HomeMy WebLinkAboutMINUTES - 01112011 - C.116RECOMMENDATION(S):
ACCEPT report from the Health Services Department, Public Health Division, on their efforts to prevent the spread
of HIV infections and other diseases and the Needle Exchange Program, as recommended by the Family and Human
Services Committee.
FISCAL IMPACT:
None.
BACKGROUND:
On December 6, 2010 the Family and Human Services Committee received a report from the Health Services
Department, Public Health Division on their efforts to prevent HIV infections and other infectious diseases through
the efforts of the Needle Exchange Program. The Committee accepted the report and asked that it be forwarded to the
Board of Supervisors for their review and acceptance.
CONSEQUENCE OF NEGATIVE ACTION:
None
CHILDREN'S IMPACT STATEMENT:
None
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 01/11/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 4 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Dorothy Sansoe,
925-335-1009
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes
of the Board of Supervisors on the date shown.
ATTESTED: January 11, 2011
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C.116
To:Board of Supervisors
From:Family and Human Services Committee
Date:January 11, 2011
Contra
Costa
County
Subject:Update on the County's HIV Prevention Efforts and the Needle Exchange Program
Needle Exchange Update November 2010Prepared for the Contra Costa Board of Supervisors by Contra Costa Health Department
NEEDLE EXCHANGEIn 1999, the Contra Costa Board of Supervisors endorsed a State of Emergency with respect to HIV and AIDS to allow for the provision of needle exchange services. A major interest was to reduce transmission in women and to their unborn children. Since 2006, a State of Emergency declaration is not needed if an annual update on activities is provided and public comment is invited.
HIV/AIDS in Contra Costa CountyAs of December 31 2009, 1,816 individuals were living with AIDS or HIV in Contra Costa. Approximately 81% are male and 19% are female. African Americans are 30% of those living with HIV or AIDS, Whites 47% and Hispanics have increased to nearly 19%. The predominant transmission among those living with HIV or AIDS remains men who have sex with other men (MSM).Contra Costa Epidemiology, Surveillance & Health Data (ESHD)
Changes In LegislationFederal law now allows use of selected federal funds for syringe exchange in limited circumstances. CDC guidance issued to the State Office of AIDS includes authorization for use of some CDC pass-through funds for this purpose. SB 1159 was extended through 2018, allowing registered pharmacies to sell syringes without a prescription.
HIV/AIDS Attributed to Injection Drug Use (IDU)212234181910111014199691099366405101520253035402000 2001 2002 2003 2004 2005 2006 2007 2008 2009Year of DiagnosisHIV AIDS Diagnoses Among Injection Drug Users (IDU) in Contra Costa County 2000 - 2009Male IDUFemale IDU
Infants Testing Positive for HIV Antibodies at Birth Over Time(total n=130)Stanford University School of Medicine, CA Pediatric HIV Surveillance Data as of August 2009051015202530354045Infants Testing Positive for HIV Antibodies At Birth
Reported Chronic Hepatitis C Cases02004006008001000120014001600
Law Enforcement and First Responder Exposures0204060801001202004/05 2005/06 2006/07 2007/08 2008/09 2009/10All ExposuresNeedlestick
Funding for Needle ExchangeCurrent (10/11)contract for $59,000 includes $10,000 in one-time only funds from the State. Offer condoms and other risk reduction materials as availableAgency continues to seek and receive small sums of other private funding to support operations
Contacts at Needle Exchange Sites05001000150020002500300035000405 0506 0607 0708 0809 0910
Number of Syringes Distributed0500001000001500002000002500003000003500004000000405 0506 0607 0708 0809 0910
Secondary Exchanges Reported0100020003000400050006000700080000405 0506 0607 0708 0809 0910
AODS Service Enrollment
Other Prevention Strategies to Reduce Transmission of HIV in IDUsAnonymous Partner notification and counseling servicesPrevention with positives programHomeless collaborativeHIV testing services in community and in Alcohol and Other Drugs Services programs. Pharmacy syringe sales (State DPDP)in two chains and a few other stores.
Syringe Disposal OptionsWest CountyHousehold Hazardous Waste facility101 Pittsburg Ave., Richmond, CA 94801 1-888-412-9277East CountyDelta Household Hazardous Waste Collection Facility2550 Pittsburg/Antioch Highway, Antioch, CA 94509 925-756-1990All Contra Costa County residentsSutter Regional Medical Foundation4053 Lone Tree Way, Antioch, CA 94509 925-756-3400John Muir Pharmacy1220 Rossmoor Pkwy, Walnut Creek, CA 94598
CONCLUSIONS1. Access to clean needles through needle exchange and pharmacy syringe services remains a necessary Public Health measure to reduce transmission of blood borne diseases. While overall infections attributed to injection drug use have declined over time, over the last 3 years there has been an increase in the number of new cases of HIV / AIDS attributed to injection drug use among men. The availability of needle exchange and pharmacy syringe sales is necessary to control this trend. 2. Reported local law enforcement exposure to potential blood borne pathogens via needle stick injury has not increased since needle exchange and pharmacy sales have been implemented. Materials for Law Enforcement to document potential exposure and request assistance are available on the website. 3. The contract for needle exchange services remains an important HIV prevention service component and should remain in effect so long as the service is provided. The service is a necessary component to reduce transmission of HIV and Hepatitis.