Harm reduction calls to action from young people who use drugs on the streets of Vancouver and Lisbon

In Vancouver and Lisbon, drug user activists and their allies have waged fierce battles for these policy reforms. There is no question that hard-won interventions like syringe exchanges, low-barrier OAT programs, peer-to-peer overdose prevention (naloxone) programs, and drug consumption sites save lives. However, we challenge the notion that internationally celebrated places like Lisbon and Vancouver are meeting the harm reduction needs of young people who use drugs (YPWUD; referring here to individuals between the ages of 14 and 29).