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Commissioning for change

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[…] number of areas of innovation: use of digital technologies to provide psychological interventions, different forms of opioid agonist medications, and options to better address comorbidities such as hepatitis C virus (HCV) infection. It is important for commissioners to consider how innovation can play a role in continuing to improve care, while balancing budgets. There […]

DDN 041223

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[…] shops and pubs which sell alcohol to minors. May:The Royal College of Physicians of Edinburgh calls for considerable extra resources to improve detection and treatment rates for hepatitis C. The Obser verclaims that ‘soaring levels of cocaine use among young British professionals have led to a record number of deaths’. Drugscope reveals that police […]

MPs demand ‘urgent action’ on liver disease

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[…] monitored and used effectively on a far more thorough and systematic basis’. It also wants to see PHE and NHS England set ‘a clear goal’ of eliminating hepatitis C within 15 years. ‘Liver disease is the only one of the UK’s top five causes of death where death rates continue to rise and there […]

CZAR GAZING – How do we harness political support?

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[…] see from the treatment system can be translated into political support and increased budgets. Substance misuse treatment reduces blood borne infections? The fear of drug-related HIV and hepatitis infections has receded as transmission rates have declined and treatments have improved. The cost/benefit analysis of public health prevention measures remains positive, but there is no […]

Drugs of choice

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[…] that mental health was an issue for almost half of us – hardly surprising as those rooms are full of people in early addiction-healing, not to mention hepatitis C, HIV and other BBVs. She proceeded to suggest I keep taking vitamin D, as it is helpful for people with depression. I didn’t mind the […]

DDN2303

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[…] our schools, the education of our children and the life of our communities, because addicts bankrupt businesses and destroy jobs, burgle people’s homes, spread HIV, Aids and hepatitis and waste our tax money and other resources. Addicts and drunks also commit the most crimes, and are undoubtedly the real current threat to our lives […]

MPs demand ‘urgent action’ on liver disease

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[…] monitored and used effectively on a far more thorough and systematic basis’. It also wants to see PHE and NHS England set ‘a clear goal’ of eliminating hepatitis C within 15 years. ‘Liver disease is the only one of the UK’s top five causes of death where death rates continue to rise and there […]

DDN2707

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[…] to probation for a pre-sentence report after shoplifting; an HIV positive mother contemplating the risk of homelessness on her release from prison, and a cocaine user with hepatitis C who had been charged with several shoplifting offences and faced the charges without having any suppor t from an estranged family and former partner. Problematic […]

DDN Publication dates 2023

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[…] & resettlement Gambling April Training & careers Early trauma May Criminal justice Mental health (MH Awareness Week, 9-15 May) June Volunteering (Volunteers’ Week, 1-7 June) Veterans July/August Hepatitis C (Hep C Awareness Day, 28 July) Alcohol (Alcohol Awareness Week, 3-9 July) DDN Conference coverage September Recovery Month Enterprise October Criminal justice Mental health (MH […]

Emotional intelligence – Inner strength

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[…] addicted to heroin since the age of 17 and came into treatment aged 34. He was home­less, with destructive behaviours and a chaotic lifestyle. He had contracted hepatitis C and had turned to crime to support his drug habit. He was also selling himself. These behaviours went against all his morals, beliefs and values. […]

DDN2707

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[…] to probation for a pre-sentence report after shoplifting; an HIV positive mother contemplating the risk of homelessness on her release from prison, and a cocaine user with hepatitis C who had been charged with several shoplifting offences and faced the charges without having any suppor t from an estranged family and former partner. Problematic […]

Careers

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[…] may support workers through these qualifications. Some recovery/keyworkers choose to study addictions at a Masters level and/or are supported in work to develop specialisms, for example in hepatitis C. Case study ——– Counsellor/therapist Some people choose to develop their skills in counselling in order to pursue a career in addictions. There are also counsellors […]

