Concurrent Session 4C: Smokable Cocaine Harm Reduction: Global Perspectives to Address Diverse Contexts
Tracks
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| Thursday, October 8, 2026 |
| 2:00 PM - 3:30 PM |
| Tycho + Kepler |
Details
Smokable cocaine use remains a significant yet under addressed issue within global harm reduction responses. This gap persists despite growing evidence of health risks associated with inhalation, including respiratory harms caused by toxic fumes, ash, and metal fragments from smoking devices, as well as burns and injuries to the lips, mouth, and throat.
People who smoke cocaine are also frequently exposed to structural violence linked to social and institutional stigma, criminalisation and abuse from law enforcement, harassment from their peers and social exclusion in general.
This 90-minute session brings together researchers, community leaders, advocates, and service providers from Europe, Latin America, Africa, and international organisations to create a space for collective learning and exchange across diverse political, social, and epidemiological contexts. Drawing on frontline service delivery, community advocacy, and recent research, speakers will share their experiences, including work on safer smoking equipment distribution, peer led outreach, inclusive harm reduction services, and the impacts of stigma, violence, and punitive policing towards people who smoke cocaine.
The session is designed as a facilitated dialogue rather than a series of traditional presentations. Through guided discussion among speakers and active participation from the audience, it will encourage exchange between experiences from the Global North and Global South. The conversation will explore emerging evidence, critically reflect on existing harm reduction approaches, and identify opportunities for collaboration across regions.
Speaker
Mr Mat Southwell
Managing And Technical Director
Coact Technical Support LTD
Smoked Cocaine Health Check and Harm Reduction Guidelines
2:05 PM - 2:15 PMBiography
Mat Southwell is Managing and Technical Director of Coact Technical Support. Coact is a community-led training and consultancy company that supports harm reduction, drug treatment, and community mobilisation with people who use drugs in international development settings. Mat has supported client literacy and choice in Unitaid study.
Prof Magdalena Harris
Professor Of Inclusion Health Sociology
London School Of Hygiene & Tropical Medicine
Safer smoking equipment and inhalation-focused harm reduction: Emerging evidence from the SIPP study
2:15 PM - 2:25 PMBiography
Ms Emma Rodríguez
Directora
Latinoamérica Por Una Política Sensata De Drogas (LPSD)
Harm Reduction experiences for crack users in Mexico City
2:25 PM - 2:35 PMBiography
Emma Guadalupe Rodríguez Romero holds a Bachelor’s degree in Political Science and Public Administration and a Master’s degree in Social Work from the National Autonomous University of Mexico (UNAM). She is a member of the Latin American and Caribbean Network of People who Use Drugs (LANPUD Mexico) and Director of Latinoamérica por una Política Sensata de Drogas (LPSD).
INHSU 2026
Crack cocaine use and harm reduction approaches in West Africa
2:35 PM - 2:45 PMBiography
Prof Magdalena Harris
Professor Of Inclusion Health Sociology
London School Of Hygiene & Tropical Medicine
Panel Discussion
2:45 PM - 3:10 PMBiography
Ms Emma Rodríguez
Directora
Latinoamérica Por Una Política Sensata De Drogas (LPSD)
Panel Discussion
2:45 PM - 3:10 PMBiography
Emma Guadalupe Rodríguez Romero holds a Bachelor’s degree in Political Science and Public Administration and a Master’s degree in Social Work from the National Autonomous University of Mexico (UNAM). She is a member of the Latin American and Caribbean Network of People who Use Drugs (LANPUD Mexico) and Director of Latinoamérica por una Política Sensata de Drogas (LPSD).
Mr Mat Southwell
Managing And Technical Director
Coact Technical Support LTD
Panel Discussion
2:45 PM - 3:10 PMBiography
Mat Southwell is Managing and Technical Director of Coact Technical Support. Coact is a community-led training and consultancy company that supports harm reduction, drug treatment, and community mobilisation with people who use drugs in international development settings. Mat has supported client literacy and choice in Unitaid study.
INHSU 2026
Q&A
3:10 PM - 3:25 PMBiography
INHSU 2026
Concluding Remarks
3:25 PM - 3:30 PMBiography
Chairperson
Ernesto Cortes
Director
ACEID
Levinson Niño
Activist/researcher
Latin American Network Of People Who Uses Drugs