Since 2006, HRI has mapped the response to drug-related HIV and viral hepatitis epidemics in policy and practice around the world. Collaborating with service providers, academics and advocates to pull in information from every corner of the globe, this is the only project of its kind. But it ultimately tells a tale of political neglect, unchecked epidemics and systemic human rights violations.

Released last month, the 5th edition of the Global State of Harm Reduction report shows that of 158 countries where injecting drug use is reported, more than a third (68) still do not provide needle and syringe programs and half (78) do not offer opioid substitution therapy.

For the first time, we report no progress in the number of new countries establishing needle and syringe programs. This is especially worrying given the increasing amphetamine injecting reported in all regions, a practice already linked to HIV outbreaks in several countries.

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