The decline in drug-related fatalities in New Jersey over the past three years reflects progress in harm reduction, yet racial disparities remain stark. Black and Hispanic communities continue to face disproportionate rates of drug-related deaths—51.4 and 38.9 per 100,000, respectively—compared to white residents. The Black Lives Matter Paterson Harm Reduction Center and Mobile Unit provides resources, care, and support to neglected populations through culturally responsive, Black-centered mobile outreach.

This presentation will explore the intersection of reentry, HIV prevention, harm reduction, and LGBTQ health through the lens of a community-based model developed by Voices for a Second Chance (VSC), a nonprofit based in Washington, DC. VSC’s holistic approach combines trauma-informed case management, peer-led support, and cross-sector collaboration to support justice-involved individuals as they transition back into the community. By meeting basic needs and providing comprehensive health navigation, the model reduces both health risks and the likelihood of recidivism.

This session focuses on the way forward with syndemic approaches to eliminate HIV, viral hepatitis, and related epidemics in a political environment characterized by significantly diminished federal investment in infectious disease prevention and treatment, and in overdose crisis response.

Scaling back HIV and STI federal funds undermines decades of progress made in the public health realm. Domestic HIV and STI Prevention programs aim to provide essential services such as testing, treatment and education, to help decrease transmission of infectious diseases and improve health outcomes in the local communities. The Houston Health Department (HHD) relies mostly on federal grants to support staffing, infrastructure and preventative services. The Partner Services program is especially crucial for contact tracing to prevent further spread of disease by tracking partners of individuals potentially infected with syphilis and HIV. HHD assessed the Partner Services program’s performance levels to determine if uncertainty in receiving federal funds, which potentially contributed to a significant reduction in workforce, had negatively impacted Public Health Follow Up (PHFU) activities.