To the Editor.—

The frequency of community-acquired needle-stick injuries (CA-NSIs) increases in line with the rise in intravenous drug abuse. Although previously limited to deprived inner-city areas, few communities are now spared. Papenburg et al confirmed the low incidence of seroconversion after pediatric CA-NSI. Although no seroconversions were noted, the costs of clinical care and the inherent risks of precautionary postexposure therapies, where indicated, together with often-severe anxiety affecting patient, family, and community at large cannot be overlooked.

The prompt and safe retrieval of discarded needles is a key step in prevention of CA-NSI. In most jurisdictions, city authorities play a pivotal role in coordinating, managing, and supporting multiagency approaches to crime management and the support of communities, health education, and drug support services, in addition to their role in maintenance of a safe and clean environment. Despite these obligations to community safety, a UK-wide audit of city...

You do not currently have access to this content.