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A former Drug Enforcement Administration (DEA) agent, Brian Shanahan worked for the United States DEA for two decades before retiring. Brian Shanahan was also an attendee of the 2019 Bridges “In My Shoes” Awards dinner, which aimed to improve the lives of people with disabilities. People with disabilities have experienced higher unemployment rates during the pandemic, as per a recent report from the Office of New York Comptroller Tom DiNapoli. Unemployment rates for New York citizens with disabilities averaged 16.2 percent from March 2020 to April 2021, up 8.9 percent from the previous year. On the other hand, the general population's unemployment rate is at 11.3 percent on a monthly basis. According to the report unemployment rates for disabled New Yorkers fell to 8.8 percent in 2019, the lowest level since 2009. However, with the recent data, the issue has resurfaced. Some organizations working with people with disabilities throughout the pandemic have made efforts to raise this concern.

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05-09 STATEMENT OF POLICY Syringe Services Programs Policy The National Association of County and City Health Officials (NACCHO) supports a comprehensive, evidence- based approach to syringe services programs, also known as syringe or needle exchange programs, in order to support the health of people who inject drugs and to curb transmission of HIV, viral hepatitis, and other blood- borne diseases. NACCHO urges state and local policy makers to do the following: • Support syringe services program development and operation in accordance with the peer-reviewed evidence base, best practices, and local health department and other expert recommendations; • Remove legal barriers to accessing and safely disposing sterile needles, syringes, and other injecting equipment; • Modify state and local statutes to permit over-the-counter pharmacy sales and purchase of syringes; • Revise paraphernalia laws to decriminalize syringe possession; • Increase the availability of drug treatment and overdose prevention, including Medication-Assisted Treatment and naloxone training and distribution; • Ensure education of law enforcement, criminal justice personnel, health department staff, healthcare providers, pharmacists, and other relevant professional and community partners regarding the benefit of syringe services programs, as well as other harm reduction strategies, and relevant laws, policies, and processes; and • Assure adequate resources to support health department surveillance, program planning, and program evaluation capacity to assess disease and risk behavior trends and the impact of syringe services programs, as well as other disease prevention and health promotion interventions for persons who inject drugs, on local health outcomes. Furthermore, NACCHO urges Congress to remove the ban on the use of federal funds to support syringe services programs. Justification Injection drug use is a major route of transmission for HIV, viral hepatitis, and other blood-borne pathogens. Over the past 25 years, syringe services programs have proven to be highly effective at reducing HIV transmission among people who inject drugs and are an essential strategy to prevent hepatitis C virus (HCV) infection. In addition to providing sterile syringes and other injecting equipment, many syringe service programs also provide medical and social services, including HIV and viral hepatitis testing, overdose prevention training, referrals to social services and housing, and linkages to medical care, mental health care, and substance use treatment, to individuals who are not often served by traditional healthcare providers.1 2 In the United States, HIV incidence among people who inject drugs declined by approximately 80% from 1988 to 2006 following the adoption of syringe service programs in a number of states.2 Despite that overall decline, people who inject drugs continue to represent a substantial proportion .

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https://www.youtube.com/watch?v=d4MWYifumqI http://www.readwritethink.org/classroom-resources/lesson-plans/directed-listening-thinking-activity-850.html 05-09 STATEMENT OF POLICY Syringe Services Programs Policy The National Association of County and City Health Officials (NACCHO) supports a comprehensive, evidence- based approach to syringe services programs, also known as syringe or needle exchange programs, in order to support the health of people who inject drugs and to curb transmission of HIV, viral hepatitis, and other blood- borne diseases. NACCHO urges state and local policy makers to do the following: • Support syringe services program development and operation in accordance with the peer-reviewed evidence base, best practices, and local health department and other expert recommendations; • Remove legal barriers to accessing and safely disposing sterile needles, syringes, and other injecting equipment; • Modify state and local statutes to permit over-the-counter pharmacy sales and purchase of syringes; • Revise paraphernalia laws to decriminalize syringe possession; • Increase the availability of drug treatment and overdose prevention, including Medication-Assisted Treatment and naloxone training and distribution; • Ensure education of law enforcement, criminal justice personnel, health department staff, healthcare providers, pharmacists, and other relevant professional and community partners regarding the benefit of syringe services programs, as well as other harm reduction strategies, and relevant laws, policies, and processes; and • Assure adequate resources to support health department surveillance, program planning, and program evaluation capacity to assess disease and risk behavior trends and the impact of syringe services programs, as well as other disease prevention and health promotion interventions for persons who inject drugs, on local health outcomes. Furthermore, NACCHO urges Congress to remove the ban on the use of federal funds to support syringe services programs. Justification Injection drug use is a major route of transmission for HIV, viral hepatitis, and other blood-borne pathogens. Over the past 25 years, syringe services programs have proven to be highly effective at reducing HIV transmission among people who inject drugs and are an essential strategy to prevent hepatitis C virus (HCV) infection. In addition to providing sterile syringes and other injecting equipment, many syringe service programs also provide medical and social services, including HIV and viral hepatitis testing, overdose prevention training, referrals to social services and housing, and linkages to medical care, mental health care, and substance use treatment, to individuals who are not often served by traditional healthcare providers.1 2 In the United States, HIV incidence among people who inject drugs declined by approximately 80% from 1988 to 2006 following the ado ...

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AJPH HISTORY August 2017, Vol 107, No. 8 AJPH Bayer Peer Reviewed Public Health Then and Now 1259 The End of Written Informed Consent for HIV Testing: Not With a Bang but a Whimper Ronald Bayer, PhD, Morgan Philbin, PhD, and Robert H. Remien, PhD In 2014, only two states in the United States still mandated specific written informed consent for HIV testing and, after years of controversy, New York ended this requirement, leaving only Ne- braska. New York’s shift to opt-out testing meant that a singular feature of what had characterized the exceptionalism surrounding HIV testing was eliminated. We trace the history of debates on written informed consent nationally and in New York State. Over the years of dispute from when HIV testing was initiated in 1985 to 2014, the evidence about the benefits and burdens of written informed consent changed. Just as important was the transformation of the political configuration of HIV advocacy and funding, both nationwide and in New York State. What had for years been the subject of furious debate over what a rational and ethical screening policy required came to an end without the slightest public protest. (Am J Public Health. 2017;107:1259–1265. doi:10.2105/ AJPH.2017.303819) In 2014, New York and Nebraska were the only states that still required written informed consent for HIV testing, a signature element of public policy that dated from the 1980s. New York then abandoned the requirement. Remarkably, despite a long and often bitterly contested past that engaged public health offi - cials, clinicians, AIDS advocacy groups, and civil liberties organizations, the fi nal elimination of written informed consent for HIV testing occurred with little public debate. Conventionally, the story of HIV testing policy involves the commitments that began when the evidence for addressing both the clinical and public health challenges of AIDS was still very uncertain. The conventional narrative argues that public health offi cials slowly became convinced by evidence demon- strating that written informed consent impeded the rollout of HIV testing on a mass scale, a process that culminated in 2006 when the Centers for Disease Control and Prevention (CDC) issued recommendations for an opt-out approach without written informed consent. Those who opposed this opt-out approach were equally certain that the evidence did not support the claim that written informed consent was a barrier to sound public health practice. In time, however, the overwhelm- ing evidence—coupled with political and funding shifts— convinced many individuals who had been most deeply committed to written consent. Deeply rooted opposition did not, however, vanish. We seek to locate the controversy over written informed consent in a broad political context. We take account of how and why groups that had confronte ...

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