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Making the investment case: Cost-effectiveness evidence for harm reduction 

In an era of shrinking international funding to address HIV, hepatitis C (HCV)
and tuberculosis (TB), and competing priorities for domestic investment in health programmes, there is growing emphasis on ensuring value for money, efficient allocation of resources, and cost-effectiveness. (HRI – Harm Reduction International, 2020)


Street tablet use in Ireland. A Trendspotter study on use, markets, and harms.

Duffin T, Keane M and Millar SR (2020) 

Ana Liffey Drug Project, Dublin. https://www.drugsandalcohol.ie/31872/1/Trendspotter%20Report_Street_Tablets_Ireland.pdf

Reduction in global alcohol-attributable harm unlikely after setback at WHO Executive Board

Casswell, Sally et al.

The Lancet, Volume 395, Issue 10229, 1020 - 1021


People who inject drugs can ‘give bacteria the boot’ with new SDF booklet 

SDF have published a new resource to highlight good hygiene practices for people who inject drugs in order to prevent the spread of bacteria and viruses. (SDF – Scottish Drugs Forum, UK, April 2020)


Navigating environmental constraints to injection preparation: the use of saliva and other alternatives to sterile water among unstably housed PWID in London.

Harris, M., Scott, J., Hope, V. et al. 

Harm Reduct J 17, 24 (2020). https://doi.org/10.1186/s12954-020-00369-0


Gender-based vulnerability in women who inject drugs in a harm reduction setting.

Valencia J, Alvaro-Meca A, Troya J, Gutiérrez J, Ramón C, Rodríguez A, et al. (2020) 

PLoS ONE 15(3): e0230886. doi.org/10.1371/journal.pone.0230886


Safer Use - die goldenen Regeln für den risikominimierten Cannabisgenuss

Die Münchener DHV-Ortsgruppe hat einen Leitfaden für risikominimierten Genussmittelkonsum entwickelt, den wir euch an dieser Stelle nicht vorenthalten möchten. Er fasst goldene Regeln für einen risikominimierten Cannabisgenuss sowie Safer User Hinweise zusammen. Anmerkung des DHV: Dieser Leitfaden ist nicht 1:1 auf den medizinischen Konsum übertragbar und soll auch keine Aufforderung zum Drogenkonsum darstellen! (Deutscher Hanfverband, März 2020)


How Former Soviet Countries Are Suppressing Harm Reduction “Propaganda”

Lawmakers in the former Soviet Union are seeking to impose harsher criminal penalties for drug-related “propaganda,” especially online. Their efforts are ostensibly supposed to keep people from promoting drug use. But local advocates fear that this approach will persecute those doing harm reduction work for people using drugs or living with HIV/AIDS. (Filter, USA, 05.03.2020)


Does a “Dialectical Abstinence” Program Qualify as Harm Reduction?

I first heard the term “dialectical abstinence” in the summer of 2019, several weeks into an intensive outpatient program (IoP) for opioid use disorder offered in South Florida by Memorial Outpatient Behavioral Health. The concept was presented as a combination of abstinence and harm reduction: maintaining total abstinence from all non-prescribed opioids as the ultimate goal, but viewing any failures to meet that goal through a harm reduction lens. (Filter, USA, 20.02.2020)


Kanada. Vancouver’s drug-dispensing machine: Why it exists and how it works

Health advocates say a safe supply of opioids is critical to help prevent people from overdosing on tainted street drugs.

Now, a pilot project in Vancouver’s Downtown Eastside provides some high-risk users with access to an automated machine that dispenses opioids prescribed by a doctor. (CBC News – BC, Kanada, 17.01.2020)


Stimulant safe supply: a potential opportunity to respond to the overdose epidemic.

Fleming T, Barker A, Ivsins A, Vakharia S, McNeil R.

Harm Reduct J. 2020 Jan 10;17(1):6. doi: 10.1186/s12954-019-0351-1.


"There is a Place": impacts of managed alcohol programs for people experiencing severe alcohol dependence and homelessness.

Pauly B, Brown M, Evans J, Gray E, Schiff R, Ivsins A, Krysowaty B, Vallance K, Stockwell T.

Harm Reduct J. 2019 Dec 16;16(1):70. doi: 10.1186/s12954-019-0332-4.


Civil Society Monitoring of Harm Reduction in Europe, 2019. Data Report.

Tammi, T., Rigoni, R., Matičič, M., Schäffer, D.,van der Gouwe, D., Schiffer, K., Perez Gayo, R., Schatz, E. (2020):

Correlation European Harm Reduction Network, Amsterdam.


