I find the problem comes when the respective IV user stops (or never starts, as it may be) caring, and just wants the drug in a syringe and into a vein as quickly as possible. It is a good many of IV users (the majority, I imagine) that give the practice a stigma. When a proper IV user uses new needles with every injection, filters properly, rotates veins, et cetera, there is not much problem outside of the addiction itself.
This is very true, I have found myself up until recently falling into more reckless behaviour when injecting drugs. Not swabbing the spoon, for example. Not using a filter. Not swabbing my arm. Letting tap water puddle up in my hand and drawing it up like that. Not using micron filters (when I ALWAYS have) for pills like Subutex/Suboxone or even OxyContin. And re-using old needles, even though fresh picks and supplies can be delivered (one phone call away) by the local Outreach service that works for our local NSP.
I used to be meticulous when it came to injecting, but I think it has a lot to do with how you view/feel about yourself at the time. Lately, I couldn't give a fuck about my health, if I die, or lose an arm due to certain life events. I just wanna get that shot in my arm and distract myself from the pain of existence.
If someone had have told me 6 months ago that they drew up a solution without using a filter (sterile cotton or otherwise) and proceeded to pass me my taste I would have cringed and most likely re-filtered the shot with a cotton. I have since grasped just how slack I have become, and how dangerous it is, and I'm pulling my head in as we speak. I still shudder to think of all the times I have injected cloudy solutions of buprenorphine and if and how much of that insoluble particulate matter has ended up in my lungs or caused damage to any of my other internal organs. And since keeping the practice of re-using needles, my injection sites (track marks) are now rather apparent, whereas before by looking at my arms you wouldn't have been able to tell that I was an IV drug user.
This is how you get sick people and this is why injecting drugs has a stigma attached to it, because you
can be filthy about the practice. On the other hand you can inject whilst maintaining a near sterile environment. Take pride in your injecting ritual, it only takes mere seconds longer to make sure things are disinfected, prepare a filter, etc. And these mere seconds will likely save you from a serious medical complication that will no doubt pop up at some point or another.
Ash.
