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Casa Segura Needle Exchange

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.
Fruitvale District

E 12th St. & 23rd Ave.
Oakland, CA 94606
Get Directions

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.)
Get Directions

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.

Programs and Services

Learn how Casa Segura helps stop the spread of HIV/AIDS and Hepatitis C.

Needle Exchange