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USA. Harm-reduction efforts needed to curb overdose epidemic (AMA)

The U.S. drug-overdose epidemic continues to worsen as the number of deaths grew by nearly 15% in 2021—a grim total fueled by a 23% rise in the number of deaths linked to illicitly manufactured fentanyl—highlighting a need to encourage harm-reduction measures, according to a resolution presented at the 2022 AMA Interim Meeting. (AMA – American Medical Association, USA, 15.11.2022)

https://www.ama-assn.org/delivering-care/overdose-epidemic/harm-reduction-efforts-needed-curb-overdose-epidemic

Forschungsbericht / Research Report. Kampagne zur Veränderung der Drogen-Applikationsform von intravenös zu inhalativ - Eine Mitarbeiter_innenbefragung in deutschen Suchthilfeeinrichtungen [Campaign to Change the Mode of Application of Drugs from Intravenous to Inhalative – A Survey of Staff Members of German Drug Services]

HEINO STÖVER (Prof. Dr.), DIRK SCHÄFFER (Referatsleiter DAH) & STEFAN FÖRSTER (Dipl. Soz.)

Akzeptanzorientierte Drogenarbeit/Acceptance-Oriented Drug Wor, ISSN 1861-0110 INDRO e.V., 2019

https://indro-online.de/wp-content/uploads/2019/12/Stoever2019.pdf

The Global State of Tobacco Harm Reduction 2022: The Right Side of History

This Briefing Paper, drawn from The Global State of Tobacco Harm Reduction 2022: The Right Side of History, considers when, how and why the approach now known as tobacco harm reduction really began. When was it established that smoking-related diseases were not caused by nicotine, but by the thousands of chemicals released when tobacco burns? Who began looking for safer ways to use nicotine – and why were there so many false starts? How did nicotine consumers themselves influence the development both of safer products, and of tobacco harm reduction itself? What has been the response of public health and tobacco control organisations to these changes in nicotine use? (The Global State of Tobacco Harm Reduction (GSTHR), 2022 (finanziert von Philipp Morris, Anm.)

https://gsthr.org/briefing-papers/the-global-state-of-tobacco-harm-reduction-2022-the-right-side-of-history/

Was Harm Reduction ist und warum wir mehr davon brauchen

Wortwörtlich übersetzt bedeutet harm reduction „Schadensreduzierung.“ Obwohl die Entwicklung erster harm reduction-Maßnahmen schon in den 1920er-Jahren begann, ist das Prinzip erst in den 1980er-Jahren bekannt geworden. In dieser Zeit wurden erstmals Spritzenprogramme als Antwort auf die HIV-Ausbreitung unter Menschen, die Drogen injizieren, eingesetzt. Das oberste Ziel von harm reduction ist es, mögliche Schäden von Drogengebrauch mit sogenannten safer use-Praktiken zu reduzieren oder zu verhindern. (Melissa Scharwey, Ana Liffey Drug Project, Irland, 2020)

https://mybrainmychoice.de/harm-reduction/

Kanada. Can drug users’ lives be saved by giving them uncontaminated heroin and cocaine?

A Vancouver “compassion club” is buying illicit drugs and testing for impurities before distributing them to users at risk of overdose. (The Hamilton Spectator, Kanada, 23.10.2022)

https://www.thespec.com/ts/politics/federal/2022/10/23/can-drug-users-lives-be-saved-by-giving-them-uncontaminated-heroin-and-cocaine.html

Harm Reduction International (2022) Global State of Harm Reduction 2022.

London: Harm Reduction International.

https://hri.global/wp-content/uploads/2022/11/HRI_GSHR-2022_Full-Report_Final.pdf

The Global State of Harm Reduction 2022

The Global State of Harm Reduction is the only report that provides an independent analysis of harm reduction in the world. Now in its the eighth edition, the Global State of Harm Reduction 2022 is the most comprehensive global mapping of harm reduction responses to drug use, HIV and viral hepatitis. (HRI – Harm Reduction International, UK, November 2022)

https://hri.global/flagship-research/the-global-state-of-harm-reduction/the-global-state-of-harm-reduction-2022/

Harm Reduction Services Are Slowly Spreading Around the World

Around the world, despite the COVID-19 pandemic, environmental crisis and warfare, harm reduction services are slowly spreading. Global State of Harm Reduction 2022, a report released by Harm Reduction International on November 1, details many developments, from new syringe service programs (SSP) to new safe consumption sites (SCS), that paint a somewhat brighter picture than in recent years. (Filter, USA, 01.11.2022)

https://filtermag.org/harm-reduction-world/

Moving towards a continuum of safer supply options for people who use drugs: A qualitative study exploring national perspectives on safer supply among professional stakeholders in Canada. 

Foreman-Mackey A, Pauly B, Ivsins A, Urbanoski K, Mansoor M, Bardwell G. 

Subst Abuse Treat Prev Policy. 2022 Oct 8;17(1):66. doi: 10.1186/s13011-022-00494-y. PMID: 36209227; PMCID: PMC9547673.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547673/

USA. The Vending Machine Saving Lives in Ohio

Since early last year, a vending machine in the US state of Ohio has provided crucial harm reduction supplies to a local community.

