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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)

http://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2019/march/20190313_drugs_report

UNAIDS. HEALTH, RIGHTS AND DRUGS - HARM REDUCTION, DECRIMINALIZATION AND ZERO DISCRIMINATION FOR PEOPLE WHO USE DRUGS

(UNAIDS, 2019)

http://www.unaids.org/sites/default/files/media_asset/JC2954_UNAIDS_drugs_report_2019_en.pdf

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.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328983/

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.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380657/

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

https://www.infodrog.ch/files/content/nightlife/de/konferenz2019/praesentationen/ws2a-quednow-freizeitdrogenkonsum-neubad19.pdf

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

Abstract

https://link.springer.com/article/10.1007%2Fs10826-018-1288-9

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) 

https://www.eurekalert.org/pub_releases/2019-02/uow-pit020719.php

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

Autor: Ralf Köhnlein [Fixpunkt]

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

https://streetsupport.eu/wp-content/uploads/2019/02/SSP_Final_Germany.pdf

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)

https://streetsupport.eu/

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)

http://www.euro.who.int/en/health-topics/disease-prevention/alcohol-use/publications/2018/alcohol-consumption,-harm-and-policy-response-fact-sheets-for-30-european-countries-2018

USA. More Companies Should Offer Bathroom Syringe Disposals Like Starbucks

(...) Starbucks recently began a pilot program of installing syringe disposal boxes in some of its bathrooms. The move follows a petition started by Starbucks employees, who are voicing concerns about filthy restrooms and accidental needle pricks on the job. (Filter Magazine, USA, 23.01.2019)

https://filtermag.org/2019/01/23/starbucks-bathroom-syringe-disposal/

UK. Improving safety for people who inject drugs

An estimated 1 in 6 people who inject drugs share needles and syringes with other people, increasing their risk of infection with HIV, hepatitis B virus and hepatitis C virus. These infections are usually spread when blood from one person collects in the space between the needle and the plunger - the ‘dead space’ - and the injecting equipment is shared with someone else without having been cleaned. (NIHR Collaboration for Leadership in Applied Health Research and Care West (CLAHRC West), UK, Januar 2019)

Low dead space injecting equipment, which can come with fixed needles or needles that can be removed, has less space between the needle and the plunger when it’s fully pushed in. Research suggests that low dead space equipment could reduce the chance of spreading infections if it’s re-used or shared.

Needle and syringe programmes supply sterile equipment to people who inject drugs. Introducing low dead space injecting equipment with detachable needles to these programmes could reduce risk of infection among people who share equipment. But this move would only be effective if people who inject drugs, needle and syringe programmes, and commissioners are willing to switch to this safer equipment. (National Institute for Health Research, UK, Januar 2019)

https://www.nihr.ac.uk/research-and-impact/making-a-difference/improving-safety-for-people-who-inject-drugs.htm

 

HIV knowledge and risk behaviors among drug users in three Vietnamese mountainous provinces.

Nguyen TMT, Tran BX, Fleming M, Pham MD, Nguyen LT, Nguyen ALT, Le HT, Nguyen TH, Hoang VH, Le XTT, Vuong QH, Ho MT, Dam VN, Vuong TT, Nguyen V, Nguyen HLT, Do HP, Doan PL, Nguyen HH, Latkin CA, Ho CSH, Ho RCM.

Subst Abuse Treat Prev Policy. 2019 Jan 15;14(1):3. doi: 10.1186/s13011-019-0191-8.

https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-019-0191-8

Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies

Wood, Angela MWood, Angela M et al.

The Lancet , Volume 391 , Issue 10129 , 1513 - 1523 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30134-X/fulltext

Harm Reduction Strategies and Disinhibitors Among Women Who Use Heroin.

Kerley KR, DeShay RA, Copes H.

Int J Offender Ther Comp Criminol. 2018 Dec 12:306624X18818682. doi: 10.1177/0306624X18818682. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/30539671

Philippinen. Philippines Harm Reductionists Share Their Vision Amid a Murderous Drug War (Video)

“It has never been about drugs. It has always been about people.”

That’s the motto of NoBox Transitions, a courageous Philippines harm reduction organization working to provide services and advocacy for people who use drugs.

