Now out in #HarmReduction journal from @DanielavSanten and colleagues ‘Lessons from the #Amsterdam cohort’ what longitudinal studies of #PWUD can help us understand #harmreductionworks https://t.co/rsZipsIMuH
Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective.
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Jan 2021 – Mar 2025Where it's discussed
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AI synopsis
What people are saying
Discussions express strong support for harm reduction, emphasizing the Netherlands' long-term positive outcomes, as seen in mentions of notable policies like needle exchanges and safe consumption rooms. The tone is analytical yet optimistic, reflecting both respect for proven strategies and recognition of ongoing challenges.
Most discussions acknowledge the effectiveness of harm reduction strategies, citing the success of programs in the Netherlands and their impact on public health.
Posts demonstrate high curiosity by referencing specific studies, historical perspectives, and calling for further research, indicating strong engagement.
Many comments analyze policies, compare international approaches, and cite detailed examples like needle exchanges and safe supply, showing deep involvement.
While there is recognition of the importance of Dutch models, some comments highlight ongoing challenges and debates, suggesting moderate overall influence.
Abstract in brief
- The Amsterdam Cohort Studies (ACS) started in the 1980s within the context of Dutch harm reduction policies and faced challenges such as balancing public health benefits with individual rights, which led to innovative research and intervention strategies for people who use drugs.
- Data from ACS between 1985 and 2016 show that programs like opioid therapy and needle exchanges significantly reduced HIV and hepatitis infections, with additional benefits from broader social and healthcare services that supported recovery and prevention.
- Despite successes, ongoing HIV and hepatitis outbreaks in regions with limited harm reduction services highlight the need to expand access globally to meet WHO goals for eliminating viral hepatitis and HIV transmission.
Top posts
Most liked on X and BlueskyOur paper just published - Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective (with a focus on harm reduction programs: first ever NSP (1984), changes in methadone dosing and more!) https://t.co/posddUTh5i
@A_squishy_mochi There are safe supply programs for opioid users in parts of Europe that work pretty well. https://t.co/bkT3rMucvj
@abluecanary Back in the '90s a lot of bathrooms in Amsterdam had dim dark-blue lights so users could not see their veins to shoot-up. Then the lights slowly disappeared. "Problematic heroin use is currently no longer a major public health concern in the Netherlands." https://t.co/FaLblUXwh6
@ladoodles @RyanMarino 1. Well actually, yeah. Look at countries that provide safe supply and harm reduction does. https://t.co/vlRp2l5fFC
@hebert_virginie @Shell_done @LCP @ALeaument Le Fentanyl n'a strictement rien à voir avec la légalisation du Cannabis. Les crises des opioïdes sont antérieures aux modèles de légalisation et les Pays-Bas furent les pionniers de la réduction des risques. https://t.co/Op7PQ7Z7qx
All mentions
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@hebert_virginie @Shell_done @LCP @ALeaument Le Fentanyl n'a strictement rien à voir avec la légalisation du Cannabis. Les crises des opioïdes sont antérieures aux modèles de légalisation et les Pays-Bas furent les pionniers de la réduction des risques. https://t.co/Op7PQ7Z7qx
@jeffcharlesjr A cohort study in Amsterdam looked at the result of the Harm Reduction effort there over 40 years, following 1376 drug users. During the study, 476 participants died. Doesn’t say why but that’s about 37%. They put a rosy spin on it, but that’s high, no? https://t.co/c4PqiMeORP
@nlewis1111 @OC_Bird_Dog @Miriam2626 Sure nice story dude "ACS found no evidence that either methadone use or NSP participation alone were associated with a reduction in all-cause and AIDS-related mortality." https://t.co/2yXKsFC5As
@la_toletole @LarrainDe @AnaMariaGazmuri El caso de la heroina en Holanda, se trató bajo el criterio epidemiológico de contagio por uso de agujas contaminadas como un criterio relevante y quizás más que las adiccciones, atendamos a los detalles en el análisis. https://t.co/2c5qKCJrIx
@mdpaulus @RyanMarino I think you should probably just research harm reduction strategies since there's a fundamental misunderstanding going on here. https://t.co/1ZjRf3fIF9 https://t.co/ywxS4veIrL
@Jebus Personally I have become fond of the way the Netherlands attacked their opiod crisis in the past. Fine/jail time for users, unless they entered long term treatment facilities. https://t.co/qjBcAucIH5
@HoffmanSamnta @UwumanT @MaxAAltamirano @cesargalicia_ ah paises bajos, el que tuvo una crisis de adiccion y tuvo una significativa reducción en crimenes asociados a drogas gracias a legalizar y programas de reduccion de daños? ese paises bajos? https://t.co/fC6MTTonnG https://t.co/XemKlEIUm4
@AlanElsharawy @ErikakHilton 1- A Europa inteira,Canadá,EUA e Oceania tem o uso DE VARIAS DROGAS legalizado e vicio tratado como PROBLEMA DE SAUDE PUBLICA . Aqui ESTUDO CIENTIFICO REVISADO POR PARES mostra que Amsterdam DIMINIU violencia e uso de drogas pesadas com a legalização https://t.co/FetxKRNiMN
@MSW_researcher @Rob277659588671 @giantcheetoAB @artcgreen @AmarjeetSohiYEG @CityofEdmonton Legalization/Decriminalization models in other countries have been shown to decrease crime/addiction/AIDS/Hepatitis etc and ended up saving $$. Look towards the Netherlands for example https://t.co/Uv9btFlaU5
