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首页> 外文期刊>Harm Reduction Journal >The Washington Needle Depot: fitting healthcare to injection drug users rather than injection drug users to healthcare: moving from a syringe exchange to syringe distribution model
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The Washington Needle Depot: fitting healthcare to injection drug users rather than injection drug users to healthcare: moving from a syringe exchange to syringe distribution model

机译：华盛顿针头仓库：使医疗保健适合注射毒品使用者，而不是使注射毒品使用者适合医疗保健：从注射器交换转变为注射器分配模型

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摘要

Needle exchange programs chase political as well as epidemiological dragons, carrying within them both implicit moral and political goals. In the exchange model of syringe distribution, injection drug users (IDUs) must provide used needles in order to receive new needles. Distribution and retrieval are co-existent in the exchange model. Likewise, limitations on how many needles can be received at a time compel addicts to have multiple points of contact with professionals where the virtues of treatment and detox are impressed upon them. The centre of gravity for syringe distribution programs needs to shift from needle exchange to needle distribution, which provides unlimited access to syringes. This paper provides a case study of the Washington Needle Depot, a program operating under the syringe distribution model, showing that the distribution and retrieval of syringes can be separated with effective results. Further, the experience of IDUs is utilized, through paid employment, to provide a vulnerable population of people with clean syringes to prevent HIV and HCV.
机译：针头交换计划追逐政治巨龙和流行病巨龙，并在其中包含隐性的道德和政治目标。在注射器分配的交换模型中，注射吸毒者（IDU）必须提供用过的针头才能接收新的针头。分发和检索在交换模型中并存。同样，一次只能接收多少根针的限制使成瘾者不得不与专业人员接触多个点，从而使他们对治疗和排毒的优点印象深刻。针筒分配程序的重心需要从针头交换转移到针头分配，从而可以无限制地使用针筒。本文提供了华盛顿针库的一个案例研究，该程序在注射器分布模型下运行，表明可以将分布和取回注射器分开，并获得有效的结果。此外，通过有偿就业利用吸毒者的经验，为脆弱的人群提供清洁的注射器，以预防艾滋病毒和丙肝病毒。

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