Needle distribution programs

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Using and sharing injection materials (including spoons) can cause serious injury and death.

Using and sharing injection equipment is an extremely high-risk activity and is never truly safe to do in a nonmedical context. This guide is provided for educational and harm reduction purposes, and we strongly discourage irresponsible users from engaging in this activity.

A Needle Distribution Program, Needle & Syringe Program, or needle exchange, is a social service that allows people to obtain fresh, safe, sterile hypodermic needles and other drug paraphernalia at little or no cost. It is based on the philosophy of harm reduction that attempts to reduce the risk factors of drug use, such as bloodborne infections like HIV/AIDS and hepatitis.

List of programs (by location)

This is a short list of needle distribution programs, it far from a conclusive list. You can help by expanding it.

Country	Location	Service	Availability
INTNAT	England	Exchange Supplies	Online store, ships worldwide. Sells wide range of equipment.
UK	England	Change Grow Live
UK	England	NSPDirect by Exchange supplies	Postal equipment supply, covers some areas in England. Check if your postcode is covered by NSPDirect hereor here
UK	England, Solihull	sias - Solihull Integrated Addiction Services	On-site Needle Exchange service at Middlewood House, 15 Larch Croft, Chelmsley Wood, B37 7UR. Opening times are Monday, Tuesday, Wednesday and Friday 9.00am to 5.00pm, Thursday 9.00am to 8.00pm.
USA	USA, Nationwide	NASEN - North America Syringe Exchange Network	A map of many harm reduction services and equipment suppliers across America
USA	California, San Diego	Family Health Centers of San Diego; Syringe Services Program	a mobile unit open three days per week 6:00 pm - 9:00 pm, Tuesday and Thursday at the corner of 16th and Imperial Ave; and 10:00 am - 1:00 pm, Friday at 31st St and North Park Way, San Diego, CA 92104.
Canada	Toronto	toronto.ca	Outreach van service. Needle exchange services. Supervised injection services,
Canada	Peel	peelregion.ca	Mobile van service 4pm to 11pm and list of "harm reduction locations" (needle exchanges)

See also

• Safer injection guide
• Sharing injection materials
• Responsible use
• Routes of administration

External links

• North America Syringe Exchange Network

References

Javed, Z; Burk, K; Facente, S; Pegram, L; Ali, A; Asher, A (2020), Syringe Services Programs: A Technical Package of Effective Strategies and Approaches for Planning, Design, and Implementation (pdf), Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), CDC 105304