drug users of the importance of disinfecting shared injection equipment and the importance of following the appropriate procedures.

Recommendations

The panel recommends that:

  • Health research funding agencies (e.g., the National Institutes of Health, the Centers for Disease Control and Prevention, and the Agency for Health Care Policy and Research) should support research directed toward identifying the simplest to use and most effective disinfection strategies, employing agents that are readily available to injection drug users.

  • Health research funding agencies (e.g., the National Institutes of Health, the Centers for Disease Control and Prevention) should support development of effective education strategies for familiarizing injection drug users with methods of effective bleach disinfection.

NOTES

1.  

The disparity between the number of follow-up and the number of individuals included in the analyses (in particular, the sex partners) is not discussed in the final report.

2.  

The follow-up rates per site were not reported for all sites. Of those reported, the rates ranged from a low of 2 percent to a high of 74 percent.

3.  

The Chicago study was completed before the needle exchange evaluation study reviewed in Appendix A. As the reader will note, this cohort of injection drug users (which represented a sizable proportion of the needle exchange sample) had experienced substantial reductions in drug-use risk behavior and HIV incidence prior to the needle exchange evaluation study. This provides an historical context for reviewing the needle exchange evaluation project presented in Appendix A.

REFERENCES

Battjes, R., and R. Pickens 1992 Trends in HIV Infection and AIDS Risk Behaviors Among Intravenous Drug Users in Selected U.S. Cities. Abstract No. PoC 4247. International Conference on AIDS 8(2):C286. 1993 Trends in HIV Infection and AIDS Risk Behaviors Among Intravenous Drug Users in Selected U.S. Cities. Abstract No. PO-C15-2950. International Conference on AIDS 9(2):709.

Becker, M.H., and J.G. Joseph 1988 AIDS and behavioral change to reduce risk: A review. American Journal of Public Health 78(4):394-410.

Becker, G.L., S. Cohen, and R. Borer 1974 The sequelae of accidentally injecting sodium hypochlorite beyond the root apex. Oral Surgery 38(4):633-638.



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