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The impact of Taiwan’s implementation of a nationwide harm reduction program in 2006 on the use of various illicit drugs: trend analysis of first-time offenders from 2001 to 2017. 

Chen, W.J., Chen, CY., Wu, SC. et al.

Harm Reduct J 18, 117 (2021). https://doi.org/10.1186/s12954-021-00566-5


Kanada. How Diverting Opioids Can Be Harm Reduction

What cops and regulators consider to be the boogeyman of the Canadian overdose crisis is in fact a tactic that criminalized drug consumers and their advocates believe is a means of survival in the face of an ever-more potent, volatile illicit drug supply. (Filter, USA, 22.11.2021)


Harm Reduction Unmuted

More than 400 professionals and community activists gathered in Prague to attend the 5th European Harm Reduction Conference. Watch and share Drugreporter’s video report! (Drugreporter, Ungarn, 12.11.2021)


We Are With You launches ‘Never Use Alone’ phone line

A new, free phone line, ‘Never Use Alone’ has been launched by We Are With You with £100,000 funding from the Scottish Government. The service is available in Glasgow and North and South Ayrshire from 16 November, and will then be rolled out across Scotland. (DDN – Drink and Drugs News, UK, 16.11.2021)


Examining prevalence and correlates of smoking opioids in British Columbia: opioids are more often smoked than injected. 

Parent S, Papamihali K, Graham B, Buxton JA. 

Subst Abuse Treat Prev Policy. 2021 Oct 18;16(1):79. doi: 10.1186/s13011-021-00414-6. PMID: 34663374; PMCID: PMC8522853.


Kanada. The 'Safe Supply' Movement Aims to Curb Drug Deaths Linked to the Opioid Crisis

On a morning Zoom call, a group of Canadian mothers give their full attention to a young man from the Drug User Liberation Front. At 26, Jeremy Kalicum is the age some of their kids would be if they had not died of accidental overdoses.

Kalicum’s tone is urgent as he walks the moms through a PowerPoint presentation explaining why the Liberation Front, known as DULF, wants to protest on International Overdose Awareness Day and hand out illicit drugs. These wouldn’t be the kind that killed their sons and daughters, he assures them; they’d be “safe supply” drugs that have been tested to ensure they’re not laced with lethal fentanyl. “Anyone who wants to find drugs can find drugs,” says Kalicum, reasoning that the best way to save lives is to make sure users are given the safest possible drugs. “The drugs that they’re finding are of unknown quality and unknown potency.” (TIME, USA, 25.10.2021)


Homeless encampments: connecting public health and human rights. 

Olson, N., Pauly, B. 

Can J Public Health (2021). doi.org/10.17269/s41997-021-00581-w


Evaluating Montréal's harm reduction interventions for people who inject drugs: protocol for observational study and cost-effectiveness analysis. 

Panagiotoglou D, Abrahamowicz M, Buckeridge DL, Caro JJ, Latimer E, Maheu-Giroux M, Strumpf EC. 

BMJ Open. 2021 Oct 26;11(10):e053191. doi: 10.1136/bmjopen-2021-053191. PMID: 34702731; PMCID: PMC8549659.


Schweiz/ARUD-Zürich. Die Bedeutung der Schadensminderung in der Suchtmedizin  

Astrid Tomczak-Plewka, Thilo Beck

Schweiz Ärzteztg. 2021;102(42):1359-1361, Veröffentlichung: 20.10.2021, doi.org/10.4414/saez.2021.20167


Gefährlicher Mischkonsum

laut&leise, Magazin der Stellen für Suchtprävention im Kanton Zürich, Nr. 3, Oktober 2021


Harm Reduction Key Principles in Homeless Services

The Key Principles of Harm Reduction in Homeless Services aims to support service providers to implement activities that respect the rights of people experiencing homelessness who use drugs or alcohol, which are informed by evidence. It also intends to advance social justice transformations, respect service user decisions and priorities, and contribute to eliminating stigma and discrimination of the communities they work for and with. (Correlation – European Harm Reduction Network; De Regeboog Groep; Droogback 1D, Niederlande, 2021)


Estland. Estonian harm reduction programme brilliantly reverses its overdose epidemic

Previously a stark example of the harms of synthetic opioids, Estonia successfully implemented a range of harm-reduction programmes that reversed its bleak opioid public health crisis. (Talking Drug, UK, 17.09.2021)


Technology-mediated just-in-time adaptive interventions (JITAIs) to reduce harmful substance use: a systematic review.

Perski, O, Hébert, ET, Naughton, F, Hekler, EB, Brown, J, Businelle, MS. 

Addiction. 2021; 1– 22. doi.org/10.1111/add.15687


Kanada. Cocaine, heroin and meth buyers' club gets Vancouver's approval to secure a safe supply 

Council voted unanimously in favour of amended motion to back club, which is seeking federal approval. (Couver Sun, Kanada, 07.10.2021)


WHRIN is a global platform to expand harm reduction approaches for women.

A significant proportion (ranging from at least 15% up to nearly half depending on country/region) of all people who use drugs in the world are women. Women who use drugs tend to be even more overlooked than their male counterparts, with related research, services, guidelines, training programs and data collection generally mainstreamed into a male context. Many women report that they feel excluded from existing harm reduction activities, especially those who are pregnant or who have children, transgender women, sex workers and incarcerated women. There is also a glaring paucity of responses addressing the sexual and reproductive health needs of women who use drugs. The absence of appropriate policies and services is even more marked in global south countries, where violations of the rights of women who use drugs are common occurrences. 


