On 29 August, SANPUD (South African Network of People Who Use Drugs) hosted “Overdose in Plain Sight: Uncovering South Africa’s Hidden Crisis” for International Overdose Prevention Awareness Day, highlighting the often-overlooked overdose crisis in South Africa. On the Breakfast Show, Yolaan Andrews, Programme Manager for Key Populations and Human Rights at NACOSA (National AIDS Council of South Africa), spoke to Lester Kiewit about NACOSA’s pilot survey of 1,037 participants, which revealed that 37 percent of overdoses were intentional and 84 percent accidental. She shared insights from the Overdose Management Pilot Programme in Nelson Mandela Bay and uMgungundlovu, including peer-driven naloxone distribution, community-led rapid response strategies, and the “Buddies Model” that fostered peer support. Yolaan also discussed challenges such as stigma, misperceptions about naloxone, and limited engagement with law enforcement, as well as lessons learned and recommendations for scaling these life-saving interventions nationally.

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