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Fatal Re-Entry: Legal And Programmatic Opportunities To Curb Opioid Overdose Among Individuals Newly Released From Incarceration, Leo Beletsky, Lindsay Lasalle, Michelle Newman, Janine Paré, James Tam, Alyssa Tochka Dec 2014

Fatal Re-Entry: Legal And Programmatic Opportunities To Curb Opioid Overdose Among Individuals Newly Released From Incarceration, Leo Beletsky, Lindsay Lasalle, Michelle Newman, Janine Paré, James Tam, Alyssa Tochka

Leo Beletsky

The United States is in the midst of a public health crisis: Every year, well over 24,000 Americans die from opioid overdose. This staggering death toll is equivalent to a weekly jumbo jet crash. After a decade of rapid growth, overdose caused by prescription opioids and heroin now tops the accidental death rankings, beating out automobile accidents, AIDS, and other high-profile killers. Overdose does not discriminate, cutting across all geographic, economic, and racial divides. But some groups are especially vulnerable. This article is dedicated to one such group: individuals re-entering the community from correctional settings. In the immediate two weeks …


Police Education As A Component Of National Hiv Response: Lessons From Kyrgyzstan, Leo Beletsky, Rachel Thomas, Natalya Shumskaya, Irina Artamonova, Marina Smelyanskaya Nov 2014

Police Education As A Component Of National Hiv Response: Lessons From Kyrgyzstan, Leo Beletsky, Rachel Thomas, Natalya Shumskaya, Irina Artamonova, Marina Smelyanskaya

Leo Beletsky

Background—Recognition of the police department’s role in shaping HIV spread and prevention has generated interest in educational interventions targeting law enforcement. With input from civil society, trainings covering HIV prevention science, policy, and occupational safety were developed and delivered to cadets and active-duty police across Kyrgyzstan Methods—We administered a multi-site cross-sectional survey of Kyrgyz police to assess whether undergoing HIV trainings was associated with improved legal and public health knowledge, positive attitudes towards public health programs and policies, occupational safety awareness, and intended practices targeting vulnerable groups. Results—In 313-officer sample, 38% reported undergoing the training. In multivariate analysis, training was …


Pharmacies As Providers Of Expanded Health Services For People Who Inject Drugs: A Review Of Laws, Policies, And Barriers In Six Countries, Theodore Hammett, Son Phan, Julia Gaggin, Patricia Case, Nicholas Zaller, Alexandra Lutnick, Alex Kral, Ekaterina Fedorova, Robert Heimer, Will Small, Robin Pollini, Leo Beletsky, Carl Latkin, Don Des Jarlais Nov 2014

Pharmacies As Providers Of Expanded Health Services For People Who Inject Drugs: A Review Of Laws, Policies, And Barriers In Six Countries, Theodore Hammett, Son Phan, Julia Gaggin, Patricia Case, Nicholas Zaller, Alexandra Lutnick, Alex Kral, Ekaterina Fedorova, Robert Heimer, Will Small, Robin Pollini, Leo Beletsky, Carl Latkin, Don Des Jarlais

Leo Beletsky

Background People who inject drugs (PWID) are underserved by health providers but pharmacies may be their most accessible care settings. Methods Studies in the U.S., Russia, Vietnam, China, Canada and Mexico employed a three-level (macro-, meso-, and micro-) model to assess feasibility of expanded pharmacy services for PWID. Studies employed qualitative and quantitative interviews, review of legal and policy documents, and information on the knowledge, attitudes, and practices of key stakeholders. Results Studies produced a mixed assessment of feasibility. Provision of information and referrals by pharmacies is permissible in all study sites and sale and safe disposal of needles/syringes by …


To Honor Hoffman, Focus On Prevention, Not The Drug War, Leo Beletsky Feb 2014

To Honor Hoffman, Focus On Prevention, Not The Drug War, Leo Beletsky

Leo Beletsky

No abstract provided.


Beyond The Anti-Prostitution Pledge: The Public Health Buck Does Not Stop Here, Leo Beletsky Jun 2013

Beyond The Anti-Prostitution Pledge: The Public Health Buck Does Not Stop Here, Leo Beletsky

Leo Beletsky

No abstract provided.


Sequester The Drug War: Drug Control Spending And The Opportunity To Stop Throwing Good Money After Bad, Leo Beletsky May 2013

Sequester The Drug War: Drug Control Spending And The Opportunity To Stop Throwing Good Money After Bad, Leo Beletsky

Leo Beletsky

No abstract provided.


Access To Syringes For Hiv Prevention For Injection Drug Users In St. Petersburg, Russia: Syringe Purchase Test Study, Ekaterina Fedorova, Roman Skochilov, Robert Heimer, Patricia Case, Leo Beletsky, Lauretta Grau, Andrey Kozlov, Alla Shaboltas Mar 2013

Access To Syringes For Hiv Prevention For Injection Drug Users In St. Petersburg, Russia: Syringe Purchase Test Study, Ekaterina Fedorova, Roman Skochilov, Robert Heimer, Patricia Case, Leo Beletsky, Lauretta Grau, Andrey Kozlov, Alla Shaboltas

Leo Beletsky

Background The HIV epidemic in Russia is concentrated among injection drug users (IDUs). This is especially true for St. Petersburg where high HIV incidence persists among the city's estimated 80,000 IDUs. Although sterile syringes are legally available, access for IDUs may be hampered. To explore the feasibility of using pharmacies to expand syringe access and provide other prevention services to IDUs, we investigated the current access to sterile syringes at the pharmacies and the correlation between pharmacy density and HIV prevalence in St. Petersburg. Methods 965 pharmacies citywide were mapped, classified by ownership type, and the association between pharmacy density …


Commonhealth: Mass. A National Leader In Overdose Prevention, Leo Beletsky, Alexander Walley Nov 2012

Commonhealth: Mass. A National Leader In Overdose Prevention, Leo Beletsky, Alexander Walley

Leo Beletsky

In this interview on Radio Boston, Leo Beletsky and Alexander Walley discuss their viewpoint piece, “Prevention of Fatal Opioid Overdose,” which appeared in the Nov. 14, 2012 issue of the Journal of the Medical American Association.


Advancing Public Health Through The Law: The Role Of Legal Academics: Workshop Report, Leo Beletsky, Wendy Parmet, Scott Burris Sep 2012

Advancing Public Health Through The Law: The Role Of Legal Academics: Workshop Report, Leo Beletsky, Wendy Parmet, Scott Burris

Leo Beletsky

The July 2012 workshop Advancing Public Health Through the Law: the Role of Legal Academics was funded by The Robert Wood Johnson Foundation's Public Health Law Research Program and convened by the Northeastern University School of Law Program on Health Policy and Law. The workshop brought together nationally recognized public health legal scholars, public health practitioners and advocates, and representatives of grant-making insituttions. Through interactive exercises and discussions, participants explored the value that legal doctrine and practice add to public health and ways to strengthen public health law's engagement with public health practice. The convening of this workshop was motivated …