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Virgin Islands, and Puerto Rico. In response to the many inquiries we have received about the directory—and the many misconceptions of what the directory represents that have fueled those inquiries—Dave Purchase Project would like to clarify the procedures through which the directory has been generated and maintained, as well as changes to those procedures over time. In particular, it is crucial for those who may seek to analyze directory information to understand what the NASEN Directory represents, and what it does not.
In that way, we can see what sorts of inferences can and, importantly, cannot be made using data derived from this source. Further, many Buyers Club members have declined to be listed in the NASEN directly, usually as a direct consequence of the policy environment in which they operate.
Despite overwhelming evidence in support of this public health intervention, 18 states had still not explicitly legalized SSPs as recently as Still more are facing aggressive opposition from local leaders who are motivated by ideological bias to hinder the operation of these evidence-based programs.
The NASEN Directory came into existence when the Harm Reduction movement in the United States was largely comprised of individuals, mutual aid collectives, ad-hoc associations, and volunteer organizations that were engaged in the practice, then mostly unsanctioned or illegal, of providing new, sterile, drug injection equipment to people who inject drugs.
