A- A A+

The State of Harm Reduction in Western Europe 2018

Sam Shirley-Beavan, Harm Reduction International, 2019


Harmreduction measures employed by people using opioids with suspected fentanyl exposure in Boston, Baltimore, and Providence.

Rouhani S, Park JN, Morales KB, Green TC, Sherman SG.

HarmReduct J. 2019 Jun 24;16(1):39. doi: 10.1186/s12954-019-0311-9.


HR19 PowerPoint Presentations Now Available to View Online

As promised, presentations from major and concurrent sessions at HR19 are now available to view online. (Harm Reduction International, Juni 2019)


Injecting-related trust, cooperation, intimacy, and power as key factors influencing risk perception among drug injecting partnerships.

Morris MD, Andrew E, Tan JY, Maher L, Hoff C, Darbes L, et al. (2019) 

PLoS ONE 14(5): e0217811. doi.org/10.1371/journal.pone.0217811


Reducing injection intensity is associated with decreased risk for invasive bacterial infection among high-frequency injection drug users

Salequl Islam, Damani A. Piggott, Alberto Moriggia, Jacquie Astemborski, Shruti H. Mehta, David L. Thomas and Gregory D. Kirk

Harm Reduction Journa,  2019, 16:38, doi.org/10.1186/s12954-019-0312-8


Kanada. Overdose deaths would be at least twice as high without emergency harm reduction and treatment response 

The rapid expansion of harm reduction services in response to B.C.’s overdose crisis prevented more than 3,000 possible overdose deaths during a 20-month period, suggests new research led by the BC Centre for Disease Control (BCCDC). (BCCDC, Kanada, 05.06.2019)


ACMD Report -Drug-related harms in homeless populations and how they can be reduced

ACMD - Advisory Council on the Misuse of Drugs, UK, 19.06.2019


Gesundheitliche Begleiterscheinungen&Schadensminderung - Workbook Harms and Harm Reduction - Bericht 2018 des nationalen REITOX-Knotenpunkts an die EMCDDA (Datenjahr 2017/2018)

Esther Dammer, Franziska Schneider&Tim Pfeiffer-Gerschel, IFT Institutfür Therapieforschung; Gabriele Bartsch, Deutsche Hauptstelle für Suchtfragene.V. (DHS); Maria Friedrich, Bundeszentrale für gesundheitliche Aufklärung(BZgA) (2019)


Kanada. Without harm reduction, overdoses would have killed thousands more, B.C. analysis finds

A B.C. Centre for Disease Control review calculates that supervised injection and other harm-reduction programs prevented more than 3,000 fatal overdoses during a 20-month period beginning in April 2016. (The Georgia Straight, Kanada, 10.06.2019)





Women and harm reduction - Global State of Harm Reduction 2018 briefing

Women are estimated to account for one third of the 275 million people who use drugs globally. Women who use drugs are consistently reported to have less access to harm reduction services and to be at higher risk of HIV and hepatitis C infection than men who use drugs. Despite these reports, robust data on this subject is scarce, and research on drug use and related health issues rarely produces information about women. The Global State of Harm Reduction 2018 identifies a number of key issues and themes reflected across the world that limit women’s access to harm reduction services, and highlights cases of good practice. (HRI – Harm Reduction International, 2019)


GDS2019: Cannabis health information labels: why it’s time to have mandatory warnings as part of any legal cannabis market and how they’ll help keep the cannabis industry on the straight and narrow.

Professor Adam R Winstock Consultant Psychiatrist & Founder, Global Drug Survey, Mai 2019





Working with people who use drugs - Guidance for homelessness accommodation services

There is no legal requirement for homelessness services to provide specific support to individuals who use drugs, although it is common for people experiencing homelessness to be using drugs. Homelessness services vary in their tolerance to drug use, and the use of drugs can cause challenges for clients who are expected to adhere to organisational policies and procedures. This can be equally challenging for the organisation. There is, however, an opportunity for homelessness services to work with people using drugs, in order to help reduce harm, improve future prospects and increase opportunities of re-integration in to wider society. (homeless link, UK, Mai 2019)


Researchers verify new method of HIV transmission among injection drug users and effective prevention technique

“Cook your Wash” campaign reduces risk of HIV transmission

LONDON, ON – New studies from Lawson Health Research Institute and Western University have found for the first time that HIV can be transmitted through the sharing of equipment used to prepare drugs before injection and that a simple intervention – heating the equipment with a cigarette lighter for 10 seconds – can destroy the HIV virus, preventing that transmission. The findings, used to inform a public health campaign called ‘Cook Your Wash,’ have helped reduce rates of HIV transmission in London, Ontario. (Lawson Health Research Institute, Kanada, 25.04.2019)


High levels of alcohol intoxication and strong support for restrictive alcohol policies among music festival visitors

Kristin Feltmann, Tobias H. Elgán and Johanna Gripenberg

Substance Abuse Treatment, Prevention, and Policy, 2019, 14:15, doi.org/10.1186/s13011-019-0203-8


Linz/Österreich. Ersatzfläche für Alkohol- und Suchtkranke: Konflikte im öffentlichen Raum minimieren und Aufenthaltsbereich für Alkoholkranke ermöglichen 

(...) „Gemeinsam mit Sucht-Experten, der Polizei und SozialarbeiterInnen wollen wir den Versuch unternehmen, den Alkohol- und Suchtkranken eine Ersatzfläche zur Verfügung zu stellen. Ein konkreter Vorschlag liegt vor, etwaige notwendige Adaptierungsmaßnahmen werden derzeit geprüft“, so Bürgermeister Klaus Luger. 

