HARM REDUCTION 2 0 Bologna Italy 4 th

HARM REDUCTION 2. 0 Bologna Italy - 4 th March 2020 Mr. Cedric Charvet - Harm Reduction Senior Advisor De Regenboog Groep DCR - Manager INDCR International DCR Network - Manager Correlation - European Harm Reduction Network - Field Officer EFUS - European Forum Urban Security - External Consultant

PROGRAM ● ● ● PARTY INTERVENTION DRUG SAFETY TESTING DRUG MONITORING SYSTEM / DIMS ● ● ● RED ALERT APP EARLY WARNING SYSTEM HARM REDUCTION ON DARKNET

GOALS OF HARM REDUCTION HR 2. 0 all of the presented programs have in commun ● provide up-to-date information on drugs ● provide education on drugs , setting ● reduce mortality and harm associated to drug taking ● reach drug users outside of the addiction

PARTY INTERVENTION What is Party Intervention ? Drug education project where trained volunteers, recruited from the dance scene (but not only), educate their fellow party goers about the risks of alcohol and other drugs. What is the goal of Party Intervention? ● ● to reduce harm caused by the use of alcohol and other drugs. contribute to making a positive contribution to the image of the nightlife scene How does it work? ● volunteers answer questions in an open minded and objective way, being credible to partygoers because they are just like them. The peer educators provide information and advice (drugs setting)on the use of drugs. On the spot! Key Message? ● Think for yourself, care about others

INTERVENTION BASED ON DRUGS, SETTING Drugs Different agents have different effects. When you divide the resources into groups according to functioning you can distinguish three categories: narcotic, stimulating and consciousness-changing. UPPERS / DOWNERS / TRIPPERS Set The factor set refers to the characteristics of the user himself. You can think of the following things: Are you comfortable in your skin? What do you expect from the drug? Are you physically and mentally healthy? Do you use medication? Have you eaten and drunk enough in recent days (no alcohol)? What kind of clothing are you wearing (too warm, too cold, breathable fabric or, on the contrary, latex)? MINDSET Setting The setting means the environment. You can think of factors such as: What is the climate in which you use (cold or warm, humid)? How busy is it where you are? Is there free water provision? Is adequate help available? Have you used in an environment that is familiar to you? Have you used alone, with friends or with people you barely know? Was the environment in which you used busy or very quiet? awareness of risks > HARM REDUCTION

DRUG SAFETY TESTING GOALS OF ON SITE DRUG TESTING ● ● To help identify trends in the drug market and drug use; To identify substances (including adulterants and contaminants) causing medical problems To provide information to party goers / PREVENTION To engage with hard to reach user populations who are predominantly not in touch with drugs services and who are unlikely to get the opportunity to have any other advice or brief interventions. HARM REDUCTION ● To provide information that can be sent out relating to potentially hazardous substances in consultation with police and medical services to reduce drug related harm on site and to minimise the possibility of a major public safety incident. > DIMS > RED ALERT > EUROTOX/REITOX

DIMS Drugs Information and Monitoring System (DIMS). What new recreational drugs are appearing on the Dutch market? DIMS collects information via a national network of 31 OFF SITE test locations in the Netherlands. In 2018, users at the DIMS submitted more than 12, 000 samples, mainly of ecstasy, cocaine and speed, for testing on content. DIMS can follow what is for sale on the market for entertainment drugs, including the ecstasy market. For the institutions, this is a good way to get in touch with potential users and provide them with information about the risks of drug use (idem as ON-SITE TESTING). HARM REDUCTION / PREVENTION https: //vimeo. com/254496760

RED ALERT APP What does the Red Alert app offer to its users? ● ● ● ● Notifications with a drug Red Alert or if a pill is added to the "blacklist" Up to date and scientifically reliable information about extra dangerous pills (NL culture XTC) News and other messages about dangerous drugs Addresses to test drugs First Aid Tips for Drug Incidents 10 misunderstandings about drugs Tips to reduce the risks of drugs. https: //vimeo. com/254305209 The app is unique in its kind and is based entirely on scientific information, namely the database of the Drugs Information and Monitoring System (DIMS) of the Trimbos institute.

