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Madison Co. Needle Exchange Aims To Balance Trust, Awareness

By Gretchen Frazee

Posted August 12, 2015

syringe

The Madison County Health Department is holding its second needle-exchange clinic today, and it's trying to overcome a big hurdle-how to build trust within the community.

No one showed up to the first clinic last week, but health officials say this didn't surprise them.

They aren't making the locations of the weekly clinics public. Instead they're relying heavily on word of mouth among drug users who are most at risk for Hepatitis C and HIV.

Madison County's HIV and Hepatitis Prevention Coordinator Kellie Kelley says that's intentional. They wanted to learn some lessons from Scott County, where an outbreak affected more than 170 people.

"We want to learn from Scott County in that we did not want large groups of media or onlookers attending our site just for the sake of finding out more information. We felt like we wanted to protect the confidentiality of those accessing our service, seeing that they're already somewhat of a disenfranchised or marginalized community," Kelley says.

Madison County requested the state allow it to run a needle exchange program because of its high rates of Hepatitis C-a virus that can be used as a barometer to determine the risk of an HIV outbreak.

Madison County officials have been working with the Indiana State Department of Health, which helped lead efforts in Scott County.

"They are not surprised that there is a slow start," Kelley says. "This actually happens nationwide when you start a needle exchange program. It will take a while for that first client to visit us to gain trust and then they will, in turn, hopefully spread that word of trust."

Madison County's situation is not as urgent as Scott County's was when that county began its needle exchange, but Kelley says they are still trying to get the word out that people should not wait to get tested for HIV and Hepatitis C and get treatment.

In addition to the needle exchange, the clinics provide education on how to use clean injection kits and HIV and Hepatitis C testing. Counselors who can discuss substance abuse treatment and health insurance navigators who can help people sign up for the insurance are also on site.

The clinics are being held at a different site each week, rotating between four locations in high-need areas, which include Anderson and in more rural communities.

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