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First, Do Less Harm

Harm Reduction as a Principle of Law and Policy
  • Edited by: Vanessa Gruben and Chelsea Cox
  • With contributions by: Stephanie Arlt , Line Beauchesne , Richard Elliott , Marewa Glover , Amelia Howard , Martha Jackman , Sam Halabi , Sandra Ka Hon Chu , Stephanie Lake , Emily McBain Ashfield , Ryan Pusiak , Joao Velloso and Margot Young
Language: English
Published/Copyright: 2025
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Health and Society
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About this book

Gain a deeper understanding of how different approaches to harm reduction can lead to more effective policymaking and legislation. Multidisciplinary insights are converging to transform how society addresses substance-related challenges.
This is a unique interdisciplinary edited collection which features the work of leading Canadian and international scholars, fronline workers and people with lived experience. Although often at the core of harm reduction initiatives, those with frontline experience do not always have the opportunity to engage directly with academics in the area.

Author / Editor information

Marewa Glover (Contributor)
Marewa Glover is a Māori (New Zealand Indigenous) behavioural scientist with over 30 years’ experience in public health and more than 100 research papers. Renowned for her advocacy on tobacco harm reduction, she became “Tobacco” Section Editor for the international Harm Reduction Journal in 2019. Glover was a finalist in the 2017 New Zealand Women of Influence Awards and in the 2019 New Zealander of the Year Awards. Previously a Professor of Public Health at Massey University and Chair of End Smoking NZ, she focused on designing pragmatic solutions to reduce smoking, especially during pregnancy, as well as addressing obesity and breastfeeding barriers for Māori.

Amelia Howard (Contributor)
Amelia Howard is a PhD candidate in sociology at the University of Waterloo studying vaping innovation and the politics of technological change.

Sam Halabi (Contributor)
Sam Halabi is Professor at Georgetown University’s School of Health, Director of the Center for Transformational Health Law, and Affiliate Researcher at the Center for Global Health Science and Security. He was previously Senior Associate VP for Health Policy and Ethics at Colorado State University as well as Professor and Director of the Center for Intellectual Property and Entrepreneurship at the University of Missouri, where he received the Husch Blackwell Award for Distinguished Teaching. Halabi has authored 5 books and over 80 publications on topics such as vaccine deployment, public health ethics, data sharing, and emergency response.

Sandra Ka Hon Chu (Contributor)
Sandra Ka Hon Chu is a lawyer and Co-Executive Director of the HIV Legal Network. She works on HIV-related human rights issues concerning prisons, drug policy and harm reduction, sex work, women, and immigration, and has helped guide the Legal Network’s litigation in key court cases in Canada and internationally, including lawsuits challenging the Canadian government’s failure to adopt prison-based needle and syringe programs and criminal laws governing sex work.

Ryan Pusiak (Contributor)
Ryan Pusiak is Ph. D. Candidate in the Biology Department at the University of Ottawa.

Joao Velloso (Contributor)
João Velloso has a multidisciplinary background in law, criminology, sociology, anthropology, and communication. He works in the areas of criminal law and sentencing, critical criminology, and socio-legal studies, more particularly sociology and anthropology of law. His empirical research deals with the penalization of protesters and migrants (deportation and detention), access to justice in detention, and the regulation of cannabis. Professor Velloso is a member of the University of Ottawa Human Rights Research and Education Centre and participates in different Canadian and international research networks and projects.

Vanessa Gruben (Editor)
Vanessa Gruben B.Sc.H (Queen’s), LL.B. (Ottawa), LL.M. (Columbia) is Vice Dean (Academic) and Associate Professor at the University of Ottawa, Faculty of Common Law and a member of the Centre for Health Law, Policy and Ethics. She also leads the Ottawa Hub for Harm Reduction – a multidisciplinary forum for scholars and community organizations who work on innovative harm reduction strategies. She is also co-editor of the 5th edition of Canada’s leading text on health law and policy in Canada, Canadian Health Law and Policy, co-edited with Joanna Erdman and Erin Nelson (LexisNexis, 2017). Professor Gruben teaches graduate and undergraduate courses in Health Law and a seminar on Access to Health Care.

Chelsea Cox (Editor)
Chelsea Cox is part-time Professor in the Common Law Section of the University of Ottawa’s Faculty of Law. She holds both a JD and a Master of Health Administration from Dalhousie University. Cox researches alternative regulatory models and evolving drug policy frameworks. Her main area of focus is on cannabis decriminalization, legalization, and policy development. She also conducts research on harm reduction and public health policy.


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Developing Harm Reduction Strategies
Line Beauchesne
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Decriminalizing Drug Possession as a Constitutional Imperative
Martha Jackman
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19

The Correctional Service of Canada’s Prison Needle Exchange Program
Sandra Ka Hon Chu and Richard Elliott
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67

Problematizing Conservative Safe-Consumption Site Policy
Stephanie Arlt
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87

Jurisdictional Shifts, Punitive Decriminalization, and Challenges for Harm Reduction
Joao Velloso and Véronique Fortin
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109

A Study of Vancouver’s Downtown Eastside
Stephanie Lake and Margot Young
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135

A Review of Legislation, Testing, and Pharmacology of Legal Cannabis in Canada
Ryan J. P. Pusiak
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175

Potential Risks in Some Tobacco-Control Interventions for Indigenous Peoples
Marewa Glover
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205

Sam F. Halabi
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227

A Non-Apology for 32 Years of Substance Use
Alex Clarke
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249

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259

Publishing information
Pages and Images/Illustrations in book
eBook published on:
February 25, 2025
eBook ISBN:
9780776641959
Pages and Images/Illustrations in book
Main content:
278
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