International Overdose

Awareness Day #OD10

injectingadvice.com

Neither Nigel Brunsdon or Injecting Advice LTD take any responsibility for the information and advice contained within these Twitter messages.

It should be remembered that substance use/misuse has inherent risks and that use of a substance or medication beyond the therapeutic dose is classed as an ‘overdose’ and as such may be fatal.

In the case of prescribed medication dose should be decided between yourself and a qualified medical professional.

Credits and copyright

Cover image

Copyright

Cover photo of Fitzroy Legal Service front window posted to Twitter by Kathryn Daley (@Kat_Daley)

This Twitter report was collated by Nigel Brunsdon and is being distributed under Creative Commons licence Attribution, Non-commercial, Share Alike 3.0.

This licence allows you to freely use, adapt, modify and re-brand this work under the following conditions:

• You fully credit the original work (and any works it may be derived from)• You cannot sell this work, or any work you make using it as source material.• You must allow others to use your work in the same way, i.e. you must allow creative commons use of your work.

If you do wish to use this work outside of the above conditions they may be waived by only with explicit permission of the author. If in doubt please contact:nigel@injectingadvice.com

Disclaimer

International Overdose awareness day 2010

A couple of weeks before OD Day I received an email from Meghan Ralston who works for the Drug Policy Alliance, a number of drug workers and activists who use Twitter where also copied in.

Meghan (whose Twitter ID is @overdosegirl) wanted to get us all co-ordinating OD day on Twitter. The easiest way to do this is by using a hashtag. Hashtags allow Twitter users to follow all messages relating to a subject even if they don’t ‘follow’ each other.

A number of suggestions got put forward but because ‘Tweets’ are limited it was decided we would use #OD10 to keep things simple.

HistoryInternational overdose awareness day was originally started by the Salvation Army to raise awareness of both the prevention and consequences of overdose.

Now, many services and organisations support the day and hold events that help inform both the public and people who choose to use drugs of the risks, treatment and extent of overdoses effects on society and individuals.

Twitter and the #OD10 tag

On the day hundreds of Twitter users around the world sent out messages and information relating to OD, many of them using the #OD10 tag, where we could we sent people messages asking them to use it. Remember though as you read this document that there where many, MANY more tweets to do with OD than you see here.

The day on Twitter

Although messages put onto Twitter do remain on the internet in some way, over time they get more difficult to find. They can also be quite confusing as people ‘Re-Tweet’ messages, change messages slightly and send them on etc. Because of this I thought it would be good to keep a record of the day, measuring the number of times a message is forwarded onto others.

This document

injectingadvice: Great recovery position tshirt from our friends at Exchange Supplies (@ReducingHarm) #OD10 http://bit.ly/aX85m8

Re-Tweeted

3Times

The bulk of Tweets tagged with #OD10 are here, the only ones I’ve removed are ones that made no sense, ones with totally inaccurate advice (only one or two fell into this category) or ones that all had links to the same resources. In this latter case I have put the first message to mention a resource and then classed future mentions as ‘Re-Tweets’.

The Tweets have been split into 3 sections:

OD10 Tweets: These are the plain tweets that just contain messages, information and advice. Although sometimes the advice contained can be quite simple I can tell you from reading them all that they will make great sets of quotes etc for training and OD promotions.

Resources and Articles: These are the Tweets that contain links to further informa-tion and resources, including OD T-shirts, training packs and workshop tools. All links are clickable.

Pictures: Although there are only three images posted from the day, I’ll think you’ll agree they are worth looking at.

Anatomy of a 'Tweet'

This is the Avatar for the person sending the Tweet, all avatars are the ones used at the time of writing this document

This is the twitter ID of the sender, you can find them by going to twitter.com/name

Number of times the message has been forwarded, this is at best a low estimation

Hashtags make Tweets searchable, people sometimes also use them as emphasis.

If people reference another twitter user they put an @ before the name. if this is at the start of a tweet then its a message to that person

polydruguser: people rarely overdose with just heroin in their system. It’s usually a combination of heroin & benzos #OD10

Re-Tweeted

0Times

#OD10

polydruguser: some people OD “trainspotting style” i.e. just after a shot, but most people OD a few hours after their shot #OD10

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polydruguser: did you know, in Australia 1/4 of fatal ODs are people recently released from prison? #OD10

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polydruguser: take care when using after a break, your tolerance drops faster than you think! #OD10

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polydruguser: did you know, using in a different environment can increase your chance of OD ? #OD10

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JasonVerhoosky: Prepping for International #Overdose Awareness Day tomorrow! #OD10 (oh, and my 5-year olds 1st day of kindergarten!) U?

