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# Harm Reduction Ohio

## Sitemaps
- [XML Sitemap](https://www.harmreductionohio.org/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [Ohio overdose deaths down by nearly one-third in 2024, analysis shows](https://www.harmreductionohio.org/ohio-overdose-deaths-down-by-nearly-one-third-in-2024-analysis-shows/): Ohio overdose deaths have plummeted by nearly one-third in 2024 compared to a year ago, according to a Harm Reduction Ohio analysis of state mortality data.
- [Big decrease in overdose death continues in Ohio](https://www.harmreductionohio.org/big-decrease-in-overdose-death-continues-in-ohio/): Overdose deaths in Ohio have continued to decline sharply in the first four months of 2024, a Harm Reduction Ohio analysis of Ohio mortality data finds.
- [What about the children? Please help our study on children who lost a parent to overdose death](https://www.harmreductionohio.org/what-about-the-children-please-help-our-study-on-children-who-lost-a-parent-to-overdose-death/): Harm Reduction Ohio is conducting a study on the effect that losing a parent to overdose death has had on children.
- [Overdose death falls to 9-year low in Ohio as fentanyl’s presence in drugs ebbs](https://www.harmreductionohio.org/overdose-death-falls-to-9-year-low-in-ohio-as-fentanyls-presence-in-drugs-ebbs/): Overdose deaths in Ohio have fallen to their lowest level since 2015, continuing a historic drop that began unexpectedly last September.
- [Ohio’s Historic Decline in Overdose Deaths – Reported by weeks](https://www.harmreductionohio.org/ohios-historic-decline-in-overdose-deaths-reported-by-weeks/): This chart shows how quickly and dramatically overdose deaths have declined in Ohio. Our state last recorded a year-over-year increase in mid-August. Since then, every week of 2023 had few overdose deaths than the same week in 2022. The last week of the year had the biggest drop — 56 fewer overdose deaths in the last year of 2023 than in the last year of 2022.
- [Preliminary 2023 Report: The 20 Ohio counties with highest overdose death rates last year](https://www.harmreductionohio.org/preliminary-2023-report-the-20-ohio-counties-with-highest-overdose-death-rates-last-year/): About 75% of overdose deaths that occurred in Ohio in 2023 have been documented and entered into Ohio’s mortality database.
- [List of All Ohio Syringe Service Programs](https://www.harmreductionohio.org/list-of-all-ohio-syringe-service-programs/): Harm Reduction Ohio staffer Molly Fantini has updated our list of syringe service programs in Ohio. The list includes syringe program locations, hours and services offered.
- [Drop in overdose death continues in 2024 — and grows larger](https://www.harmreductionohio.org/drop-in-overdose-death-continues-in-2024-and-grows-larger/): Overdose death continues to fall in Ohio at an historic pace. In the span of just a few months, Ohio overdose deaths have dropped from about 400 per month to an average of about 300 per month — and maybe even lower than that in 2024.
- [Logan County latest to add a Syringe Service Program](https://www.harmreductionohio.org/logan-county-latest-to-add-a-syringe-service-program/): Congratulations to Logan County for becoming the 26th county in Ohio to start a Syringe Service Program (SSP).
- [Ohio Overdose Deaths Unexpectedly Fall by 25%](https://www.harmreductionohio.org/ohio-overdose-deaths-unexpectedly-fall-by-25/): Overdose deaths in Ohio declined sharply and unexpectedly in the last four months of 2023.
- [Fentanyl Test Strip Video Tutorial](https://www.harmreductionohio.org/fentanyl-test-strip-video-tutorial/): Test drugs accurately Four-minute training video https://www.youtube.com/watch?v=MyPZPWvC9U8
- [UPDATED: List of All Ohio Syringe Service Programs](https://www.harmreductionohio.org/updated-list-of-all-ohio-syringe-service-programs/): Harm Reduction Ohio staffer Molly Fantini has updated our list of syringe service programs in Ohio. The list includes syringe program locations, hours and services offered.
- [Overdose Deaths in Ohio, By County — 2023 vs. 2022](https://www.harmreductionohio.org/overdose-deaths-in-ohio-by-county-2023-vs-2022/): About 90% of overdose death reports from 2023 have been entered into Ohio’s mortality database. Overall, overdose deaths appear to have fallen about 6% statewide in 2023 vs. 2022. However, significant differences exist by region and between Ohio’s 88 counties.
- [Ohio overdose deaths decline about 6% in 2023](https://www.harmreductionohio.org/ohio-overdose-deaths-decline-about-6-in-2023/): GOOD NEWS: Overdose deaths in Ohio appear to have fallen about 6% in 2023, largely because of declines in the rate of fatal overdoses in the last four months of the year.
- [New CDC Study: 8mg Kloxxado and 4mg Narcan are equally effective](https://www.harmreductionohio.org/new-cdc-study-8mg-kloxxado-and-4mg-narcan-are-equally-effective/): The study is important because it challenges the value of a “naloxone arms race” underway in recent years. The pharmaceutical industry has been releasing new products with increasing naloxone per doses without evidence that higher doses have any value, despite often costing more or being promoted as more effective.
- [Harm Reduction Ohio is hiring for our naloxone program](https://www.harmreductionohio.org/harm-reduction-ohio-is-hiring-for-our-naloxone-program/): A Day in the Life: HRO’s naloxone shipping operation in action
- [Xylazine Wound Care Guide](https://www.harmreductionohio.org/xylazine-wound-care-guide/): Harm Reduction Ohio’s partner NEXT Distro of New York City prepared this Xylazine Wound Care Guide, which can be found here and below.
- [New OSU report: Legal marijuana will generate about $350 million in annual tax revenue in Ohio](https://www.harmreductionohio.org/new-osu-report-legal-marijuana-will-generate-about-350-million-in-annual-tax-revenue-in-ohio/): The Ohio State University Drug Enforcement and Policy Center estimates Ohio will receive additional $276 million to $404 million annual tax revenues from legal marijuana in the fifth year after legalization.
