2005-1324-Minutes for Meeting August 10,2005 Recorded 11/22/2005G
pZ{ Deschutes County Board of Commissioners
1130 NW Harriman St., Bend, OR 97701-1947
(541) 388-6570 - Fax (541) 388-4752 - www.deschutes.org
MINUTES OF DEPARTMENT UPDATE — HEALTH DEPARTMENT
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, AUGUST 10, 2005
Health Department Conference Room
Present were Commissioners Michael M. Daly and Dennis R. Luke; Commissioner
Tom De Wolf was out of the office. Also present were Mike Maier, County
Administrator; and Dan Peddycord and program managers of the Health
Department. No representatives of the media or other citizens were present.
The meeting began at 3: 30 p.m.
See the attached agenda for a list of the items discussed.
The Board indicated support of the teen clinic and $15,000 in remodel costs at the
facility located at 1128 NW Harriman St. (the previous Juvenile Department jail).
These funds would come from the economic development grant fund.
Being no further items addressed, the meeting adjourned at 4:15 p.m.
DATED this 10th Day of August 2005 for the Deschutes County Board of
Commissioners.
ATTEST:
lnwx��� —
Recording Secretary
Document Reproduces Poorly
(Archived)
Tom DeWolf, Chair
y, C91nmissioner
Dennis R. Luke, Commissioner
DESCHUTESFICIAL
CLERKS Q2005-1314
COMMISSIONERS' JOURNAL
2005-1324
11WILU05 04,41,,
32 rn
Aw
ILA
Deschutes County Health Department
Board of County Commissioners
Monthly Liaison Meeting
August 10th, 2005 3:30pm @ Health Department
Agenda
West Nile Virus Activity — Muriel Brown
• 2003: US Human: 9862 cases, 2866 severe illness, 264 Deaths.
• 2004: US Human 2,470 cases, 900 severe illness, 88 Deaths.
• 2005: US Human >110 cases, 31 severe illness, 3 Deaths.
• 2005: Oregon: 0 Human cases, 0 Horses, 4 Birds, to date.
• 2005: Idaho: 0 Human cases, 0 Horses, 2 Birds, 2 mosquito pools, to date.
• 2005: Washington: 0 Human cases, 0 horses, 0 birds, to date
• 2005: California: 84 Human cases, 6 Horses, >400 birds in 33 counties to date.
w 44-ae, sv 1-0 7-esnA-9
2A, Needle Exchange Program Outline — Shannon Dames
i Teen Clinic — Jeanie Young
4. Year end Revenue/Billing update — Tamara Weaver
5. Interest in FQHC for LaPine:
6. Health Officer Changes:
7. MCH Manager Recruitment �� �� — K K7� C I A o ode
• Recruitment remains open.
8. Public Health Advisory Board Web Site: www.deschutes.or /hg ealth/phab.htm
• Next Meeting: August 23rd - 12:00: Stan Owen Rm DCHD
Health Department Liaison Meeting
Q Q m �
L
d d
> L vC
Q
LO
O
le
CD
}
LL
It
O
M
O
}
LL
0
0
cD
c0
N
ao'
M
CMj
0
n
00
cp
N'
tt
C)
r
co
�
r
M
40
r
r
T-
Rt
v
co
O
N
d
ti
r
ti
r
N
r
r
r
N
04
ti
N
Go
N
T--
7
`
y
le
co
le
'7
�
O
CD
00
co
r
N
ao'
M
CMj
r
�D
r
:Cil:
tt
C)
r
co
O
N
O
CO
r
M
40
NE
M
M
N
T-
Rt
v
•�t
p
Inrl.
LO
vi
M
r
Cl
ti
r
ti
LnO
co
r
Ln
N
1�
LO
d
it h
C
y
O
I--
•••
tv
OO+
JT
~
cu
W
it
Cf
Go
rd 4w
.r
u
'a
06
a"
w
wa
Q
=
CU
O
W
LLa
�*
W
},
cv
>
a
12
rr
rd
cd
1�
LO
it h
C
y
O
I--
•••
tv
OO+
~
cu
W
it
Cf
Go
rd 4w
.r
u
'a
4.
w
wa
cD
CU
v
w
O\
oo
y x
—N
�CJ6e
000
co
°���•�
co
In
,0
w
F
M
b
r-
en M
r-
00
N o
r �
M
0 o
M
in
I-
0
e? M
0 0 0 0 0
<t �o 00 00 \,q
Q; 7 4 06 h
to -4 O\ 4n N
00 O r -i O\ O
ON R h tt �O
M d M ON .-i
r! r� M r-
z w
� a
p
w
�
M
O
C
a c
w �
on
w
UOrn
a
Qp
LO
N
�
O
epi
H
4)
NO
O
Oen
O
a
N
W M
00
O
o
�
`ow
a a�rM
� 00 o
-
M
N
M
N
U
U
m a
N
O
O
�
k
O
O
N
(,
00
00
rl
en
.0,
N
�
z
e
o
p
In
M
O
0
00
o
t -
O
�
M
O
o
a
� A
M
ti
V
a
0.?