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1Times

injectingadvice: IMPORTANT when tweeting about overdose awareness day please use the #OD10 tag

Re-Tweeted

2Times

BrianEdwardGoss: In addition to #Heroin, #NALOXONE can reverse #OVERDOSE from #Painkillers like #Oxycontin #Vicodin #Percocet #Morphine & #Fentanyl #OD10

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BrianEdwardGoss: #Prescription #Opiates such as #Oxycontin and #Vicodin are driving the increase in #OVERDOSE deaths. #OD10 #GoodSamaritan #HarmReduction

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2Times

BrianEdwardGoss: In the USA more #OVERDOSE deaths are caused by #prescription #drug abuse than all illegal drugs combined. #Painkillers #OD10

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3Times

#OD10

BrianEdwardGoss: From 1999 to 2002 #prescription #painkiller (#OxyContin, #Vicodin, etc.) #OVERDOSE deaths in the USA increased over 91%. #OD10

Re-Tweeted

1Times

overdosegirl: I’m so excited to tweet about overdose prevention tomorrow on International Overdose Awareness Day #od10

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3Times

overdosegirl: Some people around the world will use the tag #od10 on their tweets about overdose & overdose prevention on Aug31. Use it, or follow along.

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injectingadvice: I’ve set up a page collecting some of the Overdose Awareness day tweets #OD10

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injectingadvice: Remember folks mark all overdose tweets today with #OD10

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overdosegirl: It’s already Overdose Awareness Day in other countries today! Would you know what 2 do if you saw someone OD? Google Overdose Rescue Position #od10

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BrydenGabrielle: Today is International Overdose Awareness Day #od10

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injectingadvice: Do the people you use with know you’ll stay with them if they OD? It’ll make them more likely to stay with you #OD10

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10Times

injectingadvice: Don’t ‘walk people’ who are overdosing, it doesn’t help and wastes valuable time. Get help and get them in recovery position #od10

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ethannadelmann: TAKE ACTION to reduce OD Fatalities. #od10 Today is International Overdose Awareness Day.

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8Times

#OD10

injectingadvice: Don’t worry if you can’t remember the “official” recovery position, get people on their side with their head back so they can breathe #OD10

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mikeybensonesq: today is #OD10, I think more could be done to raise awareness on issues like this if more was done through local #drug agencies?

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SPHEREproject: Don’t put people who are overdosing in a shower, it doesn’t help & wastes valuable time. Call 911 & get them in recovery position #od10

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4Times

portprevent: All of today’s posts will be dedicated to International Overdose Awareness Day. Please share your stories - we will be! #OD10 #overdose

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overdosegirl: We teach teens to not take drugs, but not what to do if they witness an overdose. This needs to change. #od10

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overdosegirl: In over a dozen states in the US, overdose now kills more people than car crashes. Education is key in preventing OD deaths. #od10

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overdosegirl: We need to value the lives of people who use drugs & teach them to be safe. All lives matter. No one ever deserves to die from an OD. #od10

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SPHEREproject: We need to make sure that overdose prevention is discussed & taught with folks in drug/alcohol treatment programs & jails. #OD10

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4Times

SPHEREproject: We used to teach parents about using ipecac to respond to childhood poisoning. We need to teach about Narcan & responding to ODs. #OD10

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SPHEREproject: When someones overdosing, don’t do anything that could cause an injury (slap, shake, burn, stomp). It wont help them to breathe. #OD10

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#OD10

SPHEREproject: On Overdose Awareness Day in USA: find out if your state has a “Good Samaritan” law. If not, ask your state reps: why not. Call 911. #OD10

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HomelessHIV: Today is International Overdose Prevention Awareness Day! Time to start talking about this and prevent death from accidental ODs. #OD10

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HomelessHIV: We need to make sure that overdose prevention is discussed & taught with folks in homeless shelters. #OD10

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overdosegirl: 15 yrs ago, no one called 911 for me because we’d all have been arrested. When people fear arrest if they call for help, people die. #od10

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HomelessHIV: It’s Overdose Awareness Day - homeless shelters in USA: what’s your policy on letting guests bring Narcan into your shelter? #OD10

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7Times

mannaz: Its overdose awareness day, if someone ODs get help, get them in the recovery position, and stay with them #OD10

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3Times

AramBarra: Mexico too! RT @injectingadvice: We need distribution programmes for naloxone to help stop needless overdose deaths #OD10

