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For more than 25 years, the City of San Francisco has used an approach called “harm reduction” to help people struggling with substance abuse. It’s common in California. The key tenet of harm reduction is: meet people where they’re at, so that they can manage their substance use and stay alive. That can involve giving people clean supplies to consume drugs.

But the harm reduction approach is at the heart of a conflict. On the one side are some San Francisco elected officials, business owners, and residents who associate it with open air drug use and crime. On the other side are nonprofit organizations that say harm reduction services save lives. KALW's Stafford Hemmer has the story.