Sheila Vakharia PhD MSW @MyHarmReduction
Opinions Mine | Deputy Director at @DrugPolicyNerds |@DrugPolicyOrg | Author 'The Harm Reduction Gap' | Order: https://t.co/Ty0f7cKHLm sheilavakharia.com Brooklyn, NY Joined August 2010-
Tweets44K
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Smoke Works started with 9 independent harm reduction groups pooling resources. Now we serve over 400 programs annually.
SAVE THE DATE: Sept 25th 4:30-6pm EST Join us for our September #DrugResearchersRT with Drs. Cerda and Allen, who will discuss NYC's Overdose Prevention Centers and the findings of their research upon neighborhood conditions. Register: bit.ly/Sep2025Roundta…
A few billionaires want you to believe that if you make the ultra-wealthy pay their fair share in taxes, they’ll leave. That’s nonsense. @ZohranKMamdani’s policies to make New York City safer and more affordable for working people would benefit everyone.
My 15th anniversary on Twitter. This app changed my life- it taught me so much, it gave me community, and it eventually led to so many life changing opportunities. I think it's so tragic what it's become. But I'm still here. #MyXAnniversary
SAVE THE DATE: August 27th at 7pm Baltimore I'll be doing an in-person book talk and signing at Red Emma's. Register and bring a friend! I would love to see you there. redemmas.org/events/sheila-…
What an insult to our harm reduction movement and elders who fought so hard for naloxone and fentanyl test strip access. Check out the atrocious language in the latest letter from SAMHSA claiming these tools are "not harm reduction." samhsa.gov/sites/default/…
For all their copaganda, noteworthy that they buried the story on the app and didn't use the photo of the slain Bangladeshi officer...nytimes.com/2025/07/29/nyr…
The wonderful @MyHarmReduction will be at Red Emma's next month to talk about her book, "The Harm Reduction Gap." It's an excellent read, and I highly recommend attending the event. Details: withfriends.co/event/26444195…
ICYMI: LAC created a new guide for providers, harm reductionists, attys & others on combatting local opposition to substance use programs! Includes overview of anti-discrimination protections, case examples & strategies for overcoming NIMBYism: bit.ly/OvercomingNIMB…
This administration has prioritized punishment, penalties, tariffs, and border enforcement in the name of our loved ones who died of overdose. All while gutting the very programs & strategies that are saving lives, and cutting the research for solutions. npr.org/2025/07/16/nx-…
Appreciate this NYT coverage about Contingency Management, one of the most studied approaches to treating addiction- and one of our strongest tools to help people with stimulant use disorders. Rewards, not punishment! 💪🏽nytimes.com/2025/07/16/hea… via @nytimes
People always ask me, "Sheila, but what about the kids?" Now I can refer them to this great textbook. Preorder your copy today! It's by Amanda Reiman and Barry Lessin - "Harm Reduction Approaches with Adolescents who use Substances." amazon.com/Harm-Reduction…
A lot of people are about to wake up uninsured and won’t even realize it, because in their state, Medicaid is disguised with feel-good names like “PeachCare,” “Healthy Indiana,” or “Medi-Cal.” They think the cuts won’t touch them.
The average medical school debt is $234,597, and this bill would cap federal loan borrowing at $200,000, meaning the remainder would have to be borrowed from high-interest private lenders, at a time when the country faces a shortage of 125,000 doctors. This is fine.
New Dig: @nycDSA co-chairs @unionGustavo and Grace Mausser on how DSA and @ZohranKMamdani campaign orchestrated historic victory. A behind scenes look at how DSA built most powerful socialist org in the country—and how we replicate their victory everywhere thedigradio.com/podcast/how-zo…
And we love this for him.
Yes to @ZohranKMamdani, @JumaaneWilliams, and Bay Ridge's own @JustinBrannan !!!! LFG!!!

Brian Hackel @Brian_A_Hackel
8K Followers 8K Following OD Prevention @nychealthy | Party & Protest Medic | Former OPC Supervisor @onpointnyc | EMT | CASAC | M.S.| Harm Redux | Opinions are my own (TW: graphic)
Stephen Murray, MPH, ... @stephenHRNRP
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guyfelicella🇨🇦�... @guyfelicella
34K Followers 3K Following I support harm reduction and recovery. Survived homelessness. Beat addiction. In recovery. Living my best life. Inspirational Speaker. Opinions are mine.
tracey helton mitchel... @traceyh415
11K Followers 2K Following opinions are my own. Naloxone! author-The Big Fix. Featured in The NYT & NPRs Fresh Air, anti racist, MH issues, repped by @lynnjohnstonlit
Garrett Reuscher @GarrettReuscher
10K Followers 800 Following Your friendly neighborhood harm reduction psychotherapist. LCSW. He/Him. Views are my own. You'll like the way I tweet. I Garrett-ee it.
