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Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns
BACKGROUND: Syringe-dispensing machines (SDM) provide syringes at any time even to hard-to-reach injecting drug users (IDUs). They represent an important harm reduction strategy in large populated urban areas such as Paris. We analyzed the performance of one of the world's largest SDM schemes b...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037274/ https://www.ncbi.nlm.nih.gov/pubmed/24885902 http://dx.doi.org/10.1186/1477-7517-11-16 |
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author | Duplessy, Catherine Reynaud, Emmanuel G |
author_facet | Duplessy, Catherine Reynaud, Emmanuel G |
author_sort | Duplessy, Catherine |
collection | PubMed |
description | BACKGROUND: Syringe-dispensing machines (SDM) provide syringes at any time even to hard-to-reach injecting drug users (IDUs). They represent an important harm reduction strategy in large populated urban areas such as Paris. We analyzed the performance of one of the world's largest SDM schemes based in Paris over 12 years to understand its efficiency and its limitations, to answer public and stakeholder concerns and optimize its outputs. METHODS: Parisian syringe dispensing and exchange machines were monitored as well as their sharp disposals and associated bins over a 12-year period. Moreover, mechanical counting devices were installed on specific syringe-dispensing/exchange machines to record the characteristics of the exchange process. RESULTS: Distribution and needle exchange have risen steadily by 202% for the distribution and 2,000% for syringe recovery even without a coin counterpart. However, 2 machines out of 34 generate 50% of the total activity of the scheme. It takes 14 s for an IDU to collect a syringe, while the average user takes 3.76 syringes per session 20 min apart. Interestingly, collection time stops early in the evening (19 h) for the entire night. CONCLUSIONS: SDMs had an increasing distribution role during daytime as part of the harm reduction strategy in Paris with efficient recycling capacities of used syringes and a limited number of kits collected by IDU. Using counting devices to monitor Syringe Exchange Programs (SEPs) is a very helpful tool to optimize use and answer public and stakeholder concerns. |
format | Online Article Text |
id | pubmed-4037274 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40372742014-05-29 Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns Duplessy, Catherine Reynaud, Emmanuel G Harm Reduct J Research BACKGROUND: Syringe-dispensing machines (SDM) provide syringes at any time even to hard-to-reach injecting drug users (IDUs). They represent an important harm reduction strategy in large populated urban areas such as Paris. We analyzed the performance of one of the world's largest SDM schemes based in Paris over 12 years to understand its efficiency and its limitations, to answer public and stakeholder concerns and optimize its outputs. METHODS: Parisian syringe dispensing and exchange machines were monitored as well as their sharp disposals and associated bins over a 12-year period. Moreover, mechanical counting devices were installed on specific syringe-dispensing/exchange machines to record the characteristics of the exchange process. RESULTS: Distribution and needle exchange have risen steadily by 202% for the distribution and 2,000% for syringe recovery even without a coin counterpart. However, 2 machines out of 34 generate 50% of the total activity of the scheme. It takes 14 s for an IDU to collect a syringe, while the average user takes 3.76 syringes per session 20 min apart. Interestingly, collection time stops early in the evening (19 h) for the entire night. CONCLUSIONS: SDMs had an increasing distribution role during daytime as part of the harm reduction strategy in Paris with efficient recycling capacities of used syringes and a limited number of kits collected by IDU. Using counting devices to monitor Syringe Exchange Programs (SEPs) is a very helpful tool to optimize use and answer public and stakeholder concerns. BioMed Central 2014-05-22 /pmc/articles/PMC4037274/ /pubmed/24885902 http://dx.doi.org/10.1186/1477-7517-11-16 Text en Copyright © 2014 Duplessy and Reynaud; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Research Duplessy, Catherine Reynaud, Emmanuel G Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title | Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title_full | Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title_fullStr | Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title_full_unstemmed | Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title_short | Long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
title_sort | long-term survey of a syringe-dispensing machine needle exchange program: answering public concerns |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037274/ https://www.ncbi.nlm.nih.gov/pubmed/24885902 http://dx.doi.org/10.1186/1477-7517-11-16 |
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