This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

This book reports on research on and experience with needle exchange and bleach distribution programs and their effects on rates of drug use, the behavior of injection drug users, and the spread of HIV and other infectious diseases among injection drug users. It discusses U.S. needle exchange data, international evaluations of needle exchange programs, legal issues and drug paraphernalia laws, evaluation methods, and bleach distribution programs.

This book explores the lived experiences of people who interact with needle and syringe program services in Western Sydney, Australia, including participants and industry workers. It locates the research within the wider context of harm reduction and drug policies. It addresses the question "what do needle and syringe programs do?" and seeks to unpack the agency of human and non-human factors to consider the ‘more than human’ effects of these programmes. Alongside a critical materialist perspective used to interpret the empirical findings, the book demonstrates that needle and syringe programs create new possibilities for engaging with the world by changing the material conditions of illicit drug consumption. It draws on the conceptual contributions of post-humanist thinking from assemblage theory, actor-network theory, and cognate scholarship. Consideration is given to transferable findings and insights for international contexts. The book speaks to scholars and postgraduate students in the areas such as sociology, criminology, social work, critical public health, cultural studies, and related fields.