Northwest Tennessee Needs Help

Tennessee county map.

We all know Cristoforo Colombo, the brave yet kind-hearted soul who pioneered sailing across the Atlantic Ocean. Although he did some not-nice things during his explorations, I’m bringing him up because he went to somewhere that had no infrastructure and was entirely foreign to him.

I feel that Northwest Tennessee is as foreign other harm reductionists across the United States as the “Indies” was to Columbus and his men.

Many other places in the States are rife with well-established harm reduction advocacy, syringe exchange, and related activity or program infrastructure.

Northwest Tennessee isn’t. Our crop of harm reductionists are bare as a baby’s ass.

It seems short-sighted to claim that there are no other practicing harm reductionists here in NWTN. However, I’ve been doing this stuff for two-and-a-half or three years now and have only met one person worth their salt — I don’t want to name him or her here, but they’re great.


Why don’t harm reductionists from other parts of the United States in which drug users are treated much, much better than they are here in NWTN come here and lay down infrastructure for us flatland hillbillies to follow?

Maybe I’m being selfish and making everything about me, me, me.

But I don’t think so.

It sucks to know that I could face arrest and/or prosecution for harm reduction advocacy here in Tennessee. I also don’t like knowing that I have to bankroll (the very few harm reduction-related) expenses tied to my advocacy.

I’d love it if an experienced member of this national community of harm reductionists came here and showed us how to be ‘bout it ’bout it.

From now until then, I’ll be spitting in one hand and shitting in the other.

By Daniel Garrett

I'm a self-employed writer, long-term drug user, and resident of rural Tennessee. Find me on Twitter at @DanielGarrettHR or email me at

2 replies on “Northwest Tennessee Needs Help”

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