„Die Erfahrungen am Hessenpark und am Südbahnhofmarkt haben gezeigt, dass die Konflikte vor Ort mit Sozialarbeit alleine nicht zu lösen sind. Es braucht daher einen entsprechenden, niederschwellig betreuten Aufenthaltsbereich für Alkoholkranke, um das Konfliktpotenzial zu minimieren und gleichzeitig der Zielgruppe eine entsprechende Fläche zu bieten“, betont Sozialreferentin Vizebürgermeisterin Karin Hörzing. (Stadt Linz, 19.03.2019)


USA. Increasing Access to MAT: What Is the Role of Harm Reduction?

There are moves—important and funded ones—to support the expansion of medication-assisted treatment (MAT), but those moves apply mostly to office-based opioid treatment (OBOT) providers, not to opioid treatment programs (OTPs). (Addiction Treatment Forum, USA, 07.04.2019)


A public health approach to alcohol use and its related harms in Iran

Shokoohi, Mostafa et al.

The Lancet Public Health , Volume 4 , Issue 4 , e175 - e176 


Mainline – It is Mainline's mission to improve the health and rights of people who use drugs.

Mainline provides harm reduction services, training, consultancy and a lifestyle magazine. We work with partner organisations domestically and abroad through various projects. We have been dedicated to the principle of harm reduction, for 28 years. (Mainline, Niederlande, 2019)


UNAIDS. Promises to improve health outcomes for people who inject drugs remain unfulfilled as 99% do not have adequate access to harm reduction services 

New report by UNAIDS highlights the urgent need to implement a human rights and evidence-informed approach to reach people who inject drugs with essential health services. (UNAIDS, Genf, 13.03.2019)



(UNAIDS, 2019)


Veiled Truths: Iranian Women and Risky Sexual Behavior in the Context of Substance Use.

Merghati Khoei E, Jamshidimanesh M, Emamian MH, Sheikhan F, Dolan K, Brady KT.

J Reprod Infertil. 2018 Oct-Dec;19(4):237-246.


Navigating Blind in the Green Rush: Clinical Considerations and Harm Reduction Practices for Cannabis.

Meffert BN, Morabito DM, Mosich MK, Loflin MJ, Sottile J, Heinz AJ.

Curr Drug Res Rev. 2019;11(1):3-11. doi: 10.2174/2589977511666181109153958.


Schweiz. Ist risikoarmer Kokainkonsum möglich?

Boris B. Quednow, Experimental and Clinical Pharmacopsychology,Department of Psychiatry, Psychotherapy and PsychosomaticsPsychiatric Hospital, University of Zurich

Konferenz Nightlife-und Freizeitdrogenkonsum, Luzern, 24.01.2019


Parenting Practices in the Context of Legal Marijuana: Voices from Seattle Parents

Eisenberg, N., Jones, T.M., Kosterman, R. et al. J 

Child Fam Stud (2019) 28: 587. doi.org/10.1007/s10826-018-1288-9



Parenting in the age of legal pot: Household rules, conversations help guide teen use 

When Washington voters legalized marijuana in 2012, many parents found themselves with a new teachable moment.

Though illegal for anyone under 21, the drug presented a dilemma similar to alcohol: Retailers sold it, people openly consumed it -- sometimes to excess -- and parents themselves struggled with how to talk to their kids about their own use, past or present.

Unlike with alcohol, research on the health and developmental effects of marijuana is still emerging. And the law's complexity, along with the accessibility of marijuana products and stores, has left parents thinking more deliberately about how and why to set some ground rules.

Most parents agree that marijuana should be off-limits to children and teenagers, but they want information and advice from trustworthy sources, said Nicole Eisenberg, a research scientist with the University of Washington's Social Development Research Group. Those findings come from a study published online Jan. 16 in the Journal of Child and Family Studies, by Eisenberg and a team of researchers. (University of Washington, USA, 07.02.2019) 


Europa. Street Support Project: National Report Germany (engl.)

Autor: Ralf Köhnlein [Fixpunkt]

Herausgeber: Correlation Network | De Regenboog Groep, Amsterdam, Niederlande, 2019-02-05


Europa. Street Support Project: “Homeless people are not the problem, the situation is.”

The Street Support Project is built on the idea that each person has the potential to learn and to do something meaningful. Adult learning, work and other activities can play a vital role in this context, as long as it is adapted to the specific needs and living conditions of the target group.

Our main aim is to tackle the situation and problems of homeless people with an inclusive strategy. We will approach the situation with a pro-active, supportive and comprehensive strategy, which is more effective than a repressive approach.

Homeless people are not the problem, the situation is.

We will develop best practices and tools to support your efforts to improve working will homeless people. (The Street Support Project, Februar 2019)


Europa. Alcohol consumption, harm and policy response fact sheets for 30 European countries (2018)

The 30 country fact sheets for EU Member States, Norway and Switzerland present data on consumption, harm and policy implementation for the year 2016, aiming to give guidance to national decision-makers for further priority-setting in the field of alcohol and public health. Besides trends in alcohol consumption, each fact sheet features a section on alcohol consumption and alcohol-attributable harm, with special attention to young people, and a section on the implementation of key alcohol control policies, including the three WHO “best buys” – price increase, limits on availability and bans on advertising of alcohol. This allows for a quick overview of important subsets of alcohol policy measures that will support countries to assess their own progress towards reducing the burden of noncommunicable diseases and their key risk factors. The fact sheets also present, for the first time, an individual overview of the composite indicator scores of the 10 areas of action to reduce the harmful use of alcohol. (World Health Organization 2018)