The 2018 Syringe Exchange Annual Report has been released!

The 25-page report outlines trends in number and demographics of participants and the impact of the program on HIV infection. The Report also includes an assessment of the cost-effectiveness of the program, the strengths and weaknesses of the program, the advisability of its continuation, and ways to improve the SEP.

The Hawai'i Health & Harm Reduction Center exchanges sterile needles for used ones for people who use needles to inject drugs, steroids, hormones, or other substances.


We are strictly a one-for-one exchange. If you do not have any syringes to exchange, in Hawai'i it is legal to purchase syringes at pharmacies without a prescription. Please contact us if you have any questions.


Syringe exchange is available on four Hawaiian Islands. Please call the following numbers for times and locations to exchange.


Oahu: (808) 521-2437     Maui: (808) 264-1982     Kauai: (808) 651-7213     Hilo: (808) 895-1719     Kona: (808) 756-0999


How to Properly Dispose of a Syringe

There are serious safety concerns when disposing of used syringes, needles, sharps and other bio-hazardous materials, specifically in regards to our garbage collectors and landfill workers. If proper care is not taken, needles can puncture the trash bags and cause injury and potentially spread infectious diseases like hepatitis. According to the State Department of Health (2000), the types of home health care waste items may include: needles and syringes; lancets; cookers; tourniquets; other sharp objects.  Please watch the videos below to learn how to correctly dispose of and pick up used syringes.



1. Place needles, syringes, lancets, and any other contaminated tools inside any strong, leak proof plastic container that has a small opening (so that no one else is able to stick their hand into it).


2. Clearly mark the container “BIOHAZARD.”


3. Needles and other contaminated sharps are NOT recyclable. Please keep them separate from other recyclables.


4. Do not recap, bend or break the needles prior to inserting them into the container. Place all parts inside the container.


5. Chemically disinfect all materials by pouring a 1 part bleach solution and 10 parts water into the container. Soak for 20 minutes then pour liquid down the drain and recap. Seal with heavy duty tape.


6. Be sure to keep all contaminated containers away from children and pets and place with other household solid waste.

Hawai‘i Health & Harm Reduction Center is committed to the health and safety of our clients, community, and staff. We are monitoring the COVID-19 situation and will announce updates as we review advisories from the Hawai‘i DOH and the CDC.


The following changes are effective immediately and will be in place until further notice:

  • We have reduced our hours of operation. Please click here for our new temporary hours.

  • HHHRC is suspending all walk-in services except for current clients. We are not accepting new patients
    or referrals at this time, with the exception of newly diagnosed HIV+ individuals.

  • We will continue to see existing appointments as scheduled. 


To learn more, visit our COVID-19 page.

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Temporary Hours of Operation: 
Mon/Wed/Thurs 9:00AM - 2:00PM; Tues 1:00PM - 3:00PM; Fri 1:00PM - 5:00PM


Address: 677 Ala Moana Blvd. Suite 226  Honolulu, HI  96813

Email:     Tel:  (808) 521-2437

Copyright 2019 Hawai'i Health & Harm Reduction Center