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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Shifting the paradigm: physician-authorized, student-led efforts to provide harm reduction services amidst legislative opposition
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Shifting the paradigm: physician-authorized, student-led efforts to provide harm reduction services amidst legislative opposition

机译：转移范式：医师授权，学生为LED努力提供伤害减少服务，在立法反对中

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For over 30 years, syringe services programs (SSPs) have served as an efficacious intervention for the prevention of HIV and Hepatitis C transmission among persons who use drugs. Despite a strong body of evidence for the effectiveness of SSPs as a preventative public health measure, numerous local and state governments in the United States continue to resist the establishment of new SSPs and aggressively pursue the closure of those already in operation. In Orange County, California, local officials have repeatedly mobilized in opposition of the establishment of syringe access – thereby hindering access to healthcare for thousands of predominantly unhoused individuals. The county was previously served by the Orange County Needle Exchange Program from 2016 until 2018 when a civil suit brought by the Orange County Board of Supervisors resulted in the closure of the program. For more than 2 years, persons who inject drugs in Orange County lacked reliable access to clean syringes, placing them at increased risk for contracting HIV and Hepatitis C. Here, we comment on the ongoing effort to restore syringe access in Orange County. This collaborative physician-directed endeavor has brought together students and community volunteers to provide vital harm reduction services to a remarkably underserved population. Since the reestablishment of syringe access in Orange County by the Harm Reduction Institute, new legal barriers have arisen including the passage of new municipal legislation banning the operation of syringe exchanges. We are well-equipped to overcome these obstacles. This work serves as an affirmation of assertions made by previous authors regarding the unique qualifications of medical & graduate students as effective harm reductionists. Harm reduction services are vital to the health and well-being of people who use drugs. The provision of these services should not be impeded by legislative interference by municipal, county, or state governments.
机译：超过30年，注射器服务计划（SSP）曾担任预防使用药物的人的艾滋病毒和丙型肝炎传播有效干预。尽管SSPS的有效性强大的证据作为预防性公共卫生措施，但美国的众多当地和州政府继续抵制建立新的SSP，并积极追求已经运作的人的闭幕。在加利福尼亚州的奥兰治县，当地官员反对制定注射器进入的反对派 - 从而阻碍了对医疗保健的进入数千个主要无情的个体。该县以2016年从橙县针兑换计划送达2016年，直到2018年，当时橙县监管委员会带来的民事诉讼导致该计划结束。超过2年，在橙县注入药物的人缺乏可靠的清洁注射器的可靠性，将它们增加收缩艾滋病毒和丙型肝炎的风险增加。在这里，我们正在评论恢复橙县注射器的持续努力。这种合作的医师导向的努力使学生和社区志愿者汇集在一起​​，为一个非常方向的人口提供了重要的伤害服务。自危害危害研究所的橙县注射器进入以来，出现了新的法律障碍，包括新的市政立法禁止注射器交易所的运作。我们配备了很好的克服这些障碍。这项工作是对先前作者提出的关于医学和研究生独特资格作为有效伤害还原剂的肯定的肯定。伤害减少服务对使用药物的人的健康和福祉至关重要。不应通过市，县或州政府的立法干预来阻碍这些服务的规定。

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