Estland. Estonian harm reduction programme brilliantly reverses its overdose epidemic

Previously a stark example of the harms of synthetic opioids, Estonia successfully implemented a range of harm-reduction programmes that reversed its bleak opioid public health crisis.

A recent European study taking stock of the Estonian response to  the rise drug-related deaths since the turn of the century demonstrates how harm reduction is an essential part of any public health programme. (TalkingDrugs, UK, 17.09.2021)


USA. What happens when police participate in a public health approach to substance use disorder? Views of an innovative police facilitated referral program in Massachusetts

Drug overdose deaths are at an all-time high, having increased to over 93,000 in 2020, and over 1.5 million arrests are made for drug violations annually. Given the ineffectiveness of criminal justice approaches to substance use disorder, public safety and public health stakeholders are partnering with criminal justice stakeholders to develop innovative programs designed to limit harms and link people with treatment. In this study, researchers examined how five police departments in Massachusetts are implementing police-assisted referral programs for substance use. (Recovery Research Institute, USA, 30.08.2021)


Drug use, homelessness and health: responding to the opioid overdose crisis with housing and harm reduction services. 

Milaney, K., Passi, J., Zaretsky, L. et al.

Harm Reduct J 18, 92 (2021). doi.org/10.1186/s12954-021-00539-8


Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico. 

Baker P, Arredondo J, Borquez A, Clairgue E, Mittal ML, Morales M, Rocha-Jimenez T, Garfein R, Oren E, Pitpitan E, Strathdee SA, Beletsky L, Cepeda JA. 

Harm Reduct J. 2021 Jul 26;18(1):76. doi: 10.1186/s12954-021-00513-4. PMID: 34311765; PMCID: PMC8313001.


Kanada. Vancouver councillor, advocacy groups distribute drugs to highlight toxic drug supply concerns

VANCOUVER— In hopes to highlight the deadly toxic drug supply in B.C., a Vancouver city councillor helped hand out a free safe supply of meth, heroin and cocaine to users Wednesday on the Downtown Eastside. (NEWS 1130, Kanada, 15.07.2021)


Kanada. British Columbia’s “Safe Supply” Program A Tacit Admission That Drug Prohibition Kills and Legalization Saves Lives

The Wall Street Journal reported today that British Columbia has decided to address its growing drug overdose rate (largely fueled by fentanyl‐tainted drugs) with a program called “Safe Supply.” Under this new policy, health care practitioners are permitted to prescribe legal, pharmaceutical‐​grade substitutes for drugs obtained on the black market, so that users of illicit drugs can get something approaching their preferred drug experience and avoid withdrawal, without having to turn to the dangerous black market that is powered by drug prohibition. Of course, not all the people who take advantage of the program are addicted to these drugs. Many are chemically dependent and are using the drugs to avoid the misery of withdrawal. (CATO Institute, USA, 26.07.2021)


Long-acting reversible contraceptives (LARCs) as harm reduction: a qualitative study exploring views of women with histories of opioid misuse. 

Stancil, S.L., Miller, M.K., Duello, A. et al.

Harm Reduct J 18, 83 (2021). doi.org/10.1186/s12954-021-00532-1


Hidden populations: risk behaviours in drug-using populations in the Republic of Georgia through subsequent peer-driven interventions. 

Lawlor, C., Gogia, M., Kirtadze, I. et al. 

Harm Reduct J 18, 78 (2021). doi.org/10.1186/s12954-021-00527-y



Correlation, European Harm ReductionNetwork, 2021


The state of harm reduction in prisons in 30 European countries with a focus on people who inject drugs and infectious diseases. 

Stöver, H., Tarján, A., Horváth, G. et al.

Harm Reduct J 18, 67 (2021). doi.org/10.1186/s12954-021-00506-3



Angebote zur Schadensminderung wurden seit den 1990er-Jahren kaum mehr weiterentwickelt. Dabei liesse sich das Prinzip der Schadensminderung auch auf andere Bereiche ausweiten, um den Konsum von psychoaktiven Substanzen sicherer zu gestalten. (Arud Zentrum für Suchtmedizin, Zürich/Schweiz, Juli 2021)


High levels of used syringe use and unsafe sex among people who inject drugs in Kumasi, Ghana: an urgent call for a comprehensive harm reduction approach. 

Messersmith, L.J., Adjei, R., Beard, J. et al. 

Harm Reduct J 18, 62 (2021). doi.org/10.1186/s12954-021-00510-7


Public support for harm reduction: A population survey of Canadian adults. 

Wild TC, Koziel J, Anderson-Baron J, Asbridge M, Belle-Isle L, Dell C, et al. (2021) 

PLoS ONE 16(5): e0251860. doi.org/10.1371/journal.pone.0251860


The best of harm reduction 

Rob Calder writes about this important, and sometimes hotly debated, issue. (SSA – Society fort he Study of Addiction, UK, 07.05.2021)


Europa. Summary National Harm Reduction Survey

We approached C-EHRN members in Q4 of 2020 to provide us with contact information of national harm reduction groups or networks in 34 European countries. 50% of approached countries have such a network (17), whilst 50% does not. This investigation aims to learn more about the structure, the objectives, activities, and funding resources. Last but not least, we intend to investigate ways for how to improve our collaboration with these national counterparts for mutual exchange and advocacy. (CCorrelation – European Harm ReductionNetwork, Niederlande, April 2021)