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Sarah Wakeman Profile picture
@DrSarahWakeman
Feb 10, 2022 • 2 tweets • 1 min read • Read on X
The hysteria & pushback against safer smoking as integral component of harm reduction is ridiculous, unscientific, & echoes racist differential responses to crack use seen throughout drug war. Safer smoking kits reduce sharing,
injection use, Hep C, & other infectious disease 1/2
The only difference between distributing one plastic tube (syringe) vs glass tube (pipe) to reduce risk of infections & other preventable health harms is bias & racist mythology. #harmreduction is public health, evidence-based, & at its core is radical love for other humans. 2/2

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More from @DrSarahWakeman

Sarah Wakeman Profile picture
Dec 3, 2022
Addiction medicine can be hard not because of the work— that part is always rewarding because treatment works, harm reduction saves lives & people we partner with are spectacular, gritty, resilient humans— but because of the moral injury of discriminatory policies & systems 1/7
It is our broken, racist, stigma-laden policies and approaches that cause harm, are painful to bear witness to, and deadly for those they impact. Today I’m thinking about the many people I’ve known and cared for injured or killed by stigma 2/7
The father who loved to share pics of his toddler and to chat about half marathon running who ended up on life support after abruptly tapering off buprenorphine because he was told he couldn’t renew his commercial driver’s license and subsequently experienced an overdose. 3/7
Read 7 tweets
Sarah Wakeman Profile picture
Feb 22, 2021
I read @drcarlhart #DrugUseForGrownUps this weekend. I am even more inspired by his work & courage. I so appreciated his reflections on his own academic journey, importance of cognitive flexibility, and evidenced reminder that most ppl who use drugs do not develop addiction. 1/
He shines a light on how deeply broken our approach to drug use is. Racism drives drug policy and the drug war and its many foot soldiers have created a giant smokescreen which allows for massive funding for surveillance, imprisonment, and even murder of Black and brown bodies 2/
The book is decidedly not about addiction, and that’s sort of the point. Sizeable minority of ppl do develop addiction. We need effective, human-centered treatment & harm reduction to save lives, like welcoming care, MOUD, drug checking, overdose prevention sites, safe supply 3/
Read 6 tweets
Sarah Wakeman Profile picture
Feb 5, 2020
Excited to share study ⁦@LarochelleMarc⁩ ⁦@darshaksanghavi⁩, others & I did comparing effectiveness of different #opioid use disorder treatments. Bottom line- only methadone or buprenoprhine associated w/ reduced #overdose at 3 and 12 months jamanetwork.com/journals/jaman…
We looked at claims data for nearly 41,000 individuals w/ OUD and compared outpatient counseling, IOP, detox/residential, naltrexone, or methadone/buprenorphine to no treatment on outcomes of overdose or opioid-related ED or hospitalization at 3 months.
1st takeaway: despite evidence supporting MOUD w/ opioid agonist therapy, in this insured population only 12.5% of cohort received methadone/buprenorphine and average treatment duration was shorter than would be recommended at ~150 days.
Read 9 tweets

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