2010 - EMCDDA- Harm Reduction - Evidence, Impacts and Challenges.pdf

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IS S N 1606- 1691
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EMCDDA
MONOGRAPHS
Harm reduction:
evidence, impacts and challenges
EMCDDA
MONOGRAPHS
Harm reduction:
evidence, impacts and challenges
Editors
Tim Rhodes and Dagmar Hedrich
Legal notice
This publication of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)
is protected by copyright. The EMCDDA accepts no responsibility or liability for any
consequences arising from the use of the data contained in this document. The contents of
this publication do not necessarily reflect the official opinions of the EMCDDA’s partners,
the EU Member States or any institution or agency of the European Union or European
Communities.
A great deal of additional information on the European Union is available on the Internet. It
can be accessed through the Europa server (http://europa.eu).
Europe Direct is a service to help you find answers to your questions
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Cataloguing data can be found at the end of this publication.
Luxembourg: Publications Office of the European Union, 2010
ISBN 978-92-9168-419-9
doi: 10.2810/29497
© European Monitoring Centre for Drugs and Drug Addiction, 2010
Reproduction is authorised provided the source is acknowledged.
Printed in Spain
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rinted on white chlorine
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free PaPer
Cais do Sodré, 1249-289 Lisbon, Portugal
Tel. (351) 211 21 02 00 • Fax (351) 218 13 17 11
info@emcdda.europa.eu • www.emcdda.europa.eu
Contents
Foreword
Acknowledgements
Preface
7
11
13
Introduction
Chapter 1:
Harm reduction and the mainstream
Tim Rhodes and Dagmar Hedrich
19
Part I:
Chapter 2:
Background
The diffusion of harm reduction in Europe and beyond
Catherine Cook, Jamie Bridge and Gerry V. Stimson
37
Chapter 3:
The development of European drug policy and the place of harm
reduction within this
Susanne MacGregor and Marcus Whiting
59
Chapter 4:
Perspectives on harm reduction — what experts have to say
Harm reduction in an open and experimenting society
Jürgen Rehm and Benedikt Fischer
HCV prevention
—
a challenge for evidence-based harm reduction
Matthew Hickman
Broadening the scope and impact of harm reduction for HIV prevention,
treatment and care among injecting drug users
Andrew Ball
Translating evidence into action — challenges to scaling up
harm reduction in Europe and Central Asia
Rifat Atun and Michel Kazatchkine
People who use drugs and their role in harm reduction
Mat Southwell
Harm reduction — an ‘ethical’ perspective
Craig Fry
The ambiguity of harm reduction — goal or means,
and what constitutes harm?
Robin Room
79
79
85
89
94
101
104
108

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