Hoke Syringe Service program is a Syringe exchange program that was launched in December 2019. Syringe exchange programs are one of the most effective public health interventions for decreasing the transmission rates of HIV and other blood-borne diseases such as hepatitis C, as well as connecting users to treatment.

Part of the North Carolina Harm Reduction Program is offering syringe services to communities. Harm reduction programs focus on limiting the risks and harms associated with unsafe drug use, which is linked to serious adverse health consequences, including HIV transmission, viral hepatitis, and death from overdose. In Hoke County, the community-based harm reduction program provides a range of services, including referrals to treatment programs, access to sterile syringes and disposal of used syringes. Additionally, participants can access vaccinations, testing, and referrals to care and treatment for infectious diseases. This comprehensive approach aims to improve the health and well-being of individuals in the community while working to prevent the spread of infectious diseases and offer support for those seeking treatment.

The Hoke County Health Department (HCHD) has made significant strides in supporting community harm reduction and recovery efforts. Key accomplishments include the success of the Hoke Health and Justice Project in collaboration with the Hoke County Sheriff's Office and the Tia Hart Community Recovery Program, as well as advancements in the Hoke Syringe Service Program (HSSP).

Hoke Health and Justice Project Achievements
The HCHD secured two Correctional Health Liaisons working within the justice system. These liaisons are instrumental in identifying, screening, and assessing justice-involved individuals, connecting them to Medication for Opioid Use Disorder (MOUD) treatments and other recovery support services. This partnership underscores our commitment to addressing substance use disorders within the criminal justice system and promoting recovery pathways.

Hoke Syringe Service Program Accomplishments
Since its launch in December 2019, the Hoke Syringe Service Program (HSSP) has proven to be one of the most effective public health strategies for reducing the transmission of HIV, hepatitis C, and other blood-borne diseases. Key accomplishments for this reporting period include:

1. Expansion of Services

   • The number of syringes distributed increased from 2,856 to 3,490.
   • Syringes collected increased from 2,450 to 3,125, reflecting improved disposal practices.
   • The number of individuals served grew from 32 to 51, highlighting expanded reach and impact.

2. Community Outreach

   • The number of outreach events doubled, enabling broader community engagement.
   • Over 375 Narcan kits were distributed, significantly enhancing overdose prevention efforts.
   • Conducted 12 Narcan demonstrations and stigma training sessions, equipping the community with lifesaving knowledge and tools.

3. Participation in Injury-Free Academies

   • HCHD contributed to two Injury-Free Academies, sharing promising practices and insights from the HSSP.

Program Highlights
HSSP integrates syringe exchange services with access to vital health resources:

• Referrals to treatment and recovery programs.
• Access to sterile syringes and proper disposal of used syringes.
• Vaccinations, testing, and referrals for infectious disease care, such as HIV and hepatitis C.

These efforts align with the broader mission of the North Carolina Harm Reduction Program, which focuses on minimizing the risks of unsafe drug use and connecting individuals to care.

Impact and Public Health Importance
Harm reduction programs, like HSSP, are essential in reducing the risks of HIV, viral hepatitis, and overdose deaths. By providing comprehensive services and fostering trust within the community, these programs improve individual health and enhance public health outcomes for the broader community.