A community pharmacy in a neighbourhood with high rates of injection drug use is considering joining a needle distribution and naloxone program. Which of the following is the main public health rationale?
Harm reduction services such as sterile needle distribution and take-home naloxone are justified mainly by their effect on bloodborne infections (HIV, hepatitis C) and overdose deaths. They also create a contact point for testing, vaccination and treatment referral, but referral is a secondary benefit rather than the main rationale; effects on crime or on how much people use are not the primary aim, and evidence shows they do not increase drug use. Source: Public Health Agency of Canada, Harm reduction approaches and the Canadian Drugs and Substances Strategy (2023); Health Canada, Naloxone programs (2024).
Believing harm reduction increases drug use.
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