Expanded syringe access program (esap) & medication disposal

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Expanded syringe access program (esap) & medication disposal

Under this program, health care facilities and health care providers doctors and others who can prescribe syringes may also furnish syringes.

If you inject drugs, you may be at risk of overdose or being infected with HIV, hepatitis B, hepatitis C, and other serious infections. Injecting drugs can lead to sores abscesses and cellulitis and heart infections endocarditis.

If you do inject, there are ways you can reduce your risk for disease, and can help protect others. If you are unable to obtain a new syringe, careful cleaning may reduce your risk of becoming infected with HIV and other blood-borne diseases.

Rinse the syringe and needle with clean water to remove all the blood. Fill with full strength bleach and shake; after 30 seconds, squirt it out through the needle.

Rinse with clean water to remove the bleach.

Expanded Syringe Access Program Safety Insert

Under a new law in New York State, persons age 18 years and older can legally possess hypodermic needles and syringes obtained through ESAP. These syringes and needles may be purchased or obtained without prescription from participating licensed pharmacies, hospitals, nursing homes, community health centers, doctors, nurse practitioners and physician assistants Public Health Law Section:Chapter 56, Laws of You may also purchase syringes and needles with a prescription at a licensed pharmacy or obtain syringes and needles from an authorized syringe exchange program.

Possession of syringes in accordance with the Public Health Law is legal. Persons legally possessing syringes are not subject to arrest or prosecution under the Penal Law.

This applies to both registered ESAP providers and authorized syringe exchange programs. The actual sale or possession of illegal drugs is still a crime and puts you at risk of arrest and criminal prosecution. Do NOT put a plastic container with used syringes out with the recyclable plastics. Check with your local health, sanitation, or public works department or trash collector before you dispose of used syringes and needles in your household trash.

Hospitals accept used syringes and needles when put in containers using the steps listed above. The used syringes and needles then become regulated medical waste and the hospitals must handle them in accordance with Environmental Conservation Law. This helps to protect the environment.

Syringe exchange programs in New York State can dispose of your used syringes and give you new, sterile syringes.

expanded syringe access program (esap) & medication disposal

Exposed needles are dangerous. If you don't have a puncture-resistant container, recap your needle after you use it.To determine the individual- and neighborhood-level predictors of frequent non-prescription in-pharmacy counseling.

Frequent counseling on medical conditions, health insurance, and other products. Technicians were less likely than pharmacists to provide frequent counseling on medical conditions or health insurance. In terms of neighborhood-level characteristics, pharmacies in areas of high employment disability were less likely to provide frequent health insurance counseling and pharmacies in areas with higher deprivation were more likely to provide counseling on other products.

These findings suggest that ESAP pharmacy staff may be amenable to providing relevant counseling services to injection drug using syringe customers and warrants further investigation.

Overall, ESAP was not found to be associated with increased drug use, criminal activity, or improper disposal of needles. IDUs reported gradually increasing use of pharmacies with decreasing trends in syringe sharing. Through participation in ESAP, pharmacy staff members are uniquely positioned to offer additional services, such as counseling and referrals for other public health needs, to their IDU syringe customers.

Pharmacy support staff members may also be in a position that enables them to develop a rapport with frequent, repeat syringe customers.

In-pharmacy counseling, defined as the on-site provision of health-related information or advice by pharmacy staff members to their customers, may be a particularly crucial health information source in underserved areas in NYC where many residents lack access to care but frequent pharmacies for other needs e.

With few exceptions, counseling on over the counter products and other concerns has received little attention.

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Ranelli and Coward reported that rural pharmacists counseled their elderly customers more frequently and for longer sessions than their urban counterparts on general, non-health topics.

Besides rural versus urban characteristics, neighborhood-level differences in counseling frequency have not been examined. Since neighborhood-level factors have been shown to influence access to other health care services e. Determining if ESAP-registered pharmacy staff members, individuals who are already engaged in providing a public health service to IDUs, are more likely to provide various types of counseling services when located in disadvantaged neighborhoods compared to more advantaged neighborhoodswill provide more support for expanding counseling services specifically to IDU syringe customers.

