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Housing and overdose: an opportunity for the scale-up of overdose prevention interventions?

Geoff Bardwell, Alexandra B. Collins, Ryan McNeil and Jade Boyd

Harm Reduction Journal 2017, 14:77, doi.org/10.1186/s12954-017-0203-9


Kanada/British Columbia. Drug-vending machine pitched to cut overdose deaths

A vending machine that distributes hydromorphone pills to people with opioid addictions — who will likely crush and inject them — is one idea being explored in a pilot project to curb overdose deaths.

“Right now, we’re asking people to go to an alley to buy drugs that are likely poisoned [with fentanyl],” said project leader Dr. Mark Tyndall from B.C.’s Centre for Disease Control, at the South Island Community Overdose Response Network symposium at Victoria City Hall this past week.

“What I’m proposing is not nearly as crazy. We need to blanket the province with an opportunity to get safer drugs.” (Times Colonist, 19.12.2017)


UK. 'We're trying to give up cigarettes', says Philip Morris ad

Global tobacco giant Philip Morris International (PMI) has run a print ad claiming that it wishes "to stop selling cigarettes" in the UK.

(...) The ad is careful to stress that the best thing the UK’s 7.6 million smokers can do is to quit, but for those who will continue to smoke, PMI’s ambition is to get them to switch away from cigarettes to e-cigarettes and heated tobacco. (campaignlive.co.uk, 02.01.2018)

SMOKE IT! Folie rauchen - eine Alternative zum Drücken (Video)

Mit diesem Video geht die Deutsche AIDS-Hilfe auf den inhalativen Konsum von Heroin ein. Der Film legt den Fokus auf die geringeren Risiken des inhalativen Konsums im Hinblick auf HIV- und Hepatitis-Infektionen sowie Überdosierungen. Er zeigt die Herstellung eigener Rauch-Röhrchen sowie den Ablauf des Konsumvorgangs. Hinweis: Dieses Schulungsvideo richtet sich an Mitarbeiter_innen in Aids- und Drogenhilfen sowie an Drogenkonsument_innen mit dem Ziel, die Risiken des Drogenkonsums zu reduzieren und das Überleben von Drogenkonsument_innen zu sichern. Der Videofilm ist Teil einer Medienserie zur Prävention von HIV- und Hepatitis-Infektionen durch einen Wechsel der Konsumform. (DAH – Deutsche AIDS-Hilfe, 19.10.2017, Video, 08:39)

UK. Englischer NHS testet Ausnüchterungszentren

London – Der englische Gesundheitsdienst National Health Service (NHS) testet zum Jahreswechsel in Ausgehvierteln mobile Ausnüchterungszentren. In den sogenannten „drunk tanks“ (etwa: Auffangbecken für Betrunkene) können Partygänger medizinisch versorgt werden und sich sogar ausnüchtern. (aerzteblatt.de, 29.12.2017)


Protecting and promoting health in nightlife environments during the last three decades

Andrew M Bennett, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/7251/11H00_3_Andrew Bennett.pptx

Reducing the harm associated with drugs of abuse: the role of pharmacists

IPF – International Pharmaceutical Federation, The Hague, The Netherlands 2017


Kanada. Vancouver overdose prevention site records 108,800 visits, 255 overdoses and 0 deaths

Volunteers have hosted an average of 379 daily visits at the OPS site

Since its humble beginnings last year as a tiny tent in a Vancouver alley, where volunteers trained in overdose reversal would monitor people using drugs, the Overdose Prevention Society has hosted more than 100,000 visits without a single death. (Vancouver Sun, 14.12.2017)


Why Harm Reduction Is Crucial to the Fight Against HIV

Earlier this fall, an international team of researchers sounded a grim warning about the state of the global HIV epidemic among people who inject drugs. In two long-awaited research papers published in the Lancet, they laid out the evidence that not only is the scale of this epidemic worse than we thought, but that most countries are failing to provide the basic harm reduction interventions, like needle and syringe exchange programs and opioid substitution therapy, that are crucial to halting its spread.

In light of this evidence, world leaders and global agencies charged with leading the HIV response need to recognize that they can’t continue with business as usual. It’s time for them to call on governments to rethink their approach to drug policy and invest in harm reduction. (OSF, 30.11.2017)


A global picture of injecting drug use, HIV and anti-HCV prevalence among people who inject drugs, and coverage of harm reduction interventions

Dr Sarah Larney, NDARC

Understanding how many people inject drugs is critically important for the effective provision of public health and harm reduction services. However, the severe stigma that is often attached to injecting drug use, and illicit nature of this behaviour, means that it is often difficult to have a clear picture of how many people inject drugs in a given nation or region.1 Without this basic population number, it is also difficult to know how many people who inject drugs are living with HIV or hepatitis C virus (HCV), or to know how well HIV and HCV prevention interventions such as needle and syringe programs and opioid substitution therapy are reaching people in need. (NDARC – National Drug and Alcohol Reaerch Centre, Australien, Dezember 2017)


Niederlande. DRUGSLAB

Drugslab is an educational YouTube channel about drugs, funded by the Dutch government. On this YouTube channel we, Rens Polman, Nellie Benner and Bastiaan Rosman, will take in the drugs you want us to try. We do this in the name of science so we can show you what the effect of drugs are on the human body. You can suggest any type of drug by commenting in the comment section below the videos or by using the hashtag #drugslab. Besides our weekly experiment, we provide you of safe methods of use, safe doses, the effects, the risks and very useful do's and don'ts when high on drugs. Given by experienced epicureans. Light it up people, in the name of science! Peace. (drugslab, Niederlande, 2017, Videos mit engl. Untertiteln)


Drogen: Helfen Sie, Drogenkonsum für alle sicherer zu machen!

