The Step Up Project runs needle exchange programmes with injecting drug users in Cape Town, Durban and Tshwane. Injecting drug users often use the same dirty needles for months on end or resort to sharing needles with others in order to get their fix. This contributes to the rapid transmission of diseases like HIV and Hepatitis C. It is estimated that there are currently over 60 000 injecting drug users in the country. The HIV prevalence among this group in South Africa is about 19 percent – almost twice the national average……more