November 2012 Prepared for the Contra Costa Board of Supervisors by Contra Costa Health Department Needle Exchange Update.

Slides:

Advertisements

Similar presentations

Integration of Viral Hepatitis Prevention with STD Prevention: What Health Professionals Should Know Presenter: Jay Todd, Training and Public Education.

Advertisements

Case Identification for the Missouri Perinatal Hepatitis B Prevention Program Libby Landrum, RN, MSN Viral Hepatitis Prevention Manager Bureau HIV, STD,

HIV and STD in Maine Data from the Bureau of Health HIV/STD Program Contact: Mark Griswold (207)

CASE STUDIES OF PUBLIC HEALTH RESEARCH THAT HAVE ALTERED PUBLIC POLICY THE NEW HAVEN SEP EVALUATION.

HIV/AIDS AMONG LATINOS IN NEW JERSEY presented by: Gloria M. Rodriguez, DSW Assistant Commissioner Division of AIDS Prevention and Control presented at.

National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention Epidemiology of HIV Infection through 2012.

HIV/AIDS Prevalence & Mortality Report, 2010 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

UPDATE ON THE SYPHILIS EPIDEMIC IN INDIANAPOLIS Janet Arno, MD and Jutieh Lincoln, MPH February 9, 2011 Marion County Public Health Department (MCPHD)

Syringes in Paradise Over 20 Years of Syringe Exchange in Hawai ʿ i Heather Lusk CHOW Project

HIV/AIDS Prevalence & Mortality Report, 2001 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

California Department of Public Health Office of AIDS Access to Sterile Syringes: Changes to California Law Alessandra Ross, MPH InjectionUse Specialist.

Overview of Syringe Exchange Programs New York City Police Academy November 24, 2004.

Incorporating HIV and Viral Hepatitis Testing and Referral into Idaho Drug Court Programs Presented by Idaho Advisory Council on HIV and AIDS, Bebe Thompson,

Midwest AIDS Training & Education Center Health Care Education & Training, Inc. HIV/AIDS Case-Finding In Family Planning Clinics.

1 HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010.

Afghanistan’s Present IDUs-HIV/AIDS Situation and future action plan Dr.Saifur-Rehman NACP Director April,11,2007 Islamic Republic of Afghanistan Ministry.

HIV Infection Among Those with an Injection Drug Use*- Associated Risk, Florida, 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division.

African Americans and HIV: CA Office of AIDS Response Michelle Roland, MD Chief, Office of AIDS California Department of Public Health.

HIV/AIDS in Michigan January 1, 2010 Michigan Department of Community Health HIV/STD/VH/TB Epidemiology Section Division of Communicable Diseases Bureau.

HIV/STD Epidemiology in Oklahoma HIV/STD Service Division of Prevention and Preparedness Oklahoma State Department of Health.

HIV & AIDS Cases in Alameda County Presentation to the CCPC August 24, 2011 Elaine Bautista & Alex Marr.

Adult Viral Hepatitis Update Roxanne Ereth, MPH, BS Hepatitis C Program Manager Adult Viral Hepatitis Prevention Coordinator.

Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 2b Florida.

Centers for Disease Control and Prevention CDC Half-Year of Diagnosis** Number of Cases **Adjusted for reporting delay AIDS Cases in Racial/Ethnic Minorities*

Highlights from the HIV Surveillance Report, 2008 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

New Haven-Fairfield Counties End of Year Studies: Ryan White Planning Council New Haven-Fairfield Counties End of Year Studies: Ryan White Planning Council.

Epidemiology of HIV Among Hispanics Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.

A Cluster of Hepatitis C among Rural, Young Adults – Illinois, 2012 Julia Howland, MPH CPH CDC/CSTE Applied Epidemiology Fellow Illinois Department of.

HIV & Substance Use. What is the connection… Between HIV and substance use?

Part F Blood and fluid exposure Exposure? Injury with sharp object. Contamination of open wound with blood or body fluid. Eye or mucosal splash with.

ABSTRACT Introduction: HIV infection is growing relatively fast among seniors. Among the clinical implications are that older patients have less ability.

Sexually Transmitted Infections Mysheika Williams Roberts, MD, MPH Medical Director Assistant Health Commissioner Columbus.

