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Biomedical subjects

H Waal

Publications and source records attributed to H Waal.

11 recordsLinked to original sources

[Methadone maintenance of HIV-infected drug addicts with immune deficiency].

The Norwegian policy on methadone maintenance is restrictive. Support is given to needle dispensing programmes, HIV testing and drug rehabilitation programmes. In contrast, the central health authorities have opposed any methadone treatment except for methadone maintenance for HIV infected drug abusers with immune deficiency and in need of AZT treatment. "Akuttinstitusjonen" (The detoxification unit in Oslo) and the Infectious Diseases Unit at Ullevål Hospital have developed a model for treatment programme in cooperation with the local health and social services. We describe six cases, and discuss experiences in relation to the Norwegian policy on drugs. We conclude that the positive factors outweigh the negative. Basically, it should be possible to apply the model throughout Norway. In Oslo the case load creates a need for specialized therapeutic team.

Acquired Immunodeficiency Syndrome

[Therapeutic and health care needs of HIV positive drug abusers. A study from an emergency institution].

Drug taking behaviour(DTES), psychiatric condition(DSM-III-R) and physical health were evaluated in 44 HIV-positive inpatients at a detoxification unit for drug addicts during the period October 1987 to December 1988. The investigation revealed marked psychopathology, especially in terms of personality disorders. The patients were followed up at the end of April 1989. At this time ten patients were abstinent, though all of them remained under care. 26 patients had relapsed to heavy abuse. Four had died. An unfavourable outcome seems to correlate with heavy abuse and poor physical health. We discuss the consequences for existing provisions for treatment, as well as alternative solutions.

Emergency Medical Services