They do this in the context of Philippines President Rodrigo Duterte’s murderous drug war, which has resulted in the extra-judicial executions of an estimated 27,000 people suspected of using or selling drugs since 2016. (Filter Magazine, USA, 02.01.2019, Video, 06:30)

https://filtermag.org/2019/01/02/philippines-harm-reductionists-share-their-vision-amid-a-murderous-drug-war/

Philippinen. NoBox (Harm Reduction Organisation):  "Harm reduction—kindness—simply put, saves lives. And isn’t that the whole point?"

Before we were NoBox, we were a small residential center in Cubao. Our services were grounded on the philosophy of harm reduction: doing what it takes to keep you alive and safe, and that there is no such thing as being too kind.

Realizing that problems go deeper and everything is connected, we expanded into a civil society organization. Still providing services, we are now also working on reforming drug-related policies and laws. We are advocating for ones that recognize and respect the human being on the receiving end: your inherent dignity should not and cannot be taken away. You deserve to be treated as a person simply because you are, and as a reason, we believe that’s more than enough.

The core of our philosophy is this: you are worthy of being alive. The world could be a little more logical, a little more scientific, and as always, a little kinder. (2019)

https://nobox.ph/

EMCDDA. m-Health applications for responding to drug use and associated harms

Summary

This paper presents results from a scoping study on the availability of smartphone-based applications in the drugs field within a European and global context.

It explores the range of m-health applications available to users and professionals seeking information, support and advice in a wide range of EU languages. (EMCDDA,Lissabon,Dezember 2018)

http://www.emcdda.europa.eu/publications/emcdda-papers/m-health-applications-for-responding-to-drug-use

Correlation European Harm Reduction Network (neue Website)

http://www.correlation-net.org/

USA. Blueprint – A Community Response to Crystal Meth

Presented by Harm Reduction Coalition in partnership with Black Emotional and Mental Health Collective (BEAM) and The Counter Narrative Project, USA, 2018

Crystal methamphetamine use among Black and Latino gay and bisexual men is a growing phenomenon with few resources devoted to addressing it. According to the Centers for Disease Control (CDC) in 2015, over 10,000 young Black gay and bisexual men in the US were diagnosed with HIV, more than any other subgroup by race/ethnicity, age and gender. Also there have been anecdotal reports of Black and Latino MSM who are new initiates to crystal methamphetamine injection during sexual encounters, with potential for sharing injection equipment, thus increasing risks for HIV and Hep C contraction and the spread of new infections.

Harm Reduction is a proven strategy that can provide a framework with concrete tools to help providers support and engage Black and Latino gay and bisexual men who are using crystal ethamphetamine in conversations about how to reduce risks. These conversations can also focus in identifying the role that trauma, mental health, social isolation and personal/structural violence play in their lives and well-being.

https://harmreduction.org/crystalmethblueprint

Krebsforscher informieren über Gefahren von Wasserpfeifen, E-Zigaretten und Tabakerhitzern

Heidelberg – Das Deutsche Krebsforschungszentrum (DKFZ) in Heidelberg hat Informationsblätter zu Wasserpfeifen, E-Zigaretten und Tabakerhitzern herausgegeben. Hintergrund ist, dass viele insbesondere jugendliche Nutzer die gesundheitlichen Gefahren dieser Trendprodukte unterschätzten, hieß es aus dem Zentrum. (aerzteblatt.de, 13.12.2018)

https://www.aerzteblatt.de/nachrichten/99806/Krebsforscher-informieren-ueber-Gefahren-von-Wasserpfeifen-E-Zigaretten-und-Tabakerhitzern

Berlin. Lüften statt vergiften – Infokampagne zu den Gefahren einer CO-Vergiftung in Shisha-Bars (2018)

https://shisha.berlin.de/

Fentanyl. Harm reduction advice for people who use or may encounter fentanyl or carfentanil

Fentanyl and carfentanil are highly potent, rapidly acting opioid drugs. 

