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Pharmacy-Based Syringe Access : The Illinois Experience

Pharmacy-Based Syringe Access : The Illinois Experience. Jessica Terlikowski AIDS Foundation of Chicago. Passed Illinois Syringe Purchase Law in 2003 10 year effort that began in 1993 Chicago Recovery Alliance and clients encouraged AFC to take issue on

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Pharmacy-Based Syringe Access : The Illinois Experience

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  1. Pharmacy-Based Syringe Access: The Illinois Experience Jessica Terlikowski AIDS Foundation of Chicago

  2. Passed Illinois Syringe Purchase Law in 2003 • 10 year effort that began in 1993 • Chicago Recovery Alliance and clients encouraged AFC to take issue on • Introduced legislation each year for six years • Finally made it out of committee in 1999 • Launched and sustained full-fledged campaign Background…

  3. Amended IL Drug Paraphernalia Act • Permits non-prescription syringe purchase by those 18 and older • Pharmacists can refuse • Allows adults to possess up to 20 syringes without a prescription • Pharmacists are not required to record individuals purchasing syringes • Requires syringes be kept behind pharmacy counter • Disposal guidelines • Educational materials What the law does…

  4. Compiled all syringe access research • Built diverse coalition • Coalition for Responsible Syringe Policy • De-emphasized AFC’s role • 22 endorsing organizations • Recruited bipartisan sponsorship • Involved bill sponsors in strategy development • Secured Blago’s support before elected guv How we did it…

  5. Created range of materials • Comprehensive brief • Factsheets, FAQs, petition • List of supportive organizations • Special messages for special people • Sponsor’s story– traveling diabetics • IL wouldn’t be the first state • Disease prevention • Financial incentive • Desire to be active in promoting health • Grassroots mobilization • 4,000 petitions • Top issue for annual lobby day How we did it…

  6. Pharmacist education • Trainings and presentations • Regular mailings • Relationships with professional associations, chain pharmacies • Teachable moments • AFC serves as resource • Consumer education • NEP and CBO promotion • AFC as resource How we make it work…

  7. Partner with IDPH to distribute sharps containers to non-prescription syringe purchasers • Program participation is free for pharmacies and customers • Nearly 1,100 Illinois pharmacies and 50 CBOs participate • 43% of the Illinois pharmacies are enrolled in the Sharps Container Disposal Program • BUT only 29% say they are enrolled How we promote disposal…

  8. UIC Study of Pharmacists’ Attitudes • 95% aware of law • 13% increase in willing to sell syringes. • 2004-51%; 2007-64% • 79% report selling syringes w/o prescription. • 77% report customers requesting syringes. • More than 85% willing to provide information on: • injection-related infections, OD prevention, disposal, treatment referrals • Separate UIC survey of 94 IDUs 18-25 years, • Asked where they obtained needles in last six months • 93%--drug store • 53%--NEP Is it working???

  9. Reported HIV diagnoses among IL IDUs 01-06

  10. Jessica Terlikowski jterlikowski@aidschicago.org (312) 334-0931

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