Im Grabber 2 0 Crack Cocaine

Over the last few months, I have been volunteering at the largest needle exchange in the PNW (and possibly beyond). 'Exchange' is misleading because we do not require anyone to turn in dirty needles to get clean ones. We give up to 300 needles per day per person (and sometimes more if they say they are from out of town or have other people who aren't with them when picking up). Studies have shown that requiring an exchange does not decrease the amount of dirty needles found on the ground, and only increases the chance that people will re-use a needle. [insert citation here, I read a peer-reviewed article on this once, but can't find it right now] My favorite part of volunteering with this group is that we hand out crack kits (stem, brillo, pusher, a piece of plastic tubing to protect your lips from being burned, and a condom (studies show sexual activity is higher among cocaine users)) to smoke crack with.

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And glass bubbles to smoke meth with (in 2 different sizes). People regularly say they would not inject if they had pipes to smoke out of, so this is some excellent harm reduction. We also have 'snort kits' since sharing straws or using a key to rail drugs is not brilliant. It is remotely possible for Hep.

C to be transmitted via a shared straw since your nose will likely bleed a little when insufflating enough drugs (usually invisible amounts). (Fair note: last I read, the science is not settled on this). And keys for bumps are covered in bacteria (as are bills that have been rolled up to be straws). We also give away pregnancy tests on Tuesdays (which is a women-only volunteer shift), provide Hep. C treatment on Fridays (via a local clinic), and DanceSafe does drug testing on Fridays as well. And we have a handful of 'wound care/first-aid' kits available each day for the first people who ask.

Plus, there is usually free food/drink provided by a local mission/group/food bank on-site. And occasionally we get donations of clothing, bottled water, backpacks, kids toys, etc to give away. We do not ID and are extremely low-barrier to access. But honestly, not that many underage people show up in my experience. We also deliver supplies 1 day per week in like 3-5 counties (you request stuff online). And there is a rack with pamphlets on harm reduction (aka safer drug use), local missions, free meal services, shelter information, county health/housing/medical information, and drug treatment information.

And free condoms. There are several kinds of tips/barrels/syringes available, but 75% of people want the standard 1CC, 28G, 1/2' tip insulin needles (aka 'ones' or 'cleans'). We also have ones in 27G, 29G, and 30G (which has a 5/16' tip -- aka bee-stingers). These are used for veins; the higher the gauge the smaller the needle. If you are injecting into your hands or feet, you want a smaller needle. There are 2 types of the standard 28G 1CC 1/2' tip syringes: Easy-Touch (by far the most common; the ones with the orange caps) and BD. BD barrels are not lubricated as much as the Easy-Touch barrels and take a lot more force to push the plunger.

Older-school IV users tend to prefer BD's, because that's what they learned on. But 95% of people want Easy-Touch. When giving out needles, we make sure to tell the person all of these details to make sure they are getting what they expect. We also carry bigger syringes that are used for 'muscling' drugs (aka IM) -- opiates sometimes (if all your veins are gone), but more often hormones or steroids. These come in 1CC ('specials') and 3CC ('3's') -- both of which have removable tips.