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© National Harm Raduction Conference Tbilisi 2019 

Exhibition of Harm Reduction Best Practices

National Harm Reduction Conference conducts a modeled exhibition of internationally approved best practices and services of Harm Reduction, which are not available in Georgia.

Exhibition acts as an advocacy installation to inform decision makers about different harm reduction practices and convince them to invest into and expand harm reduction programming. 

Exhibition provides visualized prove on diversity of harm reduction and potential impacts on well-being of individual and outcomes of public health.  

Following Harm Reduction Best Practices will be exhibited: 

Drug Consumption Room

Exhibition Booth №1

Drug Consumption Room - Supervised drug consumption facilities, where illicit drugs can be used under the supervision of trained staff and aims to reduce the acute risks of disease transmission through unhygienic injecting, prevent drug-related overdose deaths and connect high-risk drug users with addiction treatment and other health and social services. Facilities also to contribute to a reduction in drug use in public places and the presence of discarded needles and other related public order problems linked with open drug scenes.

Safe Consumption Equipment and Materials

Exhibition Booth №2

  • Cookers - Sterile cups or spoons used to transform powder, solid or tablet forms into a solution that can be injected. Practice prevents transmission of HIV, HCV and other blood borne pathogens from the re-use of cookers or spoons. Cookers do not contain harmful products or chemicals so the user will not be harmed when the product is heated

 

  • Filters - Filters are used on the tips of the needles to prevent any undissolved particles of the drug and other debris from entering the veins through the syringe. To prevent the transmission of HIV, HCV and other blood borne pathogens, and to prevent deep vein thrombosis (DVT) from the re-use of filters. 

 

  • Ascorbic Acid - Acidifiers are used to convert insoluble drugs like brown heroin or crack-cocaine into a water-soluble, injectable form by adding an acid. Use the smallest possible amount of ascorbic acid to dissolve drugs to reduce the risk of vein damage and bacterial or fungal infections associated with the use of other types of acidifier.

 

  • Bowl Pipes and Glass Stems - Equipment used to smoke crack or other drugs. A pipe or glass stem is used to heat a solid drug (or rock) and direct the vapours towards the user’s mouth. Since glass is a conductor of heat, a protective mouth piece to protect the lips from burns is placed on one end of the stem. To prevent the transmission of HIV, HCV and other blood borne pathogens through the sharing of equipment.

 

  • ‘’NeverShare’’ – The colored syringes that acts a preventive measure to avoid sharing of needles during consumption.

 

  • Nasal Naloxone - Reducing fatal drug overdoses remains an important challenge for public health policy. Naloxone - a pharmaceutical drug used to reverse respiratory depression caused by opioid overdose - has been widely used in emergency medicine. Research shows that many opioid overdoses occur in the presence of bystanders, who, if empowered to act appropriately, have the potential to save lives while waiting for emergency services to arrive at the scene. Whereas the use of a syringe can be an obstacle for non-medical responders, administration via nasal spray will offer advantages for wider dissemination of the intervention.

Drug Checking 

Exhibition Booth №3

Drug checking, also known as pill testing or adulterant screening, is a harm reduction service that helps drug users avoid ingesting unknown and potentially more dangerous adulterants found in street drugs. Drug checking services also assist emergency medical professionals and public health agencies in identifying trends in illicit drug markets, so they can better serve the needs of the community.

Heroin Assisted Treatment (HAT)

Exhibition Booth №4

Supervised injectable heroin treatment has emerged as a potentially important intensive second-line treatment for entrenched heroin addicts for whom previous orthodox treatments (i.e. oral methadone maintenance treatment or residential rehabilitation) have produced little benefit. HAT lead to major reductions in participants’ use of illicit heroin; and major disengagement from criminal activities, such as acquisitive crime to fund their drug use. The reduction in consumption of illicit heroin by those entering a HAT programme (and the absence of any increase in new users) could substantially reduce the scale of the illicit heroin market, depriving organized criminals of resources.

Syringe Vending Machines (SVM)

Exhibition Booth №5

are effective and cost-effective intervention to supplement the standard NSP, to reach hard to reach groups such as young injectors and women, and to cover geographical areas, where fixed or mobile NSPs do not operate. The rationale for installing syringe vending machines is to make sterile injecting equipment available to people who, for a variety of reasons, cannot obtain it from other outlets, or prefer not to do so. The intention is that the vending machines supplement, not replace, the services provided by the existing NSP outlets. Evidence suggests that in addition to increasing after-hours access for regular NSP service users, SVMs are successful in reaching IDUs that do not normally attend fixed site NSPs, such as younger PWIDs and women. SVMs are effective approach to provide service to beneficiaries in geographical areas that are not covered by traditional (fixed or mobile) NSP services