Health
Study reveals benefits of expanding needle exchange programs in prisons
“Needle exchange programs are evidence-based programs that prevent the transmission of bloodborne viruses, reduce injection-related infections, improve access to health care, and encourage participation in drug addiction programs for people who inject drugs.” strategy,” writes Dr. Farah Houdroge. Co-author, Disease Elimination Program, Burnett Institute, Melbourne, Australia.
As part of its strategy to eliminate hepatitis C, the World Health Organization has set a goal to reduce the number of people who inject drugs and become infected with hepatitis C to less than 2 per 100 people each year. In 2024, Canada released a report on sexually transmitted and blood-borne infections 2024-2030. Infectious disease action plan emphasizing support for harm reduction programs and expansion of PNEP.
Researchers from Canada and Australia sought to assess the return on investment and potential impact of scaling up Canada's PNEP as part of efforts to eliminate bloodborne infections in prisons. Using modeling studies, they found that expanding the program to 50% of all federal prisons that inject drugs by 2025 to 2030 would result in 15% of new hepatitis C cases being injection-related compared to the status quo. It was found that 8% of infections can be prevented.
“This study adds to the body of evidence supporting new energy power plants as an effective harm reduction strategy that also reduces costs. “Energy power plants should be a priority not only in Canada but globally,” the authors conclude. .
In a companion commentary, the authors argue that more comprehensive interventions are needed to make drug use in correctional facilities safer and, in particular, to reduce the associated risk of acute death. “Prison-based programs aimed at reducing health harms from drug use by correctional inmates should be carefully evaluated as part of their implementation, especially as has been done in related research on needle exchange programs. Without systematic expansion and increase, without access to such programs, Canadian prisoners will remain at unnecessarily high risk of poor health and death from the negative effects of drug use.” concludes the author.
“Cost-Benefit Analysis of Canada's Prison Needle Exchange Program for the Prevention of Hepatitis C and Injection-Related Infections” and “The Burden of Drug Overdose Deaths in Correctional Populations: Implications for Interventions.” will be released on December 16, 2024.
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Reference magazines:
Fisher, B. and others. (2024). Burden of drug overdose deaths in correctional populations: Implications for interventions. Canadian Medical Association Journal. doi.org/10.1503/cmaj.241661.
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