2nd June issue

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[…] often becomes one half of an over-familiar polarised debate in the UK, but looking at the reasoning behind basic measures to reduce the spread of HIV and hepatitis C is a stark reminder of the public health challenge at the heart of organisations such as IHRA. It was also an eye-opener to the different […]

DDN1806

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[…] in the US and Europe, and heroin addiction in Iran, Russia, Pakistan, India and China is reaching staggering propor tions, contributing to the spread of HIV and hepatitis C. Buprenorphine sublingual tablets and naltrexone may be even better suited medications for Third World and Islamic countries than they are in the West because most […]

A round-up of national news: December 2016

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[…] 1 per cent of people who inject drugs in the UK are infected, although 17 per cent reported sharing injecting equipment and around half have been infected with hepatitis C, often without being aware. Bacterial infections also remain common, it states, some of which can lead to severe illnesses. Report at www.gov.uk  UNAPPEALING DEVELOPMENTS The Scotch […]

Flying the flag

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[…] family project. ‘It’s that single intervention of alleviating isolation, because so many people with HIV live in isolation.’ Issues for HIV positive drug users included co-infection of hepatitis C and drug-resistant TB as well as denial of problematic drug use and their HIV diagnosis, she said. ‘I have a big group of friends and […]
cyclists on the front cover of the DDN addiction Treatment Guide

Addiction Treatment Directory

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[…] have ongoing housing and treatment needs. Both services offer an in-house community programme, one to one key working and signposting to other services such as ETE advisers, Hepatitis screening, fellowship meetings.       ESH Community www.eshcommunity.org • Warwickshire • Therapeutic Community Fully Residential drug and alcohol treatment including medically assisted detox. CQC assessed […]

City Health Challenge

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[…] early 30s from across London and beyond. ***** Reminding delegates of some of public health’s toughest challenges, professor of hepatology, Graham Foster, warned that the situation with hepatitis C was ‘going to get grimmer’, with many older patients now needing palliative care. ‘The virus is spreading and the epidemic is getting bigger,’ he said, […]

A participant’s view: Highlights from the GPs’ conference

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[…] was the news from Professor Graham Foster, professor of at Queen Mary University Hospital London, that there is a pot of £70m available for the treatment of hepatitis C. He explained that, from January, there’ll no longer be the need for combination therapy, with the release of a new licensed drug that will not […]

DDN_November_2023

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[…] short supply, and ‘obviously you have everyone going for those’, says Thornhill. ‘So if you don’t have the social housing option, and people aren’t able to access hepatitis C and HIV among people who inject drugs (DDN, April 2021, page 5), and according to Crisis, two thirds of homeless people cite drug or alcohol […]

Olympian struggle

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[…] this labyrinth of bureaucratic procedures to start treatment, and they’re not able to even maintain their HIV treatment because they go into drug relapses.’ The figures for hepatitis C infection among people who inject drugs also make grim reading, standing at more than 70 per cent according to recent estimates. ‘In some places it’s […]

Bringing care to the streets of Hackney

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[…] see a nurse for a full assessment of alcohol use to access detox and rehab services get tested and treated for blood-borne viruses such as HIV and Hepatitis have access to urine and blood pressure tests if needed use a needle and syringe exchange and harm minimisation services review and restart treatment to come […]

Euro drug scene in ‘state of flux’

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[…] of economic austerity’, and it stresses the need to focus on continuity of care – including for prisoners – social reintegration, and investment in new interventions around hepatitis C and overdose prevention.  ‘Signs that current policies have found traction in some important areas must be viewed in the light of a drugs problem that […]

DDN230407

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[…] have a criminal record for drug offences this can also bring judgement, even if the conviction is spent. Good luck, Clare, by email people infected by the hepatitis C virus in the UK range between 200,000 and 600,000, with perhaps 80 per cent or more of these being infected via injection of illicit drugs. […]

DDN16nov09

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[…] through the mud. The council has been involved in some groundbreaking work, such as Hidden harm,Reducing drug related deaths and most recently its challenging repor t on hepatitis C. The issue of cannabis, although it dominated airtime, is of minimal impor tance given the considerable advice given and acted upon by the Home Office. […]

