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		<title>Remembering Peter Krykant, Who Knew Harm Reduction Couldn’t Wait</title>
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		<dc:creator><![CDATA[André Gomes]]></dc:creator>
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					<description><![CDATA[<p>It’s been a few months since Peter Krykant’s passing in June, at the age of 48. He hit the global ...</p>
<p>The post <a href="/peter-krykant-harm-reduction/">Remembering Peter Krykant, Who Knew Harm Reduction Couldn’t Wait</a> appeared first on <a href="/">Filter</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><span class="wpsdc-drop-cap">I</span>t’s been a few months since Peter Krykant’s passing in June, at the age of 48. He hit the global harm reduction scene with a bang. The story of him running an unauthorized overdose prevention site from a van in Glasgow, after years of inaction from the Scottish and British governments, catapulted him into the spotlight.</p>
<p><span style="font-weight: 400;">Krykant’s knack for public speaking and passion for helping people transform their lives were already clear from his past work and advocacy </span><a href="https://www.talkingdrugs.org/peter-krykant-12-steps/"><span style="font-weight: 400;">in Alcoholic Anonymous</span></a><span style="font-weight: 400;">. But his campaigning became more urgent as he continued to see too many people hurting and dying around him. With British drug policy infamously resistant to change, he took action. He knew that something needed to change to keep people alive. Not in a few years, not after lengthy data collection processes, not after a shift in political priorities—</span><i><span style="font-weight: 400;">now</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">After running the van for as long as he could with donations and savings—he was arrested for it in 2020, though the charges were ultimately dropped—Krykant’s activism went global. He fought for harm reduction over drug prohibition, and for community support, mutual aid, and radical love and care among people unfairly criminalized for how they live their lives.</span></p>
<p><span style="font-weight: 400;">His work was recognized worldwide, amplifying harm reduction’s reach. Richard Branson </span><a href="https://x.com/richardbranson/status/1707417914091929974"><span style="font-weight: 400;">congratulated him</span></a><span style="font-weight: 400;">, he had politicians </span><a href="https://x.com/PaulJSweeney/status/1878691403145916665"><span style="font-weight: 400;">volunteering at the van</span></a><span style="font-weight: 400;"> or </span><a href="https://edm.parliament.uk/early-day-motion/57649/peter-krykant-and-drug-consumption-van-facility"><span style="font-weight: 400;">condemning his arrest</span></a><span style="font-weight: 400;">, and he even met </span><a href="https://x.com/PeteKrykant_OPC/status/1841571206136529140"><span style="font-weight: 400;">the Queen</span></a><span style="font-weight: 400;">. Besides </span><a href="/europe-synthetic-opioid-supply/"><i><span style="font-weight: 400;">Filter</span></i></a><span style="font-weight: 400;"> and </span><a href="https://www.talkingdrugs.org/2023-drug-deaths-another-year-of-national-disgrace-for-scotland/"><i><span style="font-weight: 400;">TalkingDrugs</span></i></a><span style="font-weight: 400;">, he was covered in </span><a href="https://www.aljazeera.com/features/2023/9/26/glasgow-expected-to-approve-scotlands-first-official-drug-consumption-room"><i><span style="font-weight: 400;">Al Jazeera</span></i></a><span style="font-weight: 400;">, </span><a href="https://x.com/PeteKrykant_OPC/status/1826356195214721085"><span style="font-weight: 400;">Sky News</span></a><span style="font-weight: 400;">, </span><a href="https://www.bbc.com/news/uk-51859518"><span style="font-weight: 400;">the BBC</span></a><span style="font-weight: 400;">,  </span><a href="https://www.theguardian.com/commentisfree/2025/jan/15/glasgow-thistle-first-legal-drug-consumption-room"><span style="font-weight: 400;">the </span><i><span style="font-weight: 400;">Guardian</span></i></a> <a href="https://www.youtube.com/watch?v=PPM_TOFMM-8"><span style="font-weight: 400;">multiple</span></a> <a href="https://www.theguardian.com/commentisfree/2021/apr/30/uk-first-drug-consumption-van"><span style="font-weight: 400;">times</span></a><span style="font-weight: 400;">, </span><a href="https://x.com/PaulJSweeney/status/1878691403145916665"><span style="font-weight: 400;">the</span><i><span style="font-weight: 400;"> Daily Record</span></i></a><span style="font-weight: 400;">, </span><a href="https://www.nytimes.com/2020/11/21/world/europe/scotland-glasgow-drugs-van.html"><span style="font-weight: 400;">the </span><i><span style="font-weight: 400;">New York Times</span></i></a><span style="font-weight: 400;">, </span><a href="https://www.vice.com/en/article/glasgow-safer-drug-consumption-van/?"