- [For many on Sept. 11, 2001, survival was no accident](https://www.harmreductionohio.org/for-many-on-sept-11-2001-survival-was-no-accident/): By Dennis CauchonUSA TODAY
- [Harm Reduction Ohio and OneOhio opioid settlement board reach settlement agreement in open meetings lawsuit](https://www.harmreductionohio.org/harm-reduction-ohio-and-oneohio-opioid-settlement-board-reach-settlement-agreement-in-open-meetings-lawsuit/): Harm Reduction Ohio (HRO) and the OneOhio Recovery Foundation reached a settlement Friday, September 8, 2023, in an open meetings case.
- [Special Report: Changes in Ohio drug supply from 2013 – 2023](https://www.harmreductionohio.org/special-report-changes-in-ohio-drug-supply-from-2013-2023/): Fentanyl’s presence in Ohio’s illegal drug supply remains high and near record levels, although slightly lower so far this year than in 2022. The presence of fentanyl closely tracks the frequency of overdose death in Ohio, so analyzing trends in fentanyl’s presence in the illegal drug supply as reported in crime lab tests will provide a good approximation of the number of people who died from drug overdoses.
- [Ohio overdose deaths continue at high pace in 2023](https://www.harmreductionohio.org/ohio-overdose-deaths-continue-at-high-pace-in-2023/): A total of 2,265 overdose deaths of Ohio residents have been confirmed and reported so far in 2023, according to data in the Ohio Department of Health mortality data. That’s almost exactly the same number as had been reported at this time in 2022 when 4,914 Ohio residents died from accidental drug overdoses.
- [Alisha Nelson named executive director of OneOhio opioid settlement fund](https://www.harmreductionohio.org/alisha-nelson-named-executive-director-of-oneohio-opioid-settlement-fund/): Alisha Nelson and Gov. Mike DeWine. (Photo by cleveland.com)
- [Roadmap to wise spending of opioid settlement funds released](https://www.harmreductionohio.org/roadmap-to-wise-spending-of-opioid-settlement-funds-released/): The New York Times reports today that early opioid spending has been spent on a mixed bag of programs that is, overall, worrisome.
- [Harm Reduction Ohio asks judge to hold opioid settlement board in contempt of court for violating open meetings order](https://www.harmreductionohio.org/harm-reduction-ohio-asks-judge-to-hold-opioid-settlement-board-in-contempt-of-court-for-violating-open-meetings-order/): Harm Reduction Ohio filed a motion today to hold Ohio’s opioid settlement board in contempt of court for violating a court order requiring compliance with Ohio’s Open Meetings Act.
- [Black Ohioans account for record 21.9% of opioid deaths so far in 2023](https://www.harmreductionohio.org/black-ohioans-account-for-record-21-9-of-opioid-deaths-so-far-in-2023/): The racial composition of opioid overdose death in Ohio has changed completely in just a few years. This chart shows Ohio opioid overdose death, by race, reported from January 1, 2007 through July 26, 2023.
- [Anonymous No More: OneOhio Regional Boards Revealed for First Time](https://www.harmreductionohio.org/anonymous-no-more-oneohio-regional-boards-revealed-for-first-time/): Torria CatroneJournalism Fellow, Harm Reduction Ohio 
- [Ohio overdose deaths decline about 5% in 2022 vs. 2021](https://www.harmreductionohio.org/ohio-overdose-deaths-decline-about-5-in-2022-vs-2021/): The Ohio Department of Health mortality data report 4,353 confirmed overdose deaths reported so far for 2022. That’s a 5.6% decline from what was reported as of February 17 for 2021 and a 5.0% decline from 2020.
- [Naloxone’s price plummets: Is this the dawn of a new era for the overdose-reversing drug?](https://www.harmreductionohio.org/naloxones-price-plummets-is-this-the-dawn-of-a-new-era-for-the-overdose-reversing-drug/): Naloxone prices continues to tumble, freeing up pubic health dollars to be spent elsewhere. The price drops will save the state of Ohio millions of dollars in the coming year, freeing up money for state plan to increase naloxone provided to high-risk demographics and underserved areas.
- [What soaring methamphetamine deaths tell us about…](https://www.harmreductionohio.org/what-soaring-methamphetamine-deaths-tell-us-about/): This is an important chart. What does it mean?
- [Part-time Job Opening: Administrative Assistant at Harm Reduction Ohio](https://www.harmreductionohio.org/part-time-job-opening-administrative-assistant-at-harm-reduction-ohio/): Harm Reduction Ohio is hiring a person to help run our busy office. The job requires an organized yet flexible person who can tasks ranging from tracking income and expenses to shipping naloxone.
- [OneOhio opioid settlement board continues policy of extreme secrecy](https://www.harmreductionohio.org/oneohio-opioid-settlement-board-continues-policy-of-extreme-secrecy/): The OneOhio opioid settlement board held a quick meeting Wednesday afternoon, ratifying decisions made in secret earlier by board committees and private email chains.
- [UPDATE: Harm Reduction Ohio lawsuits against OneOhio opioid settlement board](https://www.harmreductionohio.org/update-harm-reduction-ohio-lawsuits-against-oneohio-opioid-settlement-board/): Harm Reduction Ohio (HRO) filed the final legal brief today in its lawsuit against the OneOhio opioid settlement board for refusing to comply with Ohio public records and open meetings law.
- [Harm Reduction Ohio distributes record numbers of naloxone kits in 2022](https://www.harmreductionohio.org/harm-reduction-ohio-distributes-record-numbers-of-naloxone-kits-in-2022/): Harm Reduction Ohio distributed a record 42,077 naloxone kits in 2022. We started this effort to save lives of people who use drugs from nothing in 2018. We are now Ohio’s largest distributor of the overdose-reversing drug naloxone and one of the largest efforts in the country.
- [County commissioner goes from unpaid chairperson to paid head of OneOhio opioid settlement](https://www.harmreductionohio.org/county-commissioner-goes-from-unpaid-chairperson-to-paid-head-of-oneohio-opioid-settlement/): Ashtabula County Commissioner Kathryn Whittington was hired Wednesday as interim executive director of the OneOhio opioid settlement foundation, which will oversee how $500 million+ in opioid settlement money is spent.
