There are an estimated one million crack users in Brazil, many of whom reside in Cracolândias (Cracklands)—open-air drug markets where users freely smoke in a de facto legal environment. The largest of these markets is located in São Paulo, where a new approach has recently been implemented. The Open Arms program, launched in January 2014, is a city-sponsored harm reduction initiative that provides housing, food and job training to users without asking participants to quit using.

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