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Harm Minimisation & Needle Exchange
Needles disposed of
incorrectly can cause not just a puncture or cut but can transfer viruses,
bacteria, prions, and protozoa.
The viruses transferred
can be Blood Borne Viruses (BBVs) such as Hepatitis A, B and C and
HIV.
Prion diseases are a
family of progressive neurodegenerative disorders that affect both animals and
humans. Human prion diseases include Creutzfeldt-Jakob Disease (CJD).
Protazoa are single cell
organisms which can be found anywhere and most are not harmful but some can be
parasitic and cause diseases in the respiratory tract, central nervous system
and intestines.
Blood Borne Virus Services in
Poole
Blood borne viruses (BBVs)
are spread by contaminated blood, or bodily fluids containing blood, causing
HIV, Hepatitis A, B and C. Hepatitis results in inflammation of the liver.
In the UK it is estimated
that 250,000 people are infected with Hepatitis C. Hepatitis B is 100 times
more infectious than HIV with about 7 in every 100,000 people in the UK being
infected. There were 457 laboratory reports confirming infection with Hepatitis
A in 2005 in England and Wales.
Some of the causes of
infection with these viruses are caused through the following methods: transfer
of blood, semen, sexual intercourse, pre-ejaculate, breast milk or food (i.e.
shellfish cultivated in contaminated waters). Transfer of blood can be done
through shared injecting equipment and drug paraphernalia (including cookers,
cotton, spoons, water, etc), blood spatter to eyes or open wounds, contact
sports, razors, toothbrushes or manicure equipment. It can also be spread
through poorly sterilized equipment for body piercings, tattoos (through dyes,
ink pots, and piercing implements), medical or dental equipment.
The immunisation service
at PACT provides vaccination against Hepatitis A and B. This service is
open to all clients past and present as well as anyone accessing the Harm
Minimisation Clinic who is a Poole resident. The clinic provides an accelerated
course for Hepatitis B at 0, 7 and 21 days with a booster given at 12 months.
This provides cover for up to 5 years. Hepatitis A is a single dose providing
cover for up to 1 year. A booster given at 12 months will extend this for up to
10 years. Information around Hepatitis A & B and specific information
around Anaphylaxis is also given.
Harm reduction advice and
information is available from the Harm Minimisation Clinic, regarding the
routes of transmission for the spread of BBV's. The client can be helped to
identify behaviour which may have put them at risk of infection and can be
supported to access appropriate services for diagnosis and treatment. Harm
Reduction advice in all areas around Blood Borne Viruses (BBV's) including
information about safer injecting, safer sex and risks associated with tattoos
and piercings is available. The clinic service also highlights the risk towards
others from engaging in unsafe sex, sharing needles and unsafe disposal of used
injecting equipment, while promoting the return of used needles and
paraphernalia for safe disposal.
The testing service at
PACT is moving forward. However, the protocol, at present, is to signpost
clients to Royal Bournemouth Hospital or Poole General Hospital Genito Urinary
Medicine (GUM) Clinics, for BBV testing. This would include pre and post test
advice by the clinic health advisors. Contact information is available in the
clinic at PACT and staff will support the client to book an appointment
themselves or phone on their behalf. Anyone considering having a test for, or
who has an existing positive condition of Hepatitis C or HIV, can be referred
or signposted to the Stephen James Practice for specialist counselling and
support.
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