Specialty Doctor

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[…] relevant bodies.  Conduct phlebotomy tests if required and support nursing team in ensuring that the maximum number of service users are tested for BBVs and vaccinated against Hepatitis A and B  Support nursing team to titrate patients safely on to a treatment regime.  Attend multidisciplinary meetings, promoting the nomination of named link workers and […]

At breaking point

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[…] get an alcohol strategy’. John Jolly: Lack of investment has left us unable to respond to ‘huge health issues’ coming our way. Chronic health conditions – including hepatitis C, which had 90 per cent of cases relating to drug use – far outnumbered deaths from drug-related poisoning, he pointed out. ‘We’re failing by the […]

Round-up of National News, October

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[…] and e-cigarettes, which many smokers find helpful for quitting, are now regulated to assure their safety and quality.’ HEP OPTIMISM Another ‘potential curative’ drug for people with hepatitis C is to be made available on the NHS, according to new guidance published by NICE. Elbasvir/grazoprevir has shown cure rates above 90 per cent in […]

DDN February 2023

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[…] they take on board the stresses and strains of clients with many complex needs, together  with strong and inspiring partnerships on projects ranging from mental health to hepatitis C. And for a story with many plot twists, its fair share of villains and an eye-watering level of deception, read about the fight to end […]

European drug scene in a ‘state of flux’

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[…] time of economic austerity’, and it stresses the need to focus on continuity of care – including for prisoners – social reintegration, and investment in new interventions around hepatitis C and overdose prevention. ‘Signs that current policies have found traction in some important areas must be viewed in the light of a drugs problem that […]

DDN120207

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[…] be effectively treated in primar y practice. Others with par ticularly complex problems, including mental health issues, child care concerns andsevere physical health problems such as alcoholic hepatitis, are referred to the statutory treatment services for more intensive input. It is anticipated that each clinic will offer brief inter vention programmes to around 50 […]

Liver disease stats map out stark inequalities

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[…] to more than 30 in Blackpool. Liver disease now accounts for nearly 12 per cent of total deaths among men in their 40s, with alcohol, obesity and hepatitis B and C responsible for 90 per cent of cases. Hospital admissions for liver cirrhosis have doubled over the last decade, says PHE, although there are […]

DDN290107

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[…] clinic. During the 15-month study period, most of the women stayed in contact with services for more than six months. They were offered testing for HIV and hepatitis B and C, treatment for sexually transmitted infections, and care for infected injection sites, abscesses and deep vein thrombosis. Most of the women had begun working […]

Media savvy

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[…] its drug problem, would instantly become a magnet for drug users and dealers alike. Shooting galleries are also public health hazards, with increased rates of HIV and hepatitis. Melanie Phillips, Mail, 18 April  It will not be long before your home town has special places where drug abusers can poke or snort poison into […]

DDN150107

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[…] health risks through health education.’ Ms Salazar told delegates that the government’s ‘sensible drinking’ levels of 14 units a week did not necessarily relate to people with hepatitis C, mental health problems or the young and old and risked seriously compromising their health. ‘ We need to be more specific with the information we […]

Harm reduction worldwide has ‘stalled’, warns HRI

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[…] ‘already strong arguments for increasing the availability of naloxone and DCRs’. There are an estimated 15.6m people worldwide who inject drugs, with more than half living with hepatitis C and almost one in five living with HIV. Harm reduction in prisons remains ‘in a worse state than in the community’, the report adds, with […]

New liver cancer support service launched

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[…] an emergency setting, such as A&E. The disease is most common in people who already have liver disease, especially cirrhosis, which is most often caused by alcohol, hepatitis or obesity. The service has been launched ‘so that everyone living with liver cancer has better access to high-quality information and we can better advocate on […]