Since non-medication counseling and referral to services is of particular importance in populations who lack access to care, such as IDUs, the type and frequency of counseling that pharmacy staff members are more likely to give in these neighborhoods may help shed light on the feasibility of providing expanded non-medication services to IDU syringe customers.

Furthermore, by connecting IDUs to these types of services, it will potentially enhance the likelihood of accessing medical care and the need for prescribed medications, which could translate into an increase in business. Specifically, we will focus on pharmacy staff and pharmacy characteristics e. The overall objective of the PHARM-Link intervention study is to evaluate the delivery of drug treatment information, medical and social service referral, and safe syringe disposal information to IDUs by ESAP-registered pharmacy staff.

Manhattan has a high population density and therefore has more social services and pharmacies in comparison to the other boroughs which tend to be more residential relative to Manhattan.

High drug activity neighborhoods in Upper Manhattan above 96 th street East of Central Park and above th street West of Central ParkLower Manhattan below 14 th streetBronx, Brooklyn, and Queens were ethnographically mapped and ESAP-registered pharmacies in these neighborhoods were identified.

Pharmacies were eligible to participate in the study if they had: 1 at least one non-prescription syringe customer a month; 2 a least one new non-prescription syringe customer a month that becomes a regular customer; 3 no requirements of additional documentation from customers during syringe transactions; and 4 willingness to sell syringes to IDUs. Three hundred and twenty-five pharmacies were screened for study participation, were eligible and agreed to participate. Of the pharmacy staff in participating pharmacies, pharmacy staff completed the baseline questionnaire Informed consent was obtained from all participants.

The questionnaire was developed based on a previous ESAP evaluation instrument used among pharmacists 10 and informed by PHARM-Link focus groups that included pharmacists and pharmacy technicians. Research staff extensively performed survey piloting. Baseline data collected between January and March were combined and used in the present analysis. In-pharmacy counseling for 1 medical conditions; 2 health insurance; and 3 other products in pharmacy i. The following characteristics of the pharmacy were assessed: type of pharmacy chain or independentpharmacy location Bronx, Brooklyn, Queens, Lower Manhattan or Upper Manhattanand the number of all prescriptions filled weekly.

Consistent with prior research 11census tracts were used as proxies for neighborhood. The neighborhood-level data was retrieved only from census tracts where the study pharmacies were located. Each variable was transformed to a z score and used as continuous variables. The Townsend Index of deprivation 12 is traditionally derived from four census variables reflecting the proportion of adults aged 16 and over who are unemployed, household crowding, renter-occupied housing units, and housing units without a motor vehicle and has been used in prior research.

Descriptive statistics for the characteristics of the pharmacy staff and neighborhood-level variables were calculated. Bivariate logistic regression models were used to determine unadjusted odds ratios.Information from a variety of sources indicated that these community members had limited knowledge of legal access to new, clean syringes without a prescription and appropriate avenues of disposal of used syringes, needles and lancets.

A new section of Part 80, Section A complement to the former portion of the law implemented loose mandates on avenues of disposal. Because the law prohibited pharmacies from advertising the program, public awareness and usage were low. By facilitating partnerships with local agencies, businesses, and concerned community members a coordinated approach to safe disposal of used syringes, lancets, and needles was developed and implemented along with an outreach plan to educate county residents about legal access to syringes and safe disposal of medical waste.

ECDOH's outreach plan placed a special focus on diabetics, as documentation revealed a rate of needle usage when compared to all other syringe using populations combined. Due to the success of the program in Erie County, expansion to all eight counties of Western New York soon began. The effectiveness of the program is consistently evaluated and effectiveness is determined through key informant interviews, surveillance, syringe disbursement and documented waste removal.

Are you sure you want to delete this item? Model Practices. While ESAP had been established for some time the community remained largely uninformed as local newspapers continued to report large volumes of used syringes being found in houses where elderly had once lived, sanitation workers being stuck by loose syringes mixed in with recyclables, beaches littered with syringes that had washed ashore, and Municipal Housing Authority officials complaining that staff had been injured cleaning up loose syringes around housing complexes.

