Available Resources for Harm Reduction

Jump to: Access to Reproductive Care and HIV Services (ARCH) Nurses in Harm Reduction Programs  | After The Naloxone… Five Minutes To Help Program for First Responders  |  Bloodborne Pathogens  |  New Jersey Syringe Access Program  |   Safe Syringe Disposal  | Town Hall Series: Knock Out Opioid Abuse


 

Access to Reproductive Care and HIV Services (ARCH) Nurses in Harm Reduction Programs Directory

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Burlington County Health Department
15 Pioneer Blvd
Westhampton, NJ 08060
(609) 265-5548
Website 
Monday -Friday 9 am-5 pm
Monmouth County Health Department
50 East Main Street
Freehold NJ 07728
(732) 431-7456 ext 7435
Website
Monday – Friday 8:30 am-4:30 pm
South Jersey AIDS Alliance/Atlantic City
32 S. Tennessee Ave
Atlantic City, NJ 08401
(609) 572-1929
Website
Site: Monday-Friday 9 am- 3 pm
ARCH: Monday-Thursday 9 am-2 pm
Gloucester County Department of Health
204 E Holly Ave
Sewell, NJ 08080
(856) 218-4129
Website
Monday-Thursday walk- ins 8:30 am-4:30 pm
South Jersey AIDS Alliance/Cape May
1304 Route 47, Suite VI
Rio Grande, NJ 08242
Phone: 609-551-4412
Website
Monday-Friday 9 am – 3 pm
North Jersey Clinical Research (NJCRI)
Eileen G Scarinci (part-time)
393 Central Ave
Newark NJ 07103
(973) 483-3444 ext 221
Website 
Monday-Friday 8:30 am – 4:30 pm
Hyacinth AIDS Foundation -Trenton
849 W. State St.
Trenton, NJ 08618
(609) 396-8322
Website
Monday, Wednesday, Thursday, Friday: 11 am-5 pm
Tuesday 1 pm-7 pm
Camden Area Health Education Center (AHEC)
514 Cooper Street
Camden, NJ 08102
(856) 963-2432
Website
Monday, Wednesday, Thursday 8:30 am-11:30 am
Wednesday 1:30 pm- 3:30 pm (appts & walk-ins)
Hyacinth AIDS Foundation- Jersey City
48 Fairview Ave.
Jersey City, NJ 07304
(201) 432-1134
Website
Monday, Tuesday, Friday
10 am – 6 pm
Wednesday 12 pm – 8 pm, Thursday 12 pm – 7 pm
VNA of Asbury Park
816 Sunset Avenue
Asbury Park, NJ 07712
(908) 670-6164
Website
Site: Monday-Friday 9 am-4 pm, ARCH: Monday-Thursday 9 am-2 pm
Ocean County Department of Health
175 Sunset Ave., P.O. Box 219
Toms River, NJ 08754
(732) 341-9700 ext 7356
Website
Monday-Friday 8 am – 4:30 pm
CompleteCare
905 W. Main Street
Millville NJ 08332
856-451-4700 Ext. 5110
Website
Monday-Friday: 8:30 am – 5 pm
Bergen County Health Department
120 South River Street,
Hackensack, NJ 07601
(201) 634-2658
Website
Monday-Friday 9 am – 3 pm
Hyacinth AIDS Foundation-Paterson
(Mobile Unit)
M100 Hamilton Plaza #1401
Paterson, NJ 07605
(973) 278-7636
Website
Hours of Operation:
Monday, Tuesday, Thursday: 10 am – 2 pmAddress: Walgreen’s on East 18th St. (near Ellison St. & Madison Ave.)
Hours of Operation:
Tuesday-Friday: 10 am -2 pmAddress: Montgomery Street (between Straight St. & River St.)
Hours of Operation:
Monday, Wednesday, Thursday 10 am -2 pm

 

After The Naloxone… Five Minutes To Help Program for First Responders

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Problem:

Like many states around the country, New Jersey continues to experience a growing opioid epidemic. Among many professionals battling this epidemic on the frontline are New Jersey’s 32,000 EMS providers. Compounding the problem with illicit opioid use is the high incidence of fentanyl-related overdoses within the state. The opioid epidemic is so severe that it has already claimed l,387(1J lives in New Jersey in the first half of 2019, placing us on track to exceed previous annual state opioid overdose death statistics.

Currently, there is no law that requires patients to be transported to a definitive care facility (Hospital) after the administration of Naloxone if the patient is alert and oriented to person, place and time. EMS providers are not trained or equipped to offer substance abuse resources to patients, and most are not made aware of what resources available. This means that patients that have suffered a near fatal overdose and refuse further treatment and transport are not given or offered recovery resources. Many of these patients are seen by the same EMS providers several times a week (and sometimes in the same day), treated for the suspected overdose, then repeatedly refuse transport to a hospital.

