The 2017 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.


WAD raymond.jpg

December 2, 2019

HHHRC's Raymond Alejo Receives Suzanne Richmond-Crum Award on World AIDS Day

Raymond, registered nurse case manager at HHHRC, was recognized for his 19 years of work in Hawaiʻi advocating for and serving people living with HIV. Every year, the Suzanne Richmond-Crum Award is given to a community member who has made outstanding contributions in the provision of HIV/AIDS services. Read the DOH press release here, and visit to learn more. Congratulations to Raymond for this well-deserved award!


RENT collaborated with HHHRC for a special World AIDS Day performance!

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Office Hours: M-F 8:30AM–12:30PM, 1:00PM–5:00PM

Testing Hours: M-F 9:00AM12:30PM, 1:00PM4:00PM

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

Email:     Tel:  (808) 521-2437

Copyright 2019 Hawai'i Health & Harm Reduction Center