Give under-18 steroid users clean syringes, says NICE

 

Health Reporter

Needle exchanges should give safe injecting equipment to under-18s, the national health standards body has said, in response to an alarming rise in the number of young men putting themselves at risk of bloodborne infections by injecting steroids.

In new guidance, the National Institute for Health and Care Excellence [NICE] said that health providers needed to provide specialist services for “rapidly increasing numbers of steroid users”, and for the first time advised that needles should be provided to under 18s, following reports of children as young as 15 injecting the drugs to build muscle.

Conservative estimates place the number of steroid users in England and Wales at around 60,000, but clinics report a dramatic increase in recent years.

One drug and alcohol charity, the Crimes Reduction Initiatives [CRI], said it had seen a rise of 645 per cent in steroid users visiting its 21 needle exchanges in the UK, up from just 290 in 2010, to 2,161 last year.

Frontline workers at needle and syringe exchanges, which provide sterile injecting equipment to combat the spread of bloodborne infections such as hepatitis B and HIV in drug users, say that the profile of their clients has been shifting in recent years, with a far higher proportion of steroid users.

Anabolic steroids are prescription only and it is illegal to use them to increase muscle mass or improve athletic performance. They can increase the risk of high blood pressure and heart problems, and can also cause infertility and an increased risk of prostate cancer.

David Rourke, from the CRI’s Arundel Street Project needle and syringe programme in Sheffield said that “more and more” young people were coming for needles to inject image- and performance-enhancing drugs.

“We run a weekly clinic for steroid users but we have people coming through the door on a daily basis, with at least seven new clients a week,” he said. “We know there are many more people out there who are not using needle and syringe programmes because this group of users do not see themselves as drug users. Traditionally they are more sexually active than users of heroin or crack, so there is more potential for the spread of infections through sex.”

Previous NICE guidelines did not advise needle and syringe services to under 18s, and frontline workers said that, while some clinics ignored the old guidance, it had led to confusion and may have prevented some young people from accessing safe injecting equipment.

Joe Kean, a frontline worker at drug treatment charity The Bridge Project, based in Bradford, said that the new guidance would bring “more clarity”. He said he had encountered local gyms with dedicated injecting rooms and gyms where waste bins were filled with “piles of needles”.

Needle and syringe programmes have been highly effective at combating the spread of infectious diseases in the UK since their introduction in the 1980s and 1990s. Rates of HIV infection among injected drug users is significantly lower than the European and US average, while rates of hepatitis B among injectors had fallen to 16 per cent in 2011, from 28 per cent in 2000.

However, Professor Mike Kelly, director of the NICE Centre for Public Health said that clinics were now seeing “a completely different group of people injecting drugs”.

“They do not see themselves as ‘drug addicts’; quite the contrary, they consider themselves to be fit and healthy people who take pride in their appearance,” he said. “Since we last published our guideline on needle and syringe programmes in 2009, we’ve seen an increase in the use of image and performance enhancing drugs such as anabolic steroids. We’ve also heard anecdotal evidence that more teenagers are injecting these image and performance enhancing drugs too. We’re updating our guideline to make sure all of these groups of people are considered in the planning and delivery of needle and syringe programmes.”

News
The Banksy image in Folkestone before it was vandalised
people
Life and Style
tech

Sales of the tablet are set to fall again, say analysts

Sport
football West Brom vs Man Utd match report: Blind grabs point, but away form a problem for Van Gaal
Arts and Entertainment
Gotham is coming to UK shores this autumn
tvGotham, episode 2, review
PROMOTED VIDEO
Life and Style
ebooksA superb mix of recipes serving up the freshest of local produce in a delicious range of styles
Life and Style
ebooksFrom the lifespan of a slug to the distance to the Sun: answers to 500 questions from readers
News
i100
Arts and Entertainment
Bloom Time: Mira Sorvino
tvMira Sorvino on leaving movie roles for 'The Intruders'
News
Brian Harvey turned up at Downing Street today demanding to speak to the Prime Minister
news

Met Police confirm there was a 'minor disturbance' and that no-one was arrested

Arts and Entertainment
George Lucas poses with a group of Star Wars-inspired Disney characters at Disney's Hollywood Studios in 2010
films

George Lucas criticises the major Hollywood film studios

Voices
Chris Grayling, Justice Secretary: 'There are pressures which we are facing but there is not a crisis'
voices

Does Chris Grayling realise what a vague concept he is dealing with?

Life and Style
A street vendor in Mexico City sells Dorilocos, which are topped with carrot, jimaca, cucumber, peanuts, pork rinds, spices and hot sauce
food + drink

Trend which requires crisps, a fork and a strong stomach is sweeping Mexico's streets

Life and Style
The charity Sands reports that 11 babies are stillborn everyday in the UK
lifeEleven babies are stillborn every day in the UK, yet no one speaks about this silent tragedy
News
Blackpool is expected to become one of the first places to introduce the Government’s controversial new Public Space Protection Orders (PSPOs)
news

Parties threaten resort's image as a family destination

Life and Style
Northern soul mecca the Wigan Casino
fashionGone are the punks, casuals, new romantics, ravers, skaters, crusties. Now all kids look the same
Life and Style
gaming

I Am Bread could actually be a challenging and nuanced title

News
Nigel Farage has backed DJ Mike Read's new Ukip song
i100
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Year 5 Teacher

    £80 - £140 per day: Randstad Education Leeds: Year 5 Teacher KS2 teaching job...

    Software Developer

    £35000 - £45000 Per Annum Pensions Scheme After 6 Months: Clearwater People So...

    Systems Analyst / Business Analyst - Central London

    £35000 - £37000 per annum + Benefits: Ashdown Group: Systems Analyst / Busines...

    Senior Change Engineer (Network, Cisco, Juniper) £30k

    £30000 - £35000 per annum + Benefits: Ampersand Consulting LLP: Senior Change ...

    Day In a Page

    Oscar Pistorius sentencing: The athlete's wealth and notoriety have provoked a long overdue debate on South African prisons

    'They poured water on, then electrified me...'

    If Oscar Pistorius is sent to jail, his experience will not be that of other inmates
    James Wharton: The former Guard now fighting discrimination against gay soldiers

    The former Guard now fighting discrimination against gay soldiers

    Life after the Army has brought new battles for the LGBT activist James Wharton
    Ebola in the US: Panic over the virus threatens to infect President Obama's midterms

    Panic over Ebola threatens to infect the midterms

    Just one person has died, yet November's elections may be affected by what Republicans call 'Obama's Katrina', says Rupert Cornwell
    Premier League coaches join the RSC to swap the tricks of their trades

    Darling, you were fabulous! But offside...

    Premier League coaches are joining the RSC to learn acting skills, and in turn they will teach its actors to play football. Nick Clark finds out why
    How to dress with authority: Kirsty Wark and Camila Batmanghelidjh discuss the changing role of fashion in women's workwear

    How to dress with authority

    Kirsty Wark and Camila Batmanghelidjh discuss the changing role of fashion in women's workwear
    New book on Joy Division's Ian Curtis sheds new light on the life of the late singer

    New book on Ian Curtis sheds fresh light on the life of the late singer

    'Joy Division were making art... Ian was for real' says author Jon Savage
    Sean Harris: A rare interview with British acting's secret weapon

    Sean Harris: A rare interview with British acting's secret weapon

    The Bafta-winner talks Hollywood, being branded a psycho, and how Barbra Streisand is his true inspiration
    Tim Minchin, interview: The musician, comedian and world's favourite ginger is on scorching form

    Tim Minchin interview

    For a no-holds-barred comedian who is scathing about woolly thinking and oppressive religiosity, he is surprisingly gentle in person
    Boris Johnson's boozing won't win the puritan vote

    Boris's boozing won't win the puritan vote

    Many of us Brits still disapprove of conspicuous consumption – it's the way we were raised, says DJ Taylor
    Ash frontman Tim Wheeler reveals how he came to terms with his father's dementia

    Tim Wheeler: Alzheimer's, memories and my dad

    Wheeler's dad suffered from Alzheimer's for three years. When he died, there was only one way the Ash frontman knew how to respond: with a heartfelt solo album
    Hugh Bonneville & Peter James: 'Peter loves his classic cars; I've always pootled along fine with a Mini Metro. I think I lack his panache'

    How We Met: Hugh Bonneville & Peter James

    'Peter loves his classic cars; I've always pootled along fine with a Mini Metro. I think I lack his panache'
    Bill Granger recipes: Our chef's heavenly crab dishes don't need hours of preparation

    Bill Granger's heavenly crab recipes

    Scared off by the strain of shelling a crab? Let a fishmonger do the hard work so you can focus on getting the flavours right
    Radamel Falcao: How faith and love drive the Colombian to glory

    Radamel Falcao: How faith and love drive the Colombian to glory

    After a remarkable conversion from reckless defender to prolific striker, Monaco's ace says he wants to make his loan deal at Old Trafford permanent
    Terry Venables: Premier League managers must not be allowed to dictate who plays and who does not play for England

    Terry Venables column

    Premier League managers must not be allowed to dictate who plays and who does not play for England
    The Inside Word: Brendan Rodgers looks to the future while Roy Hodgson is ghost of seasons past

    Michael Calvin's Inside Word

    Brendan Rodgers looks to the future while Roy Hodgson is ghost of seasons past