�a
y
U to
PY
A
A
H
0b0
a�
a
x
H��
0
w
M
b
r-
en M
r-
00
N o
r �
M
0 o
M
in
I-
0
e? M
0 0 0 0 0
<t �o 00 00 \,q
Q; 7 4 06 h
to -4 O\ 4n N
00 O r -i O\ O
ON R h tt �O
M d M ON .-i
r! r� M r-
z w
� a
p
w
�
M
O
C
a c
w �
on
w
UOrn
a
C
p
�
M
O
C
r -I
Vi
Qp
LO
N
�
O
epi
H
NO
O
Oen
O
r,:,
M
00
O
o
�
�
O
M
N
M
N
N
N
O
O
�
k
O
O
00
00
rl
en
.0,
N
�
e
o
p
In
M
O
0
00
o
t -
O
M
O
�
O
M
ti
\ 0 0 0 0 \o \ \ \ \ \ \ \
0 0 0 0 0 0 0
N M ,I: 00 N O N M O M O
O � N r O N In Ch LO t lO
en O
LO
tn
N
N 00
r
O M
a:m m
O
more
W
Q
V
D
W
F-
W
Q
F-
CDO
w
a
z
LLL
W
0
U
Z W
O5
zw
W
W N a)
U_S
0§0
[-
M
eT
v"
M
00
N
M
M
-4
O
�m
00
M
a\
d'
b
\C
O
O
`�
N
_�
O
o
N
��r
�'
U
U
Ci
Ln
Ln
N
Oct
H
a
M
'n
M
cn
A w
H
cn
CIO
-4
tnti N
~
ti
tn
r-
'IV
00O
u Q a
N
M
G
U
N
IT
M
`t
p
Qx
a�
U
Q
W
7
O
N
N
^ti
7
toO
M
ti
.-+
M
ry
r
en
aa
U
Q
M
N
00N
N
M
ao
tn
N
r,
rl
ry
U
U
�
O
U
U
Q
Q
00
M
M
M
M
N
M
U
Q
en O
LO
tn
N
N 00
r
O M
a:m m
O
more
W
Q
V
D
W
F-
W
Q
F-
CDO
w
a
z
LLL
W
0
U
Z W
O5
zw
W
W N a)
U_S
0§0
U
N
0A
a
¢
W
v
`�
N
_�
O
o
N
��r
�'
U
U
Ci
Ln
Ln
N
Oct
en O
LO
tn
N
N 00
r
O M
a:m m
O
more
W
Q
V
D
W
F-
W
Q
F-
CDO
w
a
z
LLL
W
0
U
Z W
O5
zw
W
W N a)
U_S
0§0
h (0 00 0� O
OR O O 4 O 07 ti Co O O
LO r r O
r
p J
z a
LO
CM
O
LO
�
r
m
0 0 0
It
r-
N
r
N_
00
�
co
to
M
N
r
N
O
0)r
CO
N
r
M
r
r
r
00
C7 f -
M
r
r
CL
Ln
(V
r
pa
ZQ
0
N
L!7
N
r
O
0
r
N
r
00
t
LLJ
CN
i
N
M
i
Q'
N
i
Co Z J
LU
N
M
w
Qw
U a
N
CL
U
p d
p
0
N
m
c�
d
LO
O
O
N
0)
00
o o \ \ \ \ \ e
e
It O O O O) 00 O O O
O O N O
N
ICS et 00 f- r
d r N O
r
c
C
N
r-
N
r
0)
00o
M
co
r
7r
In
(D
Ln
CO
N
r
Il -
LO
�
r
M
r
r
CL
Ln
(V
r
O
00
N
N
r
(o
r
O
N
M
r
r
Q'
N
N
M
w
Qw
U a
CL
U
p
p
Z
M
O
Moo
0
Z
O=
N
r
O�_
w=
M
f-
IRTO
Q
r
N
r
Ln
N
N
N
r
co
Q
p
r
r
r
U
O
U
p
M
w
O
N
p
Z
r
M
O
p
Z
Ln
N
N
O
p
U Z
pmU-
p Iai
_o
w
'T
N
a
U Q
ti 0
LU w U
} � 0�
W � a w
w d w d U w +°
o a z _
w O ►- d w O E°-
0
O
J w
N
M
0
Lo
M
=
CL
p
0
N
m
c�
d
LO
O
O
N
0)
00
Q =O
a
d'
N
O
M
Co
O
J
U w
M
p Z
CL
U
U
M
N
00
N
N
r
(o
r
O
N
M
r
r
OI'-'
N
U a
r
U
p
p
Z
M
O
Moo
0
M
O
O
Il -
w=
ti
N
M
O
r
co
r
Ln
m a
d
r
N
r
O
r
U
O
U
p
O
N
O
p
Z
Ln
N
N
O
U Z
pmU-
_o
'T
N
a
U Q
ti 0
LU w U
} � 0�
W � a w
w d w d U w +°
o a z _
w O ►- d w O E°-
0
O
LL O -1 N NA 4
0
N
m
c�
d
LO
O
O
N
0)
00
JUNE 05 ACTUAL TO BUDGET
Statement of Financial Operating Data
Twelve Months Ended June 30, 2005
REQUIREMENTS:
Year to Date
Exp.
