Use of oxytocin injections immediately before cattle milking increases milk production, and is a widespread practice.1 We recently found that people in many villages in Pakistan's Charsadda district were obtaining used medical syringes for this purpose. Children were being asked to acquire used syringes from local dispensers or primary-care workers who provide much of the health-care services in Pakistan, and most of whom receive no formal medical training.2 The elders were replacing the used needles with larger needles needed for animals such as buffalos and cows.