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This story is part of a series exploring harm reduction strategies and drug policies that have been successful in Western Europe. Maybe unexpectedly, people who use drugs also frequent this part of town. Planterose is a small street with cafes, businesses and a coworking space just behind the basilica. In the middle sits what appears to be a hipster, grunge-style cafe. A garage door opens up to an outdoor seating area covered in bright graffiti where people sit sipping coffee and smoking, while their dogs rest against the wall. This is the Planterose DropIn Center, where drug users come to drink coffee, hang out and get clean needles and other materials for safe drug use. Up a spiral staircase are offices for the doctors, social workers, nurses and educators who work with this population. But in France, there are more than harm reduction centers and clinics that offer opioid substitution treatment and other medical treatment to drug users anonymously and free of charge. The French have deployed a number of strategies to reach and support drug users. Some of those include giving them safe places to sleep; checking their street drugs for unwanted substances; and reaching into the countryside to help rural users. The goal behind harm reduction in France is to serve the immediate needs of a person using drugs, as well as make a meaningful connection and build trust. This has been a successful model in France, which experienced a heroin and AIDS epidemic in the late s and early s. Driven mostly by heroin, drug-related overdoses deaths rose 63 percent in five years, reaching a total of deaths in This increase of about 10 percent per year is on par with that in the United States currently. The number of newly diagnosed HIV infections doubled to more than 2, a year over the same time frame. According to the latest French data , overdose deaths have plateaued in the last decade and fluctuate between to a year in a country of 67 million people. In comparison, the U. S had more than 70, overdose deaths in a population of million. And in , the number of new HIV infections in France related to injection drug use dropped to a total of In the U. The French are using hepatitis C treatment as prevention, the idea being that the more people you treat and cure, the less the disease spreads. Last year, harm reduction centers with licensed prescribers began treating for hepatitis C. Delile said that before, only hematologists could treat the infection. Harm reduction centers also conduct rapid tests for hepatitis C and HIV. Additionally, the French health care system lifted restrictions on hepatitis C treatment reimbursement in Before, only those with more advanced stages of the disease could get coverage. Delile, who is based in Bordeaux, said this has already started to work in his city. Prevalence of hepatitis C in Bordeaux has declined from 40 percent among drug users in to about 20 percent presently. Now, there are 10 centers that have mail-order harm reduction programs that involve shipping needles and other supplies to residents in the countryside. Morane Barbarat, a chemist, is in charge of the rural mailing program at the Planterose center in Bordeaux. Do you inject? He tells me his history and how he got into the life. Barbarat ships the supplies they request to a given address. She started mailing orders in the summer last year and had shipped 87 orders to 53 people by November. She encourages those with mail orders to call her whenever they need something or are experiencing a problem. Sometimes people order supplies for their friends as well. Barbarat said that is fine, but she urges the person placing the orders to have their buddies call her so they can talk. Thibaut, a drug educator and social worker who asked we only use his first name , is in charge of the two trucks that go into the rural areas surrounding Bordeaux. He has some regular stops and he also looks for opportunities to meet new groups of drug users who may be squatting in abandoned buildings or at camping sites. Every other week he meets up with another truck that provides showers and help to homeless people. Regular visitors know to expect him there. He brings harm reduction supplies, conducts rapid HIV and hepatitis C tests, and gives prevention advice. His truck is from the Red Cross and still has the old signage on it. Occasionally, his team will take regular unmarked cars into neighborhoods to be more discreet when needed. Marie, a nurse with another truck from the center, said she encounters a lot of seasonal farm workers from the wine industry around Bordeaux. She said many are from Spain or Portugal. Due to the economic situations in those countries, many come work in the French fields. Thibaut said he wants to help drug users make social connections again and build up their character so they feel valuable to society. Marie told the story of one man in his 50s who had been living on the streets a long time with extreme paranoia. She said he refused treatment or psychological help and every social institution in town knew