HIV/AIDS among Women in Texas Enhanced Perinatal Surveillance May 30, 2007 Nita Ngo, MPH.

Introduction About HIV/AIDS in Hangzhou Hangzhou Center For Disease Control And Prevention — by Zhao Gang — by Zhao Gang.

Data Trends: FPAR & HIV Prevention Project OPA/OFP HIV Prevention Project Annual Technical Support Conference June 12, 2007 Presented by Kelly Morrison.

Epidemiology of HIV Among Men in Florida, Reported through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection.

Epidemiology of HIV Among Men in Florida, Reported through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.

Quarterly HIV/AIDS Analysis for Michigan January 1, 2008 Michigan Department of Community Health HIV/STD/Viral Hepatitis and TB Epidemiology Section Division.

Pasco and Pinellas Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 5 Florida Department of Health HIV/AIDS & Hepatitis Section.

HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida, 2014 Florida Department of Health HIV/AIDS Section Division of Disease.

Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.

HIV Disease and Hepatitis C Virus (HCV) Co-Infection – Florida, 2011 HIV/AIDS & Hepatitis Program - Surveillance Section HIV Disease data from 1981 through.

TB, STDs, HIV, HEPATITIS C and SUBSTANCE ABUSE: A Local Perspective Paula Kriner, MPH Imperial County Public Health Department Management of TB, STDs,

Sexually Transmitted Disease (STD) Surveillance Report, 2013 Minnesota Department of Health STD Surveillance System Minnesota Department of Health STD.

HIV/AIDS STATISTICS S.E MICHIAGAN (ABR) #Southeast Michigan includes Lapeer, Macomb, Monroe, Oakland, St. Clair, and Wayne Counties COMPLETE AND DETAILED.

HIV Infection among Those with an Injection Drug Use*-Associated Risk, Florida, 2011 HIV/AIDS & Hepatitis Program *Injection Drug Use (IDU) data in this.

Florida Department of Health HIV/AIDS & Hepatitis Program Annual data trends as of 12/31/2012 Living (Prevalence) data as of 05/16/2012 Epidemiology of.

Global Fund in Estonia Kaja Põlluste, MD, MPH Department of Public Health & Department of Internal Diseases University of Tartu Estonia.

Sexually Transmitted Disease (STD) Surveillance Report, 2008 Minnesota Department of Health STD Surveillance System Minnesota Department of Health STD.

AIDS Cases with TB Florida 2013 TB Created: 12/27/13 Revision: 10/16/14 To protect, promote and improve the health of all people in Florida through integrated.

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2014 Living (Prevalence)

Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.

Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.

Florida Department of Health HIV/AIDS & Hepatitis Program Annual data trends as of 12/31/2011 Living (Prevalence) data as of 05/16/2012 Epidemiology of.

Chicago Department of Public Health Richard M. Daley Mayor Bechara Choucair, MD Commissioner CDPH – STI/HIV Surveillance, Epidemiology and Research Section.

HIV Infections in Utah: 2014 Epidemic Update. Cases – persons diagnosed with HIV and reported to public health Rates – cases per 100,000 populations Sex.

Epidemiology of HIV Among Men in Florida, Reported through 2011 Florida Department of Health HIV/AIDS & Hepatitis Program Annual data as of 12/31/2011.

Indian River, Martin, Okeechobee and St. Lucie Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 15 Florida Department of Health.

Hardee, Highlands and Polk Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 14 Florida Department of Health HIV/AIDS & Hepatitis.

STD/HIV Prevention Seattle & King County Robert Marks

From evidence to commitment to action: implementing HIV prevention measures in prisons in Ukraine XVI International AIDS Conference Toronto, 15 August.

| Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official.

POLICIES INVOLVING STRUCTURAL INTERVENTIONS TO REDUCE RISKS ASSOCIATED WITH HIV/AIDS IN COMMUNITIES OF COLOR IN CHICAGO, ILLINOIS William Ebomoyi, Ph.D.

Non-Medical Staff Knowledge, Beliefs and Practices about HIV and Hepatitis for Injection Drug Users Rowe, KA 1, Tesoriero, JM 1, Heavner, KK 1, Rothman,

Impact of HIV Disease, Among the Caribbean-Born, Florida, 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection.

