HARM REDUCTION
Order Free Naloxone and Fentanyl/Xylazine Test Strips
Harm Reduction is a set of practical strategies and ideas that aim to reduce the negative consequences associated with substance use. It is also a movement for social justice built on a belief in and respect for, the rights of people who use drugs. Harm reduction accepts, for better or worse, that licit and illicit drug use is part of our world and chooses to work to minimize its harmful effects rather than simply ignore or condemn them. Harm reduction comes in different forms: syringe exchange, test strips, naloxone/narcan, safe smoking kits, HIV, STI, and HCV testing and treatment, wound care, etc.In 2022, there was a $26 billion settlement with pharmaceutical companies for their roles in creating and fueling the opioid epidemic. These funds are invested in opioid treatment, education, and prevention efforts throughout California, both the state and local levels. The City of Long Beach received a portion of these funds to respond to the opioid crisis. These funds will help educate the community about opioids, prevent overdoses and deaths by providing harm reduction supplies, and reduce barriers for substance use treatment and resources.
The Harm Reduction Distribution program’s goal is to provide supplies to the community of Long Beach free of charge, so that individuals who use drugs or individuals who know people who use drugs do not have any barriers accessing materials that will allow for safe drug use.
2018 - 2022 Opioid Overdose Report
National Harm Reduction Coalition: Harm Reduction Principles
 Youth Opioid Awareness Campaign |
 HIV Syndemic Policy Program |
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 Trainings |
 Community and Provider Resources |
 Data Reports |
The Harm Reduction Program works directly with other programs in the public health department. Find more information on:
Contact Information:
For more information, contact the Harm Reduction Program at:
harmreduction@longbeach.gov
Ismael Salamanca - HIV/STI and Harm Reduction Syndemic Strategy Supervisor
ish.salamanca@longbeach.gov
Frequently Asked Questions
A class of drugs that are commonly known as pain relievers/narcotics. They interact with the brain and body to decrease pain. Other effects, including euphoria (happiness) and relaxation, make opioids highly addictive. The most common opioids are those that are prescribed by health care providers for pain. Illegal opioids include Heroin and street Fentanyl. Opioids prescribed by a health care provider are primarily used for short durations. Long term use or misuse of these drugs can lead to addiction and sometimes overdose and death.
List of Common Opioids
- Percocet (Oxycodone and Acetaminophen)
- Vicodin (Hydrocodone and Acetaminophen)
- Norco (Hydrocodone and Acetaminophen)
- Morphine
- Fentanyl
- Heroin
- Codeine
- Dilaudid (Hydromorphone)
- Methadone
- Buprenorphine
The opioid epidemic has plagued the country for many decades. There have been three/four distinct waves of the opioid epidemic.
The first wave began with increased prescribing of opioids in the 1990s, with overdose deaths involving prescription opioids (natural and semi-synthetic opioids and methadone) increasing since at least 1999.
The second wave began in 2010, with rapid increases in overdose deaths involving heroin.
The third wave began in 2013, with significant increases in overdose deaths involving synthetic opioids, particularly those involving illicitly manufactured fentanyl without stimulants. The Fourth Wave began in 2015, with significant increases in overdose rates involving illicitly manufactured fentanyl and stimulants including methamphetamines and cocaine.
The market for illicitly manufactured fentanyl continues to change, and it can be found in combination with heroin, counterfeit pills, and cocaine.
Understanding the Opioid Overdose Epidemic | Opioids | CDC
Fentanyl is a potent, synthetic opioid that is 50-100 times more potent than Morphine. Normally, used for severe pain and medical procedures, it has caused a significant increase in overdose deaths due to illicitly manufactured fentanyl. This form of Fentanyl has contaminated various illicit drugs like heroin, methamphetamine, ecstasy, and cocaine, as well as counterfeit pills.
Taking opioids when not prescribed or as directed can have significant negative outcomes on your overall health and well-being. Opioids are highly addictive and people may exhibit certain signs when they are misusing them:
- Regularly taking an opioid in a way not intended by the doctor who prescribed it, including taking more than the prescribed dose or taking the drug for the way it makes a person feel
- Taking opioids "just in case," even when not in pain
- Mood changes
- Changes in sleep patterns
- Borrowing medication from other people or "losing" medications so that more prescriptions must be written
- “Drug Seeking”- seeking the same prescription from multiple doctors to have a "backup" supply
- Poor decision-making, including putting themselves and others in danger
Have a discussion with your provider about the medications and if they are the best choice for you. There are other options to treat pain, including non-opioid medications and alternative therapies that do not include medications. Below is a list of questions to ask them:
- Why do I need this medication - is it right for me?
- How long should I take this medication?
- Are there non-opioid alternatives that could help with pain relief while I recover?
- How can I reduce the risk of potential side effects from this medication?
- What if I have a history of addiction with tobacco, alcohol or drugs?
- What if there is a history of addiction in my family?
- Could this treatment interact with my other medications?
- Can I share this medication with someone else? Why not?
- How should I store my opioid medication to prevent other people from taking it?
- What should I do with unused opioid medicine?
- Can I have a prescription for naloxone?
Facilities
Main Health Facilities Center
2525 Grand Avenue
Long Beach, CA 90815
Phone: (562) 570-4000
Multi-Service Center for the Homeless »
1301 West 12th Street
Long Beach, CA 90813
Phone: (562) 570-4500
Fax: (562) 570-8234
Ronald R. Arias Health Equity Center - Center for Family and Youth »
6335 Myrtle Avenue
Long Beach, CA 90805
Phone: (562) 570-3300
Fax: (562) 570-3306
Other Facilities »