Goal:
Educate providers on proper communication with patients following treatment from a suspect opioid overdose. Provide patients with recovery resources that are available locally, regionally, and statewide. Reduce the number of repeat overdose patients.
The course provides responders the ability to:

  • Understand Substance Use Disorder (SUD) and the techniques for effective communication
  • Recognize the emergency overdose and appropriate treatment
  • In depth discussion/understanding on Medicated Assisted Treatment (MAT) and how it can help
  • Identify and deal with Provider Compassion Fatigue
  • Learn how to access and utilize what resources are available on a local, regional, and state level.

For Information on the Five Minutes To Help Program, Contact the NJ Office of EMS at (609) 633-7777


 


Bloodborne Pathogens

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What are Bloodborne Pathogens? Disease producing viruses (germs) carried by the blood. Bloodborne pathogens like Hepatitis B (HBV), Hepatitis C (HCV), and Human Immunodeficiency Virus (HIV) are spread by direct contact with infected blood and/or body fluids. These diseases are NOT spread by casual contact (coughing, sneezing, hugging, etc.) or by food or water. A simple blood test can show if you are infected with HBV, HCV, and HIV.

Hepatitis B (HBV) Hepatitis C (HCV) HIV
What is it? An infection of the liver caused by the Hepatitis B Virus. HBV can range in severity from a mild illness lasting a few weeks to a chronic lifelong illness. An infection of the liver caused by the Hepatitis C Virus. HCV can range in severity from a mild illness lasting a few weeks to a chronic lifelong illness. Human Immunodeficiency Virus (HIV) is the virus that causes Acquired Immune Deficiency Syndrome (AIDS). Having AIDS means that the body has a hard time fighting infections.
How is it spread?
  • Sharing needles, syringes, or other medication-injection items.
  • Exposure to blood from needlesticks or other sharp objects/instruments.
  • Direct contact with the blood or open sores of an infected person.
  • Birth to a mother infected with HBV.
  • Having sexual contact with a person infected with HBV.
  • Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes.
  • Sharing needles, syringes, or other medication injection items.
  • Exposure to blood from needlesticks or other sharp objects/instruments.
  • Direct contact with the blood or open sores of an infected person.

Less commonly, a person can also get Hepatitis C through:

  • Having sexual contact with a person infected with HCV.
  • Sharing personal care items that may come into contact with blood or body fluids, such as razors or toothbrushes.
  • Birth to a mother infected with HCV
  • Sharing needles, syringes, or other medication-injection items.
  • Exposure to blood from needlesticks or other sharp objects/instruments.
  • Direct contact with the blood or open sores of an infected person.
  • Birth to a mother infected with HIV.
  • Breastmilk from a mother infected with HIV.
  • Having sexual contact with a person infected with HIV.
  • Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes.
What are possible symptoms?
  • Fever
  • Feeling tired
  • Loss of appetite
  • Nausea/vomiting
  • Belly pain
  • Dark urine
  • Clay-colored bowel movements (stools)
  • Joint pain
  • Yellowing of the skin/eyes

Most individuals with chronic HBV remain symptom free for as long as 20 or 30 years.

  • Fever
  • Feeling tired
  • Loss of appetite
  • Nausea/vomiting
  • Belly pain
  • Dark urine
  • Clay-colored bowel movements (stools)
  • Joint pain
  • Yellowing of the skin/eyes

Many people with HCV do not know they are infected because they do not look or feel sick.

You cannot rely on symptoms to know whether or not you are infected. Many people who are infected with HIV may not have symptoms for 10 years or more.
What are the long term effects? Some may develop serious liver problems, including liver damage, cirrhosis, liver failure, and liver cancer. Some may develop cirrhosis (scarring) of the liver, liver cancer, or liver failure. These can take 10, 20, or even 30 years to develop. Other people may have no longer term effects. AIDS is the late stage of HIV infection, when a person’s immune system is severely damaged and has difficulty fighting diseases and certain cancers.
Can it be treated? There are no specific medications available to treat acute Hepatitis B.

People with chronic Hepatitis B should be seen by a doctor regularly for signs of liver disease and evaluated for possible treatment.

Several medications have been approved for Hepatitis B treatment, and new drugs are in development. However, not every person with chronic Hepatitis B needs to be on medications.

There is a vaccine to prevent Hepatitis B.

Medications are available to treat chronic Hepatitis C infection. With the help of treatment, some people are able to rid their bodies of the Hepatitis C virus. For someone with advanced Hepatitis C disease, a liver transplant may be an option.

There is a not a vaccine to prevent Hepatitis C.

Current medications can dramatically improve the health of people living with HIV and slow succession from HIV infection to AIDS. At this time, there is no cure for HIV infection.

There is not a vaccine to prevent HIV.

The best way to prevent getting a bloodborne disease is to avoid contact with the blood and body fluids of other people.
• Handwashing is the most important way to prevent the spread of many diseases.
• Wear disposable gloves if you have to touch anyone’s blood, body fluid or wound.
• Don’t share razors, toothbrushes or other household items that may be contaminated with blood.
• Get vaccinated against hepatitis B.
• Practice safer sex by using a latex condom correctly and consistently each time.
• Only get tattoos or body piercings from licensed facilities or places that use sterile equipment.


New Jersey Syringe Access Program (SAP)

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New Jersey Department of Health Division of HIV, STD and TB Services Syringe Access Programs (SAPs) are community-based programs that provide access to sterile syringes, needles and other injection equipment and facilitate safe disposal of used needles and syringes. Clients can bring in used syringes and leave with new sterile syringes. SAPs provide a comprehensive approach to harm reduction by integrating behavioral interventions and access to services to prevent and reduce the transmission of HIV and other blood-borne diseases. Some SAPs are housed in drop-in centers. Drop-In Centers may provide participants with access to food, telephone, laundry services, restrooms, showers, and computer services.

Each SAP site is co-located with an Access to Reproductive Care and HIV (ARCH) Nurse who provides services to prevent vertical HIV and Hepatitis C transmission through the early identification of high-risk women (i.e., females of reproductive age who injects drugs). The New Jersey SAPs have served to bridge major health gaps in services for people who inject drugs (PWID) by providing services such as health screenings, pregnancy testing and linkage to prenatal care, nutritional counseling, reproductive counseling for women of child bearing age, vaccinations, condom distribution, safe sex education, safe injection practices, wound care, drug overdose prevention and reversal.

The ARCH nurses co-located at SAP sites offer the following:

  • HIV and viral hepatitis testing and counseling with linkage to medical care
  • Condoms
  • Referral and linkage to medical care, mental health and social services, including drug treatment
  • Overdose prevention education and access to Naloxone
  • Education on safe disposal of injection equipment
  • Safe injection practices and wound care.

The New Jersey Department of Health SAPs are based on the recommendations by the Centers for Disease Control and Prevention (CDC) and U.S Department of Health and Human Services (HHS)1 and are established under the “Blood Borne Disease Harm Reduction Act” (P.L. 2006, c.99). The State of New Jersey Syringe Access Programs are currently operated in seven municipalities which have established local ordinances to allow SAP operation: Atlantic City, Camden, Jersey City, Newark, Paterson, Asbury Park and Trenton.

1Integrated Prevention Services for HIV Infection, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis for Persons Who Use Drugs Illicitly: Summary Guidance from CDC and the US. Department of Health and Human Services. MMWR 2012; 61 (RR05); 1-40.

Syringe Access Program
Division of HIV, STD and TB Services
50 E State Street, 3rd Floor
Trenton, NJ 08625-0363
Phone: 609-984-6050
Fax: 609-292-6009
https://www.nj.gov/health/hivstdtb/sap.shtml

NJ AIDS/ HIV/ STD Hotline: 1-800-624-2377

Camden Area Health Education Center (Mobile Site)
Camden Syringe Access Program- Lifeworks
2600 Mt. Ephraim Avenue (by Produce Mkt.)
Camden, NJ 08102
856-963-2432 Ext. 219
Hours of operation:
Monday: 8:30 AM to 11 :30 AM
Thursday: 8:30 AM to 11 :30 AM

Hyacinth AIDS Foundation, Trenton
849 West State Street
Trenton, NJ 08618
609-396-8322
Hours of operation:
Monday, Wednesday, Thursday, Friday:
11 :00 AM to 5:00 PM
Tuesday: 1 :00 PM to 7:00 PM

South Jersey AIDS Alliance, Atlantic City**
Oasis Drop-In Center
32 S. Tennessee Avenue
Atlantic City, NJ 08401
609-572-1929
Hours of operation:
Monday to Friday: 9:00 AM to 3:00 PM

Hyacinth AIDS Foundation, Paterson (Mobile Site)
Montgomery Street (between Straight St. & River St.)
Walgreen’s on East 18th St. (near Ellison St. & Madison Av.)
Paterson, NJ
732-447-3176
Hours of operation:
Monday to Friday: 10:00 AM to 2:00 PM

Hyacinth AIDS Foundation, Jersey City**
48 Fairview Avenue
Jersey City, NJ 07304
201-360-3910
Hours of operation:
Monday, Tuesday: 10:00 AM to 6:00 PM Wednesday: 12:00 PM to 8:00 PM
Thursday: 12:00 PM to 7:00 PM
Friday: 10:00 AM to 6:00 PM