The machine, operated in Hamilton County by the non-profit Caracole, allows clients to access a variety of free supplies – including safer smoking kits, fentanyl testing strips, naloxone, safer injection kits (not including syringes), band-aids, pregnancy tests, sharps containers, and personal protective equipment (PPE). (TalkingDrugs, UK, 01.11.2022)

https://www.talkingdrugs.org/the-vending-machine-saving-lives-in-ohio

Minimising the Harms from Methamphetamine. The Helen Clark Foundation and New Zealand Drug Foundation, Wellington.

Yasbek, P., Mercier K., Dr Elder, H., Dr Crossin, R., Prof. Baker, M. (2022). 

https://drive.google.com/file/d/1MVdFkDCr3IhMZhP-lnolYN_KHPrfN_Ol/edit

Kanada. British Columbia: Vancouver club will continue to distribute hard drugs in bid to save lives, despite Health Canada rejection

Drug User Liberation Front says regulating illicit supply will prevent further deaths. (CBC – Kanada, 01.09.2022)

https://www.cbc.ca/news/canada/british-columbia/compassion-club-hands-out-hard-drugs-1.6568839

Piloting Smart Home Sensors to Detect Overnight Respiratory and Withdrawal Symptoms in Adults Prescribed Opioids

Wilson, Marian et al.

Pain Management Nursing, Volume 0, Issue 0 

https://www.painmanagementnursing.org/article/S1524-9042(22)00164-3/fulltext

A concept mapping study of service user design of safer supply as an alternative to the illicit drug market. 

Pauly B, McCall J, Cameron F, Stuart H, Hobbs H, Sullivan G, Ranger C, Urbanoski K. 

Int J Drug Policy. 2022 Oct 7;110:103849. doi: 10.1016/j.drugpo.2022.103849. Epub ahead of print. PMID: 36215793.

https://www.sciencedirect.com/science/article/pii/S0955395922002651

DAH. So geht niedrigschwellig: Telemedizin, Drugchecking und Naloxon to go

Aus der Not heraus geht Montréal pragmatische Wege bei der Risikominimierung. Der Drogenkonsumraum von CACTUS gibt Einblicke in die Zukunft von Drogenhilfeangeboten. Ein Ortstermin am Rande der Welt-Aids-Konferenz. 

(Dirk Schäffer und Anja Liebig in : magazin.hiv, 30.08.2022)

https://magazin.hiv/magazin/so-geht-niedrigschwellig-telemedizin-drugchecking-und-naloxon-to-go/

Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive Housing in Vancouver, Canada. 

Ivsins A, MacKinnon L, Bowles JM, Slaunwhite A, Bardwell G. Overdose 

J Urban Health. 2022 Aug 31:1–10. doi: 10.1007/s11524-022-00679-7. Epub ahead of print. PMID: 36044156; PMCID: PMC9430005.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9430005/

Experiences of harm reduction service providers during dual public health emergencies in Canada: Substance use in Canada 2022. 

Taha, S., King, S., & Atif, S. (2022). 

Ottawa, Ont.: Canadian Centre on Substance Use and Addiction.

https://www.ccsa.ca/sites/default/files/2022-09/CCSA-Experiences-of-Harm-Reduction-Service-Providers-en.pdf

Child-centred harm reduction. 

Barrett D, Stoicescu C, Thumath M, Maynard E, Turner R, Shirley-Beavan S, Kurcevič E, Petersson F, Hasselgård-Rowe J, Giacomello C, Wåhlin E, Lines R. 

Int J Drug Policy. 2022 Sep 26;109:103857. doi: 10.1016/j.drugpo.2022.103857. Epub ahead of print. PMID: 36174409.

https://www.sciencedirect.com/science/article/pii/S0955395922002730

Cannabis use and public health: time for a comprehensive harm-to-others framework

Fischer, Benedikt et al.

The Lancet Public Health, Volume 7, Issue 10, e808 - e809 

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(22)00205-5/fulltext

Heroin pipe distribution to reduce high-risk drug consumption behaviors among people who use heroin: a pilot quasi-experimental study. 

Fitzpatrick T, McMahan VM, Frank ND, Glick SN, Violette LR, Davis S, Jama S. 

Harm Reduct J. 2022 Sep 22;19(1):103. doi: 10.1186/s12954-022-00685-7. PMID: 36138407; PMCID: PMC9493152.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9493152/

Hacker Ethics: Learning Lessons from Darknet Marketplaces 

The rise of darknet marketplaces (DNMs) illustrates the systemic failings of drug war enforcement. From the perspective of the hackers behind this technology, they have, in the last decade, marked a new frontier in undermining prohibitionist efforts to restrict the availability of illegal drugs. To be clear, the unregulated free market model these websites represent has little to do with Transform’s vision of legal regulation. Nevertheless, darknet users have undeniably pioneered - deliberately or not - models of harm reduction, which may offer useful lessons as we plot the course into a post-prohibitionist world. (Transform UK, 30.08.2022)

https://transformdrugs.org/blog/hacker-ethics-learning-lessons-from-darknet-marketplaces

Intersecting substance use treatment and harm reduction services: exploring the characteristics and service needs of a community-based sample of people who use drugs. 

