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Postal Service delivered an ordinary envelope to Mark's door. Inside was a tiny plastic bag containing 10 tabs of Drugs for sale. Mark, a software developer, had ordered the micrograms of acid through a listing on the online marketplace Silk Road. He found a seller with lots wale good feedback who seemed to know what they were talking about, added the acid to his digital shopping cart and hit "check out.

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Four days later, the drugs sent from Canada arrived at his house. Silk Fo, a digital black market that sits just below most internet users' purview, does resemble something from a cyberpunk novel.

Through a combination of fkr technology and a sophisticated user-feedback system, Silk Road makes buying and selling illegal drugs as easy as buying used electronics -- and seemingly as safe. It's Amazon -- if Amazon sold mind-altering chemicals. A listing for "Avatar" LSD includes a picture of blotter paper with big blue faces from the James Cameron movie on it. The sellers are located all over the world, a large portion from the United States and Canada.

But even Silk Road has limits: You won't find any weapons-grade plutonium, for example. Its terms of service ban the sale of "anything who's purpose is to harm or defraud, such as stolen credit cards, assassinations, and weapons of mass destruction.

Getting to Silk Road is tricky. The URL seems made to be forgotten. But don't point your browser there yet. It's only accessible through the anonymizing network, TORwhich requires a bit of technical skill to configure. Once you're flr, it's hard to believe that Silk Road isn't simply a scam. Such brazenness is usually displayed only by those fake "online pharmacies" that dupe the dumb and flaccid. There's no sly, Craigslist-style code names here.

But while scammers drugz use the site, most of the listings are legit. Mark's acid worked as advertised. We spoke to one Connecticut engineer who enjoyed sampling some "silver haze" pot purchased off Silk Road.

Silk Road cuts down on scams with a reputation-based trading system familiar to anyone who's used Amazon or eBay. The user Bloomingcolor appears to be an especially trusted vendor, specializing in psychedelics.

One happy customer wrote on his drugs for sale "Excellent quality. Packing, and communication. Arrived exactly as described. Highlighting these practices of care has the potential to remove barriers that hinder the integration of people who use and sell drugs into harm reduction programming, and to develop public health interventions that take seriously the key role of drug buying and selling within the lives of PWUD.

Offering harm reduction equipment in the same location as drug selling allows for more widespread drugs for sale of sterile injection equipment, a key public health strategy in reducing the transmission of HIV and hepatitis C.

In association with drug selling, these more traditional practices of care lead to increased trust and help facilitate harm reduction education and equipment distribution. Our results underline how behaviors such as buying drugs together, buying for another person, and pooling sxle to buy and share a larger quantity of drugs are common within the social networks of PWUD.

Despite their frequency, as well as their role in decreasing and sometimes preventing overdose, these behaviors are nonetheless heavily criminalized as drug distribution or trafficking under current drug laws.

The criminalization of commonplace behaviors contributes to alienating people who use and sell drugs from the health and social service system, and results in missed opportunities to engage people who are selling drugs in potentially beneficial public health interventions [ 154 ]. There is potential to expand wale relevance aale reach of harm reduction programming by recognizing the practices of care associated with drug buying and selling, and integrating drugs for sale into formal harm reduction programming.

The Satellite Site program recognizes and builds upon the practices of care that SSWs drugs for sale already engaging in within their communities such as secondary syringe distribution. This is particularly the case in the context of the overdose crisis in North America; our finding that SSW transmit important information on drugs for sale potency to their clients highlights an important potential role within harm reduction programming for people who sell drugs in the transmission of information on drug potency drugs for sale social networks.

A key feature of the Satellite Sites is that the drug selling sometimes occurring within them is not seen as a liability, but is utilized to achieve public health goals like increasing access to sterile equipment for drug use. Secondary distribution programs have long been used to increase the reach of more formal harm reduction programs [ 555657 ]. The program then extends this insight by training PWUD who may move into and out of drug selling drugs for sale peer harm reduction workers.