EARLY WARNING SYSTEM / EUROTOX BELGIUM Eurotox is an Early Warning System (EWS) in matters of new synthetic drugs (but not only). The early warning messages disseminated by Eurotox is based on the following information: ● ● ● analysis of “ecstasy” tablets or other products by toxicological analysis laboratories analysis of blood and urine samples by clinical biology laboratories Infor-Drogues hotline and e-permanence report clearly established by field workers report from a neighboring country report from authorities Eurotox being involved in a pyramid-type information dissemination system: Concretely, EWS messages are therefore essentially sent in electronic format to field workers and partners, who print them and distribute them to users if they deem it necessary.

EXAMPLE OF EARLY WARNING FROM EUROTOX 11 february 2020 As part of the Early Warning System (EWS), the Scientific Institute of Public Health (Sciensano) informed us of the identification of three tablets containing 6 - BR-DMPEA (or 2 -bromo- 4, 5 -dimethoxyphenethylamine) sold in the Netherlands as MDMA pills. These tablets have not yet been observed in Belgium but it is possible that they also circulate there. 6 -BR-DMPEA is a phenetylamine similar to 2 -CB (2, 5 -dimethoxy-4 -bromophenethylamine) which is a hallucinogenic substance. The risk linked to the consumption of a pill containing 2 -CB or its derivatives comes from the fact that the unexpected consumption of a hallucinogenic product strongly increases the risk of "bad trip". However, it appears that 6 -BR-DMPEA has little or no hallucinogenic effect when taken orally. Its toxicological profile is not yet known, its consumption is not recommended. See next slide

EXAMPLE OF EARLY WARNING FROM EUROTOX For any question about this alert, contact Eurotox: info@eurotox. org Dangerous components

ASSOCIATED MESSAGES ● ● ● Never consume alone! Start if possible with a quarter of a pill and wait +/- an hour to appreciate the effect! If after another hour you still do not feel the effects of the pill, wait before increasing the dose, Watch out for the overdose! Take ecstasy only if you are feeling good both physically and mentally. To avoid heat stroke (hyperthermia), drink 2 glasses of water per hour maximum. OTHER MESSAGES INCLUDE Ask for assistance (ADM example) Call emergency services 112 (emergency telephone number in Europe). Describe exactly what the person consumed: rest assured, the medical teams work in confidentiality and respect for professional secrecy, without the risk of legal proceedings. Describe the person's condition as follows: is he conscious or unconscious? Is she breathing or not? Is his heart beating or not? > FIRST AID

EXAMPLE OF EARLY WARNING FROM EUROTOX For any question about this alert, contact Eurotox: info@eurotox. org High concentration of MDMA

LAST GENERAL WARNING AMSTERDAM 2014 →

HARM REDUCTION ON DARKNET To date, in countries such as Russia, Ukraine, Belarus and Moldova, most drug users use so-called "new drugs” (NPS), buying them through "darknet" ("deep", "shadow" or "dark" Internet). Here are just a few figures on this. ● ~ 500 thousand people visit a Russian forum on the sale of psychoactive substances DAILY. ● The average number of subscribers of any Telegram channel on the subject of drugs is more than 100, 000 people, and there are several such channels. ● Per consequence: Access to psychoactive substances has become almost unlimited, and as a result we have a large number of new users of "new" drugs. ● New users who simply cannot be reached by traditional harm reduction and prevention programs, because using traditional methods - outreach and others - simply doesn't work/exist online. ● In 2018, DUNews, conducted an experience in Kiev, with the goal to develop an algorithm, that allows the introduction of traditional methods of prevention and harm reduction in an environment such as the "darknet". Because of the political climate DUNews had to do it as ; DESCRIPTION OF THE EXPERIENCE https: //www. youtube. com/watch? v=zr 8 CGc 3 G_tg

REFERENCES DEREGENBOOG www. deregenboog. org CORRELATION www. correlation-net. org INDCR www. drugconsumptionroom-international. org/ EFUS https: //efus. eu/en/ Party Intervetion > UNITY https: //www. unity. nl/ Drug Safety Testing > THE LOOP https: //wearetheloop. org/ Monitoring Drug Market > TRIMBOS DIMS https: //www. trimbos. nl/ Drug Testing > DRUG TEST JELLINEK https: //www. jellinek. nl Red Alert App > RED ALERT APP https: //www. drugsredalert. nl/ Early Warning System > EUROTOX https: //eurotox. org/ Darknet > DRUG USERS NEWS https: //drogriporter. hu/ Cedric Charvet - ccharvet@deregenboog. org

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