><i><span style="font-weight: 400;">Vice</span></i></a><span style="font-weight: 400;">, </span><a href="https://pharmaceutical-journal.com/article/feature/the-man-and-his-illegal-van-trying-to-fix-glasgows-drug-problem"><i><span style="font-weight: 400;">Pharmaceutical Journal</span></i></a><span style="font-weight: 400;">, </span><a href="https://theconversation.com/drug-deaths-are-rising-and-overdose-prevention-centres-save-lives-so-why-is-the-uk-unwilling-to-introduce-them-192044"><span style="font-weight: 400;">the </span><i><span style="font-weight: 400;">Conversation</span></i></a><span style="font-weight: 400;">, </span><a href="https://www.thetimes.com/uk/scotland/article/humza-yousaf-backs-drug-campaigner-peter-krykant-who-ran-illegal-fix-room-vrfmvbc68"><span style="font-weight: 400;">the</span><i><span style="font-weight: 400;"> Times</span></i></a><span style="font-weight: 400;">, </span><a href="https://www.bigissue.com/opinion/drug-related-deaths-in-scotland-heres-what-can-be-done-now/"><i><span style="font-weight: 400;">Big Issu</span></i><span style="font-weight: 400;">e</span></a><span style="font-weight: 400;">, and </span><a href="https://news.stv.tv/west-central/drug-van-a-safe-space-away-from-filthy-and-dangerous-alley"><span style="font-weight: 400;">many</span></a><span style="font-weight: 400;">, </span><a href="https://www.scotsman.com/news/people/campaigner-peter-krykants-drugs-consumption-van-to-be-moved-to-england-3386002"><span style="font-weight: 400;">many</span></a> <a href="https://www.salon.com/2024/06/11/abandoning-decriminalization-is-a-mistake-the-were-never-the-point/"><span style="font-weight: 400;">more</span></a><span style="font-weight: 400;">.</span></p>
<blockquote><p><span style="font-weight: 400;">Peter Krykant didn’t wait for the right time: He seized moments, attention and opportunities to make things happen.</span></p></blockquote>
<p><span style="font-weight: 400;">Whether in text or </span><a href="https://x.com/PeterAdamSmith/status/1367888470337785864"><span style="font-weight: 400;">multiple times</span></a> <a href="https://x.com/VictoriaLIVE/status/1238433641916760065"><span style="font-weight: 400;">on TV</span></a><span style="font-weight: 400;">, he spoke with powerful authenticity on issues where he had deep lived experience—ranging from the overdose crisis and the drug supply to </span><a href="/social-workers-tobacco-harm-reduction/"><span style="font-weight: 400;">homelessness and tobacco harm reduction</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">Krykant’s activism was imperfect—just as grassroots activism always is, by necessity. The van had issues, didn’t drive well and needed repairs—but it was good enough to work. He struggled with balancing everything, but always gave his full heart to support those around him. He traveled the world sharing his experiences—including the barriers he faced.</span></p>
<p><span style="font-weight: 400;">After his sudden death, even British politicians joined the flood of global tributes, </span><a href="https://edm.parliament.uk/early-day-motion/63866/peter-krykant"><span style="font-weight: 400;">mourning</span></a><span style="font-weight: 400;"> his </span><a href="https://edm.parliament.uk/early-day-motion/63852"><span style="font-weight: 400;">loss</span></a><span style="font-weight: 400;"> and recognizing the life-saving value of his actions.</span></p>
<p><span style="font-weight: 400;">Peter Krykant didn’t wait for the right time: He seized moments, attention and opportunities to make things happen. Often, you can’t predict how things will change when you take action. You only know that if you don’t take action, nothing will change.</span></p>
<p><span style="font-weight: 400;">Below are some tributes and recollections from people who knew him well.  </span></p>
<p><img loading="lazy" decoding="async" class="img-responsive  wp-image-22040 aligncenter" src="/wp-content/uploads/2025/11/GQnBJXOWAAAWUbO.jpeg" alt="" width="700" height="700" srcset="/wp-content/uploads/2025/11/GQnBJXOWAAAWUbO.jpeg 640w, /wp-content/uploads/2025/11/GQnBJXOWAAAWUbO-300x300.jpeg 300w, /wp-content/uploads/2025/11/GQnBJXOWAAAWUbO-150x150.jpeg 150w, /wp-content/uploads/2025/11/GQnBJXOWAAAWUbO-376x376.jpeg 376w" sizes="auto, (max-width: 700px) 100vw, 700px" /></p>
<p style="text-align: center;"><em>Photograph <a href="https://x.com/PeteKrykant_OPC/status/1804186805224214692/photo/1">via</a> X</em></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p style="text-align: center;"><b>Gillian Shorter</b></p>
<p style="text-align: center;"><i><span style="font-weight: 400;">Reader at Queen’s University Belfast, who led evaluation of Krykant’s van</span></i></p>
<p><span style="font-weight: 400;">I met Peter through Twitter, asking if he and his volunteers needed any research support on the van. A few weeks later I had designed a data collection form, had ethical approval, and we were regularly in contact about life on the van, the clients and volunteers. We would talk semi-regularly on Wednesdays or Fridays, sometimes with his lovely family too; he loved his sons so very much.</span></p>