Budget
Actual
Variance
Coll. %
RESOURCES:
Personal Services
3,426,475
3,228,470
198,005
Beg. Net Working Capital
$ 663,322
$ 844,015
$ 180,693
127%
Revenues
Capital Outlay
70,589
49,474
21,115
State Grant
1,300,978
1,432,108
131,130
110%
Child Dev & Rehab Center
31,790
32,428
638
102%
State Miscellaneous
131,410
140,003
8,593
107%
STARS Foundation
5,400
7,296
1,896
135%
Grants
-
4,880
4,880
School Districts
10,400
14,664
4,264
141%
Contract Payments/ESD
65,075
63,403
(1,672)
97%
Miscellaneous
-
7,671
7,671
Total Grants & Contracts
1,545,053
1,702,453
157,400
110%
Family Planning Exp Proj
457,000
459,984
2,984
101%
Medicare Reimbursement
3,000
16,356
13,356
545%
OMAP
173,750
214,792
41,042
124%
Patient Insurance Fees
49,920
68,287
18,367
137%
Health Dept/Patient Fees
129,250
133,343
4,093
103%
Total Patient Fees
812,920
892,762
79,842
110%
Vital Records -Birth
16,500
27,555
11,055
167%
Vital Records -Death
62,250
82,015
19,765
132%
Donations (includes client)
12,550
11,741
(809)
94%
Interest on Investments
9,400
20,020
10,620
213%
Interfund Contract
59,610
52,410
(7,200)
88%
Administrative Fee
-
7,200
7,200
Total Other
160,310
200,941
40,631
125%
Transfers In -General Fund
2,289,411
2,289,411
-
100%
TOTAL RESOURCES
5,471,016
5,929,582
458,566
108%
REQUIREMENTS:
Exp.
Expenditures
Personal Services
3,426,475
3,228,470
198,005
94%
Materials and Services
1,170,106
1,238,185
(68,079)
106%
Capital Outlay
70,589
49,474
21,115
70%
Transfers Out
150,000
150,000
-
100%
Contingency
353,846
-
353,846
n/a
TOTAL REQUIREMENTS
5,171,016
4,666,129
504,887
90%
NET (Resources - Requirements) 300,000 1,263,453 963,453
Beginning NWC per FY 05-06 Adopted Budget
* Unappropriated Ending Fund Balance
LO
O
O
N
00
(0
f0
W
-60mo
A,
W
• PR
r
V1
9
O 00 r1 C M 0 0 t� O O O O O O O O C O O CT O O O t O O O
O� O C O M moi- O O O M O N
O N�� 00 t— O 'n 0 0 0 0 0 0 ri v �O
I'D 110 N N�
O �C 00 rt I— O O N 00000 O O O O O O O 'n O Wn C O O C M
OnC17,CrC0voo'n00C�ocCOoCr-C cr-�'oC-
00 M A M r d- O
N f� CT 00 O �n O O N 00
N O ' 'n kn In M 00 'n v7 N � O\ N 00 '1 N
00 'n
C> "T �D O M O C M O O O v) 0 0 0 0 0 0 O O O O O O O O
O M W, O 00 O O 00 O O O T 0 0 O O O O I- P O M C o0 O O N
O --' [- O l— 0 0 0 0 O I'D O O O O O O OC) �' O �Y O N O O V'
00 CT tn M
N
O N c*M '10 O O N O L O [-- O O O (= O C O Ln O v) O d- O O I—
O v� I� O 00 O O N O 'n O [— O O 0 0 0 0 O Cl N O\ N C 00
O G1 O N \,D O 00 Cl O CT vi vi 0 0 0 O O O O 00 O 00 N
00 �
00 M 00 v'1 t� �Dkr)
i
0 0 0 0 0 0 0 0 C O 0 0 0 C O c O 0 o O C 0 0 0 0 0 0
O -t N O N O C O O O O 00 O O 'ct 0 0 0 0 0 O O O 00 00 It 0
00 1- N CT 00 r- O � -- r �10 M oC) vi O O^ '/7 N G1
00 O�
N 'n 00 �D ,--. Vl 00 W) N � d' '� c!' v't O� kr)[� CT 00 L-- r- ^ W h
t ^' 00 N l� N Vl
'n 00 M N M
zz xo U
Q u u w z u ¢
Q
U U
ww x a w
¢��Dw UO ¢w a w Z
14 aQZ a =°a awE�. Zxw
¢E- V1zf f ULL) C/D[¢�.� �O° rn¢¢Z¢F
�z¢C�Urtc`i�UUE"OZ a�a,aw>"y x50
W _J -
QLiGL7 OO�UZ��� �Z¢¢W VUO O'7 ��
¢¢¢¢¢¢¢ U w U U U U OU w w w w w Cw7
T,
