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Attitude of contact centres workers towards imlementation and importance of Harm Reduction
BACÚŠANOVÁ, Veronika
The thesis deals with the issue of care of drug addicts in the in the Czech Republic, particularly the Harm Reduction. The theoretical part of the thesis describes the above-mentioned working procedures with clients, the legislative framework of the services and the current situation on the drug scene in the Czech Republic. The practical part uses a qualitative form of research. The information was collected by means of structured interviews with open questions. The respondents were eleven workers of contact centres in the Central Bohemian region which has five such facilities. I cooperated with four of them for the purposes of the thesis. The objective of the thesis was to demonstrate that the Harm Reduction services are important and beneficial from the viewpoint of workers of contact centres and to find out whether the contact workers have any suggestions about how to improve the Harm Reduction services in the Czech Republic.
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The transfer sources of hepatitis C among drug users.
BACÚŠANOVÁ, Veronika
Hepatitis C is one of the main causes of chronic liver diseases development, especially in young people. The number of people infected with the hepatitis C virus worldwide ranges from 170 to 200 millions, i.e 3 % world population. The prevalence depends on the geografical location and the socio-economic level of the country. The biggest prevalence is in Africa, South America and South-East Asia. The serious fact is that the infection often has a mild or asymptomatic course. The clinical picture may be uncharactesistic and the diagnosis can be made as late as in the advanced stages of the disease, such as liver cirrhosis or hepatocelular carcinom. In the past the most common way how to transmit the infestion was by the blood transfusion. After the screening tests were introduced in the beginning of the 90th, the number of persons infected by this way has considerably decreased. The intravenous toxicomania leading to the infection with the hepatitic C virus has been a great problem recently. More than one half of the hepatitis C occurence was caused by sharing and re-using infected syringes, needles and other aids by drug addicts in whom the prevalence of the disease is 85 %. However, their therapy is very difficult with regard to the lack of their regular cooperation with physicians. Other possible ways of the infection transmission is a sexual contact with an infected person or a less frequent transmission mother-child. There is no effective vaccination against the hepatitis C virus yet. To prevent the transmission it is neccesary to avoid contact with body fluids of infected persons. In the theoretical section I focused my attention on the summary of important facts on hepatitis C and some aspects of drug abuse. In the practical section I focused on the survey of the behaviour and attitudes of intravenous drug abusers and risks significant for the spread of hepatitis C within the drug population.
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