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Bitterpill > Syringe Exchange Syringe Exchange

Syringe exchange is part of a comprehensive public health effort to reduce HIV and hepatitis C among drug-injecting populations. Syringe Exchange Programs (SEP) “exchange” sterile for used syringes, and link participants to screening and treatment for hepatitis C and HIV, as well as substance abuse treatment. Studies over the past 30 years have demonstrated their effectiveness at reducing hepatitis C and HIV.

Syringe Exchange: Indicators of Need & Success in Indiana

Senate Enrolled Act 461 permits Indiana to join with 17 other states in authorizing syringe exchange, 28 others in limiting/removing barriers to syringe distribution, and nine others in requiring local approval


Indiana will permit syringe exchange in counties when three things happen:

  • The local health official declares an epidemic of HIV or hepatitis C among injection drug users,
  • The county’s executive body or municipality’s legislative body accepts the declaration, and
  • The state health commissioner agrees to declare a public health emergency in response to the county's request. This declaration will be granted annually, pending county or city request for renewal.

The following Indiana counties currently have or are working on a Syringe Exchange Program:

Scott County – Information regarding hours and transportation can be found here.

Madison County – Beginning August 5, 2015, Madison County will have 4 sites available for syringe exchange on Wednesday afternoons. More information can be found here.

Monroe County - Please click here for hours, locations and contact information provided by the Indiana Recovery Alliance (IRA).

Clark County Press Release on upcoming SEP program 

Map of progress and approvals in other Indiana counties

National Needle Exchange Locator

Information about needle disposal and the HIV outbreak can be found at the Indiana State Department of Health.

Additional Resources: