A Buffet of Syringes  Best: Literally everything new for every injection  OK: Reuse a couple of times and/or bleach if sharing  Please Avoid: Share with people (whose [sero]status) you know/are comfortable with

A Buffet of Syringes

Best: Literally everything new for every injection

OK: Reuse a couple of times and/or bleach if sharing

Please Avoid: Share with people (whose [sero]status) you know/are comfortable with

Personal biohazard disposal bin  Best: dispose of your used needle into a biohazard bin that cannot be tampered with.  OK: Recycling hard plastic containers, like laundry detergent bottles, to use as a biobin also works!

Personal biohazard disposal bin

Best: dispose of your used needle into a biohazard bin that cannot be tampered with.

OK: Recycling hard plastic containers, like laundry detergent bottles, to use as a biobin also works!

Personal biohazard disposal bin  OK: Recycling hard plastic containers, like laundry detergent bottles, to use as a biobin also works!  Please Avoid – breaking needle tips off the barrel, discarding syringes in public spaces.

Personal biohazard disposal bin

OK: Recycling hard plastic containers, like laundry detergent bottles, to use as a biobin also works!

Please Avoid – breaking needle tips off the barrel, discarding syringes in public spaces.

Band aids: Stopping the bleeding  Best: Hold a cotton ball over the injection site as you slide the needle out, cover with a bandaid.  OK: Tissue or other hygienic material  Please Avoid – wiping with alcohol pads. Common myth: Alcohol pads “clean” the injection site after making a shot. Wiping with an alcohol pad slows down clotting

Band aids: Stopping the bleeding

Best: Hold a cotton ball over the injection site as you slide the needle out, cover with a bandaid.

OK: Tissue or other hygienic material

Please Avoid – wiping with alcohol pads. Common myth: Alcohol pads “clean” the injection site after making a shot. Wiping with an alcohol pad slows down clotting

Cookers  Best: New “harm reduction” cooker caps every time  OK: Sterilize a spoon or bottle cap (wash with soap and water, wipe with alcohol, dry)  Please Avoid: Sharing or reusing cookers – bacteria grow quickly, HCV sticks around

Cookers

Best: New “harm reduction” cooker caps every time

OK: Sterilize a spoon or bottle cap (wash with soap and water, wipe with alcohol, dry)

Please Avoid: Sharing or reusing cookers – bacteria grow quickly, HCV sticks around


Waters  Best: Sterile water/saline strips (Addipaks)  Good: Tap water, sealed bottled water, boil water for 30 mins prior to injection  OK: Opened bottles of water, water from back of toilet  Please Avoid: Water from front of toilet, puddle/gutter water

Waters

Best: Sterile water/saline strips (Addipaks)

Good: Tap water, sealed bottled water, boil water for 30 mins prior to injection

OK: Opened bottles of water, water from back of toilet

Please Avoid: Water from front of toilet, puddle/gutter water

Alcohol Pads: Sterilize injection site!  Best: Soap and water, then alcohol wipe in outside spiral pattern  OK: Just alcohol pad; liquor (without sugar)  Please Avoid: Nothing. Please try to do something to wash off the injection site.

Alcohol Pads: Sterilize injection site!

Best: Soap and water, then alcohol wipe in outside spiral pattern

OK: Just alcohol pad; liquor (without sugar)

Please Avoid: Nothing. Please try to do something to wash off the injection site.

Cottons  Cottons Why? Filter out cutts, prevent clot/embolus  Best: Sterifilt (a single-use filter) Or new cotton for each new cooker for each new needle (each new shot)  OK: Q-Tip or tampon cotton  Risk: Long strands of cotton irritate veins; cause embolus  Meh: New cigarette butts  Risk: Cellulose, could inject fibers, trapped bacteria, viruses  Please Avoid: Old cottons  Risk: Likely full of bacteria, maybe viruses or even mold; could cause sepsis/bloodstream infection

Cottons

Cottons Why? Filter out cutts, prevent clot/embolus

Best: Sterifilt (a single-use filter) Or new cotton for each new cooker for each new needle (each new shot)

OK: Q-Tip or tampon cotton

Risk: Long strands of cotton irritate veins; cause embolus

Meh: New cigarette butts

Risk: Cellulose, could inject fibers, trapped bacteria, viruses

Please Avoid: Old cottons

Risk: Likely full of bacteria, maybe viruses or even mold; could cause sepsis/bloodstream infection

Tourniquet  Why: Makes hole smaller, reduces wound and healing time  How: After you’re in/register, release it first, go slow when injecting  Best: Hospital grade/harm reduction tourniquets  OK: Bike inner tube, something stretchy, someone’s hand above it  Please Avoid: Belts, none (although not end of the world)

Tourniquet

Why: Makes hole smaller, reduces wound and healing time

How: After you’re in/register, release it first, go slow when injecting

Best: Hospital grade/harm reduction tourniquets

OK: Bike inner tube, something stretchy, someone’s hand above it

Please Avoid: Belts, none (although not end of the world)

Condoms – in EVERY kit  Best: Get tested regularly and discuss your status with potential partners before deciding to have sex  Good: Safer sexual behaviors like manual instead of vaginal or anal penetration.  OK: Use barrier methods such as condoms, gloves, etc.  Please Avoid: Unprotected sex

Condoms – in EVERY kit

Best: Get tested regularly and discuss your status with potential partners before deciding to have sex

Good: Safer sexual behaviors like manual instead of vaginal or anal penetration.

OK: Use barrier methods such as condoms, gloves, etc.

Please Avoid: Unprotected sex

Safer Sniffing Kits

Safer Sniffing Kits

Fentanyl Test Strips

Fentanyl Test Strips

Safer Smoking Kits

Safer Smoking Kits

Other ways to ingest

Other ways to ingest

Naloxone Kits

Naloxone Kits