From North to South, mountains to coast, North Carolina is now home to 26 unique syringe exchange programs. The exchanges operate out of churches and harm reduction programs, pawn shops, treatment centers and drug user unions, ambulances and fire departments, recovery programs and AIDS care service organizations, health departments, peer support programs and much more. Some have budgets and fixed sites, while others operate out of the trunks of cars, fueled by the passion of those who want to bring health, wellness and empowerment to people who use drugs.