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Harm reduction overview for Denmark

Map of Denmark

1. National context

In addition to treatment services, projects have been implemented to reduce or minimise drug-related harm among high-risk drug users. Such projects include, for example, outreach street work, drop-in centres, needle and syringe programmes and social support at home. Needle and syringe programmes have been established in Denmark since 1986. The number of syringes given out by these programmes is not being monitored, but a 2009 evaluation confirmed that drug users had high levels of access to clean injecting equipment across municipalities. The services are administered either through free dispensing of syringes and syringe sales at pharmacies, through treatment institutions, in drop-in centres or through syringe dispensing machines at public sites. Some municipalities also dispense needles and syringes at shelters and hostels. The provision of sterile water and other the injecting equipment is common. Since 2013 a naloxone take-home programme to prevent opioid-induced deaths has been implemented in four municipalities. In three municipalities (Copenhagen, Aarhus and Odense) supervised drug consumption facilities operate on the basis of legal provisions made in 2012. These facilities serve injecting drugs users, while some are adjusted also to serve those who smoke drugs.

In 2007 the National Board of Health adopted a special action plan for the prevention of HCV. As a result, by 2009 most municipalities had launched a number of specific actions, such as counselling, screening and vaccination against hepatitis A virus and HBV. Recently, programmes facilitating marginalised drug users’ access to general health services have also been implemented. Active referral of newly detected HIV, HBV and HCV cases for further examination, counselling and treatment is also encouraged.

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2. Responses to prevent and reduce drug-related infectious diseases

Needle and syringe programmes Country  data
Availability of  NSP programmes  :
% NSP availability at NUTS3  100 %
Drug use equipment distributed at specialised drug agencies (standard prevention material)
availability of alcohol pads  :
availability of dry wipes  :
availability of containers  :
availability of water  :
availability of condoms  :
availability of foil  :

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
For an explanation of terms used, see the definitions of terms.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Testing, vaccination and treatment of infections Country  data
Availability of Hepatitis C testing in the community  :
Availability of universal hepatitis B immunization programme  :
Hepatitis B vaccination programme specific for high risk groups  :
ARV treatment of HIV infection :

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Health promotion responses Country  data
Availability of individual counselling programmes  :
Availability of programmes for practical advice and training on 'safer use/safer injecting'  :
Involvement of peer educators in the response to infectious diseases prevention  :

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.

Drug Treatment

See the country specific treatment profile.

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3. Responses to prevent and reduce drug-related deaths

Availability of drug-related death responses in the community Country  data
Availability of overdose information materials  :
Availability of individual overdose risk assessment (provided by trained drugs or health workers)  :
Availability of overdose response training  :

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Availability of drug consumption rooms Country  data
Number of facilities  5
Number of cities  3
Number of consumptions per year  :

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.

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4. Responses to prevent and reduce drug-related harms in recreational settings

Provision of specific responses implemented in night clubs and festivals Free, accessible, cold water Immediate First Aid ‘Chill out’ rooms Information material Outreach work Amnesty bins
Night clubs  :  :  :  :  Extensive  :
Festivals  Extensive  Extensive  :  Full  Extensive  Does not exist

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2011.
Provision expert rating scale:

  • Full – in nearly all night clubs/festivals.
  • Extensive – a majority of night clubs/festivals provide the intervention (but not nearly all of them).
  • Limited – more than a few night clubs/festivals provide the intervention (but not a majority of them).
  • Rare – just a few night clubs/festivals provide the intervention.

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5. References and links

Related EMCDDA resources

 

About the EMCDDA

The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is the reference point on drugs and drug addiction information in Europe. Inaugurated in Lisbon in 1995, it is one of the EU's decentralised agencies. Read more >>

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Page last updated: Wednesday, 03 June 2015