- [Harm Reduction Success: Fentanyl test strips legalized; Good Samaritan law expanded](https://www.harmreductionohio.org/harm-reduction-success-fentanyl-test-strips-legalized-good-samaritan-law-expanded/): The Ohio legislature approved two important harm reduction measures as part of a large criminal justice bill that received final approval at 6 a.m. Thursday morning, after legislators stayed up all night working.
- [Ohio Harm Reduction Conference, November 3-4, 2023](https://www.harmreductionohio.org/ohio-harm-reduction-conference-november-3-4-2023/): We’re excited to announce the next Ohio Harm Reduction Conference will be at the Granville Inn on November 3-4, 2023. This will be Ohio’s fourth harm reduction conference and the first since 2019, before covid.
- [Meth Overdose Deaths in Ohio Soar to Nearly 1,400 in 2021](https://www.harmreductionohio.org/meth-overdose-deaths-in-ohio-soar-to-nearly-1400-in-2021/): Methamphetamine overdose deaths continue to soar in Ohio and killed nearly 1,400 Ohio residents in 2021.
- [What it means: Final Ohio Overdose Death Numbers for 2021](https://www.harmreductionohio.org/what-it-means-final-ohio-overdose-death-numbers-for-2021/): The final overdose death numbers for last year are now complete and available by analyzing the Ohio Department of Health mortality database.
- [Former House Speaker Armond Budish serving on OneOhio opioid settlement board without valid appointment](https://www.harmreductionohio.org/former-house-speaker-armond-budish-serving-on-oneohio-opioid-settlement-board-without-valid-appointment/): Former House Speaker Armond Budish is serving on the state’s OneOhio opioid settlement board with no valid appointment or authority to do so.
- [Naloxone Kits Provided by State Government, First Six Months of 2022](https://www.harmreductionohio.org/naloxone-kits-provided-by-state-government-first-six-months-of-2022/): The state of Ohio provided 82,035 naloxone kits to 148 organizations, including local governments, in the first six months of 2022.
- [How to watch to OneOhio Recovery Foundation meeting online](https://www.harmreductionohio.org/how-to-watch-to-oneohio-recovery-foundation-meeting-online/): The OneOhio Recovery Foundation board will meet Wednesday at noon at the County Commissioners Association of Ohio building at 209 E. State Street in Columbus.
- [OneOhio opioid settlement board to fight for right to operate in secrecy](https://www.harmreductionohio.org/oneohio-opioid-settlement-board-to-fight-for-right-to-operate-in-secrecy/): The OneOhio Recovery Foundation board met Wednesday afternoon to discuss what it should do about two lawsuits filed by Harm Reduction Ohio challenging the foundation refusal to comply with Ohio open meetings and public records laws.
- [Harm Reduction Ohio files suit against Ohio’s opioid settlement board for acting in secrecy](https://www.harmreductionohio.org/harm-reduction-ohio-files-suit-against-ohios-opioid-settlement-board-for-acting-in-secrecy/): Harm Reduction Ohio, a non-profit organization that represents people harmed by opioids, sued the state’s opioid settlement board today for operating secretly and in violation of Ohio open meetings and public records laws. Both Ohio law and the opioid settlement agreement require that the board follow Ohio’s Open Meetings Act and Public Records Act. (Lawsuits provided below.)
- [No talking: Opioid settlement board to let public watch meeting but not speak to board](https://www.harmreductionohio.org/no-talking-opioid-settlement-board-to-let-public-watch-meeting-but-not-speak-to-board/): The OneOhio Recovery Foundation board of directors will go into Executive Session (private session) at the start of its noon meeting today. The board did not say why it was going into private session, but the likely reason is to discuss the two lawsuits filed by Harm Reduction Ohio on Monday claiming the foundation was violating Ohio open meetings and public records requirements.
- [Ohio’s State Opioid Response grant: the $97.4 million plan for 2023](https://www.harmreductionohio.org/ohios-state-opioid-response-grant-the-97-4-million-plan-for-2023/): The federal government’s State Opioid Response Grant 3.0 provides a large share of the money Ohio spends to reduce overdose death. Most naloxone (Narcan) distributed through the Ohio Department of Health’s Project DAWN program is purchased with this money.
- [What naloxone price cuts mean for preventing overdose deaths](https://www.harmreductionohio.org/what-naloxone-price-cuts-mean-for-preventing-overdose-deaths/): The price of naloxone continues to fall dramatically as generics and other competitors to Narcan nasal spray come on the market. 
- [Nitazene opioids in Ohio’s Drug Supply: How big a problem?](https://www.harmreductionohio.org/nitazene-opioids-in-ohios-drug-supply-how-big-a-problem/): I was on a call recently in which people were concerned about isotonitazene. In response, HRO did this short report on nitazenes, a class of opioids that includes isotonitazene. — Dennis Cauchon, President, Harm Reduction Ohio
- [Overdose deaths of Black Ohioans soar; deaths of White residents decline](https://www.harmreductionohio.org/overdose-deaths-of-black-ohioans-soar-deaths-of-white-residents-decline/): Overdose death hit a record level in 2021. But this obscures what’s really happening. Overdose death rates for White residents of Ohio declined in 2021 while overdose death rates for Black residents soared yet again.
- [Overdose deaths in Ohio decline over six months from record level](https://www.harmreductionohio.org/overdose-deaths-in-ohio-decline-over-six-months-from-record-level/): Ohio overdose deaths appear to be declining from the historic pace that started in the spring of 2020 when Covid first appeared and the presence of fentanyl soared in Ohio’s drug supply.
- [OneOhio opioid settlement spending off to disastrous start](https://www.harmreductionohio.org/oneohio-opioid-settlement-spending-off-to-disastrous-start/): The state held its first meeting today of the OneOhio Recovery Foundation created to spend the state’s opioid settlement money and prohibited the public from attending the meeting.
