features - issue 77 OUT OF REACH
positive nation

Brixton in south London has one of the largest drug problems in Britain, but no proper needle

exchange. Mainliners, the UK HIV and hepatitis C organisation, is based near there. So they take syringes and condoms in a souped-up ambulance every

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week to access this 'unreachable' group.
Rose de Freitas reports
photo

Recently, a contaminated batch of heroin hit the streets of Britain. Thirty-nine people died from it, so Mainliners are handing out information warning against it. The mobile ambulance is the perfect place to distribute this kind of information. Direct, on the streets.
"We fill the converted ambulance van with works - this includes needles, syringes, alcohol swabs, sterile water ampoules, and all kinds of surgical stuff as well

photos of mobile at work: nikki kastner

as condoms. Three people go on the van, usually one man and always a nurse." Cathy Gillies, Mainliners' Head of Services, is describing how their mobile needle exchange outreach gets done.
Since the only Brixton needle exchange pharmacy, Dan Davis, closed down last May, Mainliners' outreach work in the area has become essential.
"Originally, we just had a stand in the middle of Brixton. But it got too difficult. A bunch of users would descend on us - for some reason they always seemed to appear at once desperate for their works - and we couldn't cope with the demand. And there

was concern from people in the street about these 'undesirables' all shouting and ganging together. Something had to be done. So we

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