When in doubt, ask to see how the equipment has been sterilized. Caution regarding instrument sterilization applies to all instruments that pierce the skin, including tattooing, acupuncture, ear piercing, and dental work. Take a note from your doctor if you do need to carry needles and syringes. Some countries do have needles and syringes for sale. You should take them with you.
Abstinence is the safest alternative.
Foreign Acceptance Finally, don't be put off if other cultures treat you differently simply because you are an American. The AIDS epidemic may have given some people of foreign countries another reason to be wary of Americans. Part of Council Travel's philosophy of travel is to break down barriers on both sides. Each country may have specific entry requirements, or requirements regarding carrying medicines, that you should know about before you leave. The risk of getting AIDS depends upon you.