This photo essay is part of a special digital issue of Queer Kentucky surrounding harm reduction and its intersection with the LGBTQ+ community. Read the full issue here.

Harm reduction strategies have played a significant role in Kentucky’s efforts to combat substance use and overdose deaths. In 2024, the state reported 1,410 drug overdose fatalities—a 30.2% decrease from the previous year and the third consecutive annual decline. This progress is attributed to expanded access to treatment, widespread distribution of naloxone, fentanyl test strips and the implementation of syringe exchange programs.

Fentanyl test strips are a important harm reduction tool, allowing people who use drugs to detect the presence of fentanyl before using. As fentanyl continues to drive overdose deaths—accounting for nearly 70% of Kentucky’s overdose fatalities in 2023—the strips help individuals make safer choices. They are especially important for marginalized groups, including LGBTQ+ people, who often face greater barriers to healthcare and support.

The following photo essay by Jon Cherry shows an individual using harm reduction practices while preparing cocaine.