Morgan Godvin @MorganGodvin
22K Followers 3K Following researcher | former prisoner | drug policy + substance use research | drug checking LA @ucla | harm redux @beatsoverdose | veterans | she 🌈
Drug Policy Alliance @DrugPolicyOrg
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Leo Beletsky @LeoBeletsky
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Maia Szalavitz @maiasz
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Sarah Axelrath MD @DrSarahAxelrath
15K Followers 3K Following I came here to chew bubblegum and to lift up important points of view in harm reduction, addiction treatment, and homelessness. And I’m all out of bubblegum.
Garth Mullins @garthmullins
15K Followers 3K Following Host @crackdownpod, bestselling author, VANDU, drugstore cowboy, writer, policy analyst, shop steward, PhD(c), blind. Repped by @CRSRipley Be safe-Keep 6
Coalition for Syringe... @SyringeAccess
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Carl Hart @drcarlhart
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Grinspoon -- Grinspoo... @Peter_Grinspoon
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Gary Susie @garysusie427
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Christian Mugarura Ma... @ChristianMafi1
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E10N @iamhim_X_1
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I LOVE ALGERIA @TericheSofiane
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Digital Marketing Ser... @MdApuAhmed96065
9 Followers 250 Following I am a professional social media manager for your https://t.co/ymllbmmTZG media https://t.co/eeWDg4B3Ii media management (SEO)Expert. #digitalmarketing #socialm
Rolinga Wackem @RolingaW4L
22 Followers 339 Following Treatment For Soul Click on the link to order 🍫 🍄 Reliable info about #psychedelics #LSD #MDMA #DMT #ketamine
Seth @SoberLaneSplit
309 Followers 547 Following Just a dude whose helping fight the drug epidemic through becoming a CPRSS to help others get #sober. I also keep track of overdoses in USA nightly. #sethstats
Brooklyn @Gadsn9j25S80H
24 Followers 557 Following Need a new content parntnerrr heheeh, link beloww lets see if we are closeeee!
Tod with one d @TodGarfoot
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Corgi_Lover_Club @mdnadim741233
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ali hoseinpoor @drhoseinpor1965
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Stephen Carberry 🏴... @StephenCarb1964
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33 Followers 292 Following 💻 Transfigure IT — Faster. Smarter. Digitally Transformed. #perth #digitaltransformation
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29 Followers 341 Following here am all alone..I need a serious relationship..with No games No lies
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882 Followers 260 Following Finding joy in the little things . @Building brands and breaking limits Life through my lens 📸 Fil-Am 🇺🇸
James Byrnes @byrnesjamespaul
3K Followers 4K Following I Know that GOD exists. UNITED STATES OF AMERICA is exceptional and has always been great. God's grace. Pray believing 🙏 THIS REPUBLIC will prevail.
RealWorldWeed @RealWorldWeed
975 Followers 554 Following We are Real World Weed. The first tokenized cannabis grow on Solana. $RWW. CA:EWQqHFoS7FrDp8Fmj4sN5qV5YKpV3cReCFjiFGtXpump Join the movement. Grow with us.
Yahaya Dauda @Nova_Crypto_Hub
205 Followers 2K Following Unraveling crypto, healthcare, economics, politics, philosophy & innovation with Novaspecialist. Join the big ideas revolution! 🌍 #ThinkSphere
Sydney @nNs9noQB5094p
6 Followers 485 Following Need a new content parntnerrr heheeh, link beloww lets see if we are closeeee!
🇵🇸 RANIA from G... @RanytF3043
461 Followers 6K Following I am a mother living on the bare minimum of living. Help me by sharing the link. Everyone who donates will save my children from starvation✌️🔻
olivia @oliviakr128
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Tom Evenstad @PrisonReform15
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West Country Recovery @West_Country
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ProhibitionBlunder.or... @prohibitblunder
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Ramadan Shabat🍉�... @Ramadanshabat1
538 Followers 8K Following I am Palestinian, living in Gaza. I love my country and I hope that the war will end as soon as possible. You can help or support me through the following link:
Laurence Wiener @lbwiener
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Fil @___Lost_InSpace
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Andres @AnonymoushavenX
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peacegaia68 @peacegaia68
424 Followers 2K Following I'm for transparency, critical thinking, and media scrutiny / LIKES = Flags for further study. Cancer survivor, Buddhist, jazz musician, poet
Prince Kumar singh @mrrajputprince
24 Followers 531 Following R&D Engineer | LV Switchgear Design Specialist | Innovating Control Panels, SLDs, ATS, DBs & More | Powering Smarter Electrical Solutions | #Engineering #R&D
Justin Simporios @Justsimporios
374 Followers 2K Following Lotto max Winner Giving back to the society ,be a part of my outreach
Ms. Marlo @Rastasjourney
3K Followers 7K Following God, Family, Country 🇺🇸 One Love, One Heart 💜 No DM’s! 🐾Dogs are my ❤️🐾
Evelyn Thomas @evelyn_1344
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Let's Trip Again @letstripagain
153 Followers 3K Following Join us on this journey of discovery and growth, as we navigate the complexities and possibilities of psychedelic
PSYCHEDELICS JOURNEY ... @Perry8168523974
9 Followers 245 Following Treatment For Soul Click on the link to order 🍫 🍄 Reliable info about #psychedelics #LSD #MDMA #DMT #ketamine
Idris Iyande @idris_iyande
8 Followers 100 Following
Hams Jammeh @HamsJ40521
125 Followers 6K Following May the God of hope fill you with all joy and peace as you trust in him, so that you may overflow with hope by the power of the Holy Spirit.
