R9 I UM presentationMiami-Dade Infectious
Disease Elimination
Act: IDEA Exchange
Hansel Tookes, MD, MPH
Assistant Professor of Medicine
Florida People Who Inject Drugs (PWID)
Washington DC Syringe Exchange
Effective 07/01/2016
Authorizes the University of Miami and its affiliates to establish a sterile needle and syringe exchange pilot program in Miami-Dade County
possession, distribution, or exchange of needles and syringes under the pilot program is not a violation of the Florida Comprehensive Drug Abuse Prevention and Control Act or any other law.
Bill 242 – Infectious Disease Elimination Act, 2016
Launched World AIDS Day 2016
Totals
Participants enrolled 505
Hispanic 40%
White non-Hispanic 51%
Black non-Hispanic 5%
Multiracial 4%
Native American 1%
Mean Age 39
Totals
Number of exchanges 3,153
Needles in 70,877
Needles out 63,049
Drug treatment referrals 57
HIV treatment referrals 13
HCV treatment referrals 47
Narcan reversals 166
Totals
Self report HIV+ 43
HIV tests 230
Reactive HIV tests 1
HIV seroprevalence 9%
Self report HCV+ 173
HCV tests provided 161
Reactive HCV tests 60
HCV
seroprevalence
48%
Mobile Unit Services
Launched May 2017
Locations include:
Overtown
Florida
City/Homestead
Liberty City
Miami Gardens/Opa Locka
Miami Beach?
Partnership with SFBHN
Training and naloxone available for:
IDEA Exchange participants
Family and friends of
participants
Law enforcement partners
Overdose Prevention
Program Challenges
Building trust from people
who inject community
Referrals
Educating and partnering
with law enforcement
Building community
awareness and involvement
Providing successful links to
medical care and drug
rehabilitation treatment
programs
Wound Care Clinic
Grand Opening 9/28
Surgery, Emergency Medicine, Dermatology
Wolfson Department of Community Service (DOCS)
Thursdays 4pm-8pm
Program Challenges
Building trust from people
who inject community
Referrals
Educating and partnering
with law enforcement
Building community
awareness and involvement
Providing successful links to
medical care and drug
rehabilitation treatment
programs
Questions & Discussion