- [A Love Story: Beth Curtis, the Mother Theresa of Marijuana and the hidden gem of Zanesville, Ohio](https://www.harmreductionohio.org/a-love-story-beth-curtis-the-mother-theresa-of-marijuana-and-the-hidden-gem-of-zanesville-ohio/): Every year, during each national holiday, Beth Curtis of Zanesville, Ohio, places a stack of cards on her otherwise cluttered work desk. On the front of each card are photos of people who have been sentenced to a life in prison for marijuana.
- [It’s official: Ohio suffers record level of overdose death in 2021](https://www.harmreductionohio.org/its-official-ohio-suffers-record-level-of-overdose-death-in-2021/): Sadly, it’s official. Ohio has set another record for drug overdose deaths.
- [Ohio overdose count for 2021 now exceeds 5,000, on way to a record loss of life](https://www.harmreductionohio.org/ohio-overdose-count-for-2021-now-exceeds-5000-on-way-to-a-record-loss-of-life/): The count of confirmed overdose deaths for 2021 went above 5,000 today. Another 200 or so deaths, mostly from November and December, haven’t been added to the Ohio Department of Health mortality database. That means in the next few days the overdose death toll for last year will be confirmed as having set a record, exceeding the 5,017 overdose deaths recorded in Ohio in 2020.
- [Higher than ever: Fentanyl’s frequency in Ohio’s drug supply increases — again](https://www.harmreductionohio.org/higher-than-ever-fentanyls-frequency-in-ohios-drug-supply-increases-again/): Every three months, Harm Reduction Ohio analyzes drugs found in drugs seized by law enforcement and analyzed at the state Bureau of Criminal Investigations crime labs. This analysis provides comprehensive and accurate on how the composition of Ohio’s drug supply has changed since 2014.
- [Ohio drug use levels: Totally average](https://www.harmreductionohio.org/ohio-drug-use-levels-totally-average/): Most people think Ohio has high levels of drug use. We do not. Ohio has average average levels of drug use (and always has). What Ohio has is horrifically high levels of drug overdose death.
- [NEW REPORT: Ohio Overdose Deaths in 2021](https://www.harmreductionohio.org/new-report-ohio-overdose-deaths-in-2021/): The death counts for 2021 are full-year estimates based on the 86% of the Ohio mortality data reported as of February 2, 2022. All other years are final counts as reported by the Ohio Department of Health. Harm Reduction Ohio will report final data for 2021 when it is complete in the late summer or early fall of 2022.
- [Overdose Death in Ohio: Where does your county rank?](https://www.harmreductionohio.org/overdose-death-in-ohio-where-does-your-county-rank/): In the table below, Harm Reduction Ohio ranks the death rates for all 88 Ohio counties from 2017 through 2021.
- [Ohio Department of Health Releases 2020 Overdose Death Report](https://www.harmreductionohio.org/ohio-department-of-health-releases-2020-overdose-death-report/): The Ohio Department of Health released its overdose fatality report for 2020 today.
- [A Decade of Change: The Demographics of Overdose Death in Ohio](https://www.harmreductionohio.org/a-decade-of-change-the-demographics-of-overdose-death-in-ohio/): The most current and accurate overdose death data Thanks for caring!
- [The Road to Hell: What caused Ohio’s overdose epidemic?](https://www.harmreductionohio.org/the-road-to-hell-what-caused-ohios-overdose-epidemic/): Harm Reduction Ohio estimates that Ohio’s overdose death count will reach 5,100 to 5,250 in 2021, a record for our state and an increase of about 3% over last year’s death toll.
- [Ohio’s New Overdose Era: Adulterated stimulants](https://www.harmreductionohio.org/ohios-new-overdose-era-adulterated-stimulants/): Ohio hasn’t had an “opioid crisis” for many years. We have a drug adulteration crisis, and the people who are dying are increasing numbers are those who use meth and cocaine adulterated with fentanyl.
- [Ohio’s Real Overdose Crisis: Fentanyl-adulterated stimulants](https://www.harmreductionohio.org/ohios-real-overdose-crisis-fentanyl-adulterated-stimulants/): Confirmed overdose deaths in Ohio reached 3,269 today, a 5.5% increase over the number reported at the same time last year. It seems likely that, in 2021, Ohio will exceed the horrific record of 5,017 overdose deaths set in 2020.
- [VIDEOS: Harm Reduction Ohio Public Policy Series](https://www.harmreductionohio.org/videos-harm-reduction-ohio-public-policy-series/): Harm Reduction Ohio’s October Public Policy Series.
- [Ohio Counties Ranked By Overdose Death Rate: 2021 vs. 2017](https://www.harmreductionohio.org/ohio-counties-ranked-by-overdose-death-rate-2021-vs-2017/): Harm Reduction Ohio ranked all 88 Ohio counties by their overdose death rates in 2021 (through October 16) and compared them to overdose death rates in 2017, the first peak of the fentanyl era.
- [What share of cocaine, meth and heroin contain fentanyl in Ohio?](https://www.harmreductionohio.org/what-share-of-cocaine-meth-and-heroin-contain-fentanyl-in-ohio/): The Ohio Bureau of Criminal Investigation analyzes about 40,000 drug samples seized every year by law enforcement in Ohio. Harm Reduction Ohio runs a quarterly analysis of the BCI lab data to determine what percentage of Ohio’s total drug supply contains fentanyl.
- [The Deadly History of Fentanyl in Ohio, By Drug, 2010 – 2021](https://www.harmreductionohio.org/the-deadly-history-of-fentanyl-in-ohio-by-drug-2010-2021/): Fentanyl and its analogs now pervade Ohio’s drug supply. Only marijuana is safe from fentanyl.
- [Ohio distributes historic amount of naloxone to reduce overdose death](https://www.harmreductionohio.org/ohio-distributes-historic-amount-of-naloxone-to-reduce-overdose-death/): The state of Ohio deserves a standing ovation for a massive effort to expand access to naloxone, the overdose-reversing drug, in the last five months. The chart tells the story of the state’s large and heroic effort.
