1. The document reports on a study of injecting drug users in Bahawalpur, Pakistan conducted from 2012-2013. It examines the drugs used, source of income, family situation, effects on school/work, needle sharing practices, criminal behavior, sexual practices, health issues, HIV awareness and testing. 2. The most commonly used drug was morphine, which is cheap and readily available. Users would dissolve it with diazepam or other drugs and inject intravenously, which can lead to overdose or death. 3. Many syringes were reused multiple times or cleaned inadequately, increasing risk of disease transmission. Health issues among users included overdose, infections, wounds and

1. 2. Kate Dolan National Drug and Alcohol Research Centre, University of New South Wales Sydney, Australia. K.dolan@unsw.edu.au
1. ZEESHAN AYYAZ
Amitiel Welfare Society, Pakistan.
amitielwelfare@gmail.com
Study on Injecting Drug Users In Bahawalpur Pakistan (2012-13).

2. Outline of presentation
•Drugs
•Source of income
•Family
•School or job suffered
•Sharing syringes/needles information
•Crime info
•Sexual Behavior
•Health behavior
•Awareness of HIV
•HIV tested and interested in HIV test.

3. Tablet: Morphine
Morphine
•Powerful pain killers
•Cheap
• Normal cost 15 to 25. PKR
•Available in Market
•Gives a soothing effect
•With in a week people get addicted
•IDUs dissolve it in Avil and Diazepam ampoule and inject in to the body via intravenous.
•Negative out come: stroke, overdose ,death .

4. Infected Syringes
Syringe
•Normal cost 10 to 20. PKR
•Syringes are shred (82%)
•Used for long time (6 to 7)
•Clean with tap water (98%)
•It is a good source of transmission of various disease
•Pic of Mr. Asif suffered of HIV and died in January 2010

5. Diazepam
•Cheap
•Normal cost 12 to 15. PKR
•Easily available
•Boost the mood
•Used as a relaxant
•Improves sleep and dose
•IDUs dissolve it in tablet Morphine and inject in to the body by intravenous.
Diazepam in liquid form

6. Avil in ampoule form

7. Ampoule Diazepam & Avil IDUs just purchase from the Chemist shop

8. Hot Spots of IDUs
Garbage, Openly at Streets, Parks, Footpaths and Graveyards Favourite places of IDUs.

9. Mode of drug use
•The mode of drug used was (100%) by injection intravenous.

10. Adolescent IDU along with his dose

11. Drug-related harm
•Overdose
•HIV / AIDS
•Hepatitis C
•Wounds
•Abscesses
•Crime
•Community and family problems
•Economic loss
•Death
11

12. Dose Making

13. Overdose

14. Treatment Available for Injecting Drug Users
•Detoxification
•Psychological counselling
•Self help
14

15. Mean and First time using drugs age
•Their ages ranged from 15-54 years old with a mean of 24.4 years.
•First time drug users ages ranged from 15 to 54 years with a mean age of 18.7 years.

16. Source of Income
•All most IDUs source of income was scavenging from Garbage (82%).

17. Family and Community attitude
•IDUs said parents attitude hatred with them (67%).
•IDUs said siblings attitude hatred towards them (48%).
•IDUs said community attitude with them hatred (62%), avoiding (28%), sympathy (8%) and love/caring ONLY (2%).

18. Family members involvement
•IDUs said their family involvement of drugs no (60%) and yes (40%).

19. School or job suffered
•IDUs said due to drugs use performance at school/job affected yes (68%) and no (32%) said.

20. Reason of shifting
•IDUs said reason of starting drugs was Escape from their problems (64%), fashion (28%) and don’t have self control (8%).

21. Want to quit drug use
•Asked want to quit drugs, IDUs said yes (54%) and no (46%).

22. Drug related crime info & Have you ever arrested
•Asked stolen to buy drugs, IDUs said yes (76%) and no (24%) said.
•Asked have you ever been arrested, IDUs said no (54%) and yes (46%).

23. Sexual Behavior & Use of condom
•Asked have you ever had sexual intercourse, IDUs said yes (94%) and no (6%) said.
•Asked know about the safe sex, IDUs said no (84%) and yes (16%).
•Asked use condom, IDUs said no (84%) and yes (16%).

24. IDUs Interest to watch porn and Masturbation
•Asked like to watch porn movies, IDUs said don’t like to watch porn movie (64%) and yes like to watch (36%).
•When asked from IDUs about masturbation practice, they said no (56%) and yes (44%).

25. Wounds due to unhygienic conditions

26. Wounds due to unhygienic conditions

27. Health behavior

28. Wounds due to unhygienic conditions

29. Treated by Amitiel Volunteers

30. Outreach Health Care Volunteer

31. Treated by Amitiel Volunteers

32. Awareness of HIV/AIDS & HIV tested and interested in HIV test.
•Asked know about the HIV/AIDS, IDUs said no (88%) and yes (12%).
•When asked HIV tested, all IDUs said no (100%).
•If no HIV tested interested in being test yes (90%) and no (10%).

33. Thank you
Zeeshan Ayyaz
https://www.facebook.com/pages/Amitiel-Welfare-Society/328699640555076?fref=ts
Kate Dolan
http://ndarc.med.unsw.edu.au/people/professor-kate-dolan