Ln
O
O
N
O
W
O O O O O O O O O O O Cl O O O O G
O O O N O 0 0 v) X 0 0 0 0 0 0 O vi
O 06 d' O 00v) O O v), kn �n cV O"* 0 0 0 01 O r O r_ kr) O O
N ' 00 '\0 o 00 �p rn .-• O N O M N M Q\ V' ^
M kn N (n N N
O O O O O 0 0 0 0 0 0 0 0 00 O O O O O O M 0 0 Cl 0 0 0 0 07 0 0 0 0 0 0 0 N O O
OOO��OOOOOOMOtn0000OOOOM"0000,-t,t'tN W) V- 00000OO,Ov
N \ X 00 C 6 6 6 6 1.6 00 O N Otr). v
0 0 0 'Cl.'Ct v1 M N. 0 0 0 rl [� 00 .� p p,
~O a, N O1 M 110 N Vl N O o0
kr) ,-. i i i �p V' ct M
00
0000000000 v1 OWn000000000000000000000w00OOO
O O O 110 00 O �G O O f— O v') O Cl O O O O O O ^ 0 0 0 0 0 0 0 0 0 0 0 0 !— O O cel 0 v'1
N* O O O M O O O^ 0 6 6 6 O Oa, 0 6 0 0 0 O O O O V' O O M O O 4 O 4
' � M N N '
0 0 0 0 0 0 0 0 0 vi O kn O N 0 0 0 0 0 0 0 0 0 0 0 0
O O O N O ON O It O N O O O O "t N O O O O
O O O M O O M N O� O N O O O O o0 N CV O M 110
i M
O O v') O O O O N C O 00 O C
O 110 r— O 00 O O N O O l— O 'ct
O O\ CF O O oMo 0 0 O M
0 0 0 0 000000000 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0
00 O O O" O O oo O O N 0 0" 0 0 0 0 00 'T O O O 00 O O O 00 O O O O
O1 N D O O H 00 4 00 -,zr M O O C` M N O M [� N M M a, C` v7 N M o0 O
t- N O N v') N t- It 00 O M l- 01 01 O O W N C` O\ M 00 O T 00 M�T O� N
M
z_ �u
LIJ
W U z H H H U z U)
H o zo
< ¢ w •, z 0 w ¢ E z
u u �w zzux
v w Zc7=4Z ° mow ¢
w a z �axz¢z uo u a3x w
°C]¢ a¢Hwzw z`"WaxV)
F- w
oQ� WW¢ �Qxzrx�°=zawWwx�¢
°wzzzaa¢oF wor��;E-
c,x�¢ UU--DZzQ°'aca¢�3wwa��Ww
wwa¢ x
���Wa°�
z w¢¢¢¢¢¢ g Q Q z a V 0 cj v w w°> Q c7
W Q'�W W WWW¢ WOOQ�0.,RjW� OOW W
CIO
U a
z
Wa o0C/D
¢ Q O U w
zu�zzQs wEz..,
zWw
LLJz
z¢rv)Uuu
�oo��-¢oqw" vvu
zzoo0AQ. CL4
T
O
O
N
O
r
co
J
0
N
y
O all C O C C C O C C Cl 'IT O O O C C C O m O O O O C C O oo C
O 00 O O O Cl Cl C, C O O U O\ O O O O C O c0 O 01 �o C 't
O 'n vi 0 0 0 O r o \D O c-7 O O O M O V O -+ 1ri O kr)cn t-- N �-- O O O N rn ti p `j
00 M
r N M O cV �' CoObi O
C O O O Vn O "D O O c C C O C O O oc V
O '�D O C rt C M C. 00 C o r "D O V M 0 Cl 0 'n "t N 00 Cl "D O 00 O 0 0 0 O C t -
O N v') O O O r u7 r M 0 0 v) M .O :D 00 01 O DD
M 00 O r 01 C\ M M r M v1 N N �-+ W')t� 0000 CV
M I I i N � M V' V'1 N V M M .-• N •-
O �
O v�
O 00
N
M
0 0 00 O O, O O O 0 0 0 O M
r 0 0 06 v�
N
0c O C O Wn Ln C C C) O,. rt 0 0 0 0 0 0 0 C C C O V) O M O O 'Y C O O O"
'n OV N C N O O O r C 0 0 Vn O O C DO O O C O r O N O M M 0 0 0 d' N
r D N kn 0 00 0 0 00 O O v1 O C O� cn O O
N C�
•-- 00 �n
' F N M ��
kn M M
IT
i
0
M
O O C 0 0 0 0 0 0 0 0 0 0 0
000000d' Ooo00�DNO
r O
\D M 00 M S N V7 O M
O -. lD -• M M in
00 M O
M
rvn
�t M N
01,
00 C� zr
r ' C�
O O O O O O O O O O O O O O O O O O O O O C O O
d wC O O\Dd N O V OO 0000et V 00N
O O O kr� 00 �D 116 4 S N 00 C�
r O M M M �D 10 N lzr 0� 00
N M N to r Cl) Q� O� N O�, N M 'V' r- 00
M N
I
w
U QO F" W WU
U >
LU >
to U 2¢ p w z
u>
Z W N W q U Z
www QN-?�a71�OO�w
cxrL w�,3¢¢QOwaUU�nm ¢¢� gzz�w ¢zH
UU��
Q� z� C'o W W W W wwZ OCW7wU-a W W
UUao�ia�ia zzQ cc Q¢wW
00ZZ¢v, ww Uw¢xw3 wcr�aaw
uuwgw0.www�000U� maa¢g�3�w F xz�z
w.
