01/02/2024
2023 Year in Review
Well, we had a very busy year! First, by the numbers:
933 overdose reversals with our naloxone program—there were 44 reversals in January 2023 and 110 in December 2023, as we saw a steady increase throughout the year. This is also 310 more than last year's number, which was itself double the year before (2021=301; 2022=632; 2023=933)
More than 320 clients served across all programs, including our HIV/AIDS case management service, diversion programs, low-barrier opioid treatment program, stimulant abstinence program, and care coordination program.
More than 330,000 syringes exchanged across our 3 syringe services program sites, and more than 11,000 safer smoking kits distributed. These are among our most controversial programs, however they continue to keep people engaged in care, providing access to basic wound care, entry into treatment and diversion, and lowering their chance of infection.
We tested more than 335 specimens in our drug checking program, finding xylazine, a non-opioid sedative, in our work more than a dozen times, more recently paired with fentanyl. This is of great concern to us, as xylazine is not reversible with naloxone. We also generally saw an increase in concentration of fentanyl when fentanyl was present, over the course of the year in our testing. Among our samples, which we do not know to be representative of what's available on the underground market, substances may be getting more potent.
We helped cure more than 5 people of chronic hepatitis C with our treatment program, and more than 115 people started opioid treatment with us this year.
Takeaways from the year:
Our clients have ongoing medical needs, and their status of living with HIV/AIDS or with substance use disorder is often getting in the way of their care. Due to stigma, some people are afraid of talking openly with their providers, and some providers are not willing or able to perform treatment. _Until buprenorphine and methadone are easier to obtain than fentanyl, we are going to continue to see great harm from this crisis._
Many people in our communities agree on what the problems are in our midst, but solutions are underfunded and this clouds the policy debate because it often isn't clear whether failures are due to ideas or the ex*****on of those ideas.
Housing, domestic violence, and mental health instability continue to come up as big barriers to care for many of our clients. These are all huge systems that themselves need reform. Champions for reform in those ares need to meet with each other and those of us working in behavioral and community health so we can align our strategies and make a bigger impact for the people we serve. This will require reaching across the political spectrum and trying new approaches.
We look forward to doing more good work in 2024! Thank you all for your tremendous support.