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Table 2 Hierarchy of objectives and advice/interventions

From: A pragmatic harm reduction approach to manage a large outbreak of wound botulism in people who inject drugs, Scotland 2015

Objective Advice/intervention
Eliminate risk of infection • Advice on how to reduce or eliminate drug use altogether
• Information on access to opiate substitution therapy services
Reduce risk of infection • Advice on switching to safer route of drug use
• Provision of foil to encourage smoking as an alternative to injecting
• Advice on safer injecting behaviour (ensuring they inject into a vein)
Reduce risk of severity • Education and awareness raising of the signs and symptoms of illness and where to seek help