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 South Carolina has the nation’s eighth-highest rate of new HIV diagnoses. Community based, nonprofit SSP proves to be one of the best methods of decreasing new HIV infection rates. 

 Private insurance covered only 17% of the cost of hospital-based treatment for HIV in 2018. The balance was covered by Medicare (39.5%), Medicaid (27.8%) or billed to indigent/self-pay patients (15.7%). As a nonprofit 501c3, Challenges Inc greatly reduces the burden on SC tax payers by providing evidence based practices. 

"In January 2019, the South Carolina Department of Health and Environmental Control (DHEC) received verification from the CDC that South Carolina is at high-risk for HIV and HCV outbreaks due to increased opioid use and unsafe drug injection activities in the state. This CDC response not only emphasizes the need that exists in South Carolina to fund SSPs, but also provides recommendations for implementing this effective public health intervention to address these co-occurring epidemics" (IMPH, 2019). 

 In South Carolina, the average lifetime cost for treating one person living with HIV is $478,000 (in 2017 dollars). A new syringe costs about 9 cents. 

For HCV, the lowest cost treatment option is currently $26,400 per year, but can be as much as $189,000 per year. Again, a new syringe costs about 9 cents. 

 Each individual with HCV who injects drugs infects an average of 20 other people. Syringe Exchange is one of the most effective measures against this.