- [Harm Reduction Hero: Brenda Ryan, “bulldog” advocate for the children and caregivers](https://www.harmreductionohio.org/harm-reduction-hero-brenda-ryan-bulldog-advocate-for-the-children-and-caregivers/): By Eiliana Wright Harm Reduction Ohio WriterDenison University ’22
- [Overdose deaths jump 16.9% among Black Ohioans in 2021](https://www.harmreductionohio.org/overdose-deaths-jump-16-9-among-black-ohioans-in-2021/): Overdose death among Black Ohioans continues to soar while overdose death among White residents has moderated somewhat.
- [New HRO Report: “Ohio Drug Courts: Through Participants’ Eyes”](https://www.harmreductionohio.org/new-hro-report-ohio-drug-courts-through-participants-eyes/): CLICK to read full report
- [“Kinship Care: What Ohio Children Need” – Panel Discussion, Monday, Oct. 4 at 7 p.m.](https://www.harmreductionohio.org/kinship-care-what-ohio-children-need-panel-discussion-monday-oct-4-at-7-p-m/): Please join Harm Reduction Ohio for an online panel discussion about kinship care, the practice of keeping children within extended families when a parent struggles with drugs or dies of an overdose.
- [Harm Reduction Ohio: October Public Policy Series](https://www.harmreductionohio.org/harm-reduction-ohio-october-public-policy-series/): Harm Reduction Ohio will hold a series of public policy discussions every Monday evening in October. The topics covered include kinship care, drug courts (from the participants' perspective), overdose death and the opioid settlement. Join us for these free online events. Audience participation is welcome!
- [Harm Reduction Ohio President Dennis Cauchon: What happened inside the Twin Towers on 9/11](https://www.harmreductionohio.org/harm-reduction-ohio-president-dennis-cauchon-what-really-happened-inside-the-twin-towers-on-9-11/): Before starting Harm Reduction Ohio in 2017, Dennis Cauchon spent 30+ years as a journalist. His best known story explains what happened inside the World Trade Center on Sept. 11, 2001.
- [REPORT: Kinship Care: What Ohio Children Need](https://www.harmreductionohio.org/report-kinship-care-what-ohio-children-need/): Report by Harm Reduction Ohio Public Health Fellow Sarah Palazzo.
- [HRO SPECIAL REPORT: Kinship Care: What Ohio Children Need](https://www.harmreductionohio.org/kinship-care-report-what-ohio-children-need/): Kinship caregivers should receive more support to care for children removed from their parents and placed with loved ones due to parental drug use or other challenges. An estimated nine percent of Ohio children are in informal kinship care.
- [Ohio counties with the worst overdose death rates in 2020 and 2021](https://www.harmreductionohio.org/ohio-counties-with-worst-overdose-death-rates-in-2020-2021/): On the eve of Ohio's first official Overdose Awareness Day, Harm Reduction Ohio reports the counties that have suffered the worst levels of overdose death in 2020 and 2021.
- [Ohio Overdose Awareness Day Events, 2021](https://www.harmreductionohio.org/ohio-overdose-awareness-day-events-2021/): Harm Reduction Ohio's list of Overdose Awareness Day events confirmed in Ohio. The list is updated on a regular basis.
- [Where drug overdose deaths are worst in 2021](https://www.harmreductionohio.org/maps-where-drug-overdose-death-rates-are-worst-in-2021/): Harm Reduction Ohio maps show the Ohio counties suffering the highest overdose death rates for all drugs, meth and cocaine in 2021. We don't have one overdose death epidemic. We have several different ones, all related to fentanyl adulteration caused by the drug war.
- [Overdose Death Update: Ugly, deadly, tragic](https://www.harmreductionohio.org/overdose-death-update-ugly-deadly-tragic/): The horrific pace of accidental overdose deaths continues unabated in Ohio. 2021 is on track to be one of the deadliest years ever for overdoses.
- [Order naloxone now, free from Harm Reduction Ohio](https://www.harmreductionohio.org/order-naloxone-free-from-harm-reduction-ohio/): Harm Reduction Ohio operates our state's largest (and lowest-cost) naloxone distribution program. We've reversed thousands of overdoses in Ohio. This article explains how we do it and who generously supports this massive overdose-reversing effort.
- [Males account for growing share of overdose deaths in Ohio](https://www.harmreductionohio.org/males-account-for-growing-share-of-overdose-deaths-in-ohio/): Male Ohio residents, especially Black males, account for more than 70% of overdose deaths recorded so far in 2021. That's a record. Black males account for an increasing share of our state's overdose deaths.
- [Now Available: “Meet People Where They’re At” T-shirt](https://www.harmreductionohio.org/now-available-meet-people-where-theyre-at-t-shirt/): This beautiful T-shirt -- designed by Harm Reduction Ohio's own Mallory Bolen -- expresses the harm reduction's central ethos:  "Meet People Where They're At." 
- [Drug Court Survey](https://www.harmreductionohio.org/drug-court-participant-survey/): Harm Reduction Ohio is conducting a survey to learn more about drug courts from the perspective of participants.
- [Harm Reduction Ohio T-shirts Now Available](https://www.harmreductionohio.org/harm-reduction-ohio-t-shirts-now-available/): Harm Reduction Ohio introduces t-shirts -- and a coffee mug -- for people who want to support harm reduction and naloxone distribution in Ohio. Your purchase will subsidize naloxone in style!
- [A talk with the harm reduction heroes running Ohio’s newest syringe service program in Findlay](https://www.harmreductionohio.org/a-talk-with-the-people-running-ohios-newest-syringe-service-program-in-findlay-ohio/): Jamie Decker, shown here in a sketch by Harm Reduction Ohio intern Sydney Tavens. is a member of our Board of Directors and works at the syringe access program in Findlay, Ohio's newest program. Sydney talked to Jamie and his Hancock County Public Health Colleague Gary Bright about their new program.
- [Survey on Ohio Drug Courts: Participants’ Perspectives](https://www.harmreductionohio.org/a-survey-on-ohio-drug-courts-participants-perspectives/): Harm Reduction Ohio is collecting information on participants' experiences in Ohio drug courts. This is the first statewide analysis of how drug courts have impacted their participants. If you have been in an Ohio drug court, please fill out our survey. We want to hear your voices and stories! If you know someone who has been in an Ohio drug court, please share our survey. It will take no more than 10 minutes to complete, and you will receive $10 for your participation. Thank you!
