Draw the solution up through the filter to remove impurities. If you are injecting pills, use pill filters if you can get them if you can't get them, filter at least three times. Injecting pills is bad for your health you can damage your heart, your veins and cause other serious health issues. The best filters are a bit of a new swab, tampon or cotton bud. You can use the blunt end of your syringe for mixing.ДЄdd the filter to the spoon. Unless new sterile equipment is used to mix and divide up, each person must have all their own equipment.ДЄdd water to the spoon and mix.

No matter how well it has been cleaned, never let your used equipment or anyone else's come into contact with a group mix.

Use your new sterile needle/syringe to draw up water from the new ampule of sterile water (or cooled boiled water in a clean glass). MIXING UPД¬lean the spoon by wiping once with a new swab and let it dry. Rubbing swabs backward and forward spreads the dirt and bacteria around. If you can't wash your hands use swabs, wiping in one direction to clean them. Hand washing is very important to remove viruses, bacteria, and plain old dirt from your injecting environment. Wash your hands (and your injecting site) with warm soapy water. Make sure you have everything you need within reach: new sterile fits, new sterile water (or cooled boiled water in a clean glass), new swabs, a clean filter, clean spoon, and a clean tourniquet. Use soapy water to wipe down the surface where you'll prepare your hit or lay down the paper bag your equipment came in. PREPARATIONД¬hose a safe place to inject: one that is private, clean and well lit with running water, if possible. Once they are blunt they can damage your arms. Slamming packs provide these.ДonвЂ™t reuse вЂ“ needles go blunt after a few uses. Use different coloured needles so you know who is using which needle. It can also cause the tissue to break down, resulting in sores and abscesses, which may become infected and spread.ДonвЂ™t share вЂ“ sharing needle equipment can pass on Hep C and HIV. Inject properly вЂ“ Veins can shrink, collapse or shut down completely in the long term if you inject in the wrong way.

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These findings may have relevance in other communities with similar demographics and drug markets and may hold important implications for drug treatment, policy-making, and law enforcement professionalsвЂ™ work associated with methamphetamine users, producers, and distributors. Findings appear to suggest an emergent means of identity management resulting from the ethnic diversity of users in this methamphetamine market. Many of these methamphetamine users also emphasized their ethnic identity to distinguish themselves as nonproducers of methamphetamine in comparison to Whites, who are commonly associated with methamphetamine production. The drug use trajectory of these 31 participants in particular involved a transition from a historical preference for crack to a present one for methamphetamine and, in some cases, a preference for concurrent use of methamphetamine and heroin.

Qualitative interviews with 52 study participants demonstrate that very poor and homeless White males and females are now using methamphetamine however, even more surprising is that 31 of the participants identified themselves as poor or homeless, male or female African, Native, biracial, or multiracial Americans. We examine a local drug market in Summit County, Ohio, wherein methamphetamine users ascribe themselves different ethnic identities from those long associated with the drug elsewhere in the United States. Understanding the social dynamics of local methamphetamine markets is critical to improving community health and reducing social costs associated with illicit drug use.

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