Expanded Syringe Access Program Esap New York State

Summary

Expanded Syringe Access Program
ESAP
Pharmacies registered in New York State's Expanded
Syringe Access Program (ESAP) may sell or furnish
up to 10 syringes at a time to adults, 18 years or older,
without a prescription. Under this program, health care
facilities and health care providers (doctors and others
who can prescribe syringes) may also furnish syringes

REDUCING YOUR RISK
This program benefits individuals who self-inject
medications and/or other drugs. If you inject drugs, you
may be at risk of overdose or being infected with HIV,
hepatitis B, hepatitis C, and other serious infections

Injecting drugs can lead to sores (abscesses and cellulitis)
and heart infections (endocarditis). If you do inject, there
are ways you can reduce your risk for disease, and can
help protect others

• Always use a new sterile syringe and needle every
time you inject

• Never share or reuse your needles, syringes,
cookers, cotton and water

• Clean injection site with soapy water, alcohol swabs,
or rubbing alcohol before you inject

• Avoid injecting into the same spot repeatedly

• If you don't have a new syringe and needle and you
must inject drugs before you can get clean ones,
clean the syringe and needle with bleach and water to
reduce your risk of infection

PROTECTING YOURSELF AND OTHERS
• Learn your HIV status: Get tested. If you are infected,
you can learn how to take care of yourself, avoid
passing HIV to others, avoid getting reinfected, and
get help telling your partners. If you are not infected,
but at high risk of getting infected you can get some
pre- and post-exposure prophylaxis to stay negative

• Regular drug use can lead to dependence. Drug
treatment and medication assisted treatment can help
you stop using drugs. Call the toll free number in this
brochure for more information about drug treatment

• Overdose is a risk. Heroin and other opioid
(methadone, oxycontin,etc.) overdoses are more
likely when:
• mixing opioids with other depressants, such as
alcohol and benzodiazepines
• using after a period of abstinence (being clean),
including detoxification or jail

• having Fentanyl, a synthetic opioid around 50 times
more potent than heroin, which may be used in fake
prescription pills and/or added to heroin, make the
drug especially lethal

• Assisting in an Overdose. Injecting yourself, especially
under the circumstances described above is very risky

Someone may be overdosing if he or she cannot be
woken up with a shake. If someone overdoses, call 911
and perform rescue breathing. Opioid users and their
families can learn obtain a legal medication called
naloxone that will stop an overdose from being fatal
while waiting for emergency services to arrive. Cocaine
and amphetamine overdose symptoms may include
seizures, uncontrollable activity, and psychosis or
cardiac events. Naloxone is not effective in treating
these symptoms. Call 911 immediately

• New York’s “911 Good Samaritan” law provides
protections from charge and prosecution for drug
and alcohol possession for the victim and those
who seek help during an overdose

• Syringe exchange programs (SEPs) provide new,
sterile syringes and help you find medical care, drug
treatment and get tested for HIV, hepatitis B and C

• If you're having sex, use a male latex or female
condom every time. HIV, hepatitis B, and other
diseases may be spread through unprotected sex

• Ask your doctor or local health department clinic
for a hepatitis B vaccine and testing for HIV and
hepatitis C. If you are HIV/HCV infected, ask about
HIV/HCV treatment

DISPOSING OF SYRINGES AND
NEEDLES SAFELY
To dispose of used syringes and needles safely:
1. Put used syringes and needles in a plastic bottle,
such as a laundry detergent or bleach bottle;
the bottle should be unbreakable and
puncture-resistant

2. Close the screw-on top tightly and label your
sealed container: "Contains Sharps."
3. Don't use coffee cans; plastic lids can come off
easily; don't use glass bottles that may break

Do NOT put a plastic container with used
syringes out with the recyclable plastics

Check with your local health, sanitation, or public works
department or trash collector before you dispose of
used syringes and needles in your household trash

Hospitals and nursing homes accept used syringes
andneedles when put in containers using the steps
listed above. The used syringes and needles then
become regulated medical waste. This helps to protect
the environment

Syringe exchange programs in New York State can
dispose of your used syringes and give you new,
sterile syringes

Exposed needles are dangerous. If you don't have a
puncture-resistant container, recap your needle after
you use it. Don't recap needles used by other people

CLEANING WITH BLEACH AND WATER
If you are unable to obtain a new syringe,
careful cleaning may reduce your risk of becoming
infected with HIV and other blood-borne diseases

