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Crack Pipe Screens

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Crack Pipe Screens

When smoking crack cocaine, a screen is used to hold the rock of crack cocaine in place near the end of the glass stem (also known as a crack pipe). Screens fit snugly within the stem and are typically made from a small piece of metal with holes to allow for inhalation of crack vapour.

Why should a screen be used?

People who smoke crack often use steel wool (which is frequently referred to by the brand name ‘Brillo’) for screens. However, this practice has been associated with injury since small pieces of steel wool can come off and can cause burns on the lips and mouth. There is also danger of deeper inhalation or ingestion, which can cause burns in the airways and along the tract to the stomach1,2. Using a brass screen provided by the Harm Reduction Strategies and Services rather than steel wool can minimize the likelihood of these injuries.

It is also acceptable to wrap the brass screens completely around the steel wool and use them together as a screen. Some people who use crack cocaine find that this makes using a screen easier for them.

Why does BC Harm Reduction Strategies and Services provide screens?

Using the screens provided by BC Harm Reduction Strategies and Services helps avoid some of the injuries associated with using steel wool as a makeshift screen such as: burns, and both inhalation and ingestion of steel.

Providing brass screens to enable safer drug use not only reduces the chance of injury to the user, but creates a way to engage hard-to-reach and under-serviced populations. No studies have found that providing safe supplies makes people more likely to engage in harmful drug use.

How can screens be ordered?

Screens can be ordered by harm reduction distribution sites which are approved by the appropriate regional health authority. The harm reduction supply requisition form available on-line online at BCCDC.ca should be used, and screens should be ordered at the same time as other harm reduction supplies. The completed form is faxed to BCCDC.

More information on Canadian best practice recommendations for safer crack cocaine smoking equipment distribution can be found here.

References:

*For a definition of harm reduction, please see Health file #102, Understanding Harm Reduction in the BC Health Guide.

1. Moettus A and Tandberg D. Brillo pad crack screen aspiration and ingestion. J Emerg Med, 1998; 16(6): 861-3.

2. Ludwig WG and Hoffner RJ. Upper airway burn from crack cocaine pipe screen ingestion. Am J Emerg Med, 2999; 17(1): 108-9.

Alerts

a) BC Ministry of Health issues Information Bulletin regarding changes to Methadone Maintenance program 

b) CCENDU Alert on Illicit Fentanyl across Canada.

c) BC's provincial health officer warns about the dangers of Fentanyl. It's an increasing concern in BC.

d Here is the Fentanyl Information Bulletin from the Ministry of Health.

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