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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/

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

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/

Schweiz. Freizeitdrogenkonsum und Nightlife - Jahresbericht 2018

(...) der Jahresbericht Freizeitdrogenkonsum und Nightlife (...) bietet Ihnen eine Übersicht über die Aktivitäten und Projekte auf nationaler Ebene, die sich an die Freizeitdrogenkonsumierenden richten. Zudem möchten wir den Jahresbericht vermehrt dazu nutzen, Fachleuten aus den verschiedenen regionalen und lokalen Fachstellen und Projekten in der ganzen Schweiz eine Plattform zu bieten, um über die zahlreichen Angebote rund um den Konsum psychoaktiver Substanzen im Nachtleben oder im Freizeitsetting zu berichten. (infodrog, Schweiz, 2018)

https://www.infodrog.ch/files/content/safernightlife_de/Reporting_2018_DE.pdf

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

Open Society Foundations (OSF) – Harm Reduction (Themenseite)

Harm reduction is a range of evidence-based approaches that recognize that people unable or unwilling to abstain from illicit drug use can still make positive choices to protect their own health in addition to the health of their families and communities. The Open Society Foundations advocate for policies and practices that advance the health and human rights of people who use drugs. (OSF, USA, November 2018)

https://www.opensocietyfoundations.org/topics/harm-reduction

Correlation European Harm Reduction Network (neue Website)

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

USA. How Vilification of George Soros Moved From the Fringes to the Mainstream

A loose network of nationalists has used anti-Semitic imagery to cast the billionaire Democratic donor George Soros as the shadowy leader of a globalist cabal. In the process, they have pushed their version of Mr. Soros from the dark corners of the internet and talk radio to the center of the political debate. (New York Times, 31.10.2018)

George Soros ist Mäzen der Open Society Foundations (OSF). OSF unterstützt Harm-Reduction-AktivistInnen in mehreren Ländern. Der Redakteur dieses Informationsdienstes hat mit Unterstützung von OSF Gesundheitsämter in Polen bei der Einführung von Substitutionsprogrammen beraten (Anm. Forum Substitutionspraxis).

https://www.nytimes.com/2018/10/31/us/politics/george-soros-bombs-trump.html

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

Peer-delivered harm reduction and recovery support services: initial evaluation from a hybrid recovery community drop-in center and syringe exchange program

Robert D. Ashford, Brenda Curtis and Austin M. Brown

Harm Reduction Journal 2018, 15:52, Published on: 22 October 2018, doi.org/10.1186/s12954-018-0258-2

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0258-2

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

SONICS: Bundesverband für Safer-Nightlife, Rhythmus und Veränderung

Dem SONICS e.V. - Bundesverband für Safer-Nightlife, Rhythmus und Veränderung gehören Projekte an, die mit unterschiedlichen Schwerpunkten kreative Aspekte der Party-Kultur mit der Förderung von Drogenmündigkeit und solidarischem Engagement verbinden. In ihrer Vielfalt sind sie Cybertribes im Sinne von selbstbestimmten, zeitgemäßen Gemeinschaften, die von idealistischen Grundhaltungen ausgehen.
Die Projekte des Sonics-Netzwerks sind immer wieder an der Gestaltung von inneren und äußeren Räumen beteiligt: Räume, in denen sich tanzen, lachen und lieben lässt. Räume, die für Entfaltung, Vision und Ekstase stehen. Räume als phantasievolles Experiment. Räume als Ausdruck von Widerstand und Veränderung. Räume als fließender Rhythmus...

Party: Für gemeinschaftliche und kreative Entfaltung

Die Angehörigen der Sonics-Projekte sind auf großen Festivals genauso aktiv, wie auf Partys im Underground. Zu finden sind sie unter anderem an Infoständen, in Chill-Areas, auf den Floors oder hinter dem Mischpult.
Das Tanzen zu elektronischen Beats ist die Fortführung ursprünglicher Rituale, bei denen sich Menschen durch den Tanz zu Trommelrhythmen in Trance versetzt haben. In vielen Epochen wurden freie, ekstatische Feste unterdrückt, weil sie sich den vorgegebenen Kontrollmechanismen entzogen. Auch heute gleicht eine gute Party einem befreienden Ausbruch aus den vorgegebenen Strukturen, der jedoch zumeist schnell wieder integriert wird.
Am liebsten tanzt Sonics auf Partys, die nicht vorrangig von Kommerz und Konsum bestimmt sind, sondern vielfältige Möglichkeiten der aktiven Entfaltung bieten. Den weit verbreiteten Egotrips kann dabei die Gestaltung gemeinschaftlicher Wirklichkeiten im Flow der Musik entgegengestellt werden. Dazu gehört die gleichberechtigte Entfaltung queerer Identitäten genauso wie auf einer anderen Ebene die Erfahrung psychonautischer Reisen. Das angestrebte Party-Utopia ist dabei immer auch ein lustvolles Abbild einer gesellschaftlichen Alternative.