<p><span style="font-weight: 400;">It was an honor to bear witness </span>to<span style="font-weight: 400;"> the stories of people who used the van, and how Peter and the volunteers had helped. It was undoubtedly hard and heavy work with limited resources; there were stories of despair, trauma, poverty and much frustration at systems of stigma and oppression. But there were also wondrous stories of hope and joy, agency, health care, love and kindness, and community. Lives were saved.</span></p>
<p><span style="font-weight: 400;">Thanks to generous donations and Peter’s family savings, many van clients got items sorely needed like new clothing/shoes, food, water and even a wheelchair. Peter won over community businesses and built trusting, respectful partnerships with clients. I&#8217;ll be forever grateful that he chose me to evaluate the first drug consumption room in the UK. What an honor it was to tell that story (with my co-authors), have those conversations with Peter, and to become friends. Please read the independent evaluation of his van </span><a href="https://doi.org/10.1016/j.drugpo.2022.103670"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;"> and continue to recognize and remember his harm reduction pioneering work.</span></p>
<p>&nbsp;</p>
<p style="text-align: center;"><a href="https://x.com/PeteKrykant_OPC/status/1859703387782291823/photo/1"><span style="font-weight: 400;"><img loading="lazy" decoding="async" class="img-responsive wp-image-22041 aligncenter" src="/wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4.jpeg" alt="" width="700" height="1156" srcset="/wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4.jpeg 917w, /wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4-182x300.jpeg 182w, /wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4-620x1024.jpeg 620w, /wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4-768x1268.jpeg 768w, /wp-content/uploads/2025/11/Gc73Gc6WAAEKDS4-376x621.jpeg 376w" sizes="auto, (max-width: 700px) 100vw, 700px" /></span></a><em><span style="font-weight: 400;">A note to Krykant from a 21-year-old woman who had overdosed in the van. Photograph <a href="https://x.com/PeteKrykant_OPC/status/1859703387782291823/photo/1">via</a> X</span></em></p>
<p>&nbsp;</p>
<p style="text-align: center;"><b>Leo Jeffreys</b></p>
<p style="text-align: center;"><i><span style="font-weight: 400;">Harm reduction consultant and drug-user activist with the European Network of People who Use Drugs</span></i></p>
<p><span style="font-weight: 400;">Peter was my friend second, and an inspiration first. Throughout my life in this vocation, I have been fortunate to share tables with people who are brave, imperfect, hilarious and loving. Peter was all of these things.</span></p>
<p><span style="font-weight: 400;">We first met in Prague in 2021, at the European Harm Reduction Conference. I had seen him earlier that day, and made a mental note to try and grab him for a coffee. Since moving to Dublin from Vancouver in 2016, I was at the mercy of watching my friends, colleagues and neighbors back home die in the thousands from preventable deaths due to prohibitionist drug policies. I felt isolated and helpless at times. My advocacy work through UISCE on the ground in Ireland and EuroNPUD at a regional level helped with this, and I had a renewed sense of determination.</span></p>
<p><span style="font-weight: 400;">Reading about Peter and his van, the first drug consumption site in Scotland and in the UK, I was inspired to start Dublin Overdose Prevention and Education (DOPE), a grassroots group focused on naloxone training and distribution in Ireland, as well as a European Naloxone solidarity group that sourced naloxone from countries that had access, distributing to those who had none. This was because of Peter. Because the bravery and actions of one can inspire so many.</span></p>
<p><span style="font-weight: 400;">Peter and I did officially then meet in Prague after a conference session where we both walked out of the room, along with another colleague who would become my friend and comrade, Magdalena Harris. We walked out because for three presentations in a row in that one session, the same graph of rising drug deaths was displayed and discussed like those lives were numbers on a page. Cold, clinical and without compassion. The three of us found each other in the hallway, in tears, and in comradeship.</span></p>
<p><span style="font-weight: 400;">Peter&#8217;s passing is for me not a loss but a challenge to a renewed stronger sense of hope. </span>A<span style="font-weight: 400;">s his family said at his memorial gathering, it&#8217;s up to us to carry his legacy, and for me to be a part of that is an honor. RIP my friend.</span></p>
<p>&nbsp;</p>
<blockquote><p><span style="font-weight: 400;">&#8220;Peter made his own phrase: &#8216;Drugs are not forbidden because they are dangerous, they are dangerous because they are forbidden.”&#8217;</span></p></blockquote>
