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Summary: Response To Needle Swapping Varies (Press, 9 May 1989)
The Health Department of New Zealand has raised concerns regarding the low return rates of needles and syringes in its needle-swap scheme, which was implemented in May 1988. The scheme is designed to combat the spread of infectious diseases like AIDS by encouraging intravenous drug users to safely dispose of used needles and syringes. Mrs Lorraine Kerse, the scheme co-ordinator, indicated that the scheme has achieved nationwide participation from pharmacies, allowing comprehensive coverage, but noted stark variations in return rates, ranging from 20 per cent to 80 per cent in different areas. Mrs Kerse attributed the low return rates to users feeling apprehensive about potentially being associated with illegal drug activities, which deters them from returning their used equipment. To address these concerns, the Health Department is conducting a survey to understand users' methods of disposal for their needles and syringes. In an effort to improve awareness, new posters have been created, featuring images of syringes with the message "return," aimed at reminding users of the safe return options available to them. Christchurch has emerged as a model for successful needle return rates, largely due to the involvement of supportive pharmacists and a non-judgmental approach from local police towards users. Contrastingly, in other regions, some pharmacists display judgemental attitudes which contribute to users' reluctance to return syringes. The Health Department plans to survey workplaces to gauge knowledge about AIDS and the general public’s attitudes towards individuals living with the disease. Mrs Kerse expressed intentions to develop educational kits for workplaces, which could facilitate understanding and inform management policies regarding health issues related to AIDS and HIV. The Department aims to cultivate a supportive environment for users to embrace the objectives of the needle-swap scheme and promote safer practices. Evidence from international studies suggests that providing adequate information and education about AIDS can lead to reduced discrimination against those affected by the disease. The overarching goal remains to encourage the uptake of the needle exchange principle, fostering safe disposal methods while addressing public health concerns.
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