(assuming the anecdote is correct) Rummaging around in the rubbish for a syringe is not about poverty, except perhaps that in real poverty you only have access

(assuming the anecdote is correct) Rummaging around in the rubbish for a syringe is not about poverty, except perhaps that in real poverty you only have access to the worst doctors or none at all. Even if economics make fresh needles impossible, it takes so little effort make an attempt to sterilize that this sort of behavior is criminal. Start by not storing needles you might want to reuse in the rubbish bin and donations of scraps of wood to boil water.