{"id":34744,"date":"2025-08-25T12:53:37","date_gmt":"2025-08-25T12:53:37","guid":{"rendered":"http:\/\/medexperts.pro\/?p=34744"},"modified":"2025-08-27T00:23:50","modified_gmt":"2025-08-27T00:23:50","slug":"cities-move-away-from-strategies-that-make-drug-use-safer","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=34744","title":{"rendered":"Cities Move Away From Strategies That Make Drug Use Safer"},"content":{"rendered":"<div><\/div>\n<p id=\"article-summary\" class=\"css-79rysd e1wiw3jv0\">San Francisco, Philadelphia and others are retreating from \u201charm reduction\u201d strategies that have helped reduce deaths but which critics, including Trump, say have contributed to pervasive public drug use.<\/p>\n<section class=\"meteredContent css-ar1ez3\">\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">As fentanyl propelled overdose deaths to ever more alarming numbers several years ago, public health officials throughout the United States stepped up a blunt, pragmatic response. Desperate to save lives, they tried making drug use safer.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">To prevent life-threatening infections, more states authorized needle exchanges, where drug users could get sterile syringes as well as alcohol wipes, rubber ties and cookers. Dipsticks that test drugs for fentanyl were distributed to college campuses and music festivals. Millions of overdose reversal nasal sprays went to homeless encampments, schools, libraries and businesses. And in 2021, for the first time, the federal government dedicated <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2022\/02\/21\/us\/politics\/biden-harm-reduction-crack-pipes.html\" title>funds<\/a> to many of the tactics, collectively known as harm reduction.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The strategy helped. By mid-2023, overdose deaths began dropping. Last year, there were an estimated 80,391 drug overdose deaths in the United States, down from 110,037 in 2023, <a class=\"css-yywogo\" href=\"https:\/\/www.cdc.gov\/nchs\/pressroom\/nchs_press_releases\/2025\/20250514.htm\" title rel=\"noopener noreferrer\" target=\"_blank\">according to provisional data<\/a> from the Centers for Disease Control and Prevention.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Now, across the country, states and communities are <a class=\"css-yywogo\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40484964\/\" title rel=\"noopener noreferrer\" target=\"_blank\">turning away from<\/a> harm reduction strategies.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Last month, President Trump, vowing to end \u201ccrime and disorder on America\u2019s streets,\u201d issued a far-flung <a class=\"css-yywogo\" href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/07\/ending-crime-and-disorder-on-americas-streets\/\" title rel=\"noopener noreferrer\" target=\"_blank\">executive order<\/a> that included a blast at harm reduction programs which, he said, \u201conly facilitate illegal drug use and its attendant harm.\u201d<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"Dropzone-1\"><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">But his words, implicitly linking harm reduction to unsafe streets, echoed a sentiment that had already been building in many places, including some of the country\u2019s most liberal cities.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">San Francisco\u2019s new mayor, Daniel Lurie, a Democrat who campaigned on a pledge to tackle addiction and street chaos, announced this spring that the city would step away from harm reduction as its drug policy and instead embrace <a class=\"css-yywogo\" href=\"https:\/\/www.sf.gov\/news-mayor-lurie-signs-supervisor-dorsey-recovery-first-legislation-building-on-work-to-tackle-behavioral-health-and-homelessness-crisis\" title rel=\"noopener noreferrer\" target=\"_blank\">\u201crecovery first,\u201d<\/a> aspiring to get more people into treatment and long-term recovery. He <a class=\"css-yywogo\" href=\"https:\/\/www.kqed.org\/news\/12034214\/san-francisco-ends-health-programs-for-drug-users-not-active-in-treatment\" title rel=\"noopener noreferrer\" target=\"_blank\">banned city-funded distribution<\/a> of safe-use smoking supplies such as pipes and foil in public places like parks. A year earlier, San Francisco voters had signaled their restiveness with pervasive drug use by approving a <a class=\"css-yywogo\" href=\"https:\/\/www.sfhsa.org\/proposition-f\" title rel=\"noopener noreferrer\" target=\"_blank\">measure stipulating<\/a> that some recipients of public assistance who repeatedly refused drug treatment could lose cash benefits.<\/p>\n<div class=\"css-kbghgg\">\n<div class=\"css-121kum4\">\n<div class=\"css-171d1bw\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\" data-tpl=\"t\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F08%2F25%2Fhealth%2Fharm-reduction-san-francisco-trump.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F08%2F25%2Fhealth%2Fharm-reduction-san-francisco-trump.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\" data-tpl=\"t\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F08%2F25%2Fhealth%2Fharm-reduction-san-francisco-trump.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\" data-tpl=\"t\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F08%2F25%2Fhealth%2Fharm-reduction-san-francisco-trump.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>San Francisco, Philadelphia and others are retreating from \u201charm reduction\u201d strategies that have helped reduce deaths but which critics, including Trump, say have contributed to pervasive public drug use.As fentanyl propelled overdose deaths to ever more alarming numbers several years ago, public health officials throughout the United States stepped up a blunt, pragmatic response. Desperate to save lives, they tried making drug use safer.To prevent life-threatening infections, more states authorized needle exchanges, where drug users could get sterile syringes as well as alcohol wipes, rubber ties and cookers. Dipsticks that test drugs for fentanyl were distributed to college campuses and music festivals. Millions of overdose reversal nasal sprays went to homeless encampments, schools, libraries and businesses. And in 2021, for the first time, the federal government dedicated funds to many of the tactics, collectively known as harm reduction.The strategy helped. By mid-2023, overdose deaths began dropping. Last year, there were an estimated 80,391 drug overdose deaths in the United States, down from 110,037 in 2023, according to provisional data from the Centers for Disease Control and Prevention.Now, across the country, states and communities are turning away from harm reduction strategies.Last month, President Trump, vowing to end \u201ccrime and disorder on America\u2019s streets,\u201d issued a far-flung executive order that included a blast at harm reduction programs which, he said, \u201conly facilitate illegal drug use and its attendant harm.\u201dBut his words, implicitly linking harm reduction to unsafe streets, echoed a sentiment that had already been building in many places, including some of the country\u2019s most liberal cities.San Francisco\u2019s new mayor, Daniel Lurie, a Democrat who campaigned on a pledge to tackle addiction and street chaos, announced this spring that the city would step away from harm reduction as its drug policy and instead embrace \u201crecovery first,\u201d aspiring to get more people into treatment and long-term recovery. He banned city-funded distribution of safe-use smoking supplies such as pipes and foil in public places like parks. A year earlier, San Francisco voters had signaled their restiveness with pervasive drug use by approving a measure stipulating that some recipients of public assistance who repeatedly refused drug treatment could lose cash benefits.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":34746,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-34744","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/34744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34744"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/34744\/revisions"}],"predecessor-version":[{"id":34747,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/34744\/revisions\/34747"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/34746"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}