Others simply allowed these materials to pile up in their homes lacking information about safe disposal procedures and unaware of any convenient location for disposal. According to the ESAP law, all Article 28 facilities hospitals, nursing homes have to accept used medical waste that is appropriately packaged for disposal.

Unfortunately, there are no regulations compelling them to make it easily accessible to the public.

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The agency partnered with the Kmart Pharmacies in Western New York to have freestanding needle disposal units. A press conference was held on July 10, to kick off the program, billboard advertisement was used to create awareness, and outreach by peer educators in the community was initiated.

Sharps containers are provided free of charge in small portable sizes that hold 10 — 15 used syringes Fit Packs and larger quart size containers. Return of used sharps in either one of the supplied containers or a safe alternative to the kiosks is encouraged. At these sites sharps containers and educational literature related to safe injection practices and alternative disposal practices is also available.

Staff at all the sites have been trained to promote the project. Three new community based sites are scheduled for activation within the next three months.These disposal sites offer a free, safe and convenient way of proper disposal. You can go to any of these sites, dispose of the medications, and there are no questions asked. Disposal is a very convenient and safe way to properly dispose of these items.

Medication Disposal Program at Walgreens

Find a disposal site location near you. Licensed pharmacies, health care facilities, and health care practitioners who can otherwise prescribe hypodermic needles or syringes may register with the New York State Department of Health to sell or furnish up to 10 hypodermic needles or syringes to persons 18 years of age or older. Click for additional information and distribution sitesor call This law allows people to call without fear of arrest if they are having a drug or alcohol overdose that requires emergency medical care, or if they witness someone overdosing.

Continue reading…. Moore erie. New York State Good Samaritan Law This law allows people to call without fear of arrest if they are having a drug or alcohol overdose that requires emergency medical care, or if they witness someone overdosing.Each day that I come to work, I know that I am going to have a great day because of the beautiful people who work here.

Increasing Safe Syringe Collection Sites in New York State

It is truly a blessing to work at BAC, and I am so grateful to be here. All contacts are confidential. No medical insurance is needed. For more information about these services or to make an appointment please contact Donna Lawrence: The Health Homes Program could benefit you if you are on Medicaid and have any one of the following chronic medical conditions including but not limited to:.

A Care Manager will be assigned to you and they can assist you with the following:. Minimize or reduce unnecessary E. Coordinate with your providers including medical, mental health and substance use providers.

Your assigned Health Homes Care Manager can also assist you with other social service needs including:. The services listed above are at no cost to you and are available for you through your Medicaid Managed Care Plan.

The purpose of the Health Homes Program is to encourage and assist you in maintaining a better quality of health care through consistent attendance with your primary care provider. Maintaining consistent contact with your medical provider will enable you to minimize unnecessary E.

Linkage Navigation services include comprehensive treatment adherence program for HIV-negative persons and persons living with HIV and at high risk for non-adherence. Services include education, pharmacy counseling, modified direct observed therapy, individual counseling, and group treatment education.

For more information on Health Homes click here. Bridging Access to Care is a B covered entity which allows us to purchase medication at a discount for our Ryan White eligible clients — HIV-positive clients. Clients participating in this program can:. Consumers can receive clean needles and syringes as well as dispose of used needles and syringes on the mobile unit and at the designated Bergen Street office location.

Along with the clean syringe distribution, consumers receive health screens STI, mental health, and substance abuse as a package. BAC outreach staff conducts outreach activities that actively engage high-risk and HIV positive individuals on the Mobile Unit and in traditional settings. BAC provides community outreach through health fairs and workshops, and health screens on the mobile unit.

The unit provides a package of services that includes:. He alt h Scre enings are an important part of health care. Having a health screening can help detect a problem early which is the key to successful treatment. Brooklyn, NY Phone: Fax: Last Name. Main Office — Flatbush Home Social Support Services. A Care Manager will be assigned to you and they can assist you with the following: Minimize or reduce unnecessary E. Donation Title.Include Synonyms Include Dead terms.

