Prior to learning about the needle exchange program, I had never thought there could be a benefit to increasing access to substance use.  However, after learning more about what this program had to offer, I learned that it decreased infection rates and costs associated with infection.  I also learned about an app that users could utilize to let people know when they are using to prevent potential overdose.  I thought this was a good resource to have with how significant the opioid epidemic has been.  With usage so being so high and almost unpreventable, having access to these resources will at least reduce some of the negative effects of it.

     There are plenty of downsides to this program as well.  First, with the increase in usage, there will be an increase in overdoses and use of resources.  This can impact emergency response times and who may get the care they need.  Additionally, with the increase of needles in circulation, there will be an increase in needle stick injuries and litter.  For example, I can recall over the summer almost stepping on multiple needles while walking through Portland.  There were hundreds littered throughout the streets and on the sidewalks.  This could impact anyone who may not be paying attention to where they step.  If I had accidentally stepped on one of these needles, it would have cost me significant amounts of time and money with testing, medications, and resources. 

     The opioid epidemic is a very complex issue and there are a variety of ways it can be approached.  I think it starts with educating our younger populations on the dangers of use and then increasing the awareness/availability of rehabilitation resources.  There are many people who lack the proper education and know no better than to turn to these drugs.   Addressing these health disparities and continuing the fight these drugs on the streets is what we must continue to do to reduce its impact.  As nurses we must carry out this education and advocate for improved resources.