1. Counseling for a safer injecting behavior Cedric Charvet Coordinator DCR www.deregenboog.org ccharvet@derengboog.org

2. INTRODUCTION Safe use Enemies of Injectors / Bacteria and Dirt The “perfect” Injection Safe Shooting / Safe Smoking / Placemat Direct advice and Reality check Necessary material / 2ml / 1ml Stericup / Sterifilt Helping? Each other for injection? Biohazard containers and Sweeping Summary

3. RESPONSIBLE USE Less risks taking Fewer overdoses Less blood transmitted diseases contaminations BETTER INJECTION TECHNIQUE Prevention of abscess Prevention of shake

4. ENEMIES OF INJECTORS = BACTERIA & DIRT To avoid bacteria, only use sterile clean new injection material. Bacteria lead to Abscesses To avoid dirt, only use sterile clean new injection material. Dirt leads to Shake (Dirty shot)

5. The “perfect” injection... to avoid Bacteria and Dirt wash hands regularly and keep injection areas clean use a new needle and a new filter for each injection put pressure on wound with clean tissue as soon as the needle retrieved from vein eventually wipe with alcohol pad cover needle wound with appropriate plaster

6. VEILIG SPUITEN / VEILIG ROKEN SAFE SHOOTING / SAFE SMOKING

8. NOTHING BETTER THEN DIRECT ADVICE Observe Sit with the user Reward positively the good technique Advise a transition from bad to good technique Repeat and/or correct technique Repeat

9. REALITY CHECK

12. NECESSARY MATERIAL Drug + Spoon + Syringe + Water + Filter + Alcohol pad + Plasters

13. Needle type 2ml 1ml

14. Stericup & Sterifilt

15. Helping ? each other for injection ?

16. BIOHAZARD CONTAINERS AND SWEEPING

17. SUMMARY Safe injection = no sharing + avoid Bacteria and Dirt A clean injection does not require much = Clean injection material in a clean place to use Think about Safety – Hygiene - Stress free Do not use alone BUT learn to inject alone Inside DCRs, talk to the users, get to know them individually and be around for the first injections and further advice. Repeat.

18. Thank you for your attention! For further information feel free to contact me: ccharvet@derengboog.org www.deregenboog.org

19. SOURCES Mainline Drug and Health / mainline.nl Trimbos Instituut centre of expertise on mental health and addiction / trimbos.org De Regenboog Groep AMOC / deregenboog.org Stericup Sterifilt, harm red. Material / apothicom.org Insite Vancouver Canada / supervisedinjection.vch.ca Medicos Del Mundo, Bilbao, Spain / medicosdelmundo.org