Drogen: Für psychoaktive Selbstbestimmung und Mündigkeit

Die Sonics-Projekte setzen sich auf unterschiedlichen Ebenen mit psychoaktiven Erfahrungen auseinander. Sie fördern zum Teil schon seit den neunziger Jahren
Drogenmündigkeit, stärken Gesundheit und helfen bei Problemen. An ihren Ständen sind vielfältige Infomaterialien und Safer-Use-Utensilien erhältlich. (Stand: 18.10.2018)

http://acidweb.biz/sonics/Manifest.html

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

https://shisha.berlin.de/

WHO launches SAFER alcohol control initiative to prevent and reduce alcohol-related death and disability - WHO-led initiative and action package aim to support global target of reducing harmful use of alcohol by 10% by 2025

28 September 2018 | New York -The World Health Organization (WHO) today released SAFER, a new initiative and technical package outlining five high-impact strategies that can help governments reduce the harmful use of alcohol and related health, social and economic consequences. (WHO, Genf, 28.09.2018)

http://www.who.int/substance_abuse/safer/launch/en/

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

Speed limits - HARM REDUCTION FOR PEOPLE WHO USE STIMULANTS

Rafaela Rigoni, Joost Breeksema and Sara Woods

Mainline, Niederlande, 2018

Supported by the Global Partnership on Drug Policies and Development (GPDPD) implemented by the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH on behalf of the Federal Ministry for Economic Cooperation and Development (BMZ).

http://fileserver.idpc.net/library/Mainline_REPORT_complete.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

No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018.

London: Knowledge-Action-Change. 2018

https://gsthr.org/download/report/Global-State-of-Tobacco-Harm-Reduction-2018.pdf

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/

Pakistan’s HIV Epidemic and the Need for Prison-Based Harm Reduction Programmes

Faryal Sajjad

GDPO Situation Analysis, October 2018

http://www.swansea.ac.uk/media/GDPOSitAnalysisOctober2018FaryalSajjad.pdf

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/

Cannabis Communication Guide for Youth Allies. 

Kanada. Fleming, K., & McKiernan, A. (2018). 

Ottawa, Ont.: Canadian Centre on Substance Use and Addiction. ISBN: 978-1-77178-505-1

http://www.ccsa.ca/Resource%20Library/CCSA-Cannabis-Communication-Guide-2018-en.pdf

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/

Connection to build Capacity - A monthly newsletter from the capacity building team at Harm Reduction Coalition

(Harm Reduction Coalition, USA, 07.09.2018)

https://mailchi.mp/harmreduction/connection-to-build-capacity

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

USA. In Memoriam: Dan Bigg, a Giant of Harm Reduction Gone Much Too Soon

Harm reductionists, drug policy reformers, and many others are mourning the unexpected passing of Dan Bigg at age 59 this week.

Dan, a cofounder and the long-term executive director of the Chicago Recovery Alliance, played a leading role advancing syringe exchange in the United States, and more recently naloxone distribution to prevent heroin overdoses. He was a 2017 Chicago Magazine Chicagoan of the Year, and received the Drug Policy Alliance's 2015 Norman ZInberg Award. (Stopthe DrugWar.com, Issue #1033, 24.08.2018)

https://stopthedrugwar.org/chronicle/2018/aug/24/dan_bigg_gone_too_soon

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

Kanada. What Vancouver’s departing mayor learned from a decade of the opioid crisis

There is perhaps no one in Canada better placed to reflect on the country’s response to the opioid crisis than Vancouver Mayor Gregor Robertson. As he prepares to step down after 10 years at the helm of the city at the epicenter of the crisis, he is in a reflective mood.

“It’s tough to leave office with this crisis unresolved,” Mr. Robertson said in an interview at the Opioid Symposium last month in Toronto. “It’s the biggest challenge we’ve faced as a city and, unfortunately, there’s no end in sight.” (The Globe and Mail, Kanada, 01.10.2018)

https://www.theglobeandmail.com/opinion/article-what-vancouvers-departing-mayor-learned-from-a-decade-of-the-opioid

Schweiz. Schadensminderung – Themenseite von infodrog

Die Schadensminderung ergänzt seit Mitte der 1980er Jahre als vierte Säule die schweizerische Drogenpolitik und wurde 2008 im BetmG verankert. Schadensminderung umfasst alle Strategien und Massnahmen zur Verringerung der negativen Folgen des Drogenkonsums auf die Konsumierenden sowie auf die Gesellschaft. Mit der nationalen Strategie Sucht verfolgt der Bund unter anderem das Ziel, schadensmindernde Ansätze auf alle Suchtformen inklusive Tabakkonsum sowie Verhaltenssüchte auszuweiten und bei Bedarf den neuen Konsummustern fachlich anzupassen. (infodrog, Schweiz, November 2018)

https://www.infodrog.ch/de/themen/schadensminderung.html