<p>&nbsp;</p>
<p style="text-align: center;"><b>Aura Roig</b></p>
<p style="text-align: center;"><i><span style="font-weight: 400;">Director of Metzineres, a nonprofit cooperative in Barcelona providing shelter for womxn who use drugs</span></i></p>
<p><span style="font-weight: 400;">The first time I met Peter was in a webinar organized by Juan Fernández Ochoa. We had been invited to speak about how both of us had set up safe havens for people who, until then, had been left out of all care and support networks simply because they used drugs—isolated from their communities and families, and marked by multiple layers of violence and vulnerability: gender-based violence, racism, extreme poverty, family breakdown, criminalization, psychiatry, among others. What we both proposed was a response rooted in unconditional love and radical tenderness.</span></p>
<p><span style="font-weight: 400;">Peter made his own phrase: “Drugs are not forbidden because they are dangerous, they are dangerous because they are forbidden.” Once he realized that prohibition had made him believe his only problem was the drugs—hiding the violence, trauma, isolation, stigma, guilt and shame he had carried since childhood—he felt betrayed. </span></p>
<p><span style="font-weight: 400;">In a Scotland where families struggled to survive a social and economic crisis that left them unemployed, with little else to do but go to church or to the pub, Peter tried both: He didn’t believe in the first, and the second he enjoyed too much, though it didn’t suit him either.</span></p>
<p><span style="font-weight: 400;">Discovering harm reduction first and anti-prohibitionism later was liberating for him. For the first time, he felt free, able to transform guilt and shame into action for himself and for his people. And yet, even though he understood the theory of harm reduction, he never really managed to apply it to the substances he had learned to use to cope with his pain. Because those wounds don’t simply disappear—neither through abstinence nor through medicalized harm reduction strategies that still focus only on consumption.</span></p>
<p><span style="font-weight: 400;">Yes, when life became overwhelming for Peter, he could not find other tools to cope with his emotions or to help him navigate through them. What kept him most tethered to life were his children and his community, but in the end it was not enough.</span></p>
<p><span style="font-weight: 400;">What became clear to me during the time we walked together is that Peter was a person of action. He shone when surrounded by friends—and his friends were not just anyone, but people from all over the world, leading different responses, because we know from experience that what has been tried for decades only works for a few. To point the finger at drugs and ignore the impact that “tough love” has on people is deeply irresponsible—and deadly. To exploit families’ despair and sense of helplessness, convincing them that “hitting rock bottom” is the only way, is cruel to those of us who later have to mourn our loved ones.</span></p>
<p><span style="font-weight: 400;">Yes, perhaps it has worked for some. But we are here to grieve for those who cannot tell their story. And Peter knew that well. What saves us is community, love and mutual recognition.</span></p>
<p>&nbsp;</p>
<p><img loading="lazy" decoding="async" class="img-responsive  wp-image-22042 aligncenter" src="/wp-content/uploads/2025/11/DSC06321.jpg" alt="" width="700" height="467" srcset="/wp-content/uploads/2025/11/DSC06321.jpg 700w, /wp-content/uploads/2025/11/DSC06321-300x200.jpg 300w, /wp-content/uploads/2025/11/DSC06321-376x251.jpg 376w" sizes="auto, (max-width: 700px) 100vw, 700px" /></p>
<p style="text-align: center;"><em>Photograph of Krykant by <a href="https://nigelbrunsdon.com/">Nigel Brunsdon</a></em></p>
<p>&nbsp;</p>
<p style="text-align: center;"><b>Aamer Anwar</b></p>
<p style="text-align: center;"><i><span style="font-weight: 400;">British lawyer and activist</span></i></p>
<p><span style="font-weight: 400;">Peter was a force of nature who single-handedly took on the state to deliver safe drugs consumption rooms. I first met Peter as his lawyer, when he kitted out an ambulance for an illegal mobile injection unit near the High Court.</span></p>
<p><span style="font-weight: 400;">If it had not been for Peter, his single-bloody-mindedness and refusal to back down when arrested, it is unlikely that the appalling drugs deaths toll in Scotland would ever have made it to the front pages of our tabloids or the top of our political agenda.</span></p>
<p><span style="font-weight: 400;">Formerly addicted and a victim of childhood sexual abuse, Peter had once lived on the streets but channeled his pain into a force to be reckoned with. He wasn’t a professional campaigner, but his lived experience and fiery compassion for those dying through drugs allowed him to tear through the red tape.</span></p>
