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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.
In lay language, Cocaine, AIDS, and Intravenous Drug Use presents what works and what doesn't work in counseling drug dependent persons. Those in the substance abuse treatment field have been concerned in the last few years with combating the deadly combination of cocaine addiction and AIDS. This encouraging book describes in detail, new methods being tested for effectively decreasing the risks for HIV infection of drug-dependent persons. Cocaine, AIDS, and Intravenous Drug Use shows the harsh realities of the cycle of drug use and the spread of AIDS and fosters a realistic understanding of the choices facing treatment programs and agencies. Helping to generate a research agenda for the 1990s, this needed book examines what has been successful in treatment and prevention and raises issues to promote greater research in the fields for improved treatment and prevention of drug abuse and HIV infection.