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injectingadvice: If you’re returning to opiates (heroin etc) after a break break, even a short one then don’t inject, smoke instead to avoid OD #OD10

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injectingadvice: We need a nationwide distribution programme for naloxone to help stop needless overdose deaths #OD10

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tara_cssdp: North America too! RT @injectingadvice: We need a nationwide distribution programme for naloxone to help stop needless overdose deaths #OD10

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#OD10

SPHEREproject: We (in Massachusetts) have a pilot Narcan distribution program that is saving lives! #OD10

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mannaz: Multiple accounts puts your mind in strange places. On my @injectingadvice account everyone is talking about world OD day #OD10, on here it’s “tea”

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SPHEREproject: Our 2008 survey of MA drug/alcohol treatment providers: 87% knew someone who died from OD & 81% of victims were (former) clients. #OD10

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portprevent: Due to lowered tolerance, people leaving #jail are the most at risk for an #overdose; people leaving rehab are 2nd most at risk. #OD10

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SPHEREproject: If we accept that relapse happens, drug treatment clients need overdose prevention information & support. And so do their counsellors. #OD10

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Katllady: it is overdose awareness day. #OD10 - I want to be clear, ODs can happen not just with opiates but all drugs especially alcohol!!

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pearcerichards: It’s overdose awareness day - Insite had 484 ODs in 2009, zero deaths! Don’t condemn users to die alone in alleyways #OD10

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portprevent: Shower/ice bath for #overdose = 1) waste of time, 2) drowning risk, 3) shock risk. Better to call 911 and possibly save a life! #OD10

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4Times

portprevent: Off to the #jail for #overdose prevention, then to Monument Square. to table for #OD10. More awareness tweets late this afternoon...stay tuned!

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BrianEdwardGoss: Did you know? More people aged 35 to 54 die of #drug #overdose than in motor vehicle accidents... #OD

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#OD10

BrianEdwardGoss: In the USA #prescription #opiates such as #OxyContin and #Vicodin are driving the increase in #OVERDOSE deaths... #OD

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2Times

overdosegirl: Alcohol, which kills more people than illegal drugs, is available everywhere. Naloxone, which saves lives from OD, is not. #WTF? #od10

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overdosegirl: Shaking me,putting me in the shower & yelling at me to wake up didn’t work. I was lucky I lived, but don’t rely on luck! Call 911 in an OD! #od10

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overdosegirl: The stigma that prevents people from talking about the trauma of surviving OD has to end. And it starts with me. I survived OD. #od10

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BrianEdwardGoss: With an #overdose on #painkillers and #pills... there is no telling how much of the #drug remains in the stomach. CALL 911! #OD

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portprevent: Don’t let someone ODing on opiates (or alcohol) just “sleep it off” esp if they are unresponsive and doing THIS most common OD sign. #OD10

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portprevent: Snoring heavily (also nick-named “the death rattle”) has been reported in 90% of fatal opiate overdoses. Call 911 - save a life! #OD10

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portprevent: Afraid to call 911 in an OD? Do it anyway. If you have to leave, tell 911 what person used, unlock doors, use the recovery position! #OD10

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portprevent: I am so impressed by all of the #overdose awareness love today! @SPHEREProject @overdosegirl @injectingadvice @drugpolicynews #OD10

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SPHEREproject: All the myths about how to respond to an overdose, although many may be wrong, show people’s desire to help, respond & save lives. #OD10

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#OD10

portprevent: Guess the average age of all accidental death victims in Cumberland Co. #Maine: a) 26 years old, b) 36 years old, c) 46 years old #OD10

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portprevent: Avg age of males who accidentally OD’d in Cumberland. Co. (2007) was 36. Most people answer 26, but “old-timers” are at risk for OD, too! #OD10

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portprevent: Whether it’s your 1st or 100th time, mixing drugs, using alone & using in excess once your tolerance is down are all risks for OD. #OD10

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portprevent: A recent medical examiner’s report showed that when #overdosing, Maine WOMEN were more likely to be taken to the ER.Thoughts? #OD10

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overdosegirl: Today is International Overdose Awareness Day. People are using the tag #od10 in their tweets about overdose today.