<p><span style="font-weight: 400;">In the last year of his life, those of us who were close to him saw his rapid descent into a hell he had tried so hard to leave behind. Sadly, it was seen as an opportunity by some to openly dismiss his achievements—that clearly hurt, as doors were rapidly closed on Peter.</span></p>
<p><span style="font-weight: 400;">I hope one day his two boys can take comfort from how much Peter loved them and how very proud he was of them.</span></p>
<p><span style="font-weight: 400;">I hope very much, my friend, that you are at peace now, but in years to come you should be recognized for the revolutionary pioneer you were, tearing down the hypocrisy of our drug laws.</span></p>
<p><span style="font-weight: 400;">There are men and women who because of Peter&#8217;s love and compassion are alive today; for that, as a society, we will forever be in your debt.</span></p>
<p>&nbsp;</p>
<p><img loading="lazy" decoding="async" class="img-responsive wp-image-22043 aligncenter" src="/wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp.jpeg" alt="" width="700" height="698" srcset="/wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp.jpeg 960w, /wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp-300x300.jpeg 300w, /wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp-150x150.jpeg 150w, /wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp-768x766.jpeg 768w, /wp-content/uploads/2025/11/GaB9Iw0WMAAM5Vp-376x375.jpeg 376w" sizes="auto, (max-width: 700px) 100vw, 700px" /></p>
<p style="text-align: center;"><em>Photograph <a href="https://x.com/PeteKrykant_OPC/status/1846613438744686939/photo/1">via</a> X</em></p>
<blockquote><p><span style="font-weight: 400;">&#8220;Peter was a man of integrity and courage. He saw a need and stepped up &#8230;</span><span style="font-weight: 400;"> I hope people in the UK understand the magnitude of what he </span><span style="font-weight: 400;">gave and what he endured.&#8221;</span></p></blockquote>
<p>&nbsp;</p>
<p style="text-align: center;"><b>Zoë Dodd</b></p>
<p style="text-align: center;"><i><span style="font-weight: 400;">Drug policy activist and organizer in Canada</span></i></p>
<p><span style="font-weight: 400;">Hard to believe I’m writing this and that Peter is no longer with us. It still feels completely surreal that he’s gone. </span><span style="font-weight: 400;">What’s rarely talked about in the UK is its record-breaking number of drug deaths and how a </span><span style="font-weight: 400;">so-called “recovery-oriented system of care,” combined with criminalization and the erosion </span><span style="font-weight: 400;">of the social safety net, has failed people. Prioritizing abstinence above all else is not saving </span><span style="font-weight: 400;">lives. There’s an urgent need for real action and evidence-based policy.</span></p>
<p><span style="font-weight: 400;">This is what Peter Krykant showed the UK when he took matters into his own hands. He </span><span style="font-weight: 400;">bought a van and proved how simple it could be to save lives—offering harm reduction </span><span style="font-weight: 400;">services, overdose prevention and care. In the face of government abandonment, Peter and </span><span style="font-weight: 400;">a handful of volunteers risked arrest and endured bullying and vitriol from conservatives </span><span style="font-weight: 400;">and segments of the recovery movement, who attacked him both online and in person.</span></p>
<p><span style="font-weight: 400;">It was hard to witness this from across the ocean. As someone who helped establish the first </span><span style="font-weight: 400;">overdose prevention site in Toronto, I knew how essential community support was. We had </span><span style="font-weight: 400;">allies and a network of volunteers who stood behind us. At Moss Park OPS, which ran </span><span style="font-weight: 400;">illegally in a park for a year, 150 volunteers came together</span>—<span style="font-weight: 400;">people who used drugs, nurses, </span><span style="font-weight: 400;">workers and others (several of them sober, in fellowships, but standing in solidarity because </span><span style="font-weight: 400;">they understood the importance of harm reduction). Watching the UK, especially Scotland, </span><span style="font-weight: 400;">struggle with devastating HIV rates and overdose deaths greater than our own, was and is heartbreaking.</span></p>
<p><span style="font-weight: 400;">I first met Peter during COVID, on Zoom, shortly after he opened the mobile overdose </span><span style="font-weight: 400;">prevention site in Glasgow. I’d already seen him in the media and was so proud of what he </span><span style="font-weight: 400;">was doing. Honestly, I was a bit awestruck when we finally spoke. A small group of us had </span><span style="font-weight: 400;">come together to support others opening overdose prevention sites, and I felt honored to </span><span style="font-weight: 400;">be part of it. After that meeting, Peter and I started messaging and became friends. </span><span style="font-weight: 400;">Comrades offering one another care and encouragement.</span></p>
