![]() ![]() In Europe today, that controversy has to a large extent been replaced by consensus. Initially, there was considerable controversy surrounding the notion that preventing the spread of HIV was of paramount importance and required immediate and effective action, even if this meant that abstinence as a therapeutic goal had to take second place. Although harm reduction approaches have a long history in the addictions field and in general medicine, our modern concept of harm reduction has its roots in the challenges posed by the rapid spread of HIV infection among drug injectors in the mid-1980s. Harm reduction has become an integral part of the European policy debate on drugs, but this was not always the case. ![]() Foreword It is with great pleasure that I introduce the EMCDDA´s latest Scientific monograph, which provides a state-of-the-art review of the role of harm reduction strategies and interventions.
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