him. Eventually, they had him hospitalized in a psychiatric facility where he got treatment for his paranoia for the first time. He was recently diagnosed with terminal cancer. But she takes comfort in the fact that his life will end in the nicest environment. Another newer development in the French harm reduction landscape is drug checking. There are about 10 harm reduction centers with a chemist on site to check drugs for unknown and unwanted substances. And about 50 sites collect samples and send them to a lab for the same purpose. One cold evening last November, two men brought a portion of their MDMA ecstasy to a harm reduction center in Paris, just north of the city center. One of the men had a bad reaction to his recent supply and wondered if there was something else in it. Sebastian Roquian, a chemist, has spent the past two years doing on-site drug analyses for up to 15 harm reduction facilities across Paris. He took a crumb-size sample of both and ran a few tests comparing them to standard MDMA. He ultimately determined that there was nothing different about the MDMA the men brought in and talked to them about their use of the drug. How often they use it? Did they mix it with alcohol, if so how much? All of these factors could result in a bad reaction. A lot of times they are cut with cutting agents. Sometimes they are very harmful, sometimes not. Sometimes they are strong, sometimes not. Currently in Paris, 50 percent of the drugs analyzed are cocaine, 20 percent are heroin, the rest are ecstasy, other psychoactive substances and stimulants. A few decades ago, the Paris market was saturated with heroin, he said. Most people who take opioids in Paris use morphine tablets, he said. Across the Paris network, he said there have been about five samples with fentanyl in the last two years. The people who brought it in said they bought it on the dark web. Roquian said the costs of drug testing vary depending on the equipment. The method Roquian uses costs about 10 euros for each test, however he added that you also have to pay the salary of the person conducting the analysis. During the day, the facility acts as a harm reduction center with clean supplies for injectors and smokers. There are social workers, nurses on staff, and a psychologist who comes once a week. Also during the day, social workers hold workshops, covering topics such as well being, cooking classes, cultural outings and sports. The social workers said some clients open up and share more during workshops than in counseling sessions. Every day at p. The spots fill up in 10 minutes. In the winter, staff frequently have to turn people away. Admission is 1. More and more people are using the kitchen at night to cook. They can do their laundry and shower. The SleepIn center serves more than different people in a year between housing and day services. Bisset said that one of the challenges, but also strengths of the night team, is that they can work with someone who has clearly used a lot and is actively high. Other homeless shelters would turn those people away. The night staff also give out harm reduction materials until 1 a. There is a rule against using drugs inside the SleepIn center, but Bisset said they know that some do, and there are safe disposal buckets throughout the facility, including the bathrooms. Republish This Story. Taylor Knopf writes about mental health, including addiction and harm reduction. Knopf has a bachelor's degree in sociology with a minor in journalism. Skip to content Read all of our joint coverage with The Charlotte Ledger here. Drug users come to the harm reduction center in Bordeaux get coffee, socialize, shower, do laundry, get clean drug use supplies and talk to nurses and counselors. Photo credit: Taylor Knopf This story is part of a series exploring harm reduction strategies and drug policies that have been successful in Western Europe. So these countries created spaces for them. So it started supporting them. Photo credit: Taylor Knopf. Morane Barbarat, a chemist, shows the standard harm reduction package originally created in the s during the HIV outbreak, but the Bordeaux harm reduction center has all sizes of needles. Thibaut right is a social worker who heads of the rural mobile outreach program from Bordeaux. In , France authorized drug check sites, safe places drug users can bring their samples to see if there are any unknown substances in them. Sebastian Roquian, a chemist, tests two drug samples for unknown substances at a harm reduction site in Paris. The walls behind him are covered with art from drug users and an artist who comes in to work with them once a week. A man rings the bell outside the gate to the SleepIn Center in Paris to ask for harm reduction supplies. Republish our articles for free, online or in print, under a Creative Commons license. Taylor Knopf. Previous Flu causes more hospitals across the state to restrict visitors. Loading Comments Email Required Name Required Website.

To tackle addiction, the French look beyond drugs to care for the person

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Bordeaux buy MDMA pills