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Harm reduction workers supervise drug users, provide harm reduction supplies, and administer naloxone when they see signs of overdose.
Prisoner advocates have pushed for better harm reduction supplies in jails and prisons, to curb transmission of HIV, Hep C, and other blood-born disease, but corrections officials say needles are too great of a security concern.
The Vancouver Area network of Drug Users also launched its own "Spikes on Bikes" patrols, bringing naloxone kits and other harm reduction supplies to the hidden corners and homeless encampments where people are overdosing.
"Last year, we had 7,900 contacts, that being anyone who comes to the harm reduction tent to use the available services such as information pamphlets, drug testing, harm reduction supplies, etc., throughout the five days," says Sage. "We almost doubled our contacts this year".
Blyth and Livingston have been supervising injections and handing out harm reduction supplies from 10 AM to 4 PM every day since, with between 25 and 40 people stopping by each day some shooting up, others taking rigs for the road.
In their current initiative, the IRA is working to advance harm reduction policies and programs focused on addiction, overdose prevention and treatment, and blood-borne disease prevention, as well as distributing harm reduction supplies in their community 7 days a week.
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"I mean, it makes perfect sense," she added, cautioning that supporting dilution as harm reduction would probably require supplies not currently stocked by needle exchanges.
To ensure they don't run out of money to keep supplying kits, Harm Reduction Australia will launch a crowd funding campaign later this month.
Experience shows the most effective approach is a combination of supply, demand and harm reduction strategies.
A recent national review of supply, demand and harm reduction strategies in Australian prisons identified limitations in culturally appropriate approaches to drug and alcohol services for Indigenous Australians and no substantial focus on continuity of care into the community (Rodas et al. 2011).
Integrated supply, demand and harm reduction efforts have not been implemented.
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