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About HRI

HRI is a leading non-governmental organisation working to reduce the negative health, social and human rights impacts of drug use and drug policy by promoting evidence-based public health policies and practices, and human rights based approaches to drugs. Read more about HRI’s history.

Vision and Mission

Our vision is a world in which individuals and communities benefit from drug laws, policies and practices that promote health, dignity and human rights.


Meet our staff at HRI


HRI is governed by a nine person Board of Directors, elected for three-year terms.

What is harm reduction?

Harm reduction refers to policies, programmes and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop. The defining features are the focus on the prevention of harm, rather than on the prevention of drug use itself, and the focus on people who continue to use drugs.

Harm reduction definition and principles in 12 languages

Contact Us

Please feel free to contact us if you have any questions or queries about our website, our work, membership or the international harm reduction conference.


HRI benefits from the generous support of the Open Society Foundations, the European Commission, the Elton John AIDS Foundation, the MAC AIDS Fund, UNAIDS, the World Health Organization, the UN Office on Drugs and Crime, the World Bank, The Robert Carr Networks Fund and the Swiss Government.

Harm Reduction International Awards

HRI presents a number of awards at outr international conference to acknowledge the contributions of outstanding groups or individuals in the field.

Strategic Plan

Our vision is a world in which individuals and communities benefit from drug policies, laws and practices that promote health, dignity and human rights

Our Work

Evidence for advocacy

HRI produces groundbreaking research and policy analysis informing advocacy across our sector.

Spending where it matters

Funding for harm reduction services is dangerously short while billions are wasted on drug enforcement. HRI works to assess resourcing needs and advocates for a reinvestment in health.

Harm Reduction Decade

Read our latest report calling for a Harm Reduction Decade, sign the Harm Reduction Decade Declaration, call for #10by20, and stand up for human rights of people who use drugs, their families and communities.

10 by 20 Campaign

We are calling on governments to redirect 10% of the resources currently spent on ineffective punitive responses to drugs and invest it in harm reduction by 2020.

Human rights-based policy

Human rights abuses and drug enforcement go hand in hand. HRI challenges laws, policies and practices that generate harm.

The Death Penalty for Drug Offences

HRI monitors the death penalty for drugs in law and practice worldwide, and also considers critical developments on the issue.

Sector strengthening

HRI builds advocacy coalitions and supports emerging harm reduction networks to strengthen the international harm reduction sector.

International conference

Harm reduction is a global movement. Our biennial gathering is the International Harm Reduction Conference, convened by HRI.


News and Announcements

Read the latest announcements and updates from HRI.

Global State of Harm Reduction

Global State of Harm Reduction

Our flagship publication is the biennial Global State of Harm Reduction report. First published in 2008, it involves a coordinated effort across practitioners, academics, advocates and activists to map global data and responses to HIV and hepatitis C epidemics related to unsafe injecting and non-injecting drug use. It is the only report to provide an independent analysis of the state of harm reduction in the world. The information collated within the report is stored and regularly updated on an interactive e-tool for researchers and advocates.

The Global State of Harm Reduction report is supplemented by regular thematic reports and advisories on key issues and emerging challenges. Please search our Resource Library for more information or join our e-list for regular updates.

Resource Library

Resource Library

Use our extensive resource library to search for HRI, NGO and academic reports, articles and presentations, including materials from past international conferences.

Harm Reduction Journal

Harm Reduction Journal, www.harmreductionjournal.com, is an open access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies.

Contact Us

Contact Us

Harm Reduction International
61 Mansell Street
E1 8AN

Tel: +44(0) 207 324 3535
Join us on Facebook at: Harm Reduction International
Follow us on Twitter at: HRInews
Join us on Instagram at: hrinews


Conference 2019

The 26th Harm Reduction International Conference (HR19) which will take place April 28-May 1 in Porto, Portugal at the Alfândega Porto Congress Centre.

Register to attend HR19 here.

The Global State of Harm Reduction 2010

Date: 28 April 2010

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Global Health Report 2010

Published in April 2010 – The Global State of Harm Reduction 2010: Key Issues for Broadening the Response – is the second major report in the series. It provides a region-by-region update of key developments in harm reduction since the first Global State report was released in 2008. It also explores several issues key to the response to drug-related harms worldwide, including increasing access to harm reduction in prisons and other places of detention, reaching people who use drugs with diagnosis, treatment and care for viral hepatitis and tuberculosis, preventing overdose-related mortality among people who use drugs, preventing and treating injecting-related bacterial infections, expanding the response to harms related to amphetamine use and addressing the current shortage of funds for harm reduction worldwide.

It is designed to be an advocacy and reference tool for a wide range of audiences, including international donor organisations, multilateral and bilateral agencies, non-governmental and community-based organisations, including organisations and groups of people who use drugs, researchers and the media.

The report is the result of collaboration between Harm Reduction International’s Public Health Research and Policy programme and harm reduction networks, researchers, and organisations of people who use drugs, whose input is essential to reflecting the situation around the world. In addition, chapters on key issues for harm reduction were contributed by experts from civil society, academia and multilateral agencies.

Click here to download the report - (warning very large file)

Alternatively, the report can be downloaded in sections:

Click here to view the introduction of the report

GSHR 2010 Introduction

Section 1 provides a global overview of harm reduction policy and programming.

GSHR 2010 Chapter 1.1

Section 2 contains nine regional updates which examine the developments for harm reduction since 2008 in Asia, Eurasia, Western Europe, the Caribbean, Latin America, North America, Oceania, the Middle East and North Africa, and Sub-Saharan Africa.

GSHR 2010 Section 2

GSHR 2010 - Asia

GSHR 2010 - Eurasia

GSHR 2010 - Western Europe

GSHR 2010 - Caribbean

GSHR 2010 - Latin America

GSHR - North America

GSHR 2010 - Oceania

GSHR 2010 - Middle East and North Africa

GSHR - Sub-Saharan Africa

Section 3 explores issues that are key to broadening the global harm reduction response.

GSHR 2010 Section 3

3.1 The silent epidemic: Responding to viral hepatitis among people who inject drugs

3.2 Enhancing synergy: Responding to tuberculosis epidemic among people who use drugs

3.3 Neglected infections, real harms: A global scoping of injection-related bacterial infections and responses

3.4 Speeding up the response: A global review of the harm reduction response to amphetamines

3.5 Out of sight, out of mind? Harm reduction in prisons and other places of detention

3.6 Underestimated and overlooked: A global review of drug overdose and overdose prevention

3.7 Bridging the gap: An analysis of global spend and resourcing need for harm

© 2018 Harm Reduction International.

Charity number – 1117375 | Company number – 3223265

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