Syringe Exchange & Safe Disposal of Sharps Buncombe Countys - - PowerPoint PPT Presentation

syringe exchange safe disposal of sharps
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Syringe Exchange & Safe Disposal of Sharps Buncombe Countys - - PowerPoint PPT Presentation

Syringe Exchange & Safe Disposal of Sharps Buncombe Countys Ongoing Response to the Opioid Epidemic June 5, 2018 Unsafe Sharp Disposal Safe Sharp Disposal Acute Hepatitis B Confirmed Cases, NC Region 2, 2012-2016 30 28 25 20


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Syringe Exchange & Safe Disposal

  • f Sharps

Buncombe County’s Ongoing Response to the Opioid Epidemic June 5, 2018

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Unsafe Sharp Disposal

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Safe Sharp Disposal

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Acute Hepatitis B Confirmed Cases, NC Region 2, 2012-2016

7 5 13 20 28 5 10 15 20 25 30 2012 2013 2014 2015 2016 Confirmed Case Count

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Acute Hepatitis C Confirmed Cases, NC Region 2, 2012-2016

11 8 19 12 20 5 10 15 20 25 2012 2013 2014 2015 2016

Counties include: Avery, Buncombe, Burke, Caldwell, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Yancey Data source: North Carolina Electronic Disease Surveillance System (NC EDSS) Preliminary data June 1, 2017

Confirmed Case Count

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Acute Hepatitis B Cases, Buncombe County

4 4 2 3 2 2 1 1 2 3 4 5 6 7 2014 2015 2016 2017 TOTAL #

# Non IDU‐associated # IDU‐associated

* 2017 data is preliminary & subject to change; currently only through 11/30/17

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Acute Hepatitis C, Buncombe County

1 1

0.5 1 1.5 2 2.5 2014 2015 2016 2017 TOTAL #

# Non IDU‐associated # IDU‐associated

* 2017 data is preliminary & subject to change; currently only through 11/30/17

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Newly Diagnosed HIV, Buncombe County

17 15 21 17 3 2 1 1 1 4 5 10 15 20 25 2014 2015 2016 2017 TOTAL #

# Non IDU‐associated # IDU‐associated # IDU‐associated MSM/PWID

* 2017 data is preliminary & subject to change; currently only through 11/30/17

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Invasive Group A Streptococcus, Buncombe County

6 9 10 17 3 5 10 15 20 25 2014 2015 2016 2017 TOTAL #

# Non IDU‐associated # IDU‐associated

* 2017 data is preliminary & subject to change; currently only through 11/30/17

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Harm Reduction

  • Reduce harmful consequences associated with

high risk activities

  • Meet people where they are
  • Recognizes that poverty, class, racism, gender-

based discrimination & other social inequalities affect both people’s vulnerability to and capacity for effectively dealing with drug- related harm

(adapted from Harm Reduction Coalition)

  • Opportunity to engage & establish trust
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Components of Syringe Exchange Programs (SEPs)

From CDC, Vital Signs, December 2016

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From: “The State of the State: An Update on the Opioid Epidemic” presentation by Dr. Susan Kansagra, Section Chief, Chronic Disease and Injury, NC Division of Public Health, 4/9/2018

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Current SEPs in Buncombe County

Needle Exchange Program of Asheville (NEPA)

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Next Steps

  • Collaborate with NEPA & Steady to identify

areas of unmet need

  • Learn from NC health departments with SEPs
  • Design a BCHHS clinic-based SEP
  • Educate public about safe sharps disposal
  • Increase access to safe sharps disposal

throughout county