Needle Exchange Update

Syringe Exchange Programs in NC

Utilization of New York State Syringe Exchange Programs:

Addressing Vulnerability of Women IDUs in Manipur

National Programme for limiting spread of HIV/AIDS in Latvia 2008–2012

Presentation transcript:

November 2012 Prepared for the Contra Costa Board of Supervisors by Contra Costa Health Department Needle Exchange Update

NEEDLE EXCHANGE In 1999, the Contra Costa Board of Supervisors endorsed a State of Emergency with respect to HIV and AIDS to allow for the provision of needle exchange services. This report satisfies the legislative requirement for a biennial update to maintain needle exchange services in Contra Costa County.

2012 Legislation SB 41 (Yee) took effect in January this year and allows nonprescription syringe sales or distribution (NPSS) through licensed pharmacies, physicians and syringe exchange programs to individuals aged 18 and older. AB 604 (Skinner) also took effect this year and streamlines the process for initiating syringe exchange programs (SEP) in areas without local endorsement for exchange, and decreases reporting requirements to every two years in areas with established SEPs in California.

HIV/AIDS in Contra Costa County As of December , more than 1,900 individuals were reported living with AIDS or HIV in Contra Costa. Approximately 81% are male and 19% are female. African Americans are 30% of those living with HIV or AIDS, Whites 47% and Hispanics nearly 19%. Predominant transmission among those living with HIV or AIDS remains men who have sex with other men (MSM). Injection Drug Use is about 17% of the caseload.

New HIV and AIDS Reports by Year

HIV/AIDS Attributed to Injection Drug Use (IDU) by Gender

Children with HIV and AIDS Infant Exposure has not been tracked by Stanford University since Of the 3,058 AIDS cases ever reported in Contra Costa, 24 have been pediatric cases (1-12 years of age). Seventeen of those pediatric cases (0.56%) were born to women with HIV/AIDS, and six were infected through blood/blood products. Of 725 HIV cases ever reported in Contra Costa, there were eight pediatric cases. Five (0.69%) were born to women with HIV/AIDS, and three have undetermined transmission.

Reported Chronic Hepatitis C Cases Over Time

Law Enforcement and First Responder Exposures

Needle Exchange and CHE Services continue under HEPPAC One-for-one exchange offered in East and West County: roughly 70% of those served were at East County sites. Approximately 55% of participants are White, 31% African American, and 14% Latino. Men are 64% of those served. Approximately 3% of those served accept referrals to health and support services.

Reported Contacts (Individuals) at Needle Exchange Sites Over Time

Number of Syringes Distributed By CHE Over Time

Secondary Exchanges Reported By CHE Over Time

AODS Service Enrollment

AODS IDU Service Enrollment IDU/Non IDU

AODS Service Enrollment By Gender

Other Prevention Strategies to Reduce Transmission of HIV in IDUs >Partner counseling and Anonymous Partner notification and counseling services; >Hepatitis C testing for highest risk IDUs; >HIV and STD testing services in community and in Alcohol and Other Drugs Services programs; >New evidence-based interventions in three agencies; >Cross training of staff and agencies.

Syringe Disposal Options Adults anywhere in California may now purchase up to 30 syringes without a prescription. A number of locations for safe disposal of syringes are now available in Contra Costa. A link to the full list is maintained by the Contra Costa Environmental Health Program, as is a list of frequently asked questions on syringe and needle disposal and links to syringe disposal mail back services. More information on disposal is located at

CONCLUSIONS 1. Access to clean needles is making a difference in Contra Costa and remains an important component of the strategy to reduce transmission of blood borne diseases. The number of infections attributed to injection drug use has declined over time and the availability of needle exchange and pharmacy syringe sales has played a role in this trend. 2. Reported local law enforcement exposure to potential blood borne pathogens via needle stick injury remains at the same level as prior to implementation of needle exchange and pharmacy sales. Materials for Law Enforcement to document potential exposure and request assistance remain available on the website. 3. The Health Department is no longer required to provide an annual status report, but is required to provide a biennial report. No major impact is anticipated in Contra Costa.