{"id":8313,"date":"2011-12-14T13:46:42","date_gmt":"2011-12-14T13:46:42","guid":{"rendered":"http:\/\/www.jomec.co.uk\/altcardiff\/?p=8313"},"modified":"2011-12-14T13:46:42","modified_gmt":"2011-12-14T13:46:42","slug":"in-depth-safe-injecting-in-cardiff","status":"publish","type":"post","link":"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2011\/12\/14\/in-depth-safe-injecting-in-cardiff\/","title":{"rendered":"In-depth: safe injecting in Cardiff"},"content":{"rendered":"<h2>Needle exchange is increasing but appears to attract divided opinion. Is it a means of helping users and protecting the public, or are we fuelling addictions?<\/h2>\n<div id=\"attachment_8328\" class=\"wp-caption alignnone\" style=\"width: 480px\"><a href=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-8328\" title=\"Needle exchange large\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large.jpg\" alt=\"\" width=\"480\" height=\"220\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large.jpg 480w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large-300x138.jpg 300w\" sizes=\"auto, (max-width: 480px) 100vw, 480px\" \/><noscript><img decoding=\"async\" class=\"size-full wp-image-8328\" title=\"Needle exchange large\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large.jpg\" alt=\"\" width=\"480\" height=\"220\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large.jpg 480w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2011\/12\/Needle-exchange-large-300x138.jpg 300w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/noscript><\/a><p class=\"wp-caption-text\">Needle exchange is about harm reduction and the most common means of ensuring this is providing drug users with clean and disposable supplies<\/p><\/div>\n<p>Recently a wheelchair bound man gave a talk on his experiences with drugs to young people at a homeless centre in Cardiff. This man only had one leg. Why? Because he had continued to inject heroin into his groin. The talk concluded with him saying, \u201cBut at least I\u2019ve got another leg to inject into.\u201d\u00a0\u00a0<\/p>\n<p>This man had been asked to talk by a Cardiff-based charity, with the hope his experiences would deter them from injecting into major arteries. Clearly his parting statement wasn\u2019t what they had hoped he would say. However, it does demonstrate the power of a heroin addiction.\u00a0\u00a0<\/p>\n<p>Needle exchange is nothing new; it was introduced across the country as a response to HIV in the 1980s. It\u2019s a social policy whereby injecting drug users can obtain hypodermic needles and associated equipment free of charge. Until now needle exchange has remained below the radar but with a current increase in schemes more people seem to be asking questions about it.\u00a0\u00a0<\/p>\n<p>It\u2019s a contentious issue. On the one hand it\u2019s seen as reducing the spread of disease and protecting the public. On the other hand, many see it as encouraging a drug addiction.<\/p>\n<p>So is it a case of handing over the goods to people with substance misuse problems, or is there more to needle exchange than meets the eye?\u00a0<\/p>\n<p><strong>The idea behind needle exchange<\/strong>\u00a0<\/p>\n<p>There are many elements to needle exchange but at the centre is the idea of harm reduction. Dave Chamberlain is the former chair and a current volunteer at Inroads Cardiff, a charity offering help and support to drug users. He said, \u201cWe\u2019re not helping people take drugs we\u2019re helping people not kill themselves. We\u2019re helping people use drugs safely.\u201d<\/p>\n<p>Inroads was established in 1996 after the need was identified in Cardiff for a street agency &#8211; an accessible service offering everything from information and advice to counselling and needle exchange itself. Inroads is now the largest needle exchange in Wales where drug users can access everything from hypodermic needles and mixing pots to swabs and filters. They\u2019re also provided with sachets of acid, known as Vit C, to break down the heroin impurities \u2013 a preferable alternative to vinegar or lemon juice.<\/p>\n<p>The Welsh Government\u2019s Substance Misuse Treatment Framework (SMTF), estimates that there are around 8,000 illicit Injecting Drug Users (IDUs) in Wales, approximately 0.4% of the adult population in Wales. With this in mind, their concern is reducing blood-borne viruses.\u00a0\u00a0<\/p>\n<p>A female heroin user, aged 30 said, \u201cNeedle exchange means I can get what I need, no questions asked. Then again, if I need to use I will, regardless of whether it\u2019s clean stuff. I\u2019m hep C positive so it\u2019s game over for me anyway.\u201d<\/p>\n<p><strong>The bit about quitting?