and

LOW DEAD SPACE N E E D L E S S Y R I N G E S

D E A D S PAC E

and

L O W D E A D S P A C EN E E D L E S S Y R I N G E S

WHATARE THEY?

WHY USE THEM?

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

DEAD SPACE is the space betweenthe needle and the plunger

BLOOD & DRUG remain in the dead space after injecting

D E A D S PAC E What is it?

BLOOD may contain

HIV and Hep C

DRUG is wastedD

E A D S P AC E DEAD SPACE

DEAD SPACE is the space betweenthe needle and the plunger

BLOOD & DRUG remain in the dead space after injecting

D E A D S PAC E What is it?

BLOOD may contain

HIV and Hep C

DRUG is wastedD

E A D S P AC E DEAD SPACE

.3

.3.4

.5

.3.4

.5.6.3

.4

D E A D S PAC E C�p�ed H i g h

dead spaceneedle and syringe

R E D U C E D dead spacemodified syringe

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SSPACE

L E S SRISK

USE

LOW dead spacedetachable needle

LOW dead spacefixed all in oneneedle & syringe

Some needles and syringes have lower dead space than others

.3

.3.4

.5

.3.4

.5.6.3

.4

D E A D S PAC E C�p�ed H i g h

dead spaceneedle and syringe

R E D U C E D dead spacemodified syringe

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SSPACE

L E S SRISK

USE

LOW dead spacedetachable needle

LOW dead spacefixed all in oneneedle & syringe

Some needles and syringes have lower dead space than others

e a sy c l e a nEasier to get rid of viruses if cleaning

L E SS B U G SLess risk of HIV & HEP C

N o f lu s h No need to flushwhich damages veins�

M O R E D R U G SLess drug iswasted

D E A D S PAC E

Why use low dead space needles and syringes?

Why Use L�

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

e a sy c l e a nEasier to get rid of viruses if cleaning

L E SS B U G SLess risk of HIV & HEP C

N o f lu s h No need to flushwhich damages veins�

M O R E D R U G SLess drug iswasted

D E A D S PAC E

Why use low dead space needles and syringes?

Why Use L�

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

Easy Cleaning

Flush

.3.4.5.6.7.8.9.1

Draw up water

.3.4.5.6.7.8.9.1

Flush

Draw up water

Flush

Draw up thin bleach

.3.4.5.6.7.8.9.1

1 2 3

and

LO W D E A D S PAC En e e d l e s SY R I N G E S

E A S YCLEAN

L E S SRISK

RinsingRinsing

if you have to reuse

D E A D S PAC E

.3.4.5.6.7.8.9.1

USE

BE WISE

FOR

Low dead space needles and syringes are easier to clean

Easy Cleaning

Flush

.3.4.5.6.7.8.9.1

Draw up water

.3.4.5.6.7.8.9.1

Flush

Draw up water

Flush

Draw up thin bleach

.3.4.5.6.7.8.9.1

1 2 3

and

LO W D E A D S PAC En e e d l e s SY R I N G E S

E A S YCLEAN

L E S SRISK

RinsingRinsing

if you have to reuse

D E A D S PAC E

.3.4.5.6.7.8.9.1

USE

BE WISE

FOR

Low dead space needles and syringes are easier to clean

TAKE RETURn TAKE RETURN

and

C H O O S I N G T H E R I G H Tn e e d l e s SY R I N G E S

A N YCONCERNS

A N YISSUES

D E A D S PAC E Visit y�r local

DE A D S P A C E D

EAD SPACE

D E A D S PACE

DEAD SPACE

FOR

Used syr inges d isposed of safe ly Take al l y

ou n

eed

Take

wha

t y

ou need Returned works can’t be shared

about

Ask about low dead space at your needle exchange

TAKE RETURn TAKE RETURN

and

C H O O S I N G T H E R I G H Tn e e d l e s SY R I N G E S

A N YCONCERNS

A N YISSUES

D E A D S PAC E Visit y�r local

DE A D S P A C E D

EAD SPACE

D E A D S PACE

DEAD SPACE

FOR

Used syr inges d isposed of safe ly Take al l y

ou n

eed

Take

wha

t y

ou need Returned works can’t be shared

about

Ask about low dead space at your needle exchange

L E SS BUGS M

OR

E D

RU

GS . USE LOW DEAD SPAC

E NE

ED

LE

S A

ND

S

YR ING E S .

LO

W D

EA

D S

PA

CE

NE

ED

LE

S A

ND

SY

RIN

GE

S

LOW

DE A

D S

PACE N

E E DL E S A

ND

SY

R I NG

E S LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

MO

RE

DR

UG

S, L

ES

S B

UG

S, L

ES

S S

PA

CE

, LE

SS

RIS

K

LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

L E SS BUGS M

OR

E D

RU

GS . USE LOW DEAD SPAC

E NE

ED

LE

S A

ND

S

YR ING E S .

