Bizkaia Addresses Chemsex Through Harm Reduction Framework

The Basque Country's public health system (Osakidetza) is coordinating sexual health, addiction, and mental health services to address the harms associated with chemsex—the practice of using drugs during sexual encounters—without stigmatizing those involved. Healthcare providers have identified consultations related to polysubstance use, sexually transmitted infections, and emotional wellbeing among affected populations. This integrated, non-judgmental approach recognizes that adequate data collection is still needed to fully understand the scope and impact of chemsex in the region, but early interventions focus on treating complications and supporting psychological health.