Harm-reduction as a policy goal implies targeting directly drug-related harms rather than drug use itself. So far it has been largely a public health sector movement, focused on harms to users, most notably from heroin overdose, injection drug use and club drugs. Harm-reduction has offered fewer solutions to the problems of drug-related crime, violence, corruption or market externalities. However, harm-reduction has potentially much broader application when applied to the entire suite of harms generated by the production, distribution, consumption and control of drugs, not just drug use.
The police, who used to shoot first and ask questions later in Santa Marta, a Rio de Janeiro shantytown, are now getting on well with the local community – the result of a state government plan that nevertheless has drawn criticism. Out of long habit, many local residents in the Santa Marta "favela" do not dare talk openly about the police who have been permanently posted in their neighbourhood for the past six months, as part of what the Rio de Janeiro state government describes as a plan to "pacify" the slums.