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Manchester is trying to stop the tide of used drug syringes washing over the city with a new ordinance aimed at reigning in the groups handing them out.

Mayor Jay Ruais said Manchester is now the first municipality in the state to assert oversight of Syringe Service Programs (SSPs), thanks to an ordinance passed this week.

“On a fundamental, basic level, we can’t allow the unregulated flow of needles into our city,” Ruais told NHJournal. 

Used syringes littering city streets and parks has become an increasing problem since 2017, when the state legislature passed a bill allowing SSPs to operate with little to no oversight. In the last seven years as Manchester’s opioid epidemic and homeless crisis raged, the city didn’t even know how many groups were handing out syringes in the city.

“Before this ordinance, there wasn’t any insight into how many of these programs were operating. There was no transparency or accountability,” Ruais said.

That lack of accountability and transparency contributed to making the city’s drug problem worse, Ruias said. It also put police, firefighters, and EMTs who encountered used needles during their jobs in danger. The situation is also a danger for every resident who might encounter the used syringes just about anywhere.

The tale of Manchester slipping into a crises of crime, addiction and homelessness on former Mayor Joyce Craig’s six-year watch has become part of the campaign for governor. While she’s denied the claim that she left Manchester in a mess, the fact is little was done to get control of the SSPs during her tenure.

Though the city passed an ordinance three years ago banning needle handouts from city parks, nothing else was done to manage the problem. In the meantime, syringes kept getting passed out by the SSPs, and the used syringes kept ending up in parks, city streets, outside schools, and all over.

“We hear concerns from families when they see them in parks or in the streets,” Ruais said. “It’s been a problem that’s been brought up to us on a far too frequent basis.”

The new ordinance requires all SSPs to register with the city, to provide data on their programs —  such as how many needles are passed out — and to take back at least some used syringes in an effort to keep them off the streets. The programs must also hand out information on disease prevention and drug treatment to the people seeking the syringes. The ordinances also codify location restrictions such as city parks, school zones, and state-licensed daycares. 

The original ordinance would have required the SSPs to engage in a one-for-one exchange, meaning they had to collect one used syringe for every new one handed out. But after talking to some of the groups handing out the syringes, Ruais backed a change that does not tie the programs to the one-for-one rate.

“We mandate that an exchange takes place, but not a one-for-one,” Ruais said.

The aim of these programs is to help stop the spread of infectious diseases. Ruais insisted the city is not trying to get in the way of that important effort. A strict one for one exchange may have hindered people from getting help. Ruais also wanted to give Manchester the flexibility to make changes as the city gets more data from the programs about the handouts.

“It’s a good first step,” he said. “Now we’re going to get the data back and see what it tells us.”