E-drug: Origins of AIDS transmission (cont'd)
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Dear E-druggers
Two useful review articles on injections:
1. Unsafe injections in the developing world and transmission of bloodborne
pathogens - a review; L Simonsen, A Kane, M Zaffran & M Kane; Bulletin of
the World Health Organization 1999, 77(10) 789-800
2. Anthropological perspectives on injections, a review; Anne V Reeler;
Bulletin of the World Health Organization 2000, 78(1) 135-143.
The documents can be found as pdf files on the SIGN website at
http://www.who.int/injection_safety/toolbox/en/
- click on items 3.2 and 3.4 under 'Resources' to download them.
I agree one hundred percent with Hilbrand's observations about behaviour
change. The more HIV work I do, the more I realise that we drug and medical
technology experts need the assistance of our community and social
anthropology colleagues to make a real difference to culturally determined
health practices. It takes a real leap of understanding and an ability to
understand how injections have such high importance in other settings. We
need to look at things from the consumer's point of view, where the words
essential and rational are likely to have very different meanings from the
ones we give them in our systems-based, providers view of the use of
medicines.
Carolyn Green
Consultant pharmacist, HIV specialist
19E Sussex Heights
St Margaret's Place
Brighton
BN1 2FR
UK
tel: +44 (0)1273 738998 (home/office)
+44 (0)771 309 5240 (cellphone)
greencm@dial.pipex.com <mailto:greencm@dial.pipex.com>
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