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Some person keeps lying about syringe exchange programs and saying that they don't work so here is a long thread on the evidence for harm reduction, with a bit at the end on how local public health and nonprofits function.
Syringe exchange started as a street program in the Tacoma, WA, because nobody was helping improve the health of folks who injected drugs. Dave Purchase showed people how to sterilize their equipment and told them to stop sharing needles. davepurchaseproject.org/about-us
That was 1988. It got attention almost immediately, because then as now, drug users are highly stigmatized in American society. But quickly public health folks wanted to see if this idea worked. Charles Eaton in NYC ran the first government-funded study of syringe exchange.
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