Krawczyk N, Allen ST, Schneider KE, Solomon K, Shah H, Morris M, Harris SJ, Sherman SG, Saloner B. 

Harm Reduct J. 2022 Aug 24;19(1):95. doi: 10.1186/s12954-022-00676-8. PMID: 36002850; PMCID: PMC9400571.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400571/

Dortmund. Die Suche nach einer zentral gelegenen Immobilie war problematisch: Nach 20 Jahren Pause bekommt Dortmund wieder eine (Not-) Schlafstelle für Drogensüchtige

Dortmund bekommt nach rund 20 Jahren wieder eine (Not-) Schlafstelle für Drogensüchtige. Nach langer und erfolgloser Suche nach einer neuen Immobilie wird sie dort eingerichtet, wo sie auch schon in den 90er Jahren war – im Haus der Drogenhilfe am Schwanenwall 42 – über dem „Café Flash“. Im Oktober 2022 soll sie – wenn die Bauarbeiten rechtzeitig beendet sind – eröffnen und Platz für bis zu 20 Obdach- oder Wohnungslose mit Suchtproblemen bieten. (Nordstadtblogger, Dortmund, 03.08.2022)

https://www.nordstadtblogger.de/nach-20-jahren-pause-bekommt-dortmund-wieder-eine-not-schlafstelle-fuer-drogensuechtige/

USA. “Where They’re At”—Harm Reduction in Rural America

On a warm winter night, a small group of harm reduction workers in Charleston, West Virginia, stuffed the trunk of a gray car with hundreds of kits containing sterile syringes, light blue tourniquets, packets of alcohol swabs, little balls of cotton, and the opioid-overdose antidote, naloxone. All of the ingredients to prevent a fatal overdose and inject drugs without contracting a viral infection.

Before the sun set, this group of mobile harm reduction workers had sent encrypted text messages to people in the area who needed these supplies, detailing times and locations for secret drop-offs. Everyone was told to look out for the gray car.

“We’ve been forced to work in the shadows.” (Filter, USA, 23.08.2022)

https://filtermag.org/harm-reduction-rural-america/

WOHNUNG_LOS! Die Kampagne der BAG W zum Nationalen Aktionsplan zur Überwindung von Wohnungsnot und Wohnungslosigkeit - KAMPAGNENAUFRUF

JETZT HANDELN, um bis 2030 Wohnungsnot und Wohnungslosigkeit in Deutschland zu beenden!

Die Bundesregierung ist endlich unserer Forderung nachgekommen und hat den Nationalen Aktionsplan zur Überwindung von Wohnungsnot und Wohnungslosigkeit aufgegriffen.

WIR STARTEN UNSERE KAMPAGNE! (BAG Wohnungslosenhilfe, August 2022)

https://www.bagw.de/de/veranstaltungen/aktkamp/wohnung-los

Effect of police action on low-barrier substance use disorder service utilization. 

Weisenthal K, Kimmel SD, Kehoe J, Larochelle MR, Walley AY, Taylor JL. 

Harm Reduct J. 2022 Jul 29;19(1):86. doi: 10.1186/s12954-022-00668-8. PMID: 35906660; PMCID: PMC9338497.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338497/

UK. Here’s How to Make Music Festivals Safer for Everyone

We went to Secret Garden Party to explore the innovative ways they are tackling drug use, mental health and sexual assault. (VICE, UK, 29.07.2022)

https://www.vice.com/en/article/5d33zx/heres-how-to-make-music-festivals-safer-for-everyone

Party keepers: a significant community-based intervention for harm reduction. 

Zucker R, Mor Z, Abudin A, Davis G, Arroyo H, Wagner Kolasko G, Arad D, Shilo G. 

Isr J Health Policy Res. 2022 Jun 3;11(1):26. doi: 10.1186/s13584-022-00535-8. PMID: 35659299; PMCID: PMC9165538.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9165538/

The relationship between police contacts for drug use-related crime and future arrests, incarceration, and overdoses: a retrospective observational study highlighting the need to break the vicious cycle. 

Zhang A, Balles JA, Nyland JE, Nguyen TH, White VM, Zgierska AE. 

Harm Reduct J. 2022 Jun 27;19(1):67. doi: 10.1186/s12954-022-00652-2. PMID: 35761290; PMCID: PMC9238075.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9238075/

EMCDDA. Using the Global Drug Survey for harm reduction

The data from the Global Drug Survey (GDS) contains invaluable information that can answer key and novel questions related to the epidemiology of psychoactive substance use as well as inform the development of pragmatic harm reduction resources that put people first. This paper looks at the history of the GDS and the range of harm reduction tools that have been created using data from the survey. (EMCDDA, Lissabon, Juni 2022)

https://www.emcdda.europa.eu/publications/insights/web-surveys/using-global-drug-survey-harm-reduction_en