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Titolo:
THE LEGAL ENVIRONMENT IMPEDING ACCESS TO STERILE SYRINGES AND NEEDLES- THE CONFLICT BETWEEN LAW-ENFORCEMENT AND PUBLIC-HEALTH
Autore:
GOSTIN LO;
Indirizzi:
GEORGETOWN JOHNS HOPKINS UNIV,PROGRAM LAW & PUBL HLTH,600 NEW JERSEY AVE NW WASHINGTON DC 20001 GEORGETOWN JOHNS HOPKINS PROGRAM LAW & PUBL HLTH BALTIMORE MD 00000
Titolo Testata:
Journal of acquired immune deficiency syndromes and human retrovirology
, volume: 18, anno: 1998, supplemento:, 1
pagine: 60 - 70
SICI:
1077-9450(1998)18:<60:TLEIAT>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAVENOUS-DRUG-USERS; UNITED-STATES; COMMUNITY PHARMACIES; EXCHANGE PROGRAM; HIV PREVENTION; AIDS; INFECTION; SEROPREVALENCE; PREVALENCE; IMPACT;
Keywords:
HIV; NEEDLES; DRUGS; LAWS; SYRINGES; INJECTION DRUG USERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
68
Recensione:
Indirizzi per estratti:
Citazione:
L.O. Gostin, "THE LEGAL ENVIRONMENT IMPEDING ACCESS TO STERILE SYRINGES AND NEEDLES- THE CONFLICT BETWEEN LAW-ENFORCEMENT AND PUBLIC-HEALTH", Journal of acquired immune deficiency syndromes and human retrovirology, 18, 1998, pp. 60-70

Abstract

This article examines the legal environment for programs to prevent transmission of HN and other blood-borne diseases among injection drug users (IDUs). Cost-effective public health programs often have questionable legal authority, and health professionals, community activists, and IDUs may be subject to arrest and prosecution. Legal impediments to the sale and distribution of syringes exist in every state: 47 states have drug paraphernalia statutes, 8 states have syringe prescriptionstatutes, and 23 states have pharmacy regulations or practice guidelines. The Mail Order Drug Paraphernalia Act permits federal enforcementagainst individuals who knowingly sell or distribute syringes to IDUs. Congress has prohibited the use of federal funds for syringe exchange programs (SEPs). Legal restrictions on access to sterile syringes present formidable obstacles to public health prevention. These restrictions render it much more difficult for pharmacists to sell syringes over the counter or for physicians to prescribe syringes, create a chilling effect on IDUs seeking to comply with medical advice and protect themselves and their partners from disease, and place significant obstacles on the lawful establishment and operation of SEPs. Public health authorities have only sometimes creatively circumvented legal restrictions through judicial declarations of lawfulness, municipal declarations of a ''state of emergency,'' and by use of the ''necessity'' defense. I recommend repeal of syringe prescription statutes and reform of drug paraphernalia statutes and pharmacy regulations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 10:15:27