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Table HSR-4. Needle and syringe programmes (NSPs) [see all tables in this series...]

Part (i) Year of introduction of needle and syringe programmes (NSPs), types of programmes available in 2009 and number of sites

Country						Needle and syringe fixed programmes					Outreach NSP
Country		Year first NSP	Sources	Year first publicly funded	Sources	No. of specialist agency sites with NSP	No. of vending machines	No.of Pharmacy-based NSP sites	No. of prison-based NSP sites	Total number of fixed sites (min)	No.of sites with NSP outreach workers	No. of sites where NSP carried out by van	Total number of pharmacies

Belgium (Flemish Community)		2001	1	2001	1	15	0	28	0	43	0	0	2710
Belgium (French Community)		1994	1	2000	1	16	0	:	0	16	10	0	2464
Bulgaria		1995	1	1999	1	10	0	0	0	10	74	:	4825
Czech Republic		1986	3	1991	3	50	1	0	0	51	45	:	2600
Denmark		1986	1	1986	1	:	:	:	0	:	:	0	318
Germany		1984	4	1992	2	:	161	:	1	:	:	:	:
Estonia		1997	1	2001	1	13	0	0	0	13	23	0	486
Ireland		1989	5	1989	1	28	0	0	0	28	4	:	1394
Greece		1998	1	1998	1	4	0	0	0	4	1	1	11000
Spain		1985	1	1985	1	1274	0	965	40	2279	:	35	21166
France	(1)	1989	1	1995	1	116	276	:	0	392	91	49	22386
Italy		1990	1	1990	1	:	:	0	0	:	:	:	:
Cyprus		2007	2	2007	9	1	0	0	0	1	0	0	446
Latvia		1997	1	1997	1	18	0	0	0	18	7	3	843
Lithuania		1997	1	1997	8	9	0	0	0	9	5	3	1504
Luxembourg		1993	1	1993	1	4	4	0	1	9	0	0	92
Hungary		1994	1	2000	1	17	5	0	0	22	12	4	2804
Malta		1987	1	1987	6	7	0	0	0	7	0	0	:
Netherlands		1984	7	1986	1	150	0	25	0	175	:	:	1948
Austria		1990	1	1990	1	15	15	:	0	30	1	0	2271
Poland		1989	1	1989	1	24	0	0	0	24	12	1	13 500
Portugal		1993	1	1993	1	14	0	1360	2	1376	96	150	2849
Romania		2000	2	2000	2	4	0	0	3	7	36	36	5900
Slovenia		1992	1	1996	1	11	0	2	0	13	:	:	294
Slovakia		1994	1	1994	1	8	0	0	0	8	3	3	1950
Finland		1997	1	1997	1	40	0	0	0	40	:	:	811
Sweden	(2)	1986	1	1986	1	2	0	0	0	2	0	0	945
U. K. (England)		1986	1	1987	1	:	1	:	0	:	4	16	197
U. K. (N. Ireland)		2001	2	2001	2	1	0	12	0	13	0	0	520
U. K. (Scotland)		1987	2	1987	2	41	0	169	0	210	12	8	:
Croatia		:		1996	2	7	0	:	0	7	40	24	:
Turkey		n/a		n/a		0	0	0	0	0	0	0	:
Norway		1988	1	1988	1	24	1	0	0	25	2	2	663

Notes:

NSP: the acronym NSP is the abbreviation for the term ‘needle and syringe programme’. This means the provision of sterile syringes and hypodermic needles as well as of further injecting paraphernalia to injecting drug users. NSPs can also be implemented at pharmacies or in prisons.

NSP site: The term ‘site’ is used to describe physically distinct outlets where syringes can be obtained for free or in exchange against used ones.

Where data are not available, the table entry is left empty.

(1) For France, Circulaire DGS 05 May 1992 allowed a pilot study of NSPs, but full implementation only after 1995.

(2) In Sweden, needle and syringe programmes were run on a pilot basis from 1986 until 2006, when they were regularised through the Injection Needle Exchange Act (2006:233).

See also 'General notes for interpreting data' on the Explanatory notes and help page.

Sources:

Updated according to information in

(1) Structured questionnaire 23 'Prevention of infectious diseases', submitted by NFPs in 2004.

(2) Reitox National Report 2007.

(3) Personal communication, B. Korcisova, 9.3.2005.

(4) Personal communication, H. Stöver, 31.1.2005.

(5) Standard tables on 'syringe availability' (ST10), submitted by NFPs in 2004 and 2006.

(6) Personal communication, M. Camilleri, 14.2.2005.

(7) Coutinho, R. (1995), American Journal of Public Health 85, 1490-1.

(8) Personal communication E. Subata, 28.2.2005.

(9) Personal communication NFP, 11.4.2011.

NSP sites and total number of pharmacies information: Standard table on 'syringe availability' (ST10), submitted by NFPs in 2010 and Reitox National Report 2010.

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