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Problematic and injecting drug use – findings from the Harm Reduction Database (HRD). Presenter: Josie Smith, Health Protection, PHW. Estimates of problematic and injecting drug use. EMCDDA

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problematic and injecting drug use findings from the harm reduction database hrd
Problematic and injecting drug use – findings from the Harm Reduction Database (HRD)

Presenter: Josie Smith, Health Protection, PHW

estimates of problematic and injecting drug use
Estimates of problematic and injecting drug use

EMCDDA

  • Problematic drug use – “injecting drug use or long duration or regular use of opioids, cocaine and/or amphetamines”
  • UK estimates indicate around 1% or 10 per 1000 population aged 15 – 64 years
  • Translates to around 20,000 individuals in Wales
  • Injecting drug use – UK estimates indicate around 0.4% of population aged 15 – 64 years
  • Translates to around 8,000 individuals in Wales
wales hrd data 1 09 10 31 03 11
Wales HRD data 1/09/10 – 31/03/11

7277 individuals registered with needle exchange

  • Female – 1004 (14%)
  • Male – 6273 (86%)

Would expect:

25% female

75% male

Pharmacy?

  • What is the extent of secondary / peer distribution?
details available for analysis
Details available for analysis
  • Age
  • Gender
  • Year of first injecting
  • Area of residence
  • Housing status
  • Substances used
  • Blood borne virus monitoring
  • Injecting equipment reuse and sharing behaviour
uses of data reporting mechanisms
Uses of data / reporting mechanisms
  • Provider activity data
    • Planning of opening times, additional services for young people, females, steroid users
    • Address additional health / other needs
    • Address specific risk behaviours with service users
  • Local planning (APB/CSP/SMARTs)
    • Coverage
    • Quality
    • Nature of local injecting (and wider problematic drug use) behaviours
  • National planning (WAG, Public Health)
next steps improving data quality
Next steps: Improving data quality
  • Some services completing client details
  • Other services completing bare minimum - visits to sites reinforcing need to complete client details/assessment in order to provide quality service
next steps rolling out to pharmacy
Next steps : rolling out to pharmacy
  • Working in conjunction with Pharmacy WAG to implement in existing community pharmacy services across Wales (2011)
  • Addition of take home Naloxone section – stat and voluntary sector
slide12
All service users and staff from voluntary and statutory services

Regional co-ordinators

WAG

Public Health

Thank you!

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