Huntington Shows Need for Needle Exchange

As needle exchanges just get going around the state, Huntington’s program has been up and running for three months.

Last week, a college-age woman sat in the reception area at the Cabell-Huntington Health Department waiting to exchange used hypodermic needles for clean ones.  

“I think it’s really great actually, it’s helped a lot of people, it’s helped people stay away from diseases you know what I mean and I just think it’s really great. They offer a lot of things here that help a lot of people, myself included.” 

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She didn’t wish to use her name, but she was one of the 115 people who showed up Wednesday to take part in the program. She said she’s been using heroin for a little over a year.

“I just wanted to try it and then it turned into now I have to, so I don’t get sick sort of thing, the fun part is kind of over.”

She said she’s using less and less to slowly ween herself off heroin while she’s waiting for a spot to open up in a treatment facility.

The Cabell-Huntington Health Department provides new needles each Wednesday. The program started at the beginning of September and through 15 weeks, the health department has seen more than 1,000 clients. Of the 80-100 people who use the service each week, half are returnees and the other half are making their first trip to the health department. Cabell-Huntington Health Department director Dr. Michael Kilkenny said he has mixed feelings about how well the needle-exchange program is doing.

“It’s hard to say that a service like this is a roaring success and feel good about it considering what service we’re providing and the level of problem that we’re actually identifying because of the demand for services that we’re having,” Kilkenny said. “We’re far exceeded our expectations.”

 The program’s purpose is to decrease the number of cases of diseases such as hepatitis B and C and HIV that are transferred through the sharing of dirty needles used during the injection of drugs, specifically heroin.

The number of addicts who use the program grew so quickly during the first few weeks that the hours of operation were extended from 1 to 3. The needle exchange is now open from 10 a.m. to 3 p.m. each Wednesday, with nurses often working past the 3 o’clock hour.

The sheer number of people who use the exchange convinced officials in other areas that the program was worth a try, areas like Charleston and Wheeling.

Michael Brumage is the Executive Director of the Kanawha-Charleston Health Department. Through the first few weeks his program only saw a handful of participants each Wednesday. But he said he expects things to pick up as word gets out. 

“While it brings them in the door for needle exchange, which itself is helpful in preventing Hepatitis B, Hepatitis C and HIV and other complications of sharing needles, including some terrible bacterial infections, we can also offer them services toward recovery, we can test them for STD’s and we can also offer  them contraceptive services,” Brumage said. 

Word of mouth and trust in the safety of the program are big factors in the Huntington exchange’s success. With police staying away, the nurses at the Cabell-Huntington Health Department have shown the program is all about helping the addicts stay as healthy as possible while they deal with addiction.

Jenny Erwin is a nurse in the Cabell-Huntington Health Department. She said they’re starting to build relationships with the addicts who come back week after week.

“The people that are returns, we’re building a rapport with them and we can ask them how’s your week going and that type of thing and they can tell us if they have an issue, they feel more comfortable now showing us abscesses or issues they have,” Erwin said. “They’ve shared with us that their skin is looking better because we’re doing good teaching as far as skin care and how to rotate your sites and clean real well.”

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 Dr. Michael Kilkenny, the Director in Huntington, said that when the citiy’s program started, they estimated they would need $250,000 to run it the right way . The program still needs more funding, but has received $75,000 from the Benedum Foundation and $20,000 from West Virginia Department of Health and Human Resources and donations of needles as well from others.

Kilkenny said the goal is to offer the service in other areas throughout Cabell County and new locations have even been scouted, but expansion won’t be possible until more funding comes in. 

Berkeley County Studies Starting Needle Exchange Program

Berkeley County health officials are looking at implementing a needle exchange program for intravenous drug users.

The program would be part of a larger harm reduction strategy that health officials want to establish.

The Journal reports that the Berkeley County Health Department held a roundtable discussion on Friday with local agencies and organizations interested in becoming partners in a harm reduction coalition

A needle exchange program allows intravenous drug users to exchange used syringes for clean ones.

Health department epidemiologist Timi Adediran says 32 of 78 communicable disease cases reported to the agency in 2014 were Hepatitis B. Hepatitis can be transmitted through syringe sharing by drug users.

