The goal of tracking users is to be able to “case manage” progress with clients so that every contact has a purpose in reducing the harm of injection drug use and so the overall progress of the blood-borne infection epidemic and of its management can be monitored. [...] A review of the Saskatchewan programs from the point of view of public safety, maximization of needle exchange, volumes of needles exchanged, program policies and oversight, and community acceptability. [...] Review questions Questions addressed in this review, given in the terms of reference, included the following: Research evidence What does the research evidence say about effective practices in reducing the harm of blood-borne disease in the population through needle exchange? [...] The Reference Group included the Medical Health Officers of the Regina Qu’Appelle, Saskatoon, and Prince Albert Parkland Health Regions and the HIV/BBP/IDU Consultant of the Population Health Branch, Saskatchewan Ministry of Health. [...] The failure of abstinence-based treatments to control injection drug addiction, the growing risk of hepatitis and HIV infection among injection drug users, and the risk that posed to the general population, led to an approach to start by limiting harm rather than aiming immediately to stop drug use.
health education hiv infections aids cancer hepatitis medicine health care hepatitis b incidence hepatitis c therapy communicable disease harm reduction hiv infection cost–benefit analysis court health treatment health sciences drug rehabilitation virus disease needle exchange program needle exchange programs needle exchange drug injection injection drug users injection drug use bloodborne infections needle-exchange programs needle exchanges