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portprevent: We (& those in our groups) speculate that WOMEN are brought to the ER because they are seen as more vulnerable. Love to hear your thoughts #OD10

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SPHEREproject: @portprevent curious about the gender of the people who bring them? women or men? #OD10

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injectingadvice: Although new users are at a high risk of OD, a biggest risk is people who’ve used for years. #OD10

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3Times

nnef: Services being able to provide foil legally would stop many people from injecting, this of course would reduce overdose rates #OD10

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psychcentral: What a great cause! Overdose Awareness Day tweets - like crazy!!! #OD10

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5Times

#OD10

portprevent: In #Maine in 2007, 86% of all drug-deaths were related to PHARMACEUTICALS (in combination or alone, licit & illicit). #OD10 Benzo use way up.

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portprevent: What is one of the CRAZIEST #overdose myths you’ve heard? I’ll share one: Inject someone with milk to reverse overdose. Oh my. #OD10

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portprevent: Injecting someone with milk, bleach, salt water (or an opiate if they suspect an amphetamine OD) is a waste of time! Call 911 instead! #OD10

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overdosegirl: Did you know having a really bad cold or respiratory infection increases your chances of opiate OD? Be extra careful with opiates if your sick! #od10

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BrianEdwardGoss: #OVERDOSE deaths in the USA more than doubled between 2000 and 2006 (latest year with complete data)... #OD10

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BrianEdwardGoss: More people died from #OVERDOSE in the USA in 2006 (latest year with complete data) than from #AIDS or MURDER... #OD10

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2Times

JasonVerhoosky: Do you care about overdose prevention? Do you know anyone who does? Take a minute and check out #OD10. Great info and powerful stories!

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4Times

injectingadvice: I’ve had to deal with ODs on busy streets with people walking by. Don’t be one of those people #OD10

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7Times

Katllady: years ago on the DTES I saved a women #OD10 who didn’t deserve the life she had. She was kind, funny & smart! Remember the dead can’t heal!

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BrianEdwardGoss: 120,000 Americans a year go to ERs due to #OVERDOSE on #opioid #painkillers (Ref: American Society of Interventional Pain Physicians) #OD10

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#OD10

BrianEdwardGoss: #Prescription #drugs cause most of the more than 26,000 #FATAL #OVERDOSES each year (Ref: Leonard Paulozzi of the #CDC) #OD10

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overdosegirl: 3-4 minutes without oxygen can cause brain injury/death. If you see an OD& they’re not breathing, give mouth-2-mouth ASAP! Then call 911! #od10

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overdosegirl: Hearing my roommates crying, “You were dead! You were dead!” will never,ever leave me. It’s haunted me for 15 yrs. Thank God for today. #od10

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BrianEdwardGoss: #LittleKnownFactAboutMe I almost died from an #OVERDOSE of #Painkillers. #OD10

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injectingadvice: Ok folks #OD10 almost over for the UK, the rest of you keep on tweeting, you’re all wonderful.

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losanjalis: Todays international overdose awareness day. Follow @overdosegirl for updates from Drug Policy Alliance, & because she’s inspiring #od10

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lortay78: Education is not the enemy. #OD10 Addicts don’t need to die.

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BrianEdwardGoss: In the USA: Virtually NO federal dollars are designated for #overdose prevention. #OD10 #SHAME

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BrianEdwardGoss: In the USA: Deaths resulting from accidental drug #OVERDOSE increased more than 400% between 1980 and 1999. #OD10 #NEEDLESS

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BrianEdwardGoss: Did you know? #Naloxone has been FDA approved since 1971, presents no potential for abuse, and has no other pharmacological effect. #OD10 #Narcan

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#OD10

SPHEREproject: @overdosegirl and THANK YOU! #OD10

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SPHEREproject: @overdosegirl thinking about the numbers reached & the fact that we all are part of a powerful community. #OD10

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overdosegirl: Hundreds of people around the world tweeted & RT’d about OD for International Overdose Awareness Day. Think of the 1000’s of ppl reached. WOW. #od10

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portprevent: Thank you to everyone who tweeted about #OD10 today. It was an amazing day! We are on the web and on FB so find us & contact us with any questions!

