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Preventing HIV Infection
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Prevention of Infection through Injection Drug Use

Call OutClients who use injection drugs, or whose partners do, are increasingly at risk for HIV. Although injection drug use accounts for only 5 to 10% of HIV infections globally, in some parts of the world it is the major mode of HIV transmission. For example, according to some estimates, in such countries as China, Malaysia, Russia, and Vietnam, large numbers of HIV infections are associated with drug injection.

For preventing infection among injection drug users, the best method of reducing risk of infection with HIV is to avoid sharing drug paraphernalia (needles, syringes, and other implements), drug mixing containers with others, or use of drugs from a common pot.

In some places, needle-exchange programs provide injection drug users with new syringes and drug paraphernalia. If new syringes are not available, clients should be advised to disinfect used syringes using clean water and bleach as follows:

Step 1. Remove blood from syringe. Pour clean water into clean cup or bottle cap. Fill syringe half full with clean water; pull back on plunger. Shake the syringe, and squirt the water through the needle. Repeat twice with new water.

Step 2. Bleach. Fill the syringe with full-strength bleach, and shake. Squirt the bleach out through the needle.

Step 3. Clean water. Rinse the syringe three more times with clean water. Keep rinse water apart from water used to prepare drugs.

Do not reuse water or bleach.

 

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