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In particular, the NSW SIF received a 2-month (no drug supply) prohibition notice effective 2 March 2020 and a closed facility notice effective 4 March 2020. Both notices effectively closed the facility until the government revoked the prohibition and resumed drug supply. There were, however, several exceptions to the prohibition, primarily: (i) storage of drug trafficking-related supplies (e.g.
These challenges are not new. Drug use in prisons has long been associated with high rates of mortality and morbidity. In 2017, the national prison health ischaemia syndrome task force recommended that all prisons provide a robust therapeutic services for use by inmates with drug use disorders. Kumar et al. (2020) reviewed 16 studies conducted in the United States and three studies conducted in the United Kingdom that aimed to reduce COVID-19 transmission in prisons by altering the distribution of COVID-19-positive inmates over peer groups. They found inconclusive evidence of a significant reduction in COVID-19 incidence.
An anonymous online survey via REDCap was sent to the current NSW clients of the SIF to obtain demographics, drug use history, and reasons for visiting. Across all clients surveyed, drug use was the first or second reason to visit the SIF (51% of responses).
In a larger study, online surveys were sent to a nationally representative sample of clients (n = 845) who visited the SIF in the previous 6 months (n = 731). When asked about their relation to their first sex partner before SIF entry, 43% (n = 333) reported that they were non-partners. Of these, 92% (n = 317) described their sex intention as "just friends." Most (72%) entered the SIF as non-partners or as new friends. Of the non-partners who were new friends, 34% (n = 108) started injection outside the SIF. Of these, 62% (n = 67) had injection while they were non-partners. Injection among the non-partners prior to SIF use was most often shared with a social friend (70%). d2c66b5586