<p><span style="font-weight: 400;">A couple of years later, we met in person in Brighton, at the Social Justice Conference Peter </span><span style="font-weight: 400;">helped organize. It was there that I learned how deeply entrenched the UK’s politics were </span><span style="font-weight: 400;">and how so many people were stuck in incrementalism and respectability politics, even in </span><span style="font-weight: 400;">the face of mass death.</span></p>
<p><span style="font-weight: 400;">Peter was a man of integrity and courage. He saw a need and stepped up, even as the toll of </span><span style="font-weight: 400;">isolation and resistance weighed heavily on him. Without the kind of community we had </span><span style="font-weight: 400;">here, he still forged ahead. I hope people in the UK understand the magnitude of what he </span><span style="font-weight: 400;">gave and what he endured. He was arrested, he was praised, he was attacked, he was </span><span style="font-weight: 400;">respected. He carried an immense responsibility.</span></p>
<p><span style="font-weight: 400;">If Scotland and the rest of the UK want to confront the drug deaths crisis, they must </span><span style="font-weight: 400;">embrace other ways of knowing and doing. They must move beyond an abstinence-only </span><span style="font-weight: 400;">mindset—it’s not pragmatic, realistic, or saving lives. Abstinence can be one path, but it </span><span style="font-weight: 400;">cannot be the only one, especially in a culture that normalizes heavy consumption of alcohol </span><span style="font-weight: 400;">and other drugs.</span></p>
<p><span style="font-weight: 400;">My hope is that Peter’s death becomes a lesson: a call to build community, to act </span><span style="font-weight: 400;">collectively, to offer mutual support and care. The UK once led the world in harm reduction; it’s time to reclaim that legacy. Stop pandering to regressive politics. Stop catering to those </span><span style="font-weight: 400;">who lack the urgency to save lives. Do it for the thousands who’ve died over the past </span><span style="font-weight: 400;">decade. Do it for Peter.</span></p>
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<p><em>This article is a co-publication with </em><a href="https://www.talkingdrugs.org/">Talking Drugs</a><em>.</em></p>
<p><em>Top photograph of Peter Krykant by <a href="https://nigelbrunsdon.com/">Nigel Brunsdon</a></em></p>
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		<title>Latest European Drug Survey Highlights Pleasure, Polysubstance Use</title>
		<link>/european-drug-survey-harm-reduction-pleasure/</link>
		
		<dc:creator><![CDATA[André Gomes]]></dc:creator>
		<pubDate>Fri, 21 Mar 2025 14:03:12 +0000</pubDate>
				<category><![CDATA[FilterMag]]></category>
		<category><![CDATA[Use + Harm Reduction]]></category>
		<category><![CDATA[cocaine]]></category>
		<category><![CDATA[heroin]]></category>
		<category><![CDATA[international]]></category>
		<category><![CDATA[MDMA]]></category>
		<guid isPermaLink="false">/?p=20667</guid>

					<description><![CDATA[<p>The latest edition of the European Web Survey on Drugs confirms that despite rampant prohibition, people use a lot of ...</p>
<p>The post <a href="/european-drug-survey-harm-reduction-pleasure/">Latest European Drug Survey Highlights Pleasure, Polysubstance Use</a> appeared first on <a href="/">Filter</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><span class="wpsdc-drop-cap">T</span>he latest edition of the European Web Survey on Drugs confirms that despite rampant prohibition, people use a lot of different drugs—including, critically, drug combinations. And most do it primarily to have a great time.</p>
<p><span style="font-weight: 400;">Among respondents who used drugs of all kinds, 70 percent said they used to have fun or get high. That was particularly pronounced among MDMA consumers, with 88 percent reporting that they use it for fun. Some different motivations were apparent depending on the drug, however. About 60 percent of people using heroin, for example, mainly used it to reduce stress or relax. Meanwhile around a third of people using amphetamines, powder cocaine or MDMA did so to socialize.</span></p>
<p><span style="font-weight: 400;">Delivered across May and June 2024 by the European Drugs Agency, a European Union monitoring body, the survey gathered insights about drug use in the past year from over 67,000 people in 35 countries, including most EU members and nearby places like the Western Balkans, Ukraine, Lebanon and Palestine. Its results were </span><a href="https://www.euda.europa.eu/publications/data-factsheet/european-web-survey-drugs-2024-top-level-findings_en"><span style="font-weight: 400;">published</span></a><span style="font-weight: 400;"> in late February. </span></p>