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#OD10 Resources& articles

stonetree_aus: Check this video out - Overdose Awareness Day #OD10http://t.co/LYvrtjK

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StaceInspire: Scott was a lad who I knew in my local area. Read this article about what happened to him. #od10 http://tinyurl.com/36v27qr

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StaceInspire: Mr Mange goes over - Great video I use in training. #od10 http://tinyurl.com/37tyyqj

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DDNMagazine: #OD10 It’s Overdose Awareness Day today find out more here:http://bit.ly/DDNOAD

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StaceInspire: #OD10 My new blogpost - Overdose Awareness Day: http://wp.me/pNfbd-7k

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ReducingHarm: #od10 Recovery position: http://tinyurl.com/yfabhdo and the amazing inspiration for the stop frame sections: http://tinyurl.com/22rmqv8

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SPHEREproject: Today is International #Overdose Awareness Day - download some of our free overdose prevention resources! #OD10http://tinyurl.com/27etdxl

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overdosegirl: Preventing Death by Overdose: Powerful op-ed by mom who lost her son to overdose AlterNet #od10http://bit.ly/btn6cP

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SPHEREproject: Need OD posters to put up in your office? Jail? Treatment program? check out “conversation starter” posters! #OD10 http://tinyurl.com/27etdxl

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injectingadvice: My Overdose Workshop, free to download, use and adapt #OD10http://bit.ly/bEIvli

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hiwecanhelp: Overdose prevention CPR film from hiwecanhelp! #OD10 http://drp.ly/1Dyj6L

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SPHEREproject: RT’ing recent OD tweets? Read report on Why #Overdose Matters for #HIV. #od10http://tinyurl.com/2eo9lok

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SPHEREproject: #OD10 Dont forget the CDC Morbidity and Mortality Weekly Report on Unintentional Drug Poisoning in USA (aka accidental overdose) at: http://tinyurl.com/2uqdtc6

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SPHEREproject: #OD10 What is the FDA doing about overdose? http://tinyurl.com/yheeeuh

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SPHEREproject: #OD10 Our OD prevention card game for group ed (in treatment progs, jails, shelters, etc). Tell us what you think. http://tinyurl.com/2vghs5j

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vdecl: Americans! Join @DrugPolicyNews in sending a purple ribbon to congress for overdose awareness day #OD10 #vdecl: http://ow.ly/2xlM5

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DrugPolicyNews: Today is Drug Overdose Awareness Day. #od10 - Urge your Representative to support the Drug Overdose Reduction Act: http://bit.ly/bmbF1Y

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SPHEREproject: Learn more about HR 2855: The Drug Overdose Reduction Act, and find out if your US Rep is a cosponsor. #OD10 http://tinyurl.com/2fa5mu2

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xoxo_thtgrl: #OD10 No one thought it would happen to them, scary OD stats:http://tinyurl.com/2bt2ob7

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injectingadvice: A ‘prezi’ presentation to go with the overdose workshop, more interesting to use than PowerPoint #OD10http://bit.ly/bEIvli

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#OD10 Resources& articles

Dirk57: #od10 My post on Overdose Awareness Day: http://tinyurl.com/2dzbrno

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injectingadvice: Great recovery position tshirt from our friends at Exchange Supplies #OD10 http://bit.ly/aX85m8

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3Times

portprevent: #OD10 My 2nd story of how #overdose impacted my life is now posted http://bit.ly/d0xoxf

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SPHEREproject: #OD10 Order our “Let’s Talk About OD Prevention” stickers (English or Spanish) at: http://tinyurl.com/27etdxl

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CSSDP: #od10 check out this video on the need for naloxone access and training to prevent overdose deaths http://drogriporter.hu/en/naloxone

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AlexStevensKent: Study in ‘Addiction’ confirms elevated risk of death in first two weeks after release from prison #od10 http://bit.ly/aOqjqb

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AlexStevensKent: And increasing methadone treatment in Sweden reduced opiate-related deaths #od10 http://bit.ly/dhk2MV

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#OD10 Resources& articles

sillyoldactivix: Preventing Death by Overdose: One of the Most Avoidable Tragedies on Earth #OD10http://bit.ly/9Rzta4

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anex_australia: Anex is celebrating National Overdose Awareness Day in Australia. Press release #od10http://bit.ly/cifw3C

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Kat_Daley: Fitzroy Legal Service front window: tribute for Overdose Awareness Day #od10

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#OD10 Photos

MorelandHall: This is an image of the postcard we are sending out as part of our Overdose Awareness Day activities #OD10

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portprevent: The Recovery Position (prevents choking on vomit in an #overdose situation) #OD10

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#OD10 Photos

I have to thank all the amazing twitterers who contributed to the days events, both the ones mentioned in this document but also all the ones who re-tweeted messages all over the internet and the ones who sent out messages on overdose without even knowing about the #OD10 tag.

But a special thank you goes out to Meghan Ralston (@overdosegirl) for inspiring so many of use to co-ordinate our efforts, Meghan has been working for years now to raise awareness of overdose both in the United States and Internationally with her Purple Ribbon campaign.

Thank you

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