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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 not all harm reduction organizations or programs are in need of universal precautions or OSHA considerations, most are. It’s important when setting up a harm reduction space to take into consideration the important and real risks of harm reduction work. This includes the potential for entry and exposure to blood-borne pathogens as well as airborne pathogens.
Mobile harm reduction services come in many forms—each shaped by local needs, available resources, and the creativity of the people providing care. From backpack outreach to vans, bikes, and home delivery, these models offer flexibility, build trust, and reach people who may never visit a fixed site. This section explores the unique strengths and limitations of different mobile approaches