Brian Hackel @Brian_A_Hackel
8K Followers 8K Following OD Prevention @nychealthy | Party & Protest Medic | Former OPC Supervisor @onpointnyc | EMT | CASAC | M.S.| Harm Redux | Opinions are my own (TW: graphic)
Stephen Murray, MPH, ... @stephenHRNRP
15K Followers 7K Following Husband/dad / Director SafeSpot Overdose Hotline/ Paramedic from @ThisAmerLife Ep809 The Call / Adjunct Assistant Clinical Professor @BUSPH / VIEWS MINE!
guyfelicella🇨🇦�... @guyfelicella
34K Followers 3K Following I support harm reduction and recovery. Survived homelessness. Beat addiction. In recovery. Living my best life. Inspirational Speaker. Opinions are mine.
tracey helton mitchel... @traceyh415
11K Followers 2K Following opinions are my own. Naloxone! author-The Big Fix. Featured in The NYT & NPRs Fresh Air, anti racist, MH issues, repped by @lynnjohnstonlit
Garrett Reuscher @GarrettReuscher
10K Followers 800 Following Your friendly neighborhood harm reduction psychotherapist. LCSW. He/Him. Views are my own. You'll like the way I tweet. I Garrett-ee it.
Morgan Godvin @MorganGodvin
22K Followers 3K Following researcher | former prisoner | drug policy + substance use research | drug checking LA @ucla | harm redux @beatsoverdose | veterans | she 🌈
Drug Policy Alliance @DrugPolicyOrg
98K Followers 2K Following The nation’s leading org promoting drug policies grounded in evidence, health, equity, & human rights. #NoMoreDrugWar 501c4: @drugpolicyact
Leo Beletsky @LeoBeletsky
17K Followers 5K Following Public health impact of laws & law enforcement @NUSL @hijAction @NUbouve @UCSDMedSchool | Harm reductionist | Nomad | Dad to 2 bandits & cat ⛵
Maia Szalavitz @maiasz
31K Followers 3K Following Contributing Opinion Writer, New York Times. OUT NOW IN PAPERBACK: Undoing Drugs. Award winning neuroscience journalist. Quit cocaine & heroin in 1988.
Sarah Axelrath MD @DrSarahAxelrath
15K Followers 3K Following I came here to chew bubblegum and to lift up important points of view in harm reduction, addiction treatment, and homelessness. And I’m all out of bubblegum.
Garth Mullins @garthmullins
15K Followers 3K Following Host @crackdownpod, bestselling author, VANDU, drugstore cowboy, writer, policy analyst, shop steward, PhD(c), blind. Repped by @CRSRipley Be safe-Keep 6
Coalition for Syringe... @SyringeAccess
4K Followers 1K Following Coalition of harm reduction orgs here to chew bubble gum & end stigma against people who use drugs. And we're all out of bubble gum.
Carl Hart @drcarlhart
55K Followers 1K Following Prof. @Columbia; Author, Drug Use for Grown-ups: https://t.co/98wYzjyw8F
Grinspoon -- Grinspoo... @Peter_Grinspoon
35K Followers 9K Following Primary Care Doc. & cannabis specialist Harvard Med. https://t.co/bjnjWRtZ1Z Book: Seeing Through the Smoke (about weed) #addiction #psychedelics
Check Your Tube Stati... @GhanaboyPharmd
9K Followers 2K Following Doctor of Pharmacy and Anti-Imperialist
Steve Rolles @SteveTransform
20K Followers 1K Following Senior Policy Analyst for Transform Drug Policy Foundation (@transformdrugs), mostly tweeting on drug policy/law reform. Own views etc.