@JacopoPalumbi @drelegantia https://t.co/Iopj72UZ4S
@Fascist_Barbiee @war24182236 @thomreddy In The Netherlands this has been ongoing for decades. Even provide safe houses/treatment centers for the addicts. Viewed more as a social issue than a criminal issue. Would never work in the US because of the loss of $$$$ to prison system & big pharma. https://t.co/bvrxbq4nw1
@Ann3_C4rneiro @adrinapl foi na holanda! fui atrás da fonte e ao invés de tratarem como uma questão de violência, trataram como saúde pública (o que de fato é). não resolveu tudo, e não tinha similaridade na violência, mas é um exemplo cabível. não foi aqui que li, mas um artigo: https://t.co/rFlZx1dWZq
@ladoodles @RyanMarino 1. Well actually, yeah. Look at countries that provide safe supply and harm reduction does. https://t.co/vlRp2l5fFC
@CameronP1234 @9NEWS Picking Amsterdam as your made up city could not have been a more unwiser choice. https://t.co/4GGdBMJ3ph
@carl_colberg @David_Mulroney @jordanbpeterson The dutch perfected this public policy decades ago and it works, however it does require politicians to embrace science which seems dubious at best in the US but here you go https://t.co/fl0QxSjnD6
@SenJohnKennedy This has already been fixed in Amsterdam. It has nothing to do with immigrants. You have it backwards, as usual. Do you have the courage to fix it? #fentanyl #drugtwt #congress @gop https://t.co/mhEaxvZkCc
@patriottakes How to actually prevent fentanyl deaths: https://t.co/lKS005CwqS
@GaeltachtMogy @th3catfam They should have drug consumption rooms like in the Netherlands, where they test your drugs for quality, give you clean needles and have people available for consultation, especially if you want to stop taking drugs. https://t.co/lKS005UFF0
@A_squishy_mochi There are safe supply programs for opioid users in parts of Europe that work pretty well. https://t.co/bkT3rMucvj
Here's a more recent publication, for those interested. (And the recent trend isn't so good, but I have faith they'll fix things.) A summary of the "Amsterdam Cohort Study": https://t.co/FaLblVezj6
@abluecanary Back in the '90s a lot of bathrooms in Amsterdam had dim dark-blue lights so users could not see their veins to shoot-up. Then the lights slowly disappeared. "Problematic heroin use is currently no longer a major public health concern in the Netherlands." https://t.co/FaLblUXwh6
@DrOz I know your supporters don’t like reading and just hope for a YouTube video to get their “info”, but in case there’s one out there that’s not lazy to read about the effectiveness of Harm Reduction Programs like in the Netherlands. https://t.co/myw4BGDIoS
@BryMullen @anthonyzenkus https://t.co/tH2bt5JHcP.
@DilemmaTodays @nytimes It seems to work in other places it's been tried. https://t.co/NIQNzi4tcJ
@JohnnyThespian @DavidEngbaek @WeAreCanProud As long as the Netherlands practices are followed - which they won’t be because we have idiots running the show. https://t.co/RAEC4d3Mck
@yesh222 It’s literally called harm reduction. It works. https://t.co/EBbCGDjIeg
@Cynder429 @ShellenbergerMD Here is an article in English, which has some answers for you. https://t.co/ulGsqpDAcj
@CaroZaibac harm reduction (HR) https://t.co/yFhpEhyxiF
@eugenersmith @ThaTurdFerguson @angrybklynmom @jayobtv Yes and getting vaccinated against diseases is a great way to “take care of yourself.” Super interesting non sequitur! Curing addicts is complex and the Netherlands has done great research on this which was very successful, well worth the read! https://t.co/sbG1oTsmVu
@Plinz https://t.co/lurhjOGaO2
@ScottCo39908318 https://t.co/AFxnmvUFdN. This. Article breaks it down a bit. May be tough without Medicare for all though.
@Cryptoprincipa1 @mrpresident35_ @logicisabitch @Breaking911 https://t.co/AFxnmvUFdN
@philipoconnor I remember hearing about their use in Amsterdam when I was living there. Seems like they worked there too
@lyleleander @OpioidHysteria @neurorebelde @davidthekick @traceyh415 https://t.co/vshTWutNo3 ok this is a broad overview of harm reduction strategies over 30 years in the Netherlands - it touches on the heroin program a few times, confirms ageing addict population but it was in conjunction with a methadone program, so I had that wrong. Couldn’t 1/
"Lessons learned from the Amsterdam Cohort Studies among people who use #drugs: a historical perspective" (Van Santen, Coutinho, Van den Hoek, Van Brussel, Buster & Prins, 2021) #harmreduction #PWUD #Dutchdrugpolicy https://t.co/I392u4Yhcn
Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective https://t.co/nLfd7y30fP #OD #Overdose #PWUD #PWID #SUD #addiction #opioid #opioids #HarmReduction https://t.co/ILfze4T3xL
Lecture du matin : Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective #HIV #HCV #drugabuse #harmreduction https://t.co/bMdwPvSOUB
Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective https://t.co/nLfd7y30fP #OD #Overdose #PWUD #PWID #SUD #addiction #opioid #opioids #HarmReduction https://t.co/7K9td9XMEG
Now out in #HarmReduction journal from @DanielavSanten and colleagues ‘Lessons from the #Amsterdam cohort’ what longitudinal studies of #PWUD can help us understand #harmreductionworks https://t.co/rsZipsIMuH
Our paper just published - Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective (with a focus on harm reduction programs: first ever NSP (1984), changes in methadone dosing and more!) https://t.co/posddUTh5i
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