ww dxxaUQQ��zZZzWOHE-dxwwwav�q�dc4
Uuazr� Op��wwww�WwWv�",�E"a�dwdw V�
w C7 C7 Ct�7 c7 w add�ww U�U�w��
adodacQaGxaCL,gLa4C4 C4 CZ 0� r. a: �ccnC/WCwi)�vii Ex -Ex-
z
x
U
VO
O Ln
¢ U
w o w
zs Uw¢
Q U 0 0 q
¢aAQ�w
zo�zwQ
hA
N U U O
O
O
N
O
r
00
0
M
� c
0 0 0 o p
7 M O
ti
00
O
rl
O
O
O
cm
z
bO 000
�
r in
M
Mi
M
O\. O�
C1
00
CT
N
Vr 00
rY
�--i
O
N ^
7
\j
er e U
00
00 00
lf�
ll N
H
d
00 00
tn
N
ti
V'
N
.•-i
M
O
OG r-�
\O
N
cn 00
ONO
M
b
N
V 00
M
M
M
'
'
N
c 0
0
N
C�
00
O
rl
O
O
O
cm
z
bO 000
N
O
!t ^ M
IT
N
M 00
ti
eV
CT
Ow0°"�
a
w0
er e U
0 0
0
H
00
O
rl
O
O
O
cm
z
bO 000
000
000
!t ^ M
IT
00
•'� 'n V
GT
V7
CT
Ow0°"�
a
w0
00
O
rl
O
O
O
cm
z
Ow0°"�
a
w0
er e U
H Q W U O
H
H
1
U')
O
O
N
O
00
Tentative Plan for Deschutes County Syringe Exchange Program
Start date: September 1/2005
Site
• Deschutes County Health Department: 4-12 hours per week at specified times.
Client will be led to a private room for exchange, and counseling.
• Pfeifer & Associates (23 NW Greenwood Ave): 4 hours per week (looking at
Friday afternoon). Client will be led to a private room for exchange, and
counseling.
*Will work with Pharmacies in Redmond, Sisters, Lapine to make syringes available in
10 packs for purchase. Lapin pharmacy has also warmed to the idea of having a dirty
needle drop box on their property.
How
• First visit: Coded identifier taken, along with appropriate harm -reduction
interaction. Start-up packs will have 10 syringes, along with hygiene supplies,
sharp boxes and other harm -reduction items. Each client will be given a card to
show at each exchange. It will have a code that helps us keep track of encounters.
• Follow-up visits: one to one exchanges, with flexibility for people acting as
Secondaries.
Who
• Trained nurse/outreach worker (currently a member of the CD team) who is able
to provide testing, vaccinations, harm -reduction counseling, etc.
Budget
Start-up funds totally $2500 for supplies, no staff funding at this point.
Counting on State dollars for following year, which will could pay for an outreach
worker.
Google Maps - pfeifer & associates loc: Bend, OR
G9
S BETA
p
Local Search
What pfeifer & associates
where Bend, OR
Page 1 of 1
A Pfeifer & Assoc
23 NW Greenwood Ave, Bend, OR 97701
(541) 383-4293 - 0.3 mi E
Welcome To Pfeifer & Associ...