DDN050711

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[…] to 12. Support | User magazines www.drinkanddrugs.net 12 | drinkanddrugsnews | 11 July 2005 Doseon the internet. He put stories from the site into his newly created Heroin Herald and sent them to ‘places to do with ser vice users’ from a director y of south east Wales. These early editions were all about getting information out, particularly about  Hepatitis C – ‘because it wassuch an epidemic. I found stuff that I didn’t know, so I knew other users didn’t know it – and they needed to.’ There was no concept of getting a response from readers at this stage, says David. That came later, when he star ted coming across feedback.  ‘I used to send it to the psychiatric hospital where people used to go for detox. I thought they would probably rip it up, but I was speaking to one of the nurses and he said "is it you who writes that? It’s brilliant, it goes round the wards and they were really impressed with it".’ Soon after, Inroads (an open When Colin Stewart-Tribe made contact with the Drugs and Homeless Initiative (DHI) in Bath, hehad hit rock bottom. In and out of recover […]

News Focus

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[…] it to be very problematic for the health of the individuals concerned. There have been a few deaths, and certainly a real transmission risk around HIV and hepatitis C. Maybe what we can say is that among some gay men who were engaged in risk activity, their risk is becoming even higher risk as […]

DDN1711

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[…] the job.’ Liverpool is estimated to have around 8,000 heroin and crack cocaine users, with half of the city’s injecting drug users thought to be infected with hepatitis C. ‘There was no provision of its kind in the whole of Liverpool before we launched – a structured regime with a completely drug and alcohol-free […]

The end, my friend

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[…] chronological age. So the likely cause of death for those in treatment has moved from overdose to chronic illness, with COPD, cancers and end-stage liver disease from hepatitis C now commonly listed on death certificates. I am as keen as anyone to promote recovery in the form of long-term abstinence, but also feel we […]

At the cutting edge

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[…] authorities are ‘chronically inadequate’ and PHE announces its review of the ‘growing problem’ of prescription drug dependency. On a more positive note, the NHS states that its hepatitis C strategy could see England become the first country to eliminate the virus. FEBRUARY Get Connected, DDN’s eleventh annual service user conference, sees another vibrant day […]

December 2018

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[…] been in full swing and we have reports from HIT Hot Topics (page 12) and the GPs’ conference (page 16). Our write-up of the LJWG’s event on hepatitis C will be in our next issue. The themes may be recurring but there are many new ideas, fresh inspiration and invigorating debates. At HIT there […]

DDN 050516

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[…] is about running inpatient detoxification for high-risk clients and providing highly skilled psychological inter ventions. There’s no suggestion that primar y care should manage combination therapy for hepatitis C virus. There are also complex social needs, eg homelessness, which it would be impractical to respond to in conventional primary care. And what about sitting […]

Recovery focus for updated ‘Orange Book’

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[…] chaired the working group that updated the 2007 version – in his introduction. While there had been positive developments in areas including peer support, mutual aid and hepatitis C treatment, there remained ‘marked weakness’ in support for social integration, such as housing and employment. The treatment landscape had also changed dramatically since the last […]

DDN September 2022

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[…] trauma that underlies most addiction problems (p8). People with lived experience have been vital to the development and success of essential parts of the treatment system, including hepatitis C initiatives (p10 & 16). Let’s also remember (p25) that they are vital to designing a harm reduction system that makes sense. Starting this month, our […]

My Recovery My Choice

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[…] organisations including CRI, Addaction, Adfam and the Scottish Drugs Forum. The programme is looking to extend its outreach through collaborative development of content relating to keeping healthy, hepatitis C infection and alcohol use. The focus remains to provide those affected with meaningful information and non-judgemental support to help them decide what, if any, steps […]

Make It Happen! programme

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[…] ‘Perspectives’, chaired by Alistair Sinclair, UKRF Naloxone – Nigel Brunsdon, Injecting Advice and HIT Visible recovery – Lancashire User Forum (LUF) Hep C van – Jim Conneely, Hepatitis C Trust The case for drug consumption rooms – Philippe Bonnet, founder of the Independent Consortium on Drug Consumption Rooms UK recovery communities – Lester Morse, East […]

