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Universal Precautions: Environmental Cleanup

Harm reduction providers should, as a matter of course, include environmental cleanup of syringe litter and paraphernalia in and around where they provide services. The benefits of providing this kind of cleanup cannot be overstated. Not only will you be able to prevent needlestick injury in the community, you’ll also create goodwill with neighbors and others.

In order to do this properly, workers should never handle used sharps or supplies with bare hands. Instead, they should wear medical or work gloves and use tongs or other tools to pick up each syringe or piece of litter, one at a time, putting them in a sharps container. Workers should also wear gloves.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Though largely unsupported by scientific evidence, the dangers of needle stick injury loom large in the popular imagination. As a result, the emotional response to needle stick injury can be intense even if, statistically, the risks are quite low. For this reason, if no other, it’s essential that harm reduction organizations be prepared for how they might deal with such an eventuality.
The most important first step when it comes to preventing escalated situations is having a good sense of personal and professional boundaries when doing the work.