Peer reviewed Direct link. Cleland, Charles M. Effective January 1,New York State enacted the Expanded Syringe Access Demonstration Program ESAPallowing syringes to be sold in pharmacies without a prescription or dispensed through doctors, hospitals, and clinics to adults.

Expanded Syringe Access Program (ESAP) Forms

A concern in the assessment of ESAP is its effects on syringe disposal practices. Disposal of syringes by methods known to be safe decreased significantly over time after the implementation of ESAP.

Syringes obtained either from syringe exchange programs or ESAP sources were more likely to be disposed of safely than syringes obtained from other sources. Efforts to enlist pharmacists and others involved in ESAP implementation to encourage safe disposal are needed.

expanded syringe access program (esap) & medication disposal

More detailed information on disposal practices is needed to capture the continuum from least to most safe practices and variation within individuals. Contains 4 tables and 1 note. SAGE Publications. Tel: ; Tel: ; Fax: ; e-mail: journals sagepub.He was diagnosed with wasting syndrome, and his doctor prescribed testosterone injections.

When going to visit his sister in Buffalo, however, he was in such a rush to get to the airport on time that he inadvertently left his hypodermic syringes on the bed.

He was due for a testosterone injection and he didn't have a spare prescription for syringes. Marsha, an injection drug user who lives in Albany, NY, knew the risks. So she made sure she got accurate information about reducing her risk for HIV. There were no syringe exchange programs near her home, so she conscientiously tried to clean her works and not share them. Preventing HIV and other infectious diseases was a priority for her, but would have been a lot easier if she could legally buy clean syringes.

In the past, NYS law said that syringes could only be bought with a prescription. Developed with extensive input from consumers, under ESAP, NYS licensed pharmacies, health care facilities and certain health care practitioners, may register with the NYS Department of Health to sell or furnish up to 10 hypodermic needles or syringes to individuals 18 years of age or older. This means that people 18 years of age or older can legally obtain and possess hypodermic needles and syringes without a prescription.

While pharmacies may not currently advertise the fact that needles and syringes are available without a prescription, nor can they be openly displayed, the distinctive ESAP logo can be displayed to inform customers that the pharmacy participates. Almost all of the major pharmacy chains and many independent pharmacies participate in ESAP.

When the hypodermic needles and syringes are sold or furnished, a free safety insert is included explaining:. Anyone who uses hypodermic needles or syringes can access ESAP. For example, if you're a person living with rheumatoid arthritis and your prescription has run out, ESAP is available for you. Some people living with multiple sclerosis need a weekly intramuscular injection; people with migraines may take Botox injections; and women trying to get pregnant may take infertility injections.

All of these people are potentially at risk for HIV and hepatitis if they share needles. These individuals may also put others at risk if they can't properly dispose of their used needles. ESAP allows them to more easily obtain clean needles and to safely dispose of used ones.

expanded syringe access program (esap) & medication disposal

The ESAP safety insert includes education to consumers and to providers on how to safely dispose of needles and syringes, either in their household waste or by taking them to their local hospital, nursing home or approved syringe exchange program. The NYS Department of Health has been taking steps to address the importance of safe disposal of used syringes. The advent of ESAP focused attention on the need for convenient disposal options for communities all over the state.

In some cases pharmacies will accept used syringes and other household "sharps" for safe disposal, but right now, most won't. Hospitals and nursing homes in NYS, however, are required to accept used "sharps" from individuals in their communities.

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Safe disposal of used syringes is important for HIV prevention because research has shown that even small amounts of blood left on or in syringes remains infectious for a long time.

Improperly disposed syringes and other "sharps" are hazardous when not disposed of correctly. Some communities allow used syringes to be disposed of in household trash.

You should check with the local health, sanitation, public works department or trash collector before throwing syringes out with the trash. Syringes and "sharps" should never be placed with recyclables. Throwing used syringes away improperly could put sanitation workers and those involved in recycling at risk for needle sticks.

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Syringes in household trash could also be found and re-used by other people, including children. These are the reasons that the NYSDOH has been working hard to develop more convenient, user-friendly alternatives for safe disposal.


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