- [Nathaniel Jordan II and Columbus Kappa Foundation: “How to Save a Life”](https://www.harmreductionohio.org/columbus-monthly-how-to-save-a-life-profile-of-nathaniel-jordan-ii/): Nathaniel Jordan, executive director of the Columbus Kappa Foundation, has built Ohio's largest naloxone distribution program aimed at serving African Americans in Ohio. Read Columbus Monthly's excellent new article on Columbus Kappa's efforts.
- [NEW: Expanded list of all Ohio syringe programs](https://www.harmreductionohio.org/new-updated-list-of-all-ohio-syringe-programs/): Twenty-two Ohio counties now offer syringe service programs. Our expanded list includes current times, hours and locations for all programs in Ohio. Plus we've added the services offered -- such as HIV or Hep C testing -- at each program.
- [Meth overdose deaths soar in Ohio…and not much is being done about it](https://www.harmreductionohio.org/meth-overdose-deaths-soar-in-ohio-and-not-much-is-being-done-about-it/): Meth overdoses deaths have soared in Ohio and now account for one out of four overdose deaths. The mixing of fentanyl and methamphetamine is driving death. See how things have changed over the last five years and the Ohio counties with the worst meth-related overdose death rates.
- [Harm Reduction Ohio proposes simple fix for racial bias in state’s new Narcan distribution plan](https://www.harmreductionohio.org/harm-reduction-ohio-proposes-simple-fix-for-racial-bias-in-states-new-narcan-distribution-plan/): Harm Reduction Ohio and the Columbus Kappa Foundation asked the state to switch eight of 89 zip codes in its new $2.5 million targeted naloxone distribution effort. Seven zip codes to be added have mostly Black residents and high overdose death rates. One zip is in Gallia County, an Appalachia county with Ohio's second highest overdose death rate. The proposal would remove eight zip codes for suburban areas with low overdose death rates.
- [Harm Reduction Ohio Report: Gov. DeWine’s “Naloxone Blitz” is racially biased](https://www.harmreductionohio.org/harm-reduction-ohio-report-gov-dewines-naloxone-blitz-effort-is-racially-biased/): Harm Reduction Ohio released a report today explaining how the state's new "Naloxone Blitz" plan is racially biased and unfair to many areas suffering the worst levels of overdose deaths, including Ohio's Appalachian counties. The state plan emphasizes providing Narcan in suburban zip codes with predominantly White residents. The DeWine administration program will spend $2.5 million rushing 30,000 Narcan kits to 89 selected Ohio zip codes. Harm Reduction Ohio will receive 4,500 of those kits. HRO says: Black overdoses matter.
- [Harm Reduction Ohio Report on Gov. DeWine’s “Naloxone Blitz”](https://www.harmreductionohio.org/harm-reduction-ohio-report-on-gov-dewines-narcan-distribution-plan/): Zip code selections shows racial bias
Plan unfairly ignores Appalachian counties suffering worst overdose levels
- [Ohio overdose death toll exceeds 5,000 in 2020](https://www.harmreductionohio.org/ohio-overdose-death-toll-exceeds-5000-in-2020/): The death toll for 2020 breaks another threshold: 5,000 deaths in a single year. It's important to remember that a decade ago, when we started because of increases in Oxycontin prescriptions, "only" 1,500 people died of drug overdoses. What mistakes has government made that has caused unprecedented levels of drug adulteration and historic levels of overdose death? It's hard to think of a policy that has killed more people and caused more harm that the drug war.
- [Fentanyl levels (and overdose death) remain high in Ohio in 2021](https://www.harmreductionohio.org/fentanyl-levels-and-overdose-death-remain-high-in-ohio-in-2021/): A new Harm Reduction Ohio analysis of drug seizure data show that the amount of fentanyl in Ohio's drug supply may be at record levels in 2021. If so, that would foreshadow a continuation of our state's record level of overdose deaths. See the data and why it matters in this article.
- [Ohio zip codes with the most overdose deaths among Black residents](https://www.harmreductionohio.org/most-overdose-deaths-among-black-residents-of-ohio-ranked-by-zip-code/): The zip code with the highest overdose death rate among African Americans was in Cincinnati. The zip code with the most overdose deaths was in Columbus. Overdose death rate for Black Ohioans now exceeds that for Whites. This list will help everyone involved in overdose reduction focus on where need is exceptionally great.
- [Ohio zip codes with the highest overdose death rates](https://www.harmreductionohio.org/ohios-zip-codes-with-the-highest-overdose-death-rates/): Harm Reduction Ohio lists the Ohio zip codes with the worst overdose rates, plus every zip code that suffered 50 or more overdose deaths since 2018. It's a heart-breaking list that shows why laypersons -- especially people with lived and shared experiences -- must be enlisted to distribute naloxone (Narcan) to the stigmatized population of (beautiful!) people at risk of overdose death.
- [Jennifer’s Story: From sharing needles to Hep C to treatment, health and happiness](https://www.harmreductionohio.org/jennifers-story-from-sharing-needles-to-hep-c-to-treatment-health-and-happiness/): Read Jennifer's uplifting story of how new Medicaid rules let her and others who use/d drugs get treatment for Hepatitis C. If you ever injected drugs, please get tested and treated. Ohio's Medicaid program now treats people who use/d with more compassion and less stigma. A cure for life-threatening Hep C is now possible for everyone.
- [Trumbull County Overdose Report – April 2021](https://www.harmreductionohio.org/trumbull-county-overdose-report-april-2021/)
- [Ohio Counties Ranked: Overdose Deaths Rates, 2020](https://www.harmreductionohio.org/ohio-counties-ranked-overdose-deaths-rates-2020/): See where your county ranks for overdose deaths in 2020.