<\/strong>\u00a0<\/p>\n<p>The service is free and only requires the user\u2019s initials and date of birth, which is logged on a database. As it transpires, these details don\u2019t even need to be accurate. So far it seems like the user comes in with a shopping list, where\u2019s the bit about quitting?<\/p>\n<p>One member of the public said, \u201cYou wouldn\u2019t give an alcoholic person alcohol, would you? People would think it was total madness and I don\u2019t see this as any different. You\u2019re encouraging drug users to keep taking drugs and all the anti-social elements that goes with it.\u201d<\/p>\n<p>But Jill Coles of Cardiff Addictions Unit explains rather than just nagging people you provide them with information and allow them to ask questions. The relationship formed with the user is seen as a building block for potential help in the future. \u201cIt\u2019s a big step for someone to walk through the door and say \u2018I\u2019m a drug user, I\u2019m a drug user who\u2019s a mother, I\u2019m a drug user who\u2019s a sex worker. Give me clean needles.\u2019 It\u2019s a big leap of faith on their side.\u201d<\/p>\n<p><strong>Taking needle exchange a step further<\/strong><\/p>\n<p>While the mere concept of needle exchange remains contentious, Dave feels it should be progressing. \u201cI speak for myself and a lot of practitioners that we would much prefer prescribed heroin in powder form that users can cook up in their pots and inject,\u201d he says. This has been practised in Switzerland for the past three years.<\/p>\n<p>What would be the advantage of doing this? Well not only would this be a cheaper alternative to methadone \u2013 the drug manufactured as a substitute to heroin \u2013 it would be of a consistent quality and strength, which according to Dave could potentially make the chances of kicking the addiction greater.<\/p>\n<p>This would no doubt attract controversy. Jill explained, \u201cThe difficulty with heroin is, you get a buzz and people don\u2019t like prescribing stuff you get a <br \/>buzz off.\u201d<\/p>\n<p><strong>Aiding or alleviating a drug problem?<\/strong><\/p>\n<p>Both Dave and Jill are certain needle exchange is not simply a case of providing users with the tools to feed an addiction &#8211; it\u2019s protection for the user and society. Several years ago you could have five or six users sharing the same needle and people were finding dirty equipment on the streets.<\/p>\n<p>And it would seem the Welsh Government take a similar stance, with their Working Together to Reduce Harm strategy for 2008-2018 showing a continued commitment to needle exchange.<\/p>\n<p>So is needle exchange simply about drug addicts getting what they want? Perhaps it\u2019s best concluded with the words of a male user, aged 40, \u201cHeroin has been part of my life for over 10 years but I don\u2019t want it in my future. Catching something like hep C would cement it in my future. That\u2019s why needle exchange is so important.\u201d<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Needle exchange is increasing but appears to attract divided opinion. Is it a means of helping users and protecting the public, or are we fuelling addictions? Recently a wheelchair bound man gave a talk on his experiences with drugs to young people at a homeless centre in Cardiff. This man only had one leg. Why? Because he had continued to inject heroin into his groin. The talk concluded with him saying, \u201cBut at least I\u2019ve got another leg to inject [&hellip;]<\/p>\n","protected":false},"author":252,"featured_media":8327,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[36],"tags":[1877,1878,1879,1880,1881,1882,1883],"coauthors":[],"class_list":["post-8313","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-no-logo","tag-cardiff-addictions-unit","tag-cardiff-anti-social-behaviour","tag-cardiff-drug-problems","tag-heroin","tag-inroads","tag-needle-exchange-wales","tag-welsh-government-substance-misuse"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>In-depth: safe injecting in Cardiff - alt.cardiff<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2011\/12\/14\/in-depth-safe-injecting-in-cardiff\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In-depth: safe injecting in Cardiff - alt.cardiff\" \/>\n<meta property=\"og:description\" content=\"Needle exchange is increasing but appears to attract divided opinion. Is it a means of helping users and protecting the public, or are we fuelling addictions? Recently a wheelchair bound man gave a talk on his experiences with drugs to young people at a homeless centre in Cardiff. This man only had one leg. Why? Because he had continued to inject heroin into his groin. 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