Fentanyl is estimated to be 100 times more potent than morphine, while carfentanil is estimated to be 10,000 times more potent than morphine. As a point of reference, heroin is 4-5 times more potent than morphine.
It is extremely hard, if not impossible, to tell from sight whether heroin has been mixed with fentanyl or carfentanil. If you suspect that your heroin purchase could contain fentanyl or carfentanil, there are some precautions you can take to reduce the potential harms or risk of overdose.
However - both fentanyl and carfentanil are potent at such low doses that there is a significant risk of death if those drugs are being consumed, even if harm reduction steps are taken. (CGL – Change-Grow-Live / Release, UK, 2018)

https://www.changegrowlive.org/sites/cri.org.uk/files/fentanyl_info_leaflet.pdf

The 2018 Global State of Harm Reduction

The most comprehensive mapping of harm reduction around the world is here
The 2018 Global State of Harm Reduction is live! This sixth edition of the report is our most extensive ever thanks to a coordinated effort of over 100 harm reduction practitioners, academics, advocates and activists from around the world.
Along with tracking responses to HIV and hepatitis C among people who inject drugs, the report includes for the first time dedicated sections on harm reduction for ATS, overdose response, funding for harm reduction, and analyses of harm reduction for women. Additionally,this year's forewordswere authored by Maia Szalavitz (journalist and author of Unbroken Brain) and Ma. Inez Feria (director, NoBox Philippines).
While the world has come a long way in implementing harm reduction over the last decade, the 2018 report shows that progress is stalling.
There’s a wealth of information on harm reduction in each of the nine regions covered in the report, including the latest data on harm reduction in prisons. (HRI – Harm Reduction International, Dezember 2018)

https://www.hri.global/global-state-harm-reduction-2018

8 Lessons Learned at the European Harm Reduction Conference

The 4th European Harm Reduction Conference took place in Bucharest on 21-23 November, 2018. Please watch the video report we made at the event – and read about some of the messages we could take home. (Drug Reporter, Ungarn, 03.12.2018)

https://drogriporter.hu/en/8-lessons-learned-at-the-european-harm-reduction-conference/

We Need to Talk About Benzodiazepines—Including Their Use in Drug Combinations

Opioids like heroin and fentanyl have grabbed the media and legislative spotlight—from soaring overdose fatalities to the misguided prescription restrictions and drug-induced homicide laws ostensibly intended to combat them. What’s glossed over is that our overdose crisis primarily relates to polysubstance use. Around 80 percent of deaths involving a synthetic opioid in 2016, for example, also involved another drug. When we only focus on partial data, we only come up with partially effective solutions. With our cultural narrative failing to acknowledge this, people who use drugs need to make the effort to learn more to keep ourselves safer. (Filter, USA, 04.12.2018)

https://filtermag.org/2018/12/04/we-need-to-talk-about-benzodiazepines-including-their-use-in-drug-combinations/

Russland. Russia’s Harm Reductionists Are Once Again Under Attack

(...) If you had to choose among all the countries of the world to be a regular drug user, Russia would be near the bottom of the list. The Philippines under President Rodrigo Duterte might be worse, but short of actually gunning down people in the street, Russia is about as bad as it gets. The country also has one of the highest populations of injecting drug users in the world. (Filter, USA, 26.11.2018)

https://filtermag.org/2018/11/26/russias-harm-reductionists-are-once-again-under-attack/

Assessing pharmacy student experience with, knowledge of and attitudes towards harm reduction: illuminating barriers to pharmacist-led harm reduction

Lily Rowan Mahon, Amanda N. Hawthorne, Julie Lee, Heather Blue and Laura Palombi 

Harm Reduction Journal2018 15:57, doi.org/10.1186/s12954-018-0262-6

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0262-6

Fentanyl: Use & OD Prevention Tips 

Hrsg.: The DOPE Project is a program of the Harm Reduction Coalition and is funded by the San Francisco Department of Public Health to coordinate San Francisco’s response to drug overdose. 2018

https://harmreduction.org/wp-content/uploads/2018/11/DOPE_FentanylUseBrochure.pdf

Canadian substance use costs and harms (2007–2014)

Canadian Substance Use Costs and Harms Scientific Working Group. (2018). (Prepared by the Canadian Institute for Substance Use Research and the Canadian Centre on Substance Use and Addiction.) Ottawa, Ont.: Canadian Centre on Substance Use and Addiction.

http://www.ccsa.ca/Resource%20Library/CSUCH-Canadian-Substance-Use-Costs-Harms-Report-2018-en.pdf