S1E57 - Nadia on Harm Reduction

Episode Summary

Margaret and Nadia talk about harm reduction, what it is, how it relates to community preparedness, strategies for including harm reduction in your preparedness routines, and a little bit of history and legality as relates to different kinds of drug use.

Guest Info

Nadia works with Next Distro and can be found at https://nextdistro.org/

Host Info

Margaret can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy.

Publisher Info

This show is published by Strangers in A Tangled Wilderness. We can be found at www.tangledwilderness.org, or on Twitter @TangledWild and Instagram @Tangled_Wilderness. You can support the show on Patreon at www.patreon.com/strangersinatangledwilderness.

Transcript

LLWD: Nadia on Harm Reduction

Margaret 00:15 Hello, and welcome to Live Like the World is Dying, your podcast for what feels like the end times. I'm your host today, Margaret killjoy. And today, I am really excited about this episode, I think you'll all get a lot out of it. I guess I say that every time but I wouldn't record these episodes, if I didn't think you would get a lot out of them. Today, we are talking about harm reduction. And we were talking about preparedness that includes drug users. Because, if you think you don't know any drug users, you just don't know anyone who is willing to tell you that they're a drug user. And we will talk about that and a lot more. But first, this podcast is a proud member of the Channel Zero network of anarchists podcasts. And here's a jingle from another show on the network.

Margaret 01:01 Okay, we're back. And if you could introduce yourself with your name, your pronouns. And then kind of a little bit about your background about the kind of stuff that we're gonna be talking about today.

Nadia 01:52 Yeah, sure, hey, Margaret. My name is Nadia, I use they or she pronouns. And I am a harm reductionist, a drug user. And I have both worked at in-person syringe service programs, and currently work for an online meal based program, where we ship safer drinking supplies to folks all over the country.

Margaret 02:16 That's cool. So we talked about having you on, because we wanted to talk about preparedness that includes the drug users in your community, whether the person listening to this as drug user, or whether they care about drug users in their community. And I know it's a big open question, but I kind of wanted to ask you that. How prepare that?

Nadia 02:45 Well, you know, I think that when we talk about prepping, disaster prepping and harm reduction, they're really similar, because it's really boils down to a risk assessment and thinking critically, right? The world isn't black and white, it's not really an easy question to answer, for example, should I evacuate or not in a disaster? Similarly, how do I protect myself as a drug user, in a world that isn't concerned about my health or safety? And you know, for people who historically lack access to resources, and healthcare, I think talking about how to prepare or what readiness looks like, is especially important.

Margaret 03:28 So, I guess I kind of want to start with some of the practical questions. It's like, what are the things that one should do that are different from what one would otherwise do? Like I'm like thinking about like, even for my own sake, right. Like, I'm like, like people say, like, carry Narcan, for example, like, how does one access that? What is the shelf life on that? Is that a thing that if community like mutual aid groups or individuals who have like large stashes of things or whatever? Is it like worth having a bunch of. Is it depend on community access? Is it better to just like, specifically coordinate with existing harm reduction and like needle exchange groups in your area? Like, it seems to me that like, like, one of the prepper mindset things is like, "Oh, there's a thing I need, I should go out and get a bunch of it". Right? And my instinct here is that maybe that rather than run out and get a bunch of say, Narcan, it would be more about like, be aware of how people can access that and which groups do distribute that and then maybe have like enough for me to carry around? I don't know. Yeah, like, I guess let's start with Narcan. What's What's the Narcan?

Nadia 04:40 Sure. Um, so for folks that are listening that don't know, Narcan or naloxone is a medication that will reverse an opioid overdose. And you know, it, it should be kept in a relatively temperature stable area, but there's there's been a lot of studies on it. And they have shown that it maintains its efficacy, much past expiration dates and the kind of temperature parameters. So you don't want to keep it somewhere freezing or super hot, but it is more resilient than you think. And having some naloxone is better than having none. And you mentioned, you know, going out and sort of stocking up. And I think that this is a broader conversation about prepping too, the difference between being ready and hoarding, right, yeah, and sometimes that line definitely gets blurry. Do you really need 100 pounds of rice? Are you going to go through it before it gets bad? Do you have a proper place to store it? I mean, you can talk about naloxone in the same way. And you know, just like you can keep Narcan in your bag. If you're going to a show going to a bar, you can also keep some in your gobag, if you have one, to evacuate, for example.

Margaret 06:06 What's the....you know, I usually present myself as sort of the the person who pretends like she doesn't know what she's asking in these episodes, but I actually don't know as much about this as I would like. Alot of my friends are way more knowledgeable about this stuff. Like what is the difference between Narcan and naloxone? And how would I go about getting some to carry around with me?

Nadia 06:29 Sure. So Narcan is really just a brand name, that's the the nasal spray. Naloxone is the actual medication. You can pick it up from certain service programs in your area. If you don't have a needle exchange in your area, you can go just Google Next Distro. We mail Naloxone to folks, so just check the website, see if you live in a state or an area where we do that. But we do try to encourage people to sort of seek out resources where they live. But yeah, there's there's a lot of different organizations, everything from sort of anarchist collectives, running needle exchanges to health departments that are, you know, offering trainings and providing Narcan.

Margaret 07:19 What's the legality of it?

Nadia 07:21 So, as far as you know, carrying it with you, there is what is called a standing order. It's basically a sort of blanket prescription. You can go to the pharmacy, purchase Naloxone, it can be prohibitively expensive, especially if you don't have insurance, which is why I kind of mentioned, you know, needle exchanges and health departments first. But I think, you know, as far as having it on your person, it's not going to be a situation where it's illegal. However, we know that cops like to fuck with people. So if you do happen to have Naloxone, and you have syringes on you, I'm not goi