4.19.13
- 1. What do Syringe Services Programs (SSPs) mean for New Mexico? Why New Mexico? New Mexico is tied for ninth in the nation for lowest percentage of cumulative AIDS cases attributable to IDU (injection drug use) at 11.5%. This is considerably lower than the national average of 25.2%. 1 However, an estimated 62% of IDU in New Mexico are living with hepatitis B, and 83% with hepatitis C. 2 Syringe Services Programs Work in New Mexico The New Mexico Harm Reduction Act was passed in 1997, legalizing syringe services programs in the state.2 There are currently 50 SSPs in New Mexico. 3,4 By 2006, New Mexico’s central SSP had served over 9,000 individuals, had 4,000 active clients, and exchanged over 6.5 million syringes. 2 New HIV cases among IDUs in New Mexico have shown a decline since 1998. 2 There are about 24,000 IDUs in New Mexico. The prevalence of HIV among IDUs is about 2%. 2 This is much lower than the national average of 9%. 5 Federal dollars went to SSPs in New Mexico: Centers for Disease Control and Prevention, FY 2010: $132,000 Centers for Disease Control and Prevention, FY 2011: $ 90,800 Latinos and American Indians are disproportionately becoming infected with HIV through injection drug use. Although Latinos and American Indians comprise 43.2% and 9.9% of the population of New Mexico respectively, they represent 60% and 20% of new infections among IDUs. 2 However, Latinos are more likely to access SSPs. Figure 1, right: A larger proportion of Latinos (59%) participate in SSPs than is seen in the entire population of IDU living with HIV/AIDS (37%). 2 Syringe Services Programs are Cost-Effective New Mexico’s relatively small investment in syringe services funding can have huge returns. Studies have shown that every $1 invested in syringe services programs results in $3-7 in savings. 6 Thus, we can estimate the combined FY 2010 and FY 2011 CDC investment of $222,800 will result in up to $1,559,600 in savings. 1 Estimated Numbers of AIDS Diagnoses Among Adults and Adolescents by Transmission Category, Cumulative through 2010. Available at: http://www.statehealthfacts.org/comparetable.jsp?ind=845&cat=11 2 The New Mexico Integrated Epidemiologic Profile for HIV/AIDS Prevention and Care Planning 2006. New Mexico Department of Health. Available at: http://www.health.state.nm.us/pdf/HIV_Epi_Profile_2006.pdf 3 New Mexico: Sterile Syringe Exchange Programs, 2011. Available at: http://www.statehealthfacts.org/profileind.jsp?rgn=33&cat=11&ind=566 4 Syringe Exchange Program Coverage in the United States 2012. amfAR, NASEN, and Beth Israel Medical Center, 2012 (in publication). 5 Centers for Disease Control and Prevention, HIV Infection and HIV-Associated Behaviors Among Injecting Drug Users — 20 Cities, United States, 2009. MMWR. March 2, 2012. 6 Nguyen TQ. Increasing investment in syringe exchange is cost-saving HIV prevention: modeling hypothetical syringe coverage levels in the United States. Nineteenth International AIDS Conference, Washington DC, abstract MOAE0204, 2012.