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HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM

HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM. Debra Harris, Ph.D., California State University, Fresno. Needle Exchange Program (NEP) - Fresno, California. Needles Exchanged in 1 hour – 10,000 used needles Number of Individual Attending - 150.

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HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM

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  1. HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM Debra Harris, Ph.D., California State University, Fresno

  2. Needle Exchange Program (NEP) - Fresno, California Needles Exchanged in 1 hour – 10,000 used needles Number of Individual Attending - 150

  3. Needle Exchange Program - Fresno

  4. Needle Exchange Program - Fresno

  5. Problem • 1.1 million people in the U.S. – HIV • 3.9 million in the U.S. – Hepatitis C • Transmission – illegal drug activity • Fresno Board of Supervisors – NEP encourage needle use

  6. Aim of Program • Decrease HIV & Hepatitis C • Encourage Treatment • Seek Legalization – Fresno County Board of Supervisors

  7. Aim of Evaluation / Method • Evaluate Participant Behavior – • Does the NEP have an effect on needle sharing? • Does the NEP have an effect on needle re-use? • Do people enroll in treatment? • Institutional Review Board – approved! • Quantitative Survey • Individual Interviews – researcher and students • No Rewards

  8. Results of Evaluation • 106 Individuals Interviewed • Gender • Male – 67.9% (72) • Females – 32.1% (34) • Age – 44.4 years • HIV Positive – 4.5% (5) • Hepatitis C – 39.6 (42) • Drug Used • Heroine 68.9% (73) • Methamphetamine 38.7% (41)

  9. Results of Evaluation (continued) • Few Individuals Sought Drug Treatment

  10. Result of Evaluation (continued) • Sharing Needles – Significant difference between those who shared before compared to those who shared after the NEP • Controlled for Gender – Males significant; not females • Re-Using Needles – Significant difference between those who shared before compared to those who shared after the NEP • Controlled for Gender – Males significant; not females

  11. Human Rights Issues Related to Evalution (lessons learned) • Drug Using Individuals • Health Care Access • Treatment • Professionals • Free From Jail • Public Opinion

  12. Fresno Board of Supervisors – denied any approval

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