<p><span style="font-weight: 400;">The multi-national coverage paints a hugely valuable picture, though with some limitations. The self-selecting nature of respondents and variability of countries’ implementation mean the survey is not necessarily representative of national drug prevalence rates. This edition, for example, had a </span><a href="https://www.euda.europa.eu/publications/data-factsheet/european-web-survey-drugs-2024-top-level-findings/methodology_en"><span style="font-weight: 400;">disproportionate number</span></a><span style="font-weight: 400;"> of responses from Sweden and Spain. However, the results have been aggregated with other national measures of drug prevalence to provide more accurate insights.</span></p>
<blockquote><p><span style="font-weight: 400;">Almost three-quarters of respondents used drugs at home. This </span><span style="font-weight: 400;"> finding is particularly informative for future harm reduction work.</span></p></blockquote>
<p><span style="font-weight: 400;">The web-based, time-consuming nature of the survey also means that certain groups of people who use drugs, especially the most marginalized, may be underrepresented.</span></p>
<p><span style="font-weight: 400;">The last edition was </span><a href="https://www.euda.europa.eu/publications/data-fact-sheets/european-web-survey-drugs-2021-top-level-findings-eu-21-switzerland_en"><span style="font-weight: 400;">in 2021</span></a><span style="font-weight: 400;">, and depicted Europe’s post-COVID drug landscape. The latest edition offers more granular insights into people’s habits, and reflects wider recognition of the normality of drug use.</span></p>
<p><span style="font-weight: 400;">Many of the results uncovered are not groundbreaking: Alcohol and tobacco/nicotine—an aggregation of tobacco with non-tobacco products like vapes and pouches—were consistently the most used drugs across all nations (the survey did not include caffeine). Among the “illegals,” cannabis was by far the most popular, with almost 60 percent of respondents reporting its use. Second came MDMA, with 30 percent of respondents using it, followed by powder or crack cocaine (29 percent).</span></p>
<p><span style="font-weight: 400;">For many, home is where the drugs are: Almost three-quarters (73 percent) of respondents used drugs at home. This tracked with the 2021 survey, although it was then unclear whether this preference was due to ongoing pandemic restrictions. </span></p>
<p><span style="font-weight: 400;">This finding is particularly informative for future harm reduction work. With so many resources and interventions focused on social settings, developing projects or techniques to keep people safe when using in private settings, potentially alone, is increasingly important.</span></p>
<p><span style="font-weight: 400;">There were some predictable exceptions to the general preference for the home setting. MDMA was primarily used (79 percent) at music festivals or parties, with 45 percent of users opting for clubs or bars. Powder cocaine was primarily used (68 percent) in clubs or bars. Cannabis, crack cocaine and heroin were the drugs most likely to be used in nature or in public spaces like streets and parks.</span></p>
<blockquote><p><span style="font-weight: 400;">The most likely combinations of criminalized substances were methamphetamine and cannabis, and heroin and benzodiazepines.  </span></p></blockquote>
<p><span style="font-weight: 400;">This edition of the survey also drilled down on the reality of polysubstance use. This should be a given: If you ask people who use drugs whether they use more than one substance, “mono use” is likely to be the exception. </span></p>
<p><span style="font-weight: 400;">The results clearly reflected this</span>, <span style="font-weight: 400;">with 96 percent of respondents reporting that they used more than two drugs on the same occasion in the past year.</span><b> </b></p>
<p><span style="font-weight: 400;">Alcohol and tobacco/nicotine were consistently the substances most often mixed with other drug groups. The most likely combinations of criminalized substances were methamphetamine and cannabis (mixed by 31 percent of respondents) and heroin and benzodiazepines (30 percent). But powder cocaine was overall the criminalized substance most likely to be mixed with other drugs. Notably, 30 percent of people using cannabis said they would not mix it with other drugs. </span></p>
<p><span style="font-weight: 400;">While polysubstance use has long been known as typical, capturing it in the survey represented a big methodological challenge, according to the researchers. </span></p>
<p><span style="font-weight: 400;">“I can say that defining [polysubstance use] was one of the things that took the longest and generated the most discussions,” João Matias, scientific analyst at the EUDA and the survey’s lead designer, told </span><i><span style="font-weight: 400;">Filter</span></i><span style="font-weight: 400;">. The survey’s format—from what to ask, to which drugs to include or group together—had to be agreed across all 35 participating countries.</span></p>
