Realistic Responses to OutbreaksRealistic Responses to Outbreaks in People Who Use Drugs
Emma [email protected] A national resource of expertise on drug issues
National resource onresource on drug issues
Improving Scotland’s response to problem
Outbreaks
drug use
Reduce Training and D l
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harmDevelopment
Clostridium N i Clostridium Group A Novyi Clostridium
Botulinum
pStreptococcus
Bacillus Staphylococcus Anthracis
S ap y ococcusAureus HIV
2000 20172009 2014 2015 2016
3Scottish Outbreak Time Line
What are the risk factors?
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Realistic Responses to Bacterial/ Viral outbreak
Local/ National policies
C ltCulture
Structural
Interpersonal
Individual
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Individual
6
Interpersonal
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StructuralSafer Consumption Facility
Heroin?PreP?
Talk to me about safer injecting practices..... How is your injecting sites?PreP?
Antibiotic Prophylaxis? How is your injecting sites?
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Culture
STIGMA9
Local/ National Policies
•Decriminalisation•Ending homelessness•Welfare reform•Safer consumption facilities•Heroin Assisted Treatment
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BibliographyEMCDDA R id i ti D l t d i f ti di i• EMCDDA – Rapid communication. Drug related infectious diseases in Europe. Update from the EMCDDA expert network. Nov 2016
• Public Health England et al. Shooting Up Report 2015. Nov 2016• NHS National Services Scotland, Health Protection Scotland. Guidelines for
the Public Health Management of tetanus, botulism or anthrax among people who inject drugs 2017people who inject drugs. 2017
• Yeung A, Weir A, Austin H et al. Assessing the impact of a temporary class drug order on ethylphenidate‐related infections among people who inject drugs in Lothian, Scotland: an uninterrupted time‐series analysis. doi: 10.1111/add. 13898
• Dunleavy K, Munro A, Roy K, et al. Spore forming bacteria infections and
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y , , y , p gpeople who inject drugs: implications for harm reduction. Submitted for publication.
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