## Pages
- [resources](https://www.harmreductionohio.org/resources/)
- [How to get PrEP for free or at low cost](https://www.harmreductionohio.org/how-to-get-prep-for-free-or-at-low-cost/)
- [Archive](https://www.harmreductionohio.org/archive/)
- [Donate](https://www.harmreductionohio.org/donate/)
- [Contact](https://www.harmreductionohio.org/contact/)
- [Volunteer](https://www.harmreductionohio.org/volunteer/)
- [About](https://www.harmreductionohio.org/about/)
- [Get Naloxone](https://www.harmreductionohio.org/get-naloxone/)
- [Checkout](https://www.harmreductionohio.org/checkout/)
- [Home](https://www.harmreductionohio.org/)

## Donation Forms
- [In Loving Memory](https://www.harmreductionohio.org/donations/in-loving-memory/)
- [Memorial Donation](https://www.harmreductionohio.org/donations/memorial-donation-harm-reduction-ohio/)
- [Harm Reduction Ohio – Donation](https://www.harmreductionohio.org/donations/harm-reduction-ohio-donation-2/)
- [Support Harm Reduction Ohio](https://www.harmreductionohio.org/donations/how-to-support-harm-reduction-ohio/)

## 
- [“Harm Reduction Ohio” T-Shirt](https://www.harmreductionohio.org/?p=1540)
- [“Carry Naloxone, Save a Life” T-Shirt](https://www.harmreductionohio.org/?p=1513)
- [“Meet People Where They’re At” T-Shirt](https://www.harmreductionohio.org/?p=1483): This t-shirt is everything you've dreamed of and more. It feels soft and lightweight, with the right amount of stretch. It's comfortable and flattering for all.
- [Pink Narcan Hoodie](https://www.harmreductionohio.org/?p=1481): Everyone needs a cozy go-to hoodie to curl up in, so go for one that's soft, smooth, and stylish. It's the perfect choice for cooler evenings!
- [“Meet People Where They’re At” Hoodie](https://www.harmreductionohio.org/?p=1408): Who knew that the softest hoodie you'll ever own comes with such a cool design. You won't regret buying this classic streetwear piece of apparel with a convenient pouch pocket and warm hood for chilly evenings.
- [“Carry Naloxone, Save a Life” Sticker](https://www.harmreductionohio.org/?p=1391): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“Harm Reduction Saves Lives” Sticker](https://www.harmreductionohio.org/?p=1383): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“Harm Reduction Saves Lives” Embroidered Crewneck](https://www.harmreductionohio.org/?p=1340): A sturdy and warm sweatshirt bound to keep you warm in the colder months. A pre-shrunk, classic fit sweater that’s made with air-jet spun yarn for a soft feel.
- [“Harm Reduction Saves Lives” Tote Bag](https://www.harmreductionohio.org/?p=1334): Say goodbye to plastic, and bag your goodies in this organic cotton tote bag. There’s more than enough room for groceries, books, and anything in between.
- [“Harm Reduction Saves Lives” Embroidered Long Sleeve Tee](https://www.harmreductionohio.org/?p=1297): Enrich your wardrobe with a versatile long sleeve tee. For a casual look, combine it with your favorite jeans, and layer it with a button-up shirt, a zip-up hoodie, or a snazzy jacket. Dress it up with formal trousers or chinos to achieve a more professional look.
- [“Harm Reduction Saves Lives” Tote Bag](https://www.harmreductionohio.org/?p=1294): Say goodbye to plastic, and bag your goodies in this organic cotton tote bag. There’s more than enough room for groceries, books, and anything in between.
- [“Harm Reduction Saves Lives” Embroidered Patch](https://www.harmreductionohio.org/?p=1291): Spice up your outfit by adding an eye-catching embroidered patch. Thanks to its durable twill fabric, the patch is resilient to heat. Order it today and get ready to start embellishing!
- [HRO Embroidered Patch](https://www.harmreductionohio.org/?p=1288): Spice up your outfit by adding an eye-catching embroidered patch. Thanks to its durable twill fabric, the patch is resilient to heat. Order it today and get ready to start embellishing!
- [“Someone You Love Uses Drugs” sticker](https://www.harmreductionohio.org/?p=1281): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“Meet People Where They Are” sticker](https://www.harmreductionohio.org/?p=1274): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [Harm Reduction Sticker Pack](https://www.harmreductionohio.org/?p=1271): These glossy stickers are designed just for you. Give your favorite items, like a notepad, laptop, or phone case an extra glow and personal touch.
- [“Overdose Awareness Day” T-Shirt](https://www.harmreductionohio.org/?p=1223): This t-shirt is everything you've dreamed of and more. It feels soft and lightweight, with the right amount of stretch. It's comfortable and flattering for all.
- [“Carry Narcan” Patch](https://www.harmreductionohio.org/?p=1220): Spice up your outfit by adding an eye-catching embroidered patch. Thanks to its durable twill fabric, the patch is resilient to heat. Order it today and get ready to start embellishing!
- [“Meet People Where They Are” Tote With Pocket](https://www.harmreductionohio.org/?p=1213): A trendy beach bag, where you can put everything that matters when hitting those warm beaches.
- [“Meet People Where They Are” Black Tote Bag](https://www.harmreductionohio.org/?p=1211): Get rid of all the plastic and pack your goodies in this spacious organic cotton tote bag. Fill it up with groceries, books, and travel essentials—there’s room for everything!
- [“Harm Reduction Ohio” Dad Hat](https://www.harmreductionohio.org/?p=1198): Dad hats aren't just for dads. This one's got a low profile with an adjustable strap and curved visor.
- [“Harm Reduction Saves Lives” Square Sticker](https://www.harmreductionohio.org/?p=1191): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“Meet People Where They Are” T-Shirt](https://www.harmreductionohio.org/?p=1178): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“Meet People Where They Are” PRIDE T-Shirt](https://www.harmreductionohio.org/?p=1165): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“Meet People Where They Are” Hoodie](https://www.harmreductionohio.org/?p=1128): Everyone needs a cozy go-to hoodie to curl up in, so go for one that's soft, smooth, and stylish. It's the perfect choice for cooler evenings!