The only realistic goal is total abstinence. At Pfeifer & Associates we
view alcoholism and drug addiction as a Disease. Alcohol ...
pfeiferassociates.co m
Document Reproduces Poorly
(Archived)
http ://Www. google.comlmaps?li=lmd&hl=en&q=-pfeifer+%26+associates+loc:+Bend,+OR... 8/9/2005
a
Quantitative Results from Jail Survey_
Jail setting focus group percentages (20 participants):
Age 18-24 = 25%
Age 25-30 = 15%
Age 31-40 = 35%
Age 41-50 = 25%
Female = 55%
Male = 45%
Smoke cigarettes = 90%
Drink Alcohol = 90%
Smoke or eat marijuana = 80%
Methamphetamine = 80% (60% inject, 60% inhale, 15% snort, 30% oral)
Cocaine = 50% (46% inject, 54% smoke or snort)
Amphetamines = 35% (57% oral, 29% smoke, 43% inject)
Crack = 35% (all smoke)
Morphine = 30% (83% inject, 50% oral)
Heroin = 25% (50% oral/smoke, 50% inject)
Benzodiazepines = 25% (all oral)
Heroin + Cocaine = 20% (67% inject, 331/o)
Methadone = 20% (all oral)
Ritalin alone = 20% (501/o oral, 50% inject)
Dilaudid = 20% (100% inject, 50% oral)
Barbiturates = 20% (all oral)
PCP = 10% (all smoke)
Steroids = 5% (inject)
Talwin and Ritalin = 5%
Total number of those who inject drugs: 70% of participants
Age of first injection:
13-21 years = 45%
22-35 years = 36%
36-45 years = 18%
In the past 12 months with whom did they inject with?
Regular sex partner: 43%
Casual sex partner: 14%
Close family/friend: 57%
People you don't know well: 29%
People you don't know at all: 14%
No one (injects alone): 14%
In the past 6 months when you injected did you use needles or other injection equipment
that had already been used by someone else?
Needles:
Yes= 35%
No= 65%
Works:
Yes= 43%
No= 57%
In the past 6 months with whom did you share needles/equipment with?
Regular sex partner: 50%
Casual sex partner:
Close family/friend: 36 %
People you don't know well: 14%
People you don't know at all:
No one (injects alone): 21%
In the past 6 months, did you pass on needles or equipment you had already used to
someone else?
Needles:
Yes = 29%
No = 40%
Other Equipment:
Yes = 20%
No = 40%
How many times in the last month did you inject with used equipment?
Once or twice per week: 14%
3 or more times per week: 15%
Everyday: 14%
What is a good way to do NEP in Deschutes County?
Different sites around town at regular times in the week: 80%
Van that you can call to arrange exchange: 55%
Safe building in Bend: 50%
What times would be best to run the NEP?
8- Noon = 5%
Noon — 5pm = 5%
5pm — l Opm = 15%
Anytime = 90%
*comments to run it all the time, and late at night
Have you ever been tested for HIV?
Yes: 85%
No: 10%
What was the result of your latest HIV test?
HIV negative — 80%
Don't know — 10%
When was your last HIV test?
Within 2 years: 57%
3-5 years: 21%
> 5 years: 21%
Have you been tested for Hep C?
Yes: 68%
No: 32%
Don't know: 5%
What was the result of your last test?
HCV —positive: 5%
Don't know — 32%
HDV -negative — 11%
When was your last Hep C test?
Within 2 years: 75%
3-5 years: 25%
Qualitative Data from Jail Survey and focus group:
A few general quotes from the inmates:
"I have lived all over the place, and have never seen a place where people shares needles as
much as they do here"
"It's typical to have 4 people in a group just passing the needle around"
"We flip a coin to see who gets to inject first"
"I know people who will use their needle for a month or more, they sharpen the needle with a
match box"
"I know so many friends that share needles it's really sad"
"Nobody gives a rat about us"
"They don't want to use other peoples stuff; they just can't get new rigs"
"You gotta get out and talk to people one to one, places most people won't want to go"
"This place is so yuppy, they don't want to know what goes on..."
"I can tell you apartment complexes where everyone shoots up"
"Thank you s0000 much for doing this, we need it so bad"
Question: Where do people put their dirty needles?
Answers: "flush em" "gutter" "out car window" "trash" "we throw it because we're scared to be
caught with a used needle"
Question: Where are you getting your clean needles now?
Answers: pharmacies
"no one will sell us packs of ten anymore, only big boxes of 28 or 50 needles, most people can't
afford that so end up using dirties"
"I don't care if they look at me like a piece of dirt - I mean I am a user - but 1 just want to be able
to get the stuff"
"Most place now card us to get needles, but lots of people don't even have ID or are worried the
CODE team will get them if they have their name on a list"
Question: What do you think about a needle exchange Program here?
Answers:
"It would help keep the streets dean and safer for kids and people"
"It would help people share needles less because sometimes there is only one rig so if both
people have a rig they wouldn't need to share"
Lots and lots of people would donate their time ... I'm very interested, I don't use a rig but people
close to me do"
"Once the pharmacy closes around 7 or 8 there is no where to get clean needles"
"It's the women that will exchange for the men, the men are too paranoid"
"If you open a needle exchange you are going to be surprised how many people come out of the
wood work"
"I don't use but I'll do anything to help"
"Some may be afraid to be found out by friends, P.O"
2000 nits tate
Syringe xc hange
Program
Conducted by:
The Baron Edmond de Rothschild Chemical Dependency Institute
Don C. DesJarlais, PhD
Courtney McKnight, M.P.H.