North Jersey Community Research Initiative, Newark**
393 Central Avenue
Newark, NJ 07103
973-483-3444 Ext. 222
Hours of operation:
Monday to Friday: 9:00 AM to 4:00 PM

Visiting Nurse Association of Central Jersey
Prevention Resource Network, Asbury Park

816 Sunset Avenue
Asbury Park, NJ 07712
732-502-5100
Hours of operation:
Monday to Friday: 9:00 AM to 4:00 PM

**SAP site with a Drop-In center


 

Safe Syringe Disposal

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Safe Syringe Disposal
Consumer, Environmental & Occupational Health Service
PO Box 369
Trenton, NJ 08625
(609) 826-4941

New Jersey Statute NJSA 2C:36-6 et seq. permits persons age 18 years and older (with valid photo ID) to legally possess up to 10 hypodermic needles and syringes without a prescription from licensed pharmacies. The statute also requires safe disposal of the needles and syringes to avoid injury or disease transmission.

Improper disposal of needles and syringes may cause risks to others. Used needles and syringes can transmit HIV, hepatitis B, hepatitis C and other diseases.

Loose needles, syringes and other medical sharps should  be collected in  heavy-duty plastic containers. Never flush them down the  toilet, place in recycling bins or in household garbage. This can be a source for disease transmission to both humans and animals.

Disposing of Syringes and Needles Safely
Used needles and injecting equipment are dangerous to other people and pets if not disposed of safely. They can injure people and spread infection.

To dispose of used syringes and needles safely:

  1. Place used syringes and needles into a FDA-approved sharps container or into a heavy-duty plastic container, such as a laundry detergent or bleach bottle. The bottle should be sturdy, puncture­-resistant and should not leak.
  2. Close the screw-on lid tightly and label the sealed container as “Do Not Recycle­-Contains Sharps”.
  3. Don’t use coffee cans as plastic lids can come off easily. Don’t use glass bottles which may break.

Do NOT put a plastic container with used needles and syringes out with the recyclables.

Do NOT try to remove, bend, break or recap needles used by another person. This can lead to accidental needle sticks, which may cause serious infections.

Pet owners who use needles to give medication to their pets should follow the same disposal guidelines used for humans.

Check with your local health, sanitation or public works department or trash collector before you dispose of used needles and syringes in your household trash.

“The New Jersey Safe Syringe Disposal Guide” provides information for individuals who use syringes, needles or other equipment about proper disposal of these items. To get a copy of The Guide call the NJ Department of Health’s Public Health Sanitation and Safety Program at (609) 826-4941 or click here.

Many hospitals accept used needles and syringes when put in containers using the steps listed. Refer to the “Safe Syringe Disposal Guide” for specific locations and contact information.

The U.S. Food & Drug Administration (FDA) website has more information for the safe disposal of needles, syringes and other medical sharps by clicking here.

New Jersey Resources

New Jersey Addictions Hotline

New Jersey Safe Syringe Disposal Guide

New Jersey HIV/AIDS Hotline


 

Town Hall Series: Knock Out Opioid Abuse

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Brought to you by Partnership for a Drug-Free New Jersey and Horizon Foundation for New Jersey

Toms River Town Hall
September 25, 2019
10:30 a.m.-12:30 p.m.
(Doors open at 10 a.m.)
Ocean County Library Toms River Branch Mancini Hall
101 Washington St. Toms River, NJ 08753

Cape May Town Hall
October 2, 2019
9:00 a.m.-11 :00 a.m.
(Doors open at 8 a.m.)
Cape May Convention Hall 714 Beach Ave.
Cape May, NJ 08204

Rutgers University Town Hall
October 4, 2019
10:00 a.m.-11 :30 a.m.
(Doors open at 9 a.m.)
Rutgers Athletic Center 83 Rockafeller Rd. Piscataway, NJ 08854

Hunterdon Medical Center Town Hall
October 9, 2019
7:00 p.m.-9:00 p.m.
(Doors open at 6 p.m.)
2100 Wescott Dr. Flemington, NJ 08822

Camden Town Hall
October 16, 2019
10:00 a.m.-12:00 p.m.
(Doors open at 9 a.m.)
Rutgers University Camden Campus Center 326 Penn St
Camden, NJ 08102

Somerset Hills Town Hall
October 22, 2019
7:00 p.m.-9:00 p.m.
(Doors open at 6 p.m.)
The Bernards Inn
27 Mine Brook Rd Bernardsville, NJ 07924

To register, visit: knockoutopioidabuse.drugfreenj.org/townhallseries

#KnockOutOpioidAbuse

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