USA. “An Abstinence-Based State”—Utah Harm Reduction Faces Unique Challenges

Deaths involving opioids, methamphetamine and other drugs have reached record highs in Utah. The state government passed legislation in 2016 to create syringe exchanges, but harm reduction advocates still battle against stigma from conservatives and liberals alike to implement programs in a unique cultural context. (Filter, USA, 09.01.2020)


Europa. Final conference of the SOLIDIFY project in Lisbon: exchange on the role of local authorities and visit of harm-reduction schemes

The Efus-led SOLIDIFY European project on the implementation of Supervised Drug Consumption Facilities (SDCFs) in several European cities and the assessment of their local impact held its final conference in Lisbon, on 5-6 December. (EFUS – European Forum for Urban Security, Dezember 2019)


Global State of Harm Reduction 2019

The 2019 update to Harm Reduction International’s flagship publication, the Global State of Harm Reduction, includes updates to some of the key data in the report, including the opening of new drug consumption rooms, availability of needle and syringe programs, and references to harm reduction in national policy documents, among many other things. (HRI – Harm Reduction International, November 2019)


Snus: a compelling harm reduction alternative to cigarettes.

Clarke, E., Thompson, K., Weaver, S. et al. 

Harm Reduct J 16, 62 (2019) doi:10.1186/s12954-019-0335-1


“We don't get much of a voice about anything”: perspectives on photovoice among people who inject drugs. Drainoni, M., Childs, E., Biello, K.B. et al. 

Harm Reduct J 16, 61 (2019) doi:10.1186/s12954-019-0334-2


The Evolution of Addiction Treatment and Harm Reduction Programs in Iran: A Chaotic Response or a Synergistic Diversity?. 

Ekhtiari, H., Noroozi, A., Farhoudian, A., Radfar, R., Hajebi, A., Sefatian, S., Zare‐bidoky, M., Razaghi, E. M., Mokri, A., Movaghar, A. R., and Rawson, R. ( 


Addiction, doi.org/10.1111/add.14905. 



Harm reduction drug policy in Israel: what has been accomplished and what still needs to be done?

Bonny-Noach H.

Isr J Health Policy Res. 2019 Oct 16;8(1):75. doi: 10.1186/s13584-019-0343-3.


Alex Wodak - History and development of harm reduction (Video)

Alex Wodak (Australia) delivered a presentation "History and development of harm reduction" in Melbourne on 3rd October 2019. (City Health International, 23.10.2019, Video, 35:22)


Global patterns of opioid use and dependence: harms to populations, interventions, and future action

Degenhardt, Louisa et al.

The Lancet, Volume 394, Issue 10208, 1560 - 1579 


Strategies to reduce drug-related harm: responding to the evidence base

Degenhardt, Louisa et al.

The Lancet, Volume 394, Issue 10208, 1490 - 1493 


HCV, injection drug use, and the importance of harm reduction in Kenya

Zaller, Nickolas et al.

The Lancet Infectious Diseases, Volume 19, Issue 11, 1158 - 1159 


Kanada. Cannabis Legalization: Year One Observations

Provides the first summary of Canada’s experience in the first year of retail sales after cannabis legalization, with a focus on the public health and safety objectives of the Cannabis Act. Canada’s relationship with legal cannabis is evolving and the market is still developing. With the Act in effect for less than a year, any discussion of impact is limited to preliminary observations. (Canadian Centre on Substance Use and Addiction, 2019)


'Communities are attempting to tackle the crisis': a scoping review on community plans to prevent and reduce opioid-related harms.

Leece P, Khorasheh T, Paul N, Keller-Olaman S, Massarella S, Caldwell J, Parkinson M, Strike C, Taha S, Penney G, Henderson R, Manson H.

BMJ Open. 2019 Sep 12;9(9):e028583. doi: 10.1136/bmjopen-2018-028583.


What is harm reduction? - Drugreporter's Just Say Know Series, Episode 4.  (Video)

(Drugrepporter, Ungarn, 09.09.2019, Video, 04:01)


Mitigating opioids’ harm

Ideally, opioid addiction could be prevented altogether. But failing that, strategies to make drug use safer can curb opioid-related death. (Nature, USA, 10.09.2019)


Afghanistan. The Empowering and Dangerous Work of Harm Reduction in Afghanistan

dris Azizi speaks softly when he relates how, as a person living with HIV, he was told to sit in the trunk of a car, with the door open, when traveling to a 2017 Global Fund committee meeting in Kabul, Afghanistan. The two doctors from the Ministry of Public Health with whom he was traveling sat in the car cabin. (Filter, USA, 10.09.2019)


Nepal. Harm reduction in Nepal

For many years, Youth Vision (Nepal) and Mainline worked together to support people who inject drugs in Nepal. Under the Bridging the Gaps programme, Youth Vision grew into a true harm reduction expert. (MAINline, Niederlande, 23.08.2019)