Harm reduction is a public health approach that focuses on minimizing the negative consequences of substance use and other risky behaviors. It promotes safety, dignity, and evidence-based strategies—such as naloxone distribution, test strips and prevention education—to reduce health risks and save lives. These principles are woven throughout our work as we meet people where they are and support healthier choices that can lead toward recovery.
An estimated 4,567 New Yorkers died of a drug overdose in 2024, compared to 6,688 in 2023. Approximately 77 percent of these deaths involved an opioid, such as heroin or fentanyl.
New programs have expanded access to supports, services, and harm reduction materials, and have contributed to a decrease in overdose deaths. Efforts are also underway to reduce the impact of stigma on addiction treatment.
To date, OASAS has distributed over 14 million fentanyl test strips, 10 million xylazine test strips, and 371,000 naloxone kits.
Reduce Risk and Harm
More Strategies and Resources
Explore more harm reduction strategies that enhance safety and promote healthier choices, helping to minimize risks and create a safer environment for everyone.
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Harm Reduction Hero
High School Student Puts OASAS Naloxone to Use
When 16-year-old Victor Nelson of Poughkeepsie, NY, ordered naloxone from the OASAS website, he never expected he would need to use it. One afternoon, while out with his father, he found himself in a situation where a man claimed he was overdosing and needed help. Victor drew upon the lessons he learned in health class and gave naloxone to the man, who now credits Victor with saving his life. Watch Victor's story and be sure to order harm reduction supplies of your own - available for free and delivered directly to your home.