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Safer Injection

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  1. Supervised Injection Sites
    Needle exchange vs needle distribution?
  2. What are supervised injection sites?
  3. Will I get in trouble?
  4. What services are available?
  5. How does it work?
  6. Do I have to go to treatment if I use a SIS?
  7. Is all my information confidential?
  8. What is in it for me?
  9. Where can I access SISs?
  10. Drug Checking
    Why should I check my drugs?
  11. What is Fentanyl?
  12. Where can I check my drugs?
  13. What if I can't always get my drugs checked?
  14. Safer Injection
    What if I don't want to use an SIS?
  15. What if I only share needles with people I trust?
  16. How can I use safer with a group?
  17. What are the risks?
  18. How can I avoid getting an infection?
  19. How does withdrawal effect my ability to inject?
  20. What if I mix drugs?
  21. Things to keep in mind
  22. How do I inject in a safer way?
    How do you prepare before injecting?
  23. What if I’m crushing and adding water to my drugs?
  24. What are the different ways to inject?
  25. Where should I inject?
  26. How do I take care of my veins?
  27. Putting it all together
  28. Self Harm / Suicide
  29. FAQ
    Frequently Asked Questions

Activities

Safer Injection Needle exchange vs needle distribution?
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Lesson 1 of 29
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Needle exchange vs needle distribution?

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Needle exchange is a one for one exchange of used needles for new, sterile needles.

Needle distribution is NOT the same. Individuals are given new, sterile needles whenever they are needed.

Myth: Limiting the number of needles is better for overall public health.

Fact: limiting the number of needles distributed increases the tendency for clients to share and re-use the same drug injection equipment; this increasing transmission of HIV, hepatitis C and other infections.

Myth: Reusing needles is fine if you aren’t sharing them.

Fact: With multiple uses, the tip of the needles becomes weakened and can break off and get stuck under the skin. Also, a reused needle becomes dull and doesn’t inject as easily as a new one and can cause pain bleeding, bruising, and infection.

Myth: A needle exchange program will will prevent needles from ending up in the community.

Fact: Studies show that rates of return for needle distribution programs are higher than needle exchange programs. The greater the access to syringes and easy disposal, the more likely people are to dispose of them in safe locations.

Myth: Provincial, national, and global best practices supports needle exchange programs.

Fact: The Canadian Best Practice recommendation considers needle exchange to be “outdates and unsatisfactory.” The BC Centre for Disease Control (BCCDC) has promoted needle distribution and safe disposal since 2002.

Myth: Safe needle disposal isn’t as important with exchange programs

Fact: Harm reduction education programs help to remove discarded syringes from the community. It achieves this through public support and community and staff education. This process is necessary regardless of the style of needle program. BCCDC Harm Reduction Services provides personal sharps containers; communities provide publicly accessible community needle drop boxes, needle disposal advice for the public, and pick-up of discarded drug injection equipment.