Harm reduction was adopted by public institutions to help stem the spread of HIV/AIDS in the 1980s. But it originated in self-advocacy by drug users, sex workers, and trans activists.
鈥淟ook at that little bald head,鈥 Jewel Adams said. Moving toward Adams in the arms of her mother, and wearing a ruffled, magenta onesie, is 3-week-old Safiyah James. 鈥淗i Sophia,鈥