•”Harm reduction strategies have historically been unwelcomed in Black communities.
•Peer- and street-based naloxone programs can penetrate underserved communities.
•Peer programs can empower marginalized groups to combat race-based stereotypes.
•Geographically and experientially derived credibility are key tools of engagement.”
Harm Reduction at a grassroots level and acceptance of Harm Reduction practices in ACB (African/Caribbean/Black) communities can be part of the solution to save ACB lives.