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Harsh New Restrictions in West Virginia Show Just How Fragile Needle Exchange Programs Can Be Courtesy of SOAR Joe Solomon is the co-director of SOAR, a syringe-exchange and harm-reduction services group in Charleston, the capital of largely poor and rural West Virginia. When I spoke to Solomon in late March, SOAR was handing out large supplies of clean needles to hundreds of injection drug users (IDUs), many of them experiencing poverty and homelessness, in a region long known for having an overdose fatality crisis as well as the kind of HIV outbreak among IDUs that has become rare in the age of widespread needle exchange. SOAR also distributed large amounts of Narcan, which people who use drugs can easily administer to one another to reverse opioid overdoses. ....