“Where They’re At”—Harm Reduction in Rural America
BY ZACHARY SIEGEL AUGUST 23, 2022
On a warm winter night, a small group of harm reduction workers in Charleston, West Virginia, stuffed the trunk of a gray car with hundreds of kits containing sterile syringes, light blue tourniquets, packets of alcohol swabs, little balls of cotton, and the opioid-overdose antidote, naloxone. All of the ingredients to prevent a fatal overdose and inject drugs without contracting a viral infection.
Before the sun set, this group of mobile harm reduction workers had sent encrypted text messages to people in the area who needed these supplies, detailing times and locations for secret drop-offs. Everyone was told to look out for the gray car.
“We’ve been forced to work in the shadows.”
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