Document 0049 DOCN M9620049 TI Regulating controversial programs for unpopular people: methadone maintenance and syringe exchange programs [see comments] DT 9602 AU Des Jarlais DC; Paone D; Friedman SR; Peyser N; Newman RG; Beth Israel Medical Center, New York City, USA. SO Am J Public Health. 1995 Nov;85(11):1577-84. Unique Identifier : AIDSLINE MED/96036593 CM Comment in: Am J Public Health 1995 Nov;85(11):1490-1 AB One third of all cases of the acquired immunodeficiency syndrome (AIDS) in the United States are associated with the injection of illicit drugs. There is mounting evidence for the effectiveness of syringe exchange programs in reducing human immunodeficiency virus (HIV) risk behavior and HIV transmission among injection drug users. Expansion of syringe exchange would require increased public funding and undoubtedly would include government regulation of syringe exchanges. An analogy is drawn with the present system of regulation of methadone maintenance treatment programs and possible regulation of syringe exchange programs. Specific recommendations are offered to reduce the likelihood of repeating the regulatory problems of methadone maintenance treatment in future regulation of syringe exchange programs. DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL Drug and Narcotic Control/HISTORY History of Medicine, 20th Cent. Human Methadone/HISTORY/*THERAPEUTIC USE Needle-Exchange Programs/*LEGISLATION & JURISPRUD Public Health/*TRENDS Substance Abuse Treatment Centers/LEGISLATION & JURISPRUD/*TRENDS Substance Abuse, Intravenous/*REHABILITATION Support, Non-U.S. Gov't United States HISTORICAL ARTICLE JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).