False economies

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[…] nation­al naloxone programme, work on quality development and service improvement, strong user involvement including a programme to train people in recovery to join the workforce, programmes on hepatitis and needle exchange, and work with the Scottish Prison Service, including dealing with NPS in prisons. The absence of a clear pathway to the drug and […]

Cannabis four times stronger than 25 years ago 

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[…] ‘develop sustainable solutions to drug use’, the document says.  More than 11m people worldwide are now estimated to inject drugs, around half of whom are living with hepatitis C. The number of daily doses of methadone and buprenorphine has risen from 557m in 1999 to 3,317m, a six-fold increase.  In common with recent reports […]

DDN 050321

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[…] What you need to know Bins & Needles 16th May – Safer Injecting & Harm Reduction Crack Awareness & Users Needs 25th May Personality Disorders 8th June Hepatitis B & C 15th June – Routes and Pathways Drugs & Housing 16th June Working with Diversity 24th June 2 day courses (£180 + VAT) Motivational […]

Soapbox

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[…] for, nor seeking, abstinence. This approach furthermore minimises the importance of such proven public health measures as needle and syringe programmes (NSP), HIV treatment and testing, comprehensive hepatitis services, and overdose prevention. Whatever one’s views on the value of the use of the term ‘recovery’ (I personally do not find it helpful, as I […]

Adfam at 40

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[…] this include the BEAD project supporting those bereaved through substance misuse, working with families of veterans with substance misuse problems, families of gamblers, families of people with hepatitis C or who inject drugs, those experiencing child-parent violence and abuse, families supporting a loved one with a dual diagnosis, or Foetal Alcohol Spectrum Disorder (FASD). […]

DDN3006

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[…] to smoking or injecting heroin. MMT programmes allow monitoring of family relationships, including quality of parenting and domestic violence. Also, by offering comprehensive advice and testing for hepatitis C, HIV and sexually transmitted diseases, the prevalence of these con- ditions are likely to decrease. Social suppor t networks and counselling can assist with personal […]

The long road

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[…] bounds compared to how it used to be but for some reason there’s still reluctance in some places, which I’ll never understand,’ peer support lead at the Hepatitis C Trust and longstanding naloxone champion, Philippe Bonnet, tells DDN. ‘You’ve got some housing providers who still don’t want naloxone on their premises, for example. It […]

DDN110906

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[…] particular problems experienced by the individuals who come into contact with drug and alcohol workers, such as: ● Negative mood and behaviour ● Living with illness e.g. hepatitis C, alcoholic liver disease ● Eating healthily on low income Participants will look at ways that they can introduce healthy eating into their treatment programmes, with […]

Overdose prevention centres could save ‘thousands’ of lives, says major evidence review

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[…] as consumption rooms – have reportedly safely managed ‘hundreds, in some cases, thousands’ of overdoses, ‘saving many lives’. Researchers also found evidence of prevention of HIV and hepatitis transmission through reduced sharing of injecting equipment, as well as referrals to drug treatment and other support and collection of valuable data for health services. The […]

Problem drug use ‘not a personal failing’, says SDF manifesto

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[…] ‘who could benefit from treatment are actively engaged’, it says, while successful local harm reduction initiatives should be rolled out nationally, with increased investment for HIV and hepatitis testing for anyone with a history of injecting drugs. Services for women also need to be urgently improved, says SDF, to help reduce deaths and ensure […]

‘We’re in danger of undervaluing vital healthcare’

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[…] template (see the letter on shared care, page 12). Any straightforward opportunity to save lives should be an obvious move (page 6), and we hope that our hepatitis C supplement will contribute to this important public health initiative – visit our website to share the pdf and order free printed copies. Let’s all do […]

Another record year for England and Wales drug deaths

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[…] issues as a result. Through measures such as increased provision of naloxone, easier access to safe needles and syringes, and testing and treatment for diseases such as hepatitis C, Humankind is focused on ensuring that people who use drugs face fewer risks.’ From a statement by Humankind **** Niamh Eastwood, Release ‘AN UTTER DISGRACE […]