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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. 

Medical gloves should be worn whenever handling exposed or used supplies, especially those that might be used to prepare or use injection drugs such as syringes, cottons, cookers, tourniquets, and ascorbic acid. Gloves should be changed often, especially between activities or participants.
When someone is agitated or in distress, how we carry ourselves can make a huge difference. Non-verbal cues—like posture, breathing, and personal space—can either calm a situation or escalate it further. The following tips offer guidance on using body language to reduce tension, show respect, and create a safer, more grounded interaction.