Managing an Injection Safety Policy - A Framework to Benchmark, Assess, Plan, Implement and Evaluate a National Strategy for the Safe and Appropriate Use of Injections
(2003; 25 pages)


Unsafe injection practices are common worldwide. Due to the overuse of injections in many countries, unsafe injections cause a substantial proportion of infections with bloodborne pathogens. At risk of infection are injection recipients and health care workers through contaminated needles and syringes and the community at large through exposure to contaminated sharps waste. A mathematical model has been used to estimate the burden of disease from unsafe injections in various regions. According to estimates using this model, unsafe injections accounted for 32% of hepatitis B virus infection, 40% of hepatitis C virus infection, 28% of liver cancer, 24% of cirrhosis and 5% of HIV infections in the year 2000.

Overall, about 500 000 deaths per year are attributable to contaminated injections in health care settings worldwide.

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