Exchange programs resulted in increased hiv

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Exchange programs resulted in increased HIV transmission and social networks Vlahov writes: The Role of Needle Exchange Programs in HIV Prevention Author(s): David Vlahov and Benjamin Junge Source: Public Health Reports (1974-), Vol. 113, Supplement 1: HIV Prevention with Drug- Using Populations: Current Status and Future Prospects (Jun., 1998), pp. 75-80 Published by: Association of Schools of Public Health 2
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Meadows LD NAME T OPIC YEAR More recently a study was published using a case- control analysis nested within a cohort study in Montreal . Of 974 HIV-seronegative subjects followed an average of 22 months, 89 subjects seroconverted. Consistent use of needle exchange compared with nonuse was associated with an odds ratio for HIV seroconversion of 10.5, which remained elevated even during multivariate adjustment. The authors concluded that NEPs were associated with higher HIV rates and speculated that the exchange may have facilitated formation of new social networks that might have permitted broader HIV transmission. In an accompanying commentary,22 Lurie criticized the Montreal study saying that the more likely explanation for the find- ings was that powerful selection forces attracted the most risky IDUs as evidenced by substantial differences in the baseline data for the exchangers vs. nonexchangers : exchangers had higher injection frequencies, were less likely to have a history of drug abuse treatment, were more likely to share needles and use shooting galleries, and had a high HIV prevalence . Needle exchange programs increase HIV prevalence. (David Noffs Writes,) David Noffs executive director of the Life Education Center 20 09 (David Noffs is the Founder and Executive Director of the Life Education Center, USA., headquartered in Elmhurst, Illinois. July 2009 ) Even more disturbing is a recent Vancouver study showing significant increases in HIV among intravenous drug users despite Vancouver having the largest needle exchange program in North America. HIV prevalence among intravenous drug users has risen from 1-2% in 1988 to a current rate of 23% ( Strathdee, 1997). In a Montreal study , intravenous drug users participating in the needle exchange program were twice as likely to become infected with HIV as those who did not participate (Bruneau J et al, 1995). Needle exchange programs condone drug abuse behavior. David Noffs executive director of the Life Education Center 20 09 (David Noffs is the Founder and Executive Director of the Life Education Center, USA., headquartered in Elmhurst, Illinois. July 2009 ) Opponents of needle exchange, including some law enforcement, drug treatment, and church officials, have argued that easing access will undermine the "war on drugs," both symbolically and practically, by giving rise to new ranks of injection drug users. A program that is only partially effective in preventing the sharing of contaminated injection equipment could have the net effect of increasing AIDS deaths if it also boosts the number of injection drug users .
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