Inside a storage room at the Clark County Health Department are boxes with taped-on signs reading, “DO NOT USE.” The supplies, which came from the state and were paid for with federal money, were for a program where drug users exchange dirty needles for clean ones, part of a strategy known as harm reduction. In some places, the order is galvanizing support for syringe exchange programs, which decades of research show are extremely effective at preventing disease among intravenous drug users an

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