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Programs that provide sterile injection supplies and equipment to help prevent the transmission of HIV/AIDS, hepatitis B and C, and other blood borne infectious diseases; and prevent other health complications such as vein damage and infections. Items distributed may include new sterile needles with syringes, needle tips, syringes, acidifiers, alcohol swabs, chlorine disinfectant tablets, filters, stericups or cookers, saline, sterile water vials, sharps disposal containers, and tourniquets. Also included are supplies for safe hormone injection for trans, gender diverse and two-spirited individuals who face unique barriers and inequitable access to gender-affirming health care services. Programs may offer supplies free of charge, in exchange for used ones; or sell new supplies.