In doing so, the Satellite Sites provide an example of how to reduce the structural barriers faced by PWUD that impede access to health and social services by providing convenient access to sterile injection equipment directly within the environments where drugs are sold. Sal, this program also recognizes and formalizes the practices of care surrounding secondary distribution that are already occurring within communities of PWUD [ 52 ].

Provision of information on drug potency and integration of people who sell drugs into drug checking interventions represent a promising area for expansion for harm reduction programming. It acknowledges a potential role of people drugs for sale sell drugs in addressing overdose risk from the drugs for sale variations in the composition of the opioid supply. Mobilizing PWUD as ssle workers within harm reduction programming and in response to the overdose crisis is an important strategy to expand service delivery and improve engagement with harm reduction services [ 50 ].

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However, there is a strong need to drugs for sale that this care work is not downloaded onto peer and community harm reduction workers in ways that article source reinforce existing marginalization [ 1747 ].

Criminalization of drug use and drug selling contributes to the drugs for sale of PWUD as they take on work within harm reduction, which has led to documented inequities in stipends, salaries, and access to benefits, contingent work, and lack of job protections [ 5072 ].

Harm reduction workers—even those who sell drugs—must be adequately compensated for their labor, and provided with proper supports to address the grief and negative emotional impacts associated with providing frontline services during the overdose crisis [ 1750 ]. Care must be taken when attempting to extrapolate the findings from this study to other geographical settings, as not all environments or contexts would be amenable to this type of intervention.

Key-Word Phrase is available to buy. Re-direct to your site. If you have any questions, please just ask. Sale! .serp-item__passage{color:#} Selling all kind of drugs since Sitemap.

The Satellite Sites, by contrast, are run out of private apartments by individuals who are not associated with any criminal organization. As mentioned earlier, the founder of the Satellite Site program was very deliberate and took great care in the selection of the Satellite Sites.

He used both his familiarity with the community settings where people gathered to use drugs and his in-depth knowledge of harm reduction practices to choose potential Satellite Sites. An in-depth examination of the local norms within the spaces where drugs are used and drugs for sale in the community, in partnership with PWUD who are knowledgeable about the local context, is necessary prior to the development of any programming that aims to integrate people who sell drugs into harm reduction service delivery.

The increased prevalence of fentanyl in the illicit opioid market in most parts of Drugs for sale America has led to a massive increase in overdose deaths in the USA and Canada [ 687075 ]. It also constitutes a changing risk environment for PWUD [ 76 ], where the presence of fentanyl in the illicit opioid supply is disrupting the ways in which both PWUD and people who sell drugs attempt to keep themselves and others safe from overdose [ 6970 ].

Available information suggests that this contamination is happening far up the supply chain, and not primarily among street or low-level drug sellers [ 69 ]. Findings from this study suggest that there is strong potential to integrate low-level drug sellers—particularly those who know their clients well and are already engaging in practices of care towards them—in harm reduction programming.

PWUD have already been integrated into community drugs for sale initiatives that equip them to intervene quickly when overdose occurs [ 175077 ]. Expansion to formally engage some people who sell drugs in overdose response initiatives, transmission of information on drug potency, or in drug checking interventions [ 6 ] may provide additional avenues for capitalizing without online prescription drugs existing practices of care among people drkgs sell drugs, flr addressing the opioid overdose crisis at the community level.

The datasets generated and analyzed during the current study are not publicly available given the sensitive nature of the research topic, as they contain confidential information that could compromise participant confidentiality and consent.

Income generating activities of people who inject drugs. Drug Alcohol Depend. J Urban Health. Int J Drug Policy. Dwyer R, Moore D. Beyond neoclassical economics: social process, agency and drugs for sale maintenance of order in an Australian illicit drug marketplace. PubMed Article Google Scholar. Fitzgerald JL. Mapping the experience of drug dealing risk environments: an ethnographic case study. Trusting the source: the potential role of drug dealers in reducing drug-related harms via drug checking.

The protective effect of trusted dealers against opioid overdose in the U. Exposure to druvs heroin and overdose risk among drugs for sale opioid users in Rhode Island: a mixed methods study.

