Titre : | The impact of changes to heroin supply on blood-borne virus notifications and injecting related harms in New South Wales, Australia (2005) |
Titre traduit : | (L'impact des changements dans l'offre d'héroïne sur les déclarations d'infections par des virus sanguins et les dommages associés en Australie) |
Auteurs : | C. DAY ; L. DEGENHARDT ; S. GILMOUR ; W. HALL |
Type de document : | Article : Périodique |
Dans : | BMC Public Health (Vol.5, n°84, 2005) |
Article en page(s) : | 8 p. |
Langues: | Anglais |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés HEROINE ; INJECTION ; HEPATITE ; DIFFUSION DES PRODUITS ; VIRUS ; SURVEILLANCE EPIDEMIOLOGIQUE ; VIH ; EVOLUTIONThésaurus géographique AUSTRALIE |
Résumé : |
BACKGROUND: In early 2001 Australia experienced a sudden and unexpected disruption to heroin availability, know as the 'heroin shortage'. This 'shortage' has been linked to a decrease in needle and syringe output and therefore possibly a reduction in injecting drug use. We aimed to examine changes, if any, in blood-borne viral infections and presentations for injecting related problems related to injecting drug use following the reduction heroin availability in Australia, in the context of widespread harm reduction measures.
METHODS: Time series analysis of State level databases on HIV, hepatitis B, hepatitis C notifications and hospital and emergency department data. Examination of changes in HIV, hepatitis B, hepatitis C notifications and hospital and emergency department admissions for injection-related problems following the onset of the heroin shortage; non-parametric curve-fitting of number of hepatitis C notifications among those aged 15-19 years. RESULTS: There were no changes observed in hospital visits for injection-related problems. There was no change related to the onset heroin shortage in the number of hepatitis C notifications among persons aged 15-19 years, but HCV notifications have subsequently decreased in this group. No change occurred in HIV and hepatitis B notifications. CONCLUSION: A marked reduction in heroin supply resulted in no increase in injection-related harm at the community level. However, a delayed decrease in HCV notifications among young people may be related. These changes occurred in a setting with widespread, publicly funded harm reduction initiatives. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 46 |
Affiliation : | National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Darlinghurst, NSW, Australia |
Numéro Toxibase : | 1301741 |
Lien : | https://doi.org/10.1186/1471-2458-5-84 |
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