<p><span style="font-weight: 400;">As for what “polysubstance use” should be taken to mean, “These are substances you take at the same time, or in a row, or with a few hours in between,” Matias said. “It’s complicated. What’s really a ‘use session’? Methodologically, it’s a challenge.” </span></p>
<p><span style="font-weight: 400;">The survey decided to define polysubstance use as “the use of two or more substances on the same occasion,” leaving respondents to interpret that for themselves.  </span></p>
<p><span style="font-weight: 400;">Alexei Lakhov, the executive director of the European Network of People who Use Drugs (</span><a href="https://www.euronpud.net/"><span style="font-weight: 400;">EuroNPUD</span></a><span style="font-weight: 400;">), was not surprised by the findings—or the researchers’ difficulties.</span></p>
<p><span style="font-weight: 400;">“I think that poly-drug use accurately reflects real-world trends,” he</span> <span style="font-weight: 400;">told </span><i><span style="font-weight: 400;">Filter</span></i><span style="font-weight: 400;">. “In addition, some people just don&#8217;t perceive certain substances, such as alcohol, benzos or tobacco, as ‘drugs’ per se, and can use them even without wanting to ‘get high.’” </span></p>
<blockquote><p><span style="font-weight: 400;">&#8220;In a fatal overdose, it’s rare for just one drug to be in someone’s system. So we need to integrate the concept [of polysubstance use] into all our work.”</span></p></blockquote>
<p><span style="font-weight: 400;">Despite the challenges, Matias underscored that it was essential to capture this finding. “We have data for the first time confirming what people have said, that it’s rare for people to just use one drug.”</span></p>
<p><span style="font-weight: 400;">“We need to work on definitions, as it’s a field with little consensus,” he continued. “We need to apply a poly-use perspective not only in data collection but also in how we interpret drug use and interventions. In a fatal overdose, it’s rare for just one drug to be in someone’s system. So we need to integrate the concept into all our work.”</span></p>
<p><span style="font-weight: 400;">Studies on polysubstance use are </span><a href="/national-cancer-institute-surveys-pain-patients-cannabis-polysubstance-use/"><span style="font-weight: 400;">relatively rare</span></a><span style="font-weight: 400;">, and much of the research that exists has a narrower focus on just </span><a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1360-0443.2003.00236.x"><span style="font-weight: 400;">two drugs</span></a><span style="font-weight: 400;">. Only a handful of examples—like a</span><a href="https://www.jsad.com/doi/abs/10.15288/jsa.2006.67.529"><span style="font-weight: 400;"> 2006 study</span></a><span style="font-weight: 400;"> looking at alcohol and prescription stimulants, painkillers and sedatives, or a </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8935897/#sec8"><span style="font-weight: 400;">2022 study</span></a><span style="font-weight: 400;"> examining motivations for poly-drug use—have made broader attempts to widen our understanding.</span></p>
<p><span style="font-weight: 400;">As British researchers </span><a href="https://www.tandfonline.com/doi/abs/10.1080/09687630600655596"><span style="font-weight: 400;">stated</span></a><span style="font-weight: 400;"> almost 20 years ago, polysubstance use is “poorly defined” and “frequently overlooked”—and this partly still holds true. But the benefits of engaging in this work have the potential to be felt across all drug-using communities.</span></p>
<p><span style="font-weight: 400;">“Recognizing that people who use drugs may seek specific combinations to achieve desired effects, cope with personal issues, or enhance social experiences can inform more empathetic and tailored harm reduction strategies,” Lakhov said.</span></p>
<p><span style="font-weight: 400;">The survey’s reflection of people’s pleasure in using drugs is also important. It’s another area that </span><a href="/drug-research-ignores-pleasure/"><span style="font-weight: 400;">research largely ignores</span></a><span style="font-weight: 400;">—contributing to harmful policies, when drugs are often viewed purely through a pathologizing or</span> <span style="font-weight: 400;">negative lens.</span></p>
<p><span style="font-weight: 400;">Drug use is as messy, complex and diverse as life itself. It is crucial to have a body of research that reflects this reality, so that we can develop more pragmatic and effective support for people who need and want it.</span></p>
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<p><em>Image (cropped) by Pixabay <a href="https://www.stockvault.net/photo/201511/europe-from-space#">via</a> Stockvault/Public Domain</em></p>
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