Karen Eigo
. atricia Friedmann, M.S.
Supported by a grant from
anFsoR (American Foundation for AIDS Research)
Sponsored by
A EN orth American S rin a Exchange Network
Available on. this website:
The Albu uer ue Presentation NASEC XII A n
�I 24 2002
Survev Data totals .
2000 US Syringe Exchange Survey
Services Offered
For more information on Services Offered Onsite, click here
Onsite Medical Services at SEPs, n=127
Programs
HIV counseling and testing 88
%
Hepatitis C counseling and testing 48
72%
39%
STD screening 38
31%
Hepatitis B counseling and testing 36
30%
Hepatitis B vaccine 31
26%
Medical care 30
24%
Hepatitis A counseling and testing 26
21%
On -Site Social Services, n=123
Programs %
Food
39
Case Management 36
32%
Assistance in enrolling in welfare and/or Medicaid 29
29%
24%
Transportation 28
23%
Support groups 24
20%
Night hours for sex workers 22
18%
Family Planning/birth control 21
17%
-On -Site Drug Risk Reduction Education,
n=126
HIV prevention 120(95%)
HEP prevention (A, B &
C) 117(930/,)
Safer injection techniques 116(92%)
Vein care education 109(87%)
Abscess care/wound care 109(87%)
Other: . Overdose prevention
• Safer crack use
• Use of bleach
Items for reducing injection
related harms distributed,
n=127
Alcohol Pads
126(99%)
Cotton
120(95%)
Cookers
114(900/,)
Water Bottles
107(84%)
Bleach
106 (83%)
Antibiotic Ointment
92 (72%)
Ties
90(71%)
Hygiene Kits
78(61%)
On -Site Sexual Risk
Reduction Education, n=127
Condom use
113(89%)
STD prevention
107(84%)
Female condom
96(76%)
Dental Dam
82(65%)
Sexual Risk Reduction
Distributed Items, n=127
Condoms
124(98%)
Lubricant
106(83%)
Female condoms
92(72%)
Dental Dams
69(54%)
Other risk reduction items included: bandaids, straws, clothes, vitamins, books/magazines
2000 US Syringe Exchange Survey
Sites and hours
Sites of Operation Per Week During 2000
by Total Sites and Hours
Type of Site
# of Sites
n (number
# of Hours
2 days per week
9(130/,)
programsl
9(13%)
Van
201
37
653
Other
73
28
297
Shooting Gallery
57
10
53
Table on street
56
15
148
Car
51
19
100
Indoor
43
35
622
Foot
30
12
109
Health Clinic
23
11
267
Total
534
n=101
2249(n--110)
For raw data on sites, from which this data was taken, click here
Average no. of sites per program in 2000, n=122
Mean 5 (the average)
Median 3
Rangel-29
Syringe Exchange Delivery
Service in 2000
70 (55%) SEPs reported having a delivery service
Times per week / Number programs
1 day per week
19(27%)
2 days per week
9(130/,)
3 days per week
9(13%)
4 days per week
6(9%)
5 days per week
7(10%)
6 days per week
6(9%)
7 days per week
11 (16%)
_Question 9
Did you use -a unique identifier (I.e., a code) to track indiduals during 2000?
# urograms % programs
No 59 47.20%
Yes 66 52.80%
Question 31
Describe your weekly fixed sites of operation during 2000 (not including delivery services).
Please note, these answers di, fj`er from the Albuquerque Presentation totals, because responses
were broken down differently. and in some cases eliminated
Variations in One-for-one exchange
--90 (71%) SEPs reported that their program varied from 1 -for -1 exchange
--36 (29%) SEPs put limits on the number of syringes participants could exchange per visit
—Of those, 16 (44%) indicated that the amount was negotiable
Secondary Exchange
Secondary exchange (SE) was defined as
"providing syringes that you know will be used by persons other than the exchanger"
--Of the 115 (91 %) SEPs that allowed SE, 104 (90%) of them actively encouraged it
Common Methods for Promoting Secondary
Exchange, n=107
# programs
To
100(93%)
Gave extra supplies
Type of
Total # of
fixed sites
h urts a
site
#
pr°grams
%
Programs
door (storefront/health Flinic)155
health vehicleidin
64(60%)
1620
68
53.54%
Eile
anmedical care
ar
179
3 _56___I
22.05%
able On Street
50 1
234
20
15.75%
oot
48
103
15
11,81%
ike
0
v J
0
0.00%
Shootin Gallery
54
165
12
9.45%
ome
45
53
10 11
7.87%
Pharmacy
4
16
2
er
Variations in One-for-one exchange
--90 (71%) SEPs reported that their program varied from 1 -for -1 exchange
--36 (29%) SEPs put limits on the number of syringes participants could exchange per visit
—Of those, 16 (44%) indicated that the amount was negotiable
Secondary Exchange
Secondary exchange (SE) was defined as
"providing syringes that you know will be used by persons other than the exchanger"
--Of the 115 (91 %) SEPs that allowed SE, 104 (90%) of them actively encouraged it
Common Methods for Promoting Secondary
Exchange, n=107
For more information on syringe exchange policies, click here
Syringe Disposal
124 (97.6%) SEPs reported collecting used syringes for disposal
35 (28%) SEPs reported having funding specifically designated for syringe disposal
# programs
Talked about it with participants
100(93%)
Gave extra supplies
95(89%)
Did not put limits on # of syringes
86(80%)
Provided Sharps containers
72(67%)
Used peer education to promote SE
64(60%)
Enrolled people served by SEs
28(26%)
For more information on syringe exchange policies, click here
Syringe Disposal
124 (97.6%) SEPs reported collecting used syringes for disposal
35 (28%) SEPs reported having funding specifically designated for syringe disposal
ocul-r-je,ni Reproduces Poorly
(Archived)
Sites and hours of syringe exchange,
including delivery, fixed and mobile sites.