LO

W D

EA

D S

PA

CE

NE

ED

LE

S A

ND

SY

RIN

GE

S

LOW

DE A

D S

PACE N

E E DL E S A

ND

SY

R I NG

E S LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

MO

RE

DR

UG

S, L

ES

S B

UG

S, L

ES

S S

PA

CE

, LE

SS

RIS

K

LESS BUGS, MORE DRUGS,, LESS SPACE, LESS RISK

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SSPACE

L E S SRISKUSEL E S S

BUGSM O R EDRUGS

LOWest DEAD SPACEF O R W H E R E Y O U ’ R E I N J E C T I N G

CHOOSE THE

D E A D S PAC E V�uses, sh�ing & testing

Choose the lowest suitable dead space and take all you need Mark or use coloured syringes - Keep works seperate - Get tested

Use

diffe

rent

col

our s

yringes or mark them, so you know w

hich are yours .

L E SS BUGS M

OR

E D

RU

GS . USE LOW DEAD SPAC

E NE

ED

LE

S A

ND

S

YR ING E S .

LO

W D

EA

D S

PA

CE

NE

ED

LE

S A

ND

SY

RIN

GE

S

LOW

DE A

D S

PACE N

E E DL E S A

ND

SY

R I NG

E S LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

MO

RE

DR

UG

S, L

ES

S B

UG

S, L

ES

S S

PA

CE

, LE

SS

RIS

K

LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

L E SS BUGS M

OR

E D

RU

GS . USE LOW DEAD SPAC

E NE

ED

LE

S A

ND

S

YR ING E S .

LO

W D

EA

D S

PA

CE

NE

ED

LE

S A

ND

SY

RIN

GE

S

LOW

DE A

D S

PACE N

E E DL E S A

ND

SY

R I NG

E S LESS BUGS, MORE DRUGS, LESS SPACE, LESS RISK

MO

RE

DR

UG

S, L

ES

S B

UG

S, L

ES

S S

PA

CE

, LE

SS

RIS

K

LESS BUGS, MORE DRUGS,, LESS SPACE, LESS RISK

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SSPACE

L E S SRISKUSEL E S S

BUGSM O R EDRUGS

LOWest DEAD SPACEF O R W H E R E Y O U ’ R E I N J E C T I N G

CHOOSE THE

D E A D S PAC E V�uses, sh�ing & testing

Choose the lowest suitable dead space and take all you need Mark or use coloured syringes - Keep works seperate - Get tested

Use

diffe

rent

col

our s

yringes or mark them, so you know w

hich are yours .

If you open, use or damage your Naloxone kitreturn it for a replacement

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

– a Naloxone kit without a needle is

use

less

REMEMBER

Use new equipment for every in

ject

ion

Alw

ays p

ick up enough needles and barrels

DO NOT fit on Naloxone barre

ls

Low dead space needles

D E A D S PAC E & Nal��e Kits

D

E A D S P A CE DEAD SPACE

SAVES LIVES

Low dead space detachable needles DO NOT fit on Prenoxad kits (Naloxone) and some other barrels

If you open, use or damage your Naloxone kitreturn it for a replacement

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

– a Naloxone kit without a needle is

use

less

REMEMBER

Use new equipment for every in

ject

ion

Alw

ays p

ick up enough needles and barrels

DO NOT fit on Naloxone barre

ls

Low dead space needles

D E A D S PAC E & Nal��e Kits

D

E A D S P A CE DEAD SPACE

SAVES LIVES

Low dead space detachable needles DO NOT fit on Prenoxad kits (Naloxone) and some other barrels

and

LOW DEAD SPACE N E E D L E S S Y R I N G E S

D E A D S PAC E

and

L O W D E A D S P A C EN E E D L E S S Y R I N G E S

WHATARE THEY?

WHY USE THEM?

and

LOW DEAD SPACEN E E D L E S S Y R I N G E S

L E S SBUGS

M O R EDRUGS

USE

DEAD SPACE is the space between the needle and the plunger when the plunger is pushed all the way down. Blood and drug remain in the dead space a� er injecting. Some works have a higher dead space than others so there’s more blood and drug le� . This blood could contain viruses like HIV or Hepatitis C.

The lower the dead space, the smaller the amount of blood le� inside and the lower the risk of catching viruses if works are accidentally shared. Low dead space needles and syringes have less space, so there is less risk.

If you use low dead space needles and syringes:• Less chance of catching viruses if you accidentally share works• Less drug is wasted• No need to fl ush as fl ushing damages veins • Easier to clean out any viruses from low dead space needles and syringes

D

E A D S P A C E DEAD SPACE

Produced by the National Institute for Health Research (NIHR) CLAHRC West, NIHR HPRU in Evaluation of Interventions at University of Bristol, Bristol Drugs Project, Linnell Communications, Exchange Supplies and Public Health England.

With special thanks to the needle and syringe programmes and service users that participated in this project. This work was supported by the Economic and Social Research Council - Grant ES/M500410/1

This campaign is supported by the National Institute for Health Research (NIHR) and the Economics and Social Research Council (ESRC). The views expressed are those of the researchers and not necessarily those of the NHS,

the NIHR or the Department of Health and Social Care, Public Health England or the ESRC.