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Harm Reduction

Drug Decriminalization Saves Lives

The criminalization of drugs hasn’t kept them from becoming a public health hazard — and we can’t just pretend they don’t exist. More than 106,000 people died of drug overdoses in 2021 in the United States, a number that has doubled since 2015. Three-quarters of the overdose deaths in 2021 were from opioid use, and nearly 3 million Americans struggle with opioid use disorder today. To help affected people, many are arguing for a policy of ​“harm reduction” to make drug use less risky. Sites provide clean syringes and alcohol wipes to prevent the spread of infectious diseases for IV drug users, for example and are prepared with oxygen masks and the anti-overdose drug naloxone to help manage bad reactions.

Another Year Of Devastating Overdoses In Baltimore

Last year, I hid behind an abandoned building in East Baltimore with three guys who all used heroin together as they tested their drugs, injected them, and made sure they were there for each other in case any of them overdosed. It was about 8AM in the middle of January 2020, sunny but cold, and “D”—Black, in his late thirties, without a home, and requesting anonymity for obvious reasons—held court behind a vacant rowhouse. D saw to it that he and his friends were as safe as possible—he’s more fastidious and more experienced than the others. Heroin had been part of his life for about 20 years. “I’ve been using off and on,” D explained to me. “Mostly on.” Most mornings back then, D and his friends looked out for one another because they understood that they were most likely to overdose when they used alone.

Amid Overdose Crisis, Public Health Groups Urge Congress To Pass Life-Saving Bills

Two weeks after the Centers for Disease Control and Prevention released sobering statistics showing a record-breaking number of drug overdoses in the U.S. in the first year of the coronavirus pandemic, more than 260 advocacy groups called on lawmakers Tuesday to urgently pass public health proposals to mitigate the crisis. Led by the Drug Policy Alliance, People's Action, the National Harm Reduction Coalition, and VOCAL-NY, the organizations said the unprecedented number of overdoses in the 12-month period ending in April 2021 was "grim, but not unexpected" considering the criminalization of drug use in the United States and lack of resources for people with drug use disorders.

Dan Bigg, Revolutionary Of Harm Reduction Movement, Dies

A colleague of mine, Dan Bigg of the Chicago Recovery Alliance, died on August 21 at his home. Bigg was at the forefront of bringing harm reduction into practice in the United States. The Fix called Dan "The Patron Saint of Harm Reduction" in a notable 2014 interview, and the Chicago Tribune described his work as "revolutionary."  As a result of Bigg's efforts, friends and colleagues said, thousands of people who would have died from infections or overdoses are still alive - a flesh and blood legacy of the "harm reduction" philosophy Bigg helped to popularize.
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