West Virginia’s first needle exchange program was launched in Cabell County in September.

Huntington Syringe Exchange Given Grant to Expand

West Virginia’s first syringe exchange program has received a $75,000 grant to expand.

The Herald-Dispatch of Huntington reports that the Claude Worthington Benedum Foundation awarded the grant Thursday to support education and risk reduction programs for drug-addicted individuals. The syringe exchange program was started in September by the Cabell-Huntington Health Department.

The Huntington program allows intravenous drug users to exchange used needles for clean ones at a clinic. Physician Director Dr. Michael Kilkenny says the grant will help the clinic, which he says needs to expand its hours to facilitate the number of addicts who are using the program.

The syringe exchange program is open from 1 p.m. to 3 p.m. every Wednesday at the Cabell-Huntington Health Department.

Goodwin: Must Curb Demand to Combat Drug Abuse

"Just tackling the supply side of this issue, it's not going to be enough." – U.S. Attorney Booth Goodwin

U.S. Attorney for the Southern District of West Virginia Booth Goodwin brought together local first responders, state health officials and substance abuse treatment specialists Tuesday to celebrate the success he sees in his district in combating drug abuse. 

Goodwin said his office intends to continue enforcing federal laws that prohibit the sale of narcotics, but now, he and his colleagues are also focusing on the treatment side, looking at ways to curb the demand for the drugs. 

Goodwin focused on the expanded use of Naloxone, a opioid antagonist that reverses the effects of an overdose.

A drug that’s been used by paramedics in the county for years, now some members of the Kanawha County Sheriff’s Department have also been trained to administer it. Charleston Police Chief Brent Walker said Tuesday his department is also in the process of training to carry and use Naloxone.

“We believe that the paramedics at the Charleston Fire Department will do the bulk of it, but we want to be in a position to save a life if we can,” he said. 

Charleston City Council also passed an ordinance this week that will pave the way for a needle exchange program which Kanawha-Charleston Health Department Executive Director Michael Brumage said will help prevent the spread of some serious diseases like Hepatitis B and C and possibly HIV and AIDS.

Credit Ashton Marra / West Virginia Public Broadcasting
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West Virginia Public Broadcasting
Kanawha-Charleston Health Department Executive Director and Health Officer Dr. Michael Brumage during the panel Tuesday.

“Just being able to bring somebody in and offering them a clean needle and at the same time exploring whether or not they would be willing to go into recovery, that’s a service we can offer to as part of this program,” he said.

Brumage is working to model his program after the Cabell-Huntington needle exchange program that began this month, the first of its kind in the state. He believes Kanawaha County can have a program in place by December. 

Goodwin also highlighted other success in the area, including Governor Tomblin’s recently launched 24-hour helpline. 

The call center, which can be reached at 844-HELP4WV, helps connect those in need of substance abuse or mental health treatment to providers in their communities. 

Charleston Council Takes Step Toward Syringe Exchange

Charleston City Council has taken a step toward establishing a needle exchange program.

Council members approved an ordinance on Monday decriminalizing possession of hypodermic syringes and needles. The ordinance also allows distribution of needles and syringes that are part of a needle exchange program, so long as such a program is approved or sponsored by the city’s police chief.

Dr. Michael Brumage with the Kanawha-Charleston Health Department says the ordinance opens a path to begin a needle exchange program.

Such programs allow intravenous drug users to exchange used needles for clean ones.

Last week, the Wheeling-Ohio County Board of Health voted to establish a county-operated needle exchange program. Cabell County launched the state’s first program earlier this month.

Ohio County Ready to Establish Needle Exchange

The Wheeling-Ohio County Board of Health has voted unanimously to establish a county-operated needle exchange program.

Wheeling-Ohio County Health Department Director Howard Gamble tells local media that the program, conducted in partnership with Northwood Health System, could open as early as Friday, thanks to the Tuesday vote.

The new health regulation establishes a one-for-one exchange, in which a person could turn in one used needle and receive one sterile syringe at no cost from a health department employee. Northwood Health System’s Eoff Street facility will be used as the exchange site one day a week.

An increase in drug use in the community and in needles being discarded improperly prompted officials to consider a safe exchange program.

Cabell County launched the state’s first needle exchange program earlier this month.

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