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Harm Reduction

Disease prevalence and rates of infection

Is distribution model better than exchange model for iV drug use and users?

Law

How far is this model pushing the law?

How will police officers interact with greater incidence of needles among some criminals they come in contact with?

Ethics

Enabling

Pros

Users get amount of needles they need

Less regulation may or may not be helpful for users

Better for transient populations with unreliable/unstable housing.

Cons

People may not bring needles back.

Distribution makes it appear as though there is increased level of support for very negative behavior.

Model could disrupt intimate relationship that the exchange currently has with clients.

Lack of multiple points of contact with clients

Potentially greater cost

Psychology

Potential for recovery

Addiction

Sociology

Relationships between users and nonusers

Relationships between users

Economics

Epidemiology

HIV/HCV