Sam Rivera @samrivera1111
2K Followers 5K Following ED, OnPointNYC: @nyharmreduction/@cornerproject #HarmReduction #TainoLeadership #MMIW #Healing DONATE: https://t.co/lVYgzhumWk Media Requests [email protected]
South Brooklyn DSA �... @sbkDSA
4K Followers 1K Following Southern Brooklyn local @nycDSA @DemSocialists they/them/comrade #sunsetpark #bayridge #parkslope #bensonhurst #coneyisland #greenwood #sheepsheadbay #boropark
Cassie Moore @CassieMoorePhD
866 Followers 1K Following Assistant Professor, Division of Behavioral Biology (DBB) @HopkinsMedicine researching cannabis 🌿⚗️ and other drugs👩🔬🐭
Committee to Protect ... @pressfreedom
252K Followers 2K Following Press freedom is your freedom. For #WorldPressFreedomDay, please consider showing your support of the 4th Estate by donating to our vital work: https://t.co/u6nmbfgWsB
Hussein @EyesOnSouth1
44K Followers 1K Following Journalist - Palestine & Resistance - opinions my own - Instagram account: https://t.co/v9soiLQSkx - Telegram https://t.co/wB9nejT50L
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1.3M Followers 2K Following The other one. @PodSaveAmerica, @CrookedMedia, https://t.co/mKXKFl0EF4, https://t.co/zvWhe0ETFE
Student Workers of Co... @SW_Columbia
13K Followers 845 Following A Union for Instructors, TAs, and Researchers at Columbia University | @UAW Local 2710 | RTs ≠ endorsements. @swcolumbia.bsky.social
Avik Chatterjee @AvikChatterMD
4K Followers 2K Following Primary Care/Addiction Medicine Physician @BHCHP. Assistant Professor @BUMedicine @The_BMC. Research interests: treatment of #OUD, #healthequity
The Stand NYC @TheStandNYC
21K Followers 317 Following Serving Manhattan the best food, drinks, and comedy since 2012 now in Union Square | 116 E. 16th St. | 212.677.2600
hasanabi @hasanthehun
1.6M Followers 2K Following i stream everyday on https://t.co/8ITEAnynTB - tiktok+ig: hasandpiker // business: mailto:[email protected]
NCHS @NCHStats
7K Followers 934 Following CDC's National Center for Health Statistics - Monitoring the Nation's Health
Rachel Shuster, 𝔹�... @mynameisrachel
1K Followers 2K Following Certified Addictions Registered Nurse with Lived/Living Experience. (She/Her) #HarmReduction. Thoughts are my own. Likes/RTs ≠ endorsement.
David Wallace-Wells @dwallacewells
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International Peoples... @peoplesassembl_
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The People's Forum @PeoplesForumNYC
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Kayla Santosuosso @kaymsanto
2K Followers 2K Following running for City Council to rep Southern Brooklyn from Bay Ridge to Coney Island pres: @bayridgedems squad: @justinbrannan alum: @nylawschool
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615K Followers 981 Following Democratic Nominee for Mayor of NYC. Assemblymember. Running to freeze the rent, make buses fast + free, and deliver universal childcare. Democratic Socialist.
UNRWA @UNRWA
263K Followers 792 Following @UN Agency for #PalestineRefugees #DonateToUNRWA to help📍#Gaza 👉 https://t.co/rBwqZCpZ6A For Arabic: @UNRWAarabic Bluesky: https://t.co/SA0s32SZr3
Susan Ousterman @Suze0408
188 Followers 669 Following
NYU Faculty and Staff... @NYUFJPalestine
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Chicago Community Bon... @ChiBondFund
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Uncommitted National ... @uncommittedmvmt
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NLG Chicago @NLGChicago
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779 Followers 152 Following *Archived* I tweet about transit & make terrible maps and occasional linguistics? | not affiliated with @TriMet | tweets by @chath_tsu they/them
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24K Followers 2K Following John Brown is a hero / Unions are good / Accents are sexy / redneck is a term of endearment https://t.co/j2oKRXE7vZ
in this world as a tr... @ShabanaMir1
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Abolitionist Perspect... @APSWJournal
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173 Followers 68 Following A Safer Supply Through Science…Supporting people who use drugs across Pennsylvania with free street-to-lab drug checking. DM for free kits
Sunny Singh @ProfSunnySingh
52K Followers 4K Following Sunny Singh (she/her). It's Prof. Singh to you. Author. Academic. Director @jhalakprize. My TL is personal. Deal with it.
San Francisco Urban S... @SF_USU
651 Followers 4K Following HarmReduction, #DrugUsers, Urban Surv San Francisco Drug User Union. END #NOMOREDRUGWAR,#safe contact sumptuon, #SF,https SFDUU organizing
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World Central Kitchen @WCKitchen
290K Followers 642 Following WCK immediately prepares & serves fresh, nourishing meals to communities impacted by natural disasters and during humanitarian crises. #ChefsForTheWorld
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abby govindan @abbygov
166K Followers 1K Following mgmt: [email protected] personal:agovindan97@gmail |
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