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  • Harm Reduction Conference 2015

    International Harm Reduction Conference 2015

    Visit our website for the 24th International Harm Reduction Conference which will take place in Kuala Lumpur, Malaysia, 18–21 October 2015

    Call for Papers

    The online process for submitting papers is now open. HRI will be accepting abstracts only until 27th March 2015

    Register Now!

    Register by 30th June to avail of the reduced 'early bird' conference rate. Registering to attend the conference is a simple process which can be completed securely online by following the link above

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    Sign up to receive email updates, report launches, harm reduction advisories and information about International Harm Reduction Conference 2015

    Conference Archive

    Explore past international harm reduction conferences dating back to 2000.

  • 10 by 20

    HRI launches 10 by 20 campaign

    At the recent opening of the Commission on Narcotic Drugs in Vienna, Harm Reduction International launched its 10 by 20 campaign.

    10 by 20 Pie Chart

  • Global State of Harm Reduction

    Global State of Harm Reduction

    Our flagship publication is the biennial Global State of Harm Reduction report. First published in 2008, it involves a coordinated effort across practitioners, academics, advocates and activists to map global data and responses to HIV and hepatitis C epidemics related to unsafe injecting and non-injecting drug use. It is the only report to provide an independent analysis of the state of harm reduction in the world. The information collated within the report is stored and regularly updated on an interactive e-tool for researchers and advocates.

    The Global State of Harm Reduction report is supplemented by regular thematic reports and advisories on key issues and emerging challenges. Please search our Resource Library for more information or join our e-list for regular updates.

    Interactive e-tool

    Global State of Harm Reduction’ e-tool is an interactive resource containing up-to-date information on harm reduction policy and programming around the world. Users can select countries or regions and create tables for an at-a-glance guide to the current state of harm reduction worldwide.

  • About

    About HRI

    HRI is a leading non-governmental organisation working to reduce the negative health, social and human rights impacts of drug use and drug policy by promoting evidence-based public health policies and practices, and human rights based approaches to drugs. Read more about HRI’s history.

    Vision and Mission

    Our vision is a world in which individuals and communities benefit from drug laws, policies and practices that promote health, dignity and human rights.

    Staff

    Meet our staff at HRI

    Governance

    HRI is governed by a nine person Board of Directors, elected for three-year terms of office by our membership at our Annual General Meetings. Read more about HRI governance.

    News and Announcements

    Read the latest announcements and updates from HRI.

    What is harm reduction?

    Harm reduction refers to policies, programmes and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop. The defining features are the focus on the prevention of harm, rather than on the prevention of drug use itself, and the focus on people who continue to use drugs.

    Harm reduction definition and principles in 11 languages

    Contact Us

    Please feel free to contact us if you have any questions or queries about our website, our work, membership or the international harm reduction conference.

    Donors

    HRI benefits from the generous support of the Open Society Foundations, the European Commission, the Elton John AIDS Foundation, the MAC AIDS Fund, UNAIDS, the World Health Organization, the UN Office on Drugs and Crime, the World Bank, The Robert Carr Networks Fund and the Swiss Government.

    Harm Reduction International Awards

    HRI presents a number of awards at outr international conference to acknowledge the contributions of outstanding groups or individuals in the field.

  • Our Work

    Evidence for advocacy

    HRI produces groundbreaking research and policy analysis informing advocacy across our sector.

    Spending where it matters

    Funding for harm reduction services is dangerously short while billions are wasted on drug enforcement. HRI works to assess resourcing needs and advocates for a reinvestment in health.

    Human rights-based policy

    Human rights abuses and drug enforcement go hand in hand. HRI challenges laws, policies and practices that generate harm.

    Sector strengthening

    HRI builds advocacy coalitions and supports emerging harm reduction networks to strengthen the international harm reduction sector.

    International conference

    Harm reduction is a global movement. Our biennial gathering is the International Harm Reduction Conference, convened by HRI.

  • Resource Library

    Resource Library

    Use our extensive resource library to search for HRI, NGO and academic reports, articles and presentations, including materials from past international conferences.

    Harm Reduction Journal

    Harm Reduction Journal, www.harmreductionjournal.com, is an open access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies.

  • Support Us

    Membership & Donations

    HRI is a membership based organisation with over 8,000 members worldwide. Read more about individual and organisational membership here.

    We rely on trusts, grants, membership fees and donations to continue our work. To make a donation or pay membership fees, please use our secure payment page.

    Or why not fundraise for us with ‘Discover Adventure’?

    Contact Us

    Harm Reduction International
    Unit 2C09 Southbank Technopark
    90 London Road
    London
    SE1 6LN  

    Tel: +44(0) 207 717 1592
    Fax: +44 (0) 207 922 8822
    Email: info@ihra.net
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    E-Updates

    Sign up to receive email updates, report launches, harm reduction advisories and information about the forthcoming international harm reduction conference

Western Europe - Regional Overview

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Harm reduction forms an integral component of HIV and drug policy and programmes within most Western European countries. Almost every country with reported injecting drug use has key harm reduction interventions in place. Several countries also include drug consumption rooms, syringe vending machines and the prescription of injectable OST and pharmaceutical heroin among their harm reduction interventions. However, there remains much variation in harm reduction coverage. Some countries, such as Cyprus and Greece, currently reach low proportions of injecting populations with sterile injecting equipment and opioid substitution therapy. Even within countries with long established services, large areas are not covered and constraints on funding pose barriers to increasing access to these services. Furthermore, other drug-related health harms, such as viral hepatitis and overdose, remain leading causes of death among people who inject drugs.

Harm reduction programmes in prisons are less widely available. Whereas many countries prescribe OST to prisoners in some institutions, the availability of sterile injecting equipment is more limited. The current European Union drug strategy and action plan are explicitly supportive of harm reduction and many Western European countries are amongst the most vocal in support for harm reduction in international fora.

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* Please refer to the full report below for ranges, where these are available. The maps and tables on this page display midpoint averages only.

Download full Global State of Harm Reduction Report (PDF 8.5 MB).

CountryPeople who inject drugsAdult HIV prevalence amongst people who inject drugsOperational needles-syringe exchanges programmesNumber of operational NSP sites (low)Operational OST programmesNumber of operational OST programmes (low)
ANDnknkNoNo
AUT175003Yes40Yesnk
BEL248104.15Yes102Yesnk
CYP2310.65Yes1Yes1
DNK127545YesnkYesnk
FIN156500.9Yes42Yesnk
FRA1220007.2Yes583Yes19484
DEU942504.75Yes391Yes4706
GRC76516.5Yes14Yes17
ISLnknkNoYesnk
IRL6289nkYes91Yes332
ITA32600011.5YesnkYesnk
LUX19072.4Yes10Yesnk
MLT19130Yes7Yes2
MCOnknkNoNo
NLD23901.85Yes175Yesnk
NOR97302.32Yes44Yesnk
PRTnk5.7Yes1270Yesnk
ESP739333.6Yes2386Yes1363
SWEnk4.4Yes4Yesnk
CHE316537.3YesnkYesnk
TURnk0.3NoYesnk
GBR1331121.2Yes1523Yesnk