Wieso? Weil praktisch jeder Drogen nimmt, ob Alkohol, Cannabis oder Medikamente. Nur wer Bescheid weiß, kann etwas verändern. Nehmen Sie deshalb an unserer Umfrage teil.

Ein Gastbeitrag von Adam Winstock, London

Zeit online, 27.11.2017


Harm Reduction Conference 2017: PowerPoint Slide Archive Available Online

For those of you who couldn’t make the conference, or for anyone who wants to look again at a presentation you saw, you can visit our online archive of over 100 HR17 PowerPoint presentations - please take a look if you haven't already! 

To view slides, scroll through the programme and where you see a 'view slides' button you can click through to the presentation. (HRI – Harm Reduction International, 30.11.2017)


Kanada. Government of Canada enhances harm reduction programming to prevent infectious diseases - Working to reduce rates of hepatitis C and HIV among people who use drugs

Calgary, Alberta. Canada is in the midst of a national opioid crisis that has claimed the lives of thousands of Canadians. Governments, non-government organizations, health and public safety professionals, and individual Canadians across the country have been responding to this crisis in an effort to save lives and protect the health and wellbeing of those individuals, families and communities affected.

In Budget 2017 the Government of Canada announced an investment of $100 million over five years and $22.7 million ongoing to support the national measures associated with the Controlled Drugs and Substances Strategy and to respond to the opioid crisis. This includes $30 million over five years for the Harm Reduction Fund to support community-based initiatives to reduce rates of hepatitis C and HIV among people who use drugs. (Public Health Agency of Canada, 15.11.2017)


Eurasian Harm Reduction Association (EHRA) established and working

The Eurasian Harm Reduction Association (EHRA) is glad to announce the launch of its work in the Central and Eastern Europe and Central Asia (CEECA) region. (EHRA, 02.10.2017)



(Middle East and North Africa Harm Reduction Association, MENAHRA 2017)


Harm reduction principles for healthcare settings

Mary Hawk, Robert W. S. Coulter, James E. Egan, Stuart Fisk, M. Reuel Friedman, Monique Tula and Suzanne Kinsky

Harm Reduction Journal2017, 14:70, doi.org/10.1186/s12954-017-0196-4


Femoral injecting is common, especially amongst longer term intravenous injectors. This booklet sets out the risks of this more dangerous route of administration, and gives what guidance can be given to reduce the risks of injecting into the femoral veins in an attractive, clear, accessible booklet. (exchangesupplies.org, UK, 2007)


UK. Raves and the Rolling Stones: The History of Drugs Charity Release

Release has been advising people on drugs and drugs law for the last half century.

This year is the 50th anniversary of Release, the UK's centre of expertise on drugs and drugs law. (vice.com, 13.10.2017)


Getting off right: A Safety Manual for Injection Drug Users

HRC – Harm Reduction Coalition, USA, 2017


USA. First, Do No Harm - Marshaling Clinician Leadership to Counter the Opioid Epidemic

A Special Publication from the National Academy of Medicine, 2017

Washington, DC: National Academy of Medicine.


Authorities in the northern Spanish city of Bilbao are distributing cards for people to crush cocaine with prior to snorting, in a bid to reduce the potential harms of nasal drug use – including the spread of hepatitis C. (Talking Drugs, UK, 12.09.2017)


Are we anywhere near there yet? The state of harm reduction in North America in 2017

Ernest Drucker and Nick Crofts

Harm Reduction Journal 2017, 14:55, doi.org/10.1186/s12954-017-0155-0


Risk behaviour determinants among people who inject drugs in Stockholm, Sweden over a 10-year period, from 2002 to 2012

Niklas Karlsson, Michele Santacatterina, Kerstin Käll, Maria Hägerstrand, Susanne Wallin, Torsten Berglund and Anna Mia Ekström

Harm Reduction Journal 2017, 14:57, doi.org/10.1186/s12954-017-0184-8


Bosnien. Our Clients Are Our Mission: Harm Reduction in Bosnia (Video)

(Drug Reporter, Ungarn, Video, 13:32)


Harm reduction aims to keep people safe and minimize death, disease and injury from high-risk behaviour.


Can I Use Marijuana Safely? An Examination of Distal Antecedents, Marijuana Protective Behavioral Strategies, and Marijuana Outcomes

Adrian J. Bravo, Mark A. Prince, Matthew R. Pearson, and The Marijuana Outcomes Study Team

Journal of Studies on Alcohol and Drugs 2017 78:2, 203-212



Lower-Risk Cannabis Use Guidelines: A Comprehensive Update of Evidence and Recommendations

Benedikt Fischer, Cayley Russell, Pamela Sabioni, Wim van den Brink, Bernard Le Foll, Wayne Hall, Jürgen Rehm, and Robin Room

American Journal of Public Health (ajph), August 2017, Accepted: March 25, 2017

Published Online: July 12, 2017


Information sought, information shared: exploring performance and image enhancing drug user-facilitated harm reduction information in online forums

Boden Tighe, Matthew Dunn, Fiona H. McKay and Timothy Piatkowski

Harm Reduction Journal 2017, 14:48, doi.org/10.1186/s12954-017-0176-8