Casa Segura reaches out to people on the street during three weekly needle exchange programs at outdoor sites in the Fruitvale District, Deep East Oakland and West Oakland.
We trade clean needles for dirty needles, provide hot meals and harm reduction kits, and offer
Using the Program
"I can get condoms, vitamins and HIV tests. I get information and resources. I even get acupuncture."
—Needle Exchange Client
HIV and Hepatitis C testing, counseling and referral. We educate people about risk avoidance, harm reduction and overdose prevention.
Our mobile wound care unit is also on site to treat wounds that can result from injection drug use. Herbal treatments and acupuncture are available for people seeking alternative healthcare.
Needle exchange is a major part of our harm reduction model. By providing a one-to-one exchange, we get more than 1 million dirty needles off the street every year, making us one of the largest exchange programs in California.
Needle Exchange Locations
TUESDAYS 6 p.m. – 8 p.m.
E 12th St. & 23rd Ave.
Oakland, CA 94606
THURSDAYS 6 p.m. – 8 p.m.
Deep East Oakland
100th Ave. & Pearmain St.
Oakland, CA 94603
(between San Leandro St. and Edes Ave. off 98th Ave.)
Secondary Syringe Exchange Project
Casa Segura is part of The Network, a collaboration among participating Alameda County needle exchange programs which provides peer-training for Secondary Syringe Exchangers (SSEs). SSEs are injection drug users who exchange needles for themselves as well as one or more peers who don't choose to visit an exchange site.
The Network educates SSEs about overdose prevention, HIV and Hepatitis C, and making referrals. We ask them to share basic harm reduction information with their peers and encourage their peers to begin using needle exchange programs.