Sussex County (US) beaches are still littered with wastes including clinical waste. Though most reports assume that syringes and needles are washed ashore with on the tide there is little evidence to exclude them being dropped by IV drug users using the beach, perhaps at night.

Residents are mounting patrols to protect their beach and pick litter, apparently with the help of the relevant local authorities One resident was interviewed for TV . The clip is available on line and has been embedded here to enable direct viewing.

What strikes me immediately, despite an obvious awareness that needles present a significant risk to health, is that this chap in picking discarded needles while wearing flip flops!