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USA. Harm Reduction at Sea: Tight-Knit Fishing Communities Navigate Drugs

The setting sun shines a crown of pink light through the windows of a loud bar on the Massachusetts coast, packed with fishermen. It’s 3:30 pm—the end of a long day that began well before dawn. The weight of wear and tear on exhausted muscles and minds is as palpable as the bursts of deep belly laughter and the smell of sweat. Johnnie*, a salt-and-pepper fisherman in his late 50s, is smiling as he tells me what happened one dark night last year.

“It was like a movie star, dropping down from the sky off the helicopter to get to my crewmate, pitch of night,” he says. “The Coast Guard—this handsome guy, my wife would’ve loved him, like Rock Hudson—dropped down from the moon. Felt like hours after we had given him all the Narcan we had. The Coast Guard still didn’t carry it back then, did you know that? So they pulled him up into the clouds and we all were left below at sea.”

“It’s not the first time that’s happened on our boat,” Johnnie says. “If we didn’t have that Narcan on board though, kid probably wouldn’t have made it.” (Filter Mag, USA. 08.04.2021)


Shifting the paradigm: physician-authorized, student-led efforts to provide harm reduction services amidst legislative opposition. 

McMullen TP, Naeim M, Newark C, Oliphant H, Suchard J, Banimahd F. 

Subst Abuse Treat Prev Policy. 2021 Mar 24;16(1):27. doi: 10.1186/s13011-021-00362-1. PMID: 33761954; PMCID: PMC7992799.


Harm Reduction, By Mail: the Next Step in Promoting the Health of People Who Use Drugs. 

Hayes BT, Favaro J, Davis CS, Gonsalves GS, Beletsky L, Vlahov D, Heimer R, Fox AD. 

J Urban Health. 2021 Mar 12:1–6. doi: 10.1007/s11524-021-00534-1. Epub ahead of print. PMID: 33710493; PMCID: PMC7953942.


Read “The Young Injectables,” a Harm Reduction Comic Book

(Filter, USA, 23.03.2021)


Civil Society Monitoring of Harm Reduction in Europe, 2020. Executive Summary.

Rigoni, R, Tammi, T, van der Gouwe, D, Oberzil, V,; Csak R, Schatz, E. (2021) 

Amsterdam, Correlation – European Harm Reduction Network.


A study protocol for a quasi-experimental community trial evaluating the integration of indigenous healing practices and a harm reduction approach with principles of seeking safety in an indigenous residential treatment program in Northern Ontario. 

Marsh, T.N., Eshakakogan, C., Eibl, J.K. et al. 

Harm Reduct J 18, 35 (2021). doi.org/10.1186/s12954-021-00483-7


Does the preparation for intravenous administration affect the composition of heroin injections? A controlled laboratory study. 

Andersen, J. M., Bogen, I. L., Karinen, R., Brochmann, G. W., Mørland, J., Vindenes, V., and Boix, F. (2021) 

Addiction, doi.org/10.1111/add.15492. 



UK. Essex Police use drug dealers' phone contacts used to help addicts

A police force is using data found on drug dealers' phones to identify and support potential addicts.

Essex Police said SMS text messages would be sent to numbers found on devices owned by known county lines drug dealers.

The messages will offer those trying to overcome substance abuse a way to seek help from a charity.

Det Ch Insp Lewis Basford said the force hoped to reach "thousands" of people through the scheme. (BBC, UK, 16.03.2021)


Kanada. Doctor on London's frontlines weighs in on opioid dispensing machine 

The doctor leading London's safer drug supply program says a new machine that dispenses hydromorphone tablets to those with prescriptions for the opioid could help people manage and better access their supply. (London Free Prees, Kanada, 09.03.2021)


Slowenien. Ljubljana authorities destroy community hub housing harm reduction initiative

First came the Police, then the bulldozers. The ruins of the Autonomous Factory ROG speak volumes of the progressively increasing ease with which Slovenian authorities are deploying violence to curtail rights and freedoms.

Amidst the ruins lies the office space of društvo AREAL, the only community-led harm reduction initiative in Slovenia. (IDPC, UK, 25.01.2021)


Hoots and harm reduction: a qualitative study identifying gaps in overdose prevention among women who smoke drugs. 

Bardwell, G., Austin, T., Maher, L. et al. 

Harm Reduct J 18, 29 (2021). doi.org/10.1186/s12954-021-00479-3


Kanada. $3.5M in funding for 'vending machines' that dispense safer drugs to prevent ODs

Darren Fisher, parliamentary secretary to Health Minister Patty Hajdu, said two machines are located in Vancouver and one each are in Victoria; London, Ont.; and Dartmouth, N.S. (Halifax Today, Kanada, 02.03.2021)


Harm reduction program and hepatitis C prevalence in people who inject drugs (PWID) in Iran: an updated systematic review and cumulative meta-analysis. 

Rajabi, A., Sharafi, H. & Alavian, S.M. 

Harm Reduct J 1812 (2021). doi.org/10.1186/s12954-020-00441-9


Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective. 

van Santen, D.K., Coutinho, R.A., van den Hoek, A. et al. Harm Reduct J 18, 2 (2021). doi.org/10.1186/s12954-020-00444-6


Cooking heroin the Turkish way: chemical investigation on an unusual heroin preparation method.