- [“Meet People Where They Are” Tote Bag](https://www.harmreductionohio.org/?p=1123): Say goodbye to plastic, and bag your goodies in this organic cotton tote bag. There’s more than enough room for groceries, books, and anything in between.
- [“Carry Narcan, Save A Life” T-Shirt](https://www.harmreductionohio.org/?p=1110): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“Carry Narcan, Save A Life” Dad Hat](https://www.harmreductionohio.org/?p=1093): Dad hats aren't just for dads. This one's got a low profile with an adjustable strap and curved visor.
- [“Narcan Saves Lives” Patch](https://www.harmreductionohio.org/?p=1091): Spice up your outfit by adding an eye-catching embroidered patch. Thanks to its durable twill fabric, the patch is resilient to heat. Order it today and get ready to start embellishing!
- [“This Machine Reverses Overdoses” Patch](https://www.harmreductionohio.org/?p=1089): Spice up your outfit by adding an eye-catching embroidered patch. Thanks to its durable twill fabric, the patch is resilient to heat. Order it today and get ready to start embellishing!
- [“This Machine Reverses Overdoses” Sticker](https://www.harmreductionohio.org/?p=1080): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“HRO Syringe” Sticker](https://www.harmreductionohio.org/?p=1072): These stickers are printed on durable, high opacity adhesive vinyl which makes them perfect for regular use, as well as for covering other stickers or paint. The high-quality vinyl ensures there are no bubbles when applying the stickers.
- [“Overdose Awareness Day” T-Shirt](https://www.harmreductionohio.org/?p=1065): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“HRO” Sticker Sheet](https://www.harmreductionohio.org/?p=1063): These glossy stickers are designed just for you. Give your favorite items, like a notepad, laptop, or phone case an extra glow and personal touch.
- [Neon “Harm Reduction Saves Lives” T-Shirt](https://www.harmreductionohio.org/?p=1056): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [Geometric “Harm Reduction” T-Shirt](https://www.harmreductionohio.org/?p=1043): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [Geometric “Harm Reduction” Tote Bag](https://www.harmreductionohio.org/?p=1041): Say goodbye to plastic, and bag your goodies in this organic cotton tote bag. There’s more than enough room for groceries, books, and anything in between.
- [Neon Pink “Harm Reduction Saves Lives” Hoodie](https://www.harmreductionohio.org/?p=1034): Everyone needs a cozy go-to hoodie to curl up in, so go for one that's soft, smooth, and stylish. It's the perfect choice for cooler evenings!
- [Simple “HRO” T-Shirt](https://www.harmreductionohio.org/?p=1015): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“Meet People Where They Are” T-Shirt](https://www.harmreductionohio.org/?p=996): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [Neon Blue “Harm Reduction Saves Lives” Hoodie](https://www.harmreductionohio.org/?p=989): Who knew that the softest hoodie you'll ever own comes with such a cool design. You won't regret buying this classic streetwear piece of apparel with a convenient pouch pocket and warm hood for chilly evenings.
- [“Meet People Where They Are” PRIDE Mug](https://www.harmreductionohio.org/?p=982): This cupboard essential is sturdy, sleek, and perfect for your morning java or afternoon tea.
- [“Meet People Where They Are” PRIDE Stainless Steel Tumbler](https://www.harmreductionohio.org/?p=980): Enjoy hot or cold drinks on the go with this stylish stainless steel tumbler! This reusable tumbler with a metal straw is a perfect combo for hot or cold drinks at any time of the day.
- [“HRO” Distressed Dad Hat](https://www.harmreductionohio.org/?p=975): Expand your headwear collection with this fashionable dad hat. With a slightly distressed brim and crown fabric, it’ll add just the right amount of edge to your look. For a quick and easy outfit pair it with slacks, your favorite jeans, and a sports tee.
- [“HRO Ohio State” Enamel Mug](https://www.harmreductionohio.org/?p=971): Every happy camper needs a unique camper mug. It's lightweight, durable and multifunctional. Use it for your favorite beverage or a hot meal, and attach it to your bag for easy access on a hike.
- [“Harm Reduction Ohio” T-Shirt](https://www.harmreductionohio.org/?p=956): You've now found the staple t-shirt of your wardrobe. It's made of 100% ring-spun cotton and is soft and comfy. The double stitching on the neckline and sleeves add more durability to what is sure to be a favorite!
- [“Meet People Where They Are” Rainbow Bandana](https://www.harmreductionohio.org/?p=951): Get ready to make a statement with this all-over print bandana. Mix up your outfits by using this as a headband, necktie, or armband. In fact, why not get a second bandana to match your pet? Grab a few and hit the streets in style!
- [“Harm Reduction Ohio” Hoodie](https://www.harmreductionohio.org/?p=914): Everyone needs a cozy go-to hoodie to curl up in, so go for one that's soft, smooth, and stylish. It's the perfect choice for cooler evenings!
- [“End The War” T-Shirt](https://www.harmreductionohio.org/?p=872): The 100% cotton unisex classic tee will help you land a more structured look. It sits nicely, maintains sharp lines around the edges, and goes perfectly with layered streetwear outfits. Plus, it's extra trendy now!
- [“Meet People Where They Are” PRIDE Hoodie](https://www.harmreductionohio.org/?p=855): Everyone needs a cozy go-to hoodie to curl up in, so go for one that's soft, smooth, and stylish. It's the perfect choice for cooler evenings!
- [Set of Pin Buttons](https://www.harmreductionohio.org/?p=853): Express yourself in a meaningful way with top-quality pin buttons. They’re lightweight, sturdy, and easy to put on. With a scratch and UV-resistant coating and a glossy finish, these pin buttons are made to last. Show off the things you care about and add a pop of personality to your clothing or accessories with vibrant pin buttons.
- [Set of Pin Buttons](https://www.harmreductionohio.org/?p=850): Express yourself in a meaningful way with top-quality pin buttons. They’re lightweight, sturdy, and easy to put on. With a scratch and UV-resistant coating and a glossy finish, these pin buttons are made to last. Show off the things you care about and add a pop of personality to your clothing or accessories with vibrant pin buttons.