Toots, tastes and tester shots: ofr accounts of drug sampling methods for gauging heroin potency. Harm Reduct J. Google Scholar. Bonar EE, Rosenberg H. Article Google Scholar. Naloxone for heroin, prescription opioid, and illicitly made fentanyl overdoses: challenges and innovations responding to a dynamic epidemic. The implementation of overdose prevention sites as a novel and nimble response during an illegal drug overdose public health emergency. Initial results of a drug checking pilot program to detect fentanyl adulteration in a Canadian setting.

Strike C, Watson TM. Losing the uphill battle? Emergent harm reduction interventions drugs for sale barriers during the opioid overdose crisis in Canada.

Strike C, Kolla G. Toronto; May pp. Kolla G, Strike C. McNeil R, Small W. Safer environment interventions: a qualitative synthesis of the experiences and perceptions of people who inject drugs.

Soc Sci Med. Mclean K. Good Samaritans vs. J Crime Justice. Coomber R. Drugs for sale Myths. London: Free Association Books; Visual and narrative representations of mental health and addiction by law enforcement.

Grove D. Real harm reduction: underground survival strategies. Harm Reduction Communication [Internet]. AIDS Behav. Help me fix: the provision of injection assistance at an unsanctioned overdose prevention site in Toronto, Canada. Qual Health Res. Critical studies of harm reduction: overdose response in uncertain political times.

Coomber R, Moyle L. Drugs Edu Prev Pol. Kirst M. Social capital and beyond: a qualitative analysis of social contextual and structural influences on drug-use related health behaviors.

J Drug Issues. Bourgois PI, Schonberg J. Righteous dopefiend. Pricing prescription of California Press; Harris M, Rhodes T. Reconceptualising drug markets and drug dealers — the need for change. Drugs and Alcohol Today. Race K. The use of pleasure in harm reduction: perspectives from the history of sexuality.

Duff C. Governing drug continue reading otherwise: for an ethics of care. J Sociol. Thinking with pleasure: experimenting with drugs and drug research.

Sybylla R. Hearing whose voice? The ethics of care and the practices of liberty: a critique. Econ Soc. Puig dela Bellacasa M. Matters of care in technoscience: assembling neglected things. Soc Stud Sci. The politics of care in technoscience. Mol A. The logic of care: health and the problem of patient choice. Puig dela Bellacasa M, Matters of care. U of Minnesota Press; Murphy M.

Unsettling care: Troubling transnational itineraries of care in feminist health practices. Take-home naloxone and the politics of care. Sociol Health Illn. Dechman MK. Faulkner-Gurstein R. Drugs for sale social logic of naloxone: peer administration, harm reduction, and the transformation of social policy. Peer worker involvement in low-threshold supervised consumption facilities in the context of an overdose epidemic in Vancouver, Canada.

Social Science and Medicine. Addressing intersecting housing and overdose crises in Vancouver, Canada: opportunities and challenges from a tenant-led overdose response intervention in single room occupancy hotels. Crit Public Health. The material, moral, and affective worlds of dealing and crime among young men entrenched in an inner city drug scene. Erickson P. Drugs, violence and public health What does the harm reduction approach have to offer?

Fraser Institute. Bryant J, Hopwood M. Secondary exchange of sterile injecting equipment in a high distribution environment: a mixed method analysis in south east Sydney, Australia. Syringe acquisition, peer exchange and HIV risk. Contemporary Drug Problems. Small ML. How many cases do I need? Writing ethnographic fieldnotes, second edition. Chicago: University of Chicago Press; Book Google Scholar.

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Qual Res Psychol. Secondary syringe exchange among users of 23 California syringe exchange programs. Finding a place for needle exchange programs. Effectiveness of needle and syringe programmes in people who inject drugs — an overview of systematic reviews. BMC Public Health. National report: apparent opioid-related deaths in Canada January to December Public Health Agency of Canada.