Dahm, G., Allar, C., Schaaf, R. et al. 

Harm Reduct J 18, 8 (2021). doi.org/10.1186/s12954-020-00457-1


Having a voice and saving lives: a qualitative survey on employment impacts of people with lived experience of drug use working in harm reduction. 

People with Lived Expertise of Drug Use National Working Group., Abele, B., Bowser, J. et al. 

Harm Reduct J 18, 1 (2021). doi.org/10.1186/s12954-020-00453-5


Harm reduction in Europe: a framework for civil society-led monitoring. 

Rigoni, R., Tammi, T., van der Gouwe, D. et al.

Harm Reduct J 18, 3 (2021). doi.org/10.1186/s12954-020-00451-7


Drug Use in Street Sex worKers (DUSSK) study: results of a mixed methods feasibility study of a complex intervention to reduce illicit drug use in drug dependent female sex workers. 

Patel R, Redmond NM, Kesten JM, Linton MJ, Horwood J, Wilcox D, Munafo J, Coast J, Macleod J, Jeal N. 

BMJ Open. 2020 Dec 15;10(12):e036491. doi: 10.1136/bmjopen-2019-036491. PMID: 33323428; PMCID: PMC7745311.


USA. Partnership Research: Evidence Based Strategies for Abatement of Harms from the Opioid Epidemic

Jointly authored by leading experts in addiction, this report contains recommendations and evidence-based strategies for investment of litigation settlement funds to end the opioid crisis and mitigate future harms. (drugfree.org, November 2020)


Harm reduction via online platforms for people who use drugs in Russia: a qualitative analysis of web outreach work. 

Davitadze, A., Meylakhs, P., Lakhov, A. et al. 

Harm Reduct J 17, 98 (2020). https://doi.org/10.1186/s12954-020-00452-6


USA. Leaked FBI Report: Drug Sellers Practice Harm Reduction

The recognition that people who sell drugs can play a crucial role in reducing the harms caused by drug criminalization is not limited to reformers, syringe service workers and researchers. The Federal Bureau of Investigation (FBI) is also aware—although the evidence of this comes from a leaked intelligence report, rather than any public FBI acknowledgment. (Filter, USA, 02.12.2020)


Burning Issues: The Global State of Tobacco Harm Reduction 2020

 It’s the second in our GSTHR series which documents the development of tobacco harm reduction and use, availability and regulatory responses to safer nicotine products around the world, and comes two years after No Fire, No Smoke, our first GSTHR report (2018). (GSTHR, UK, November 2020)


A qualitative study of diphenhydramine injection in Kyrgyz prisons and implications for harm reduction. 

Meyer, J.P., Culbert, G.J., Azbel, L. et al. 

Harm Reduct J 17, 86 (2020). doi.org/10.1186/s12954-020-00435-7


An international multidisciplinary consensus statement on the prevention of opioid‐related harm in adult surgical patients. 

Levy, N., Quinlan, J., El‐Boghdadly, K., Fawcett, W.J., Agarwal, V., Bastable, R.B., Cox, F.J., de Boer, H.D., Dowdy, S.C., Hattingh, K., Knaggs, R.D., Mariano, E.R., Pelosi, P., Scott, M.J., Lobo, D.N. and Macintyre, P.E. (2020), 

Anaesthesia. doi:10.1111/anae.15262


Understanding the crisis in harm reduction funding in Central and Eastern Europe. 

Miovský, M., Miklíková, S., Mravčík, V. et al. 

Harm Reduct J 17, 83 (2020). doi.org/10.1186/s12954-020-00428-6


Women and barriers to harm reduction services: a literature review and initial findings from a qualitative study in Barcelona, Spain.

Shirley-Beavan, S., Roig, A., Burke-Shyne, N. et al. 

Harm Reduct J 17, 78 (2020). doi.org/10.1186/s12954-020-00429-5


Toward a human-centered use of technology: a stakeholder analysis of harm reduction and CBO staff. 

Aronson, I.D., Bennett, A.S. & Freeman, R. 

Harm Reduct J 17, 77 (2020). doi.org/10.1186/s12954-020-00422-y


Towards Targeted Interventions in Low- and Middle-Income Countries: Risk Profiles of People Who Inject Drugs in Haiphong (Vietnam). 

Riondel A, Huong DT, Michel L, Peries M, Oanh KTH, Khue PM, Thanh NTT, Giang HT, Vallo R, Cournil A, Rapoud D, Quillet C, Laureillard D, Vinh VH, Moles JP, Feelemyer J, Hammett T, Jarlais DD, Nagot N. 

Biomed Res Int. 2020 Sep 10;2020:8037193. doi: 10.1155/2020/8037193. PMID: 32964044; PMCID: PMC7502134.


Community Care in Reach: Mobilizing Harm Reduction and Addiction Treatment Services for Vulnerable Populations

Craig Regis, Jessie M. Gaeta, Sarah Mackin, Travis P. Baggett, Joan Quinlan and Elsie M. Taveras

Front. Public Health, 25 September 2020. doi.org/10.3389/fpubh.2020.00501


USA. National Harm Reduction Coalition (neuer Auftritt)