elivery
id your program have a delivery service in 2000 (i.e. did you deliver syringes to
:ople at home or at a meeting spot?
# programs, % programs
0 57 44.88%
es 70
many days per week were you doing delivery (primary exchange)?
# days per week # programs % programs
1 19
2 9 13.43%
3 9 13.43%
4 6 8.96%
5 7 1.0.45%
6 6 8.96%
7 11 16.42%
many hours per week were you doing delivery?
# hours per week # programs % programs
1 to 5 hours 29 -;`'o
6 to 10 hours 15 23.44%
10 to 20 hours 6 9.38%
20 to 30 hours 6 9.38%
Over 30 hours 8 12.50%
o how many jjgLs per week were you doing delivery?
# of sites # programs % programs
1 to 5 sites 27 44.26%
6 to 10 sites 15 24.59%
11 to 20 sites 10 16.39%
20 to 50 4 6.56%
Over 50 5 8.20%
2000 US Syringe
Program Size
Exchange Survey
The survey defines program size by the number of syringes
exchanged. These are the ranges used in defining program size
n=122
Size # of Syringes # of SEPs in 2000 survey
Medium 10,000 - 55,000 30(25%)
Large 55,001 - 499,999 50 (41%)
Extra -Large > or = 500,000 12(9%)
Although the half the programs are small and medium sized,
they account for only 4% of syringes exchanged nationally.
Large and Extra -large account for 96% of all syringes exchange
in the US.
n=122
Size of SEP #syringes exchanged
Medium 765,316
Large 9,045,561
X -Large 12,640,080
Total 22,558,235
otal Encounters in 2000
0.48%
30 (25%)
3.39%
30(25%)
40.10%
50(41%)
56.03%
12(9%)
100.00%
encounters did you record for 2000?
104 11 503860
: average number of encounters was 6629. The median was 1765. As with
participant count, the total is heavily weighted by a few very large
grams. Below is a range to help clarify:
# of encounters
250
950 to 1000
1000 to 5000
5000 to 10000
10000 to 50000
Dver 50000
12
/o re orcin ro ams
19.23% —�
3- 08%
1.73%
11.54%
11.54%
R.05%
Document Reproduces Poorly
(Archived)
SEP Budget by Source
(money specifically for exchange, not other services)
Funding source
$
# programs
Federal
$0
0
.State
$2,824,059
34
Ck City
$2,122,439
15
*County
$1,045,536
12
Private fdn.
$1,831,771
53
Donations (indvl.)
$314,524
30
CBO donations
$211,645
6
Corporate donations
$13,800
3
Other
$203,888
13
TOTAL
$8,567,662
SEP Budget, n=120
Mean $100,648
Median $52,000
Range $0-$931,468
Budget Size # programs
$25,000 -$100,000 44 (37%)
> $100,000 33(27%)
SEP Budget by Program Size, n=117
Small IMedium are ]IX -Large
M1113 45% 14% 0%)
5-100K 30% 14 48% 0 43% 11 (9%
100K
0% 7% 0 43% 10 91%
OTAL
30 J 9 7 11
Public Funding by SEP Size, n=114
Programs receiving one of more of city, county or state funds
Public funding by Budget, n=115
$25K
Small
Medium are ][X
-Large
es
13 46% 0 65%
10 91%
No 0 69% 15 54% 16 35% 1 9%
OTAL E9 8 6 11
Public funding by Budget, n=115
$25K
$25-100K
$100K
es 117(180/o)
4 55%
2 97%
NO 1 82%
0(450/6) :]11(3%)
OTAL 8
4 3
Document Reproduces Poorly
(Archived)