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 [HIV/HCV]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
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: Stop bleeding
Best: Hold a cotton ball over the injection site as you slide the needle out, cover with a Band Aid.
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 can slow down clotting and delay wound healing.
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, Hep C sticks around old cookers for days.
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 (your skin)!
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 before injecting.
Cottons: To filter out cutts, prevent clots, blood infections
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 blood infection
Tourniquet: Makes injection hole smaller, lessens 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
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
Fentanyl Test Strips
Safer Smoking Kits
Other ways to ingest
Naloxone Kits