September 25, 1991, Vol 266, No. 12 >

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ARTICLE | September 25, 1991

The Incidence of HBV Infection and Syringe Exchange Programs

Holly Hagan, MPH; Terry Reid, MSW; Don C. Des Jarlais, PhD; David Purchase; Samuel R. Friedman, PhD; Thomas A. Bell, MD, MPH

JAMA. 1991;266(12):1646-1647. doi:10.1001/jama.1991.03470120048019.

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To the Editor. —The incidence of hepatitis B virus (HBV) infection has been proposed as a marker for syringe sharing and human immunodeficiency virus transmission among injecting drug users. Pierce County, Washington, which includes Tacoma, is one of four sentinel counties in a national hepatitis surveillance system. The sentinel surveillance system is characterized by reliable reporting of HBV incidence and standardized determination of risk behaviors for HBV.¹ Tacoma is also the location of the first syringe exchange program in North America; its operations are described elsewhere.² Currently, an estimated 500 drug injectors exchange 2000 syringes each week in five Pierce County exchange locations. There are approximately 3000 drug injectors in the county; the syringe exchange program provides a means for safer injection for a substantial proportion of drug users. Syringe exchange users report a mean of three to four injections per day and are probably among the most

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Hagan H, Reid T, Des Jarlais DC, Purchase D, Friedman SR, Bell TA. The Incidence of HBV Infection and Syringe Exchange Programs. JAMA. 1991;266(12):1646-1647. doi:10.1001/jama.1991.03470120048019.

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