Syringe exchange programs - United States, 1994-1995

Article Abstract:

Syringe exchange programs (SEPs) appear to be effective in preventing the transmission of infectious diseases. The number of SEPs in the U.S. has grown substantially from 1993 to 1995. SEPs increased 82% from 1993 to 1995, and the number of contaminated syringes exchanged for sterile syringes by these programs tripled. The aim of SEPs is a reduction in the incidence of HIV and other infectious pathogens spread by using drug injection equipment. An April 1995 survey among SEPs in 46 states also found that many SEP services provided latex condoms, tuberculin skin testing, HIV testing and counseling, primary health care, and monitored tuberculosis therapy.

Prevention, Surveys, Communicable diseases, Needle exchange programs

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Political Considerations for Changing Medical Screening Programs

Article Abstract:

Doctors and their professional organizations can play an important part in changing state laws that provide universal medical screening for certain groups of people. Twenty-six states require all elementary school children to be screened for scoliosis. Scoliosis is an abnormal curvature of the spine. A 1999 study found that screening all children for scoliosis is not very cost-effective. In states where scoliosis screening is mandatory, doctors and politicians will have to decide whether the law should be repealed. In other states, the change may be easier.

Author: Higginson, Grant
Editorial, Diagnosis, Medical examination, Political aspects, Medical screening, Health screening, Elementary school students, Scoliosis

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