The British public body, the National Institute for Health and Care Excellence (NICE), introduced a new recommendation in early April 2014 due to an increase in the presentation of the number of young people who inject steroids at UK needle exchanges. NICE previously published needle exchange guidelines in 2009, in which needle and syringe services are not advised for people under the age of 18 years, but the organisation's director Professor Mike Kelly explained that a "completely different group" of people were presenting at programs. In the updated guidance, NICE recommended the provision of specialist services for "rapidly increasing numbers of steroid users", and that needles should be provided to people under the age of 18—a first for NICE—following reports of 15-year-old steroid injectors seeking to develop their muscles. 
This updated second edition of the poster is 660 x 297 mm and shows all the needle lengths and guages used by injecting drug users, and has a clear harm reduction message: "use the shortest, thinnest needle you can".
An essential addition to the wall of all needle and syringe programmes this poster will stimulate discussion about needle selection, encourage services to stock a range of needles, and reduce the harm caused by inappropriate needle selection.
Price includes card tube and next day delivery.
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If you are in any doubt about the appropriate use of any needle, or which needles can be used as an alternative, you can find out all you need to know on
There is an article on the anatomy of a syringe on the needles and syringes at the bottom of the needles and syringes product listing page.
All the needles on the poster are available on our website, and, in the 'product briefing' section of all the needles on our site, there is extensive guidance on the uses, risks and alternatives:
We are are committed to supplying high-quality, low cost injecting equipment to customers around the world, and to providing employment and training opportunities for drug users.
We are at the forefront of the harm reduction response to illicit drug use, and are committed to preventing blood-borne virus transmission, drug related deaths, and improving the health of drug users.
As well as developing the nevershare syringe : the world's first syringe designed specifically for injecting drug users (with coloured plungers to reduce accidental sharing) we also supply quality injecting paraphernalia ( citric and vitC sachets , water ampoules , stericups , and sterifilts ), Unisharp needles , and write and publish comprehensive harm reduction information in various formats, including DVD.
We are committed to making into the internet's leading source of information on: