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Beirut April 2011

Beirut April 2011. Beirut April 2011. Beirut April 2011. Beirut April 2011. Beirut April 2011. Beirut April 2011. Harm Reduction Coalition Policy Statement on Auto-Disable Syringes. Dr Sharon Stancliff, Medical Director - New York Office. Auto-disable syringes.

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Beirut April 2011

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  1. Beirut April 2011

  2. Beirut April 2011

  3. Beirut April 2011

  4. Beirut April 2011

  5. Beirut April 2011

  6. Beirut April 2011

  7. Harm Reduction Coalition Policy Statement on Auto-Disable Syringes Dr Sharon Stancliff, Medical Director - New York Office

  8. Auto-disable syringes • WHO-UNICEF-UNFPA joint statement (1999) • By the end of 2003, all countries should use only auto-disable syringes for administering all immunizations • UNICEF (2001) • No longer enter into procurement contracts for standard disposable syringes • WHO guidelines for single use syringes (2007) • Reuse prevention syringes prequalify for procurement

  9. WHO: Safe syringes for injection safety 1. Reuse Prevention Feature Auto-disable b) Breaking plunger • 2. Reuse and Needle Stick Prevention Features • Needle Stick Prevention b) Retractable syringes

  10. Issues • Several countries moving towards exclusive import of auto-disable syringes • Syringe procurement strategies that don’t take the needs of PWID into account • Difficulty of “being heard” in countries where PWID don’t have a voice

  11. Unintended consequences • Reduced availability of standard disposable syringes • Auto-disable syringes generally not suited to drug preparation and injection • Modification of auto-disable syringes • Difficult to effectively clean • Circumvent auto-disable feature by sharing before plunger fully depressed

  12. Syringes Used by IDUs Vary in Size and Design Low dead High dead space space

  13. Vietnam – HDSS 3ml detachable needle (Front loading)

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