As cases of COVID-19 infections and fatalities begin to surge, an aggressive testing campaign is finally getting underway across the nation. Americans are urged to practice “social distancing,” and self-quarantining. Unfortunately, these essential public health strategies are not reaching the population of people addicted to injectable drugs, threatening everyone’s health. Needle exchange programs and safe injection sites bring these desperately-needed interventions to that community. Perhaps most importantly, they can ensure that these users are tested for COVID-19. Many people who inject drugs are immunocompromised, malnourished, and live on the streets. They are therefore more vulnerable to a severe and fatal infection. (See also: How harm reduction is responding to the pandemic)