Ottawa; Dec pp. Illicit fentanyls in the opioid street market: desired or imposed? Deviant Behav. Peering into the literature: a systematic review of the roles of people who inject drugs in harm reduction initiatives. Assembling the social and political dimensions of take-home naloxone. Roy E, Arruda N. Ciccarone D. The triple wave epidemic: supply and demand drivers of the US opioid overdose crisis. Fentanyl in the US heroin supply: a rapidly changing risk environment. Characterizing peer roles in an overdose crisis: preferences for peer workers in overdose response programs in emergency shelters.

Download references. We would like to thank the study participants, Satellite Site workers, and program staff members for their assistance and time, as well as for their willingness to share their perspectives with us. Patricia Erickson, Maritt Kirst, and Jooyoung Lee provided supervision of this dissertation project, and their comments on early drafts of this manuscript are gratefully acknowledged.

You can also search for this author in PubMed Google Scholar. GK is the primary author; she designed the study, conducted qualitative and ethnographic data collection and analysis, and drafted and edited the manuscript.

CS supervised the study design, provided guidance on data collection and analysis, and reviewed and commented on drafts of the paper. Both authors read and approved the final manuscript.

Correspondence to Gillian Kolla. Ethics approval was obtained from the University of Toronto Drugs for sale Ethics Board, protocol reference number Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material.

If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Reprints and Permissions. Kolla, G. Practices of care among people who buy, use, and sell drugs in community settings. Harm Reduct J 17, 27 Download citation. Received : 20 February Accepted : 28 April Published : 07 May Anyone you share the following link with will be able to read this content:.

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Search all BMC articles Search. Download PDF. Download ePub. Abstract Background Popular perception of people who sell drugs is negative, with drug selling framed as predatory and morally reprehensible. Methods Data collection included participant observation within the Satellite Sites over a 7-month period in —, complemented by 20 semi-structured interviews with Satellite Site workers, clients, and program supervisors. Conclusion Our results suggest a potential for harm reduction programs to incorporate some people who sell drugs into programming.

Drug selling and harm reduction Focusing on drug selling within harm reduction programming is not a new idea. Practices of care in harm reduction This paper explores the practices of care that SSWs engage in as part of their harm reduction work, with a focus on the practices of care that circulate drugs for sale drug selling.

Data collection A community-based research approach was used to guide the data collection in this ethnographic study. Data analysis Data analysis was guided by a theoretical approach that aimed to foreground the ways in which a marginalized group of people engage in harm reduction work in community settings, with a focus on how structural and social forces shape actions that are often viewed and framed as individual-level risk behaviors [ 606162 ].

Results Drug selling and practices of care The Satellite Site program integrates the distribution of harm reduction materials directly into the spaces in the community where people are already gathering to buy and use drugs, and helps make sterile drug injection and unused inhalation equipment more widely available in these community settings.

It illustrates the benefits of co-locating harm reduction equipment within the spaces where people are buying and using their drugs: There is a knock at the door, and Phil walks over, opening the door a crack.

Discussion The findings from this ethnographic research document the practices of care occurring around drug buying, using, and selling within click community-based harm reduction program staffed by SSWs—some of whom are actively engaged in drug selling alongside their harm reduction roles. Conclusion The increased prevalence of fentanyl in the illicit opioid market in most parts of North America has led to a massive increase in overdose deaths in the USA and Canada [ 687075 ].

Availability of data and materials The datasets generated and analyzed during the current study are not publicly available given the sensitive nature of the research topic, as they contain confidential information that could compromise participant confidentiality and consent. Google Scholar Coomber R. Article Google Scholar Kirst M. Article Google Scholar Coomber R. Article Google Scholar Race K. Article Google Scholar Rhodes T.

Article Google Scholar Ciccarone D. Acknowledgements We would like to thank the study participants, Satellite Site workers, and program staff members for their assistance and time, well as for their willingness to share their perspectives with us. View author publications. Ethics declarations Ethics approval and consent to participate Ethics approval was obtained from the University of Toronto Research Ethics Board, protocol reference number

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