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In South Africa, a needle exchange program for drug users feels the effects of Trump’s aid cuts

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By Mogomotsi Magome

A secluded corner surrounded by litter and makeshift structures on the outskirts of South Africa’s capital is home to dozens of people with drug addiction. They inject themselves and each other with heroin-laden mixtures, some of them sharing needles.

A group of health workers has been making weekly visits to this and a dozen other places across Pretoria. In the project backed by the University of Pretoria and the Tshwane municipality, they offer the chance to exchange needles for new, sterile ones.

Needle exchange is not a new idea globally, but such efforts have been jolted by the Trump administration’s decision to kill 83% of U.S. Agency for International Development programs around the world.

In South Africa, which has more people living with HIV than any other country, treatment for people with HIV has been hit hard. Users who share needles are especially at risk of such diseases.

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