1. Fill the syringe and rinse needle with clean water
and shake to remove all the blood. Squirt out water

2. Fill with full strength bleach and shake; after 30
seconds, squirt it out through the needle

3. Fill syringe and rinse needle with clean water
to remove the bleach. Squirt out water

Remember to use new, clean water and separate water
containers for each of steps 1–3

Don’t use hot water for cleaning as it can cause blood to
clot and make it hard to clean

HOW AND WHERE TO GET HELP:
TOLL FREE NUMBERS
1. For help quitting drugs, you can get referrals
from the New York State Office of Alcohol
and Substance Abuse Services (OASAS) at:
1-877-8HOPENY (1-877-846-7369)

Or, in New York City, call: the New York City
Department of Health and Mental Health,
NYC WELL at: 1 (888) 692-9355 or text “WELL” to
65173 or go to: http://nycwell.cityofnewyork.us
This is an anonymous help line run by the Mental
Health Association of New York City for persons
seeking treatment for drugs, alcohol or emotional
problems

2. To find ESAP disposal sites and syringe exchange
programs, HIV testing sites, and get answers to your
questions about HIV/AIDS and safe syringe and
needle disposal, call the New York State Department
of Health HIV/AIDS Hotlines

English 1-800-541- AIDS
Spanish 1-800-233- SIDA
Deaf/TDD 1-212-925-9560
Voice Callers use NY Relay 711 or 1-800-421-1220
3. For information on Opioid Overdose Prevention
Programs in New York State call (212) 417-4770
or visit the website at:
http://www.health.ny.gov/diseases/aids/harm
_reduction/opioidprevention/index.htm
4. For information on where you can safely dispose
of your used syringes, visit the website at:
http://www.health.ny.gov/sharps-collection

This link gets you to the hospital, nursing home and
alternative sharps collection directories

5. You can access the Point by visiting:
www.thepointny.org. The Point is a New York
State specific mobile friendly locater tool for harm
education materials and services. The Point will
help you find:
- sterile syringes with no prescription;
- disposal sites to drop-off your used syringes and
unwanted medication;
- pharmacies to get naloxone, the drug that
reverses opioid overdose; and
- free HCV testing

SYRINGE ACCESS PROGRAM (ESAP)
Possession of syringes in accordance with the Public
HealthLaw is legal. Under New York State Public Health
Law (Section: 3381, Chapter 56, Laws of 2000), persons
age 18 years and older can legally possess hypodermic
needles and syringes obtained through ESAP. These
syringes and needles may be purchased or obtained
without prescription from participating licensed
pharmacies, hospitals, nursing homes, community health
centers, doctors, nurse practitioners and physician
assistants. You may also purchase syringes and needles
with a prescription at a licensed pharmacy or obtain free
syringes and needles from an authorized syringe
exchange program

Possession of syringes and residue in accordance
with amendment to the Penal Law, Laws of New York,
2010, Chapter 284 – Persons legally possessing
syringes and residue are not subject to charges or
prosecution pursuant to:
• Section 220.45: It shall not be a violation when
persons obtain and possess hypodermic
syringes/needles pursuant to Section 3381 of
the Public Health Law

• Section 220.03: It shall not be a violation when a
person possesses a residual amount of a controlled
substance and that residual amount is in or on a
hypodermic syringe or needle obtained and
possessed pursuant to Section 3381 of the Public
Health Law

The actual sale or possession of illegal drugs is still
a crime and puts you at risk of arrest and criminal
prosecution

Brochure for more information about drug treatment. • Overdose is a risk. Heroin and other opioid (methadone, oxycontin,etc.) overdoses are more likely when: • mixing opioids with other …

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Frequently Asked Questions

What is the expanded syringe access program?

Expanded Syringe Access Program (ESAP): Overview of the Law and Regulations. This is a public health measure to prevent blood borne diseases, most notably HIV/AIDS and hepatitis B and hepatitis C. ESAP became effective January 1, 2001 and as of the summer of 2009, became a permanent program.

Where can i buy syringes in new york?

Pharmacies registered in New York State's Expanded Syringe Access Program (ESAP) may now sell or furnish up to 10 syringes at a time to adults, 18 years or older, without a prescription. Under this program, health care facilities and health care providers (doctors and others who can prescribe syringes) may also furnish syringes.

What are the regulations for esap in new york state?

A new section of Part 80, Section 80.137 established ESAP. The regulations elaborated on the legislation as follows: Eligible providers must register with the NYSDOH to sell, furnish, or accept for disposal hypodermic needles and/or syringes.

Who can provide syringes for self injections?

Under this program, health care facilities and health care providers (doctors and others